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psnet.ahrq.gov/issue/meta-analysis-medication-administration-errors-african-hospitals
July 10, 2008 - Review
Meta-analysis of medication administration errors in African hospitals.
Citation Text:
Alemu W, Cimiotti JP. Meta-analysis of medication administration errors in African hospitals. J Healthc Qual. 2023;45(4):233-241. doi:10.1097/jhq.0000000000000396.
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psnet.ahrq.gov/issue/using-near-miss-events-improve-mri-safety-large-academic-centre
May 31, 2017 - Commentary
Using near-miss events to improve MRI safety in a large academic centre.
Citation Text:
Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593.
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psnet.ahrq.gov/issue/effect-patient-centred-bedside-rounds-hospitalised-patients-decision-control-activation-and
March 25, 2015 - Study
Effect of patient-centred bedside rounds on hospitalised patients' decision control, activation and satisfaction with care.
Citation Text:
O'Leary KJ, Killarney A, Hansen LO, et al. Effect of patient-centred bedside rounds on hospitalised patients' decision control, activation and …
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psnet.ahrq.gov/issue/comparison-three-methods-estimating-rates-adverse-events-and-rates-preventable-adverse-events
March 23, 2011 - Study
Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals.
Citation Text:
Michel P, Quenon JL, de Sarasqueta AM, et al. Comparison of three methods for estimating rates of adverse events and rates of prevent…
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psnet.ahrq.gov/issue/residents-report-adverse-events-and-their-causes
February 15, 2011 - Study
Residents report on adverse events and their causes.
Citation Text:
Jagsi R, Kitch BT, Weinstein DF, et al. Residents report on adverse events and their causes. Arch Intern Med. 2005;165(22):2607-13.
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psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes
June 26, 2015 - Study
Classic
How house officers cope with their mistakes.
Citation Text:
Wu AW, Folkman S, McPhee SJ, et al. How house officers cope with their mistakes. West J Med. 1993;159(5):565-569.
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psnet.ahrq.gov/issue/simulation-tool-improve-safety-pre-hospital-anaesthesia-pilot-study
October 19, 2022 - Study
Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study.
Citation Text:
Batchelder AJ, Steel A, Mackenzie R, et al. Simulation as a tool to improve the safety of pre-hospital anaesthesia--a pilot study. Anaesthesia. 2009;64(9):978-83. doi:10.1111/j.1365…
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psnet.ahrq.gov/issue/perception-patient-safety-culture-pediatric-long-term-care-settings
May 10, 2023 - Study
Perception of patient safety culture in pediatric long-term care settings.
Citation Text:
Hessels AJ, Murray MT, Cohen B, et al. Perception of Patient Safety Culture in Pediatric Long-Term Care Settings. J Healthc Qual. 2018;40(6):384-391. doi:10.1097/JHQ.0000000000000134.
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psnet.ahrq.gov/issue/practice-advisory-prevention-and-management-operating-room-fires
December 14, 2010 - Commentary
Practice advisory for the prevention and management of operating room fires.
Citation Text:
Fires AS of ATF on OR, Caplan RA, Barker SJ, et al. Practice advisory for the prevention and management of operating room fires. Anesthesiology. 2008;108(5):786-801; quiz 971-2. doi:10…
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psnet.ahrq.gov/issue/clinical-outcomes-associated-medication-regimen-complexity-older-people-systematic-review
March 21, 2012 - Review
Clinical outcomes associated with medication regimen complexity in older people: a systematic review.
Citation Text:
Wimmer BC, Cross AJ, Jokanovic N, et al. Clinical Outcomes Associated with Medication Regimen Complexity in Older People: A Systematic Review. J Am Geriatr Soc. 201…
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psnet.ahrq.gov/issue/reducing-accidental-extubation-neonates
September 09, 2011 - Study
Reducing accidental extubation in neonates.
Citation Text:
Loughead JL, Brennan RA, DeJuilio P, et al. Reducing accidental extubation in neonates. Jt Comm J Qual Patient Saf. 2008;34(3):164-170, 125.
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psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance
July 29, 2020 - Study
Adverse event rates as measures of hospital performance.
Citation Text:
Hauck K, Zhao X, Jackson T. Adverse event rates as measures of hospital performance. Health Policy (New York). 2012;104(2):146-154. doi:10.1016/j.healthpol.2011.06.010.
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psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
June 02, 2021 - Study
Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers.
Citation Text:
Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. Peard LM, Teplitsky S, Annabathula A, et al. Ca…
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psnet.ahrq.gov/issue/engaging-patient-and-family-surgical-safety-process-utilizing-safestart
October 19, 2022 - Study
Engaging the patient and family in the surgical safety process utilizing SafeStart.
Citation Text:
Elger BM, Esparaz JR, Nierstedt RT, et al. Engaging the patient and family in the surgical safety process utilizing. J Pediatr Surg. 2020;55(4). doi:10.1016/j.jpedsurg.2019.06.012.
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psnet.ahrq.gov/issue/surgical-safety-checklists-childrens-surgery-surgeons-attitudes-and-review-literature
October 23, 2019 - Study
Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature.
Citation Text:
Roybal J, Tsao KJ, Rangel S, et al. Surgical Safety Checklists in Children's Surgery: Surgeons' Attitudes and Review of the Literature. Pediatr Qual Saf. 2018;3(5):e10…
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psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety
August 28, 2019 - Study
Infrequent physician use of implantable cardioverter-defibrillators risks patient safety.
Citation Text:
Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.2…
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psnet.ahrq.gov/issue/unacceptable-behaviours-between-healthcare-workers-just-tip-patient-safety-iceberg
February 16, 2022 - Commentary
Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg.
Citation Text:
Bamberger E, Bamberger P. Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. BMJ Qual Saf. 2022;31(9):638-641. doi:10.11…
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psnet.ahrq.gov/issue/development-and-evaluation-1-day-interclerkship-program-medical-students-medical-errors-and
March 12, 2025 - Commentary
Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety.
Citation Text:
Moskowitz E, Veloski J, Fields SK, et al. Development and evaluation of a 1-day interclerkship program for medical students on medical error…
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psnet.ahrq.gov/issue/what-would-you-ideally-do-if-there-were-no-targets-ethnographic-study-unintended-consequences
July 27, 2011 - Study
What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings.
Citation Text:
Allard J, Bleakley A. What would you ideally do if there were no targets? An ethnographic study of the unintended…
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psnet.ahrq.gov/issue/missed-opportunities-primary-care-management-early-acute-ischemic-heart-disease
January 08, 2016 - Study
Missed opportunities in the primary care management of early acute ischemic heart disease.
Citation Text:
Sequist TD, Marshall R, Lampert S, et al. Missed opportunities in the primary care management of early acute ischemic heart disease. Arch Intern Med. 2006;166(20):2237-43.
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