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psnet.ahrq.gov/issue/high-alert-medication-stratification-tool-revised-exploratory-study-objective-standardized
September 23, 2020 - Study
High-alert medication stratification tool-revised: an exploratory study of an objective, standardized medication safety tool.
Citation Text:
Washburn NC, Dossett HA, Fritschle AC, et al. High-Alert Medication Stratification Tool-Revised: An Exploratory Study of an Objective, Standa…
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psnet.ahrq.gov/issue/simulation-design-research-evaluating-safety-innovations-anaesthesia
February 25, 2009 - Study
A simulation design for research evaluating safety innovations in anaesthesia.
Citation Text:
Merry AF, Weller JM, Robinson BJ, et al. A simulation design for research evaluating safety innovations in anaesthesia*. Anaesthesia. 2008;63(12):1349-57. doi:10.1111/j.1365-2044.2008.…
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psnet.ahrq.gov/issue/medication-errors-hospitals-literature-review-disruptions-nursing-practice-during-medication
August 26, 2015 - Review
Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration.
Citation Text:
Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication …
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psnet.ahrq.gov/issue/detection-analysis-and-significance-physician-clustering-medical-malpractice-lawsuit-payouts
June 22, 2022 - Study
The detection, analysis, and significance of physician clustering in medical malpractice lawsuit payouts.
Citation Text:
Oshel RE, Levitt P. The Detection, Analysis, and Significance of Physician Clustering in Medical Malpractice Lawsuit Payouts. J Patient Saf. 2016;16(4):274-278. …
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psnet.ahrq.gov/issue/supporting-structures-team-situation-awareness-and-decision-making-insights-four-delivery
October 13, 2010 - Study
Supporting structures for team situation awareness and decision making: insights from four delivery suites.
Citation Text:
Mackintosh N, Berridge E-J, Freeth D. Supporting structures for team situation awareness and decision making: insights from four delivery suites. J Eval Cl…
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psnet.ahrq.gov/issue/interprofessional-education-team-communication-working-together-improve-patient-safety
April 24, 2018 - Study
Interprofessional education in team communication: working together to improve patient safety.
Citation Text:
Brock DM, Abu-Rish E, Chiu C-R, et al. Interprofessional education in team communication: working together to improve patient safety. BMJ Qual Saf. 2013;22(5):414-23. doi…
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psnet.ahrq.gov/issue/systematic-review-team-training-health-care-ten-questions
September 11, 2016 - Review
A systematic review of team training in health care: ten questions.
Citation Text:
Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004.
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psnet.ahrq.gov/issue/professional-behavior-and-value-erosion-qualitative-study-physicians-and-electronic-health
June 01, 2022 - Study
Professional behavior and value erosion: a qualitative study of physicians and the electronic health record.
Citation Text:
Skeff KM, Brown-Johnson CG, Asch SM, et al. Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. J Hea…
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psnet.ahrq.gov/issue/significant-and-sustained-reduction-chemotherapy-errors-through-improvement-science
October 19, 2022 - Study
Significant and sustained reduction in chemotherapy errors through improvement science.
Citation Text:
Weiss BD, Scott M, Demmel K, et al. Significant and sustained reduction in chemotherapy errors through improvement science. J Oncol Pract. 2017;13(4):e329-e336. doi:10.1200/JOP.20…
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psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-academic-medical
October 19, 2022 - Study
Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center.
Citation Text:
Ramanathan R, Leavell P, Stockslager G, et al. Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical cen…
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psnet.ahrq.gov/issue/hospital-patient-safety-grades-may-misrepresent-hospital-performance
September 21, 2022 - Study
Hospital patient safety grades may misrepresent hospital performance.
Citation Text:
Hwang W, Derk J, LaClair M, et al. Hospital patient safety grades may misrepresent hospital performance. J Hosp Med. 2014;9(2):111-5. doi:10.1002/jhm.2139.
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psnet.ahrq.gov/issue/preliminary-assessment-pediatric-health-care-quality-and-patient-safety-united-states-using
December 23, 2008 - Study
Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data.
Citation Text:
McDonald KM, Davies SM, Haberland CA, et al. Preliminary assessment of pediatric health care quality and patient safety in t…
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psnet.ahrq.gov/issue/implementation-specialized-pharmacy-team-monitor-high-risk-medications-during-discharge
September 23, 2020 - Commentary
Implementation of a specialized pharmacy team to monitor high-risk medications during discharge.
Citation Text:
Martin ES, Overstreet RL, Jackson-Khalil LR, et al. Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. Am J Health S…
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psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery
October 06, 2021 - Commentary
Using performance improvement to enhance time-out compliance and prevent wrong-site surgery.
Citation Text:
Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/ao…
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psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-system-capability
September 30, 2020 - Commentary
From HRO to HERO: making health equity a core system capability.
Citation Text:
Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability. Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020.
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psnet.ahrq.gov/issue/patient-safety-lets-measure-what-matters
July 03, 2016 - Commentary
Patient safety: let's measure what matters.
Citation Text:
Thomas EJ, Classen D. Patient safety: let's measure what matters. Ann Intern Med. 2014;160(9):642-3. doi:10.7326/M13-2528.
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psnet.ahrq.gov/issue/impact-drug-shortages-patients-cardiovascular-disease-causes-consequences-and-call-action
October 10, 2012 - Review
The impact of drug shortages on patients with cardiovascular disease: causes, consequences, and a call to action.
Citation Text:
Reed BN, Fox ER, Konig M, et al. The impact of drug shortages on patients with cardiovascular disease: causes, consequences, and a call to action. Am He…
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psnet.ahrq.gov/issue/identifying-high-alert-medications-university-hospital-applying-data-medication-error
August 03, 2017 - Study
Identifying high-alert medications in a university hospital by applying data from the medication error reporting system.
Citation Text:
Tyynismaa L, Honkala A, Airaksinen M, et al. Identifying High-alert Medications in a University Hospital by Applying Data From the Medication Erro…
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psnet.ahrq.gov/issue/rise-medical-scribe-industry-implications-advancement-electronic-health-records
January 12, 2022 - Commentary
The rise of the medical scribe industry: implications for the advancement of electronic health records.
Citation Text:
Gellert GA, Ramirez R, Webster L. The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA. 2015;313(13):1…
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psnet.ahrq.gov/issue/did-i-do-best-system-would-let-me-healthcare-professional-views-hospital-home-care
January 12, 2022 - Study
"Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions.
Citation Text:
Davis MM, Devoe M, Kansagara D, et al. "Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions…