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psnet.ahrq.gov/issue/effects-bar-coding-technology-medication-errors-systematic-literature-review
March 20, 2024 - Review
The effects of bar-coding technology on medication errors: a systematic literature review.
Citation Text:
Hutton K, Ding Q, Wellman G. The Effects of Bar-coding Technology on Medication Errors: A Systematic Literature Review. J Patient Saf. 2021;17(3):e192-e206. doi:10.1097/PTS.00…
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psnet.ahrq.gov/issue/educational-intervention-contextualizing-patient-care-and-medical-students-abilities-probe
March 02, 2016 - Study
An educational intervention for contextualizing patient care and medical students' abilities to probe for contextual issues in simulated patients.
Citation Text:
Schwartz A, Weiner SJ, Harris IB, et al. An educational intervention for contextualizing patient care and medical studen…
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psnet.ahrq.gov/issue/comparative-issues-aviation-and-surgical-crew-resource-management-1-are-we-too-solution
October 30, 2013 - Commentary
Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused?
Citation Text:
Hunt GJF, Callaghan KSN. COMPARATIVE ISSUES IN AVIATION AND SURGICAL CREW RESOURCE MANAGEMENT: (1) ARE WE TOO SOLUTION FOCUSED? ANZ J Surg. 2008;78(8). doi:1…
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psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews
September 02, 2010 - Study
How do physicians conduct medication reviews?
Citation Text:
Tarn DM, Paterniti DA, Kravitz RL, et al. How do physicians conduct medication reviews? J Gen Intern Med. 2009;24(12):1296-302. doi:10.1007/s11606-009-1132-4.
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psnet.ahrq.gov/issue/weaving-quality-improvement-and-patient-safety-skills-all-levels-medical-training-annotated
August 09, 2023 - Review
Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography.
Citation Text:
Mochan E, Nash DB. Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. Am J Med Qu…
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psnet.ahrq.gov/issue/working-fixed-operating-room-team-consecutive-similar-cases-and-effect-case-duration-and
January 07, 2015 - Study
Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time.
Citation Text:
Stepaniak PS, Vrijland WW, de Quelerij M, et al. Working with a fixed operating room team on consecutive similar cases and the effect on case dura…
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psnet.ahrq.gov/issue/resident-physicians-advice-seeking-and-error-making-social-networks-approach
July 13, 2010 - Study
Resident physicians' advice seeking and error making: a social networks approach.
Citation Text:
Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333.
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psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and-evaluation-community
November 01, 2016 - Study
Classic
A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital.
Citation Text:
Raschke RA, Gollihare B, Wunderlich TA, et al. A Computer Alert System to Prevent Injury From Adverse …
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psnet.ahrq.gov/issue/intentionally-harmful-violations-and-patient-safety-example-harold-shipman
January 25, 2017 - Commentary
Intentionally harmful violations and patient safety: the example of Harold Shipman.
Citation Text:
Baker R, Hurwitz B. Intentionally harmful violations and patient safety: the example of Harold Shipman. J R Soc Med. 2009;102(6):223-227. doi:10.1258/jrsm.2009.09k028.
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psnet.ahrq.gov/issue/improved-operating-room-teamwork-safety-prep-rural-community-hospitals-experience
September 05, 2009 - Study
Improved operating room teamwork via SAFETY prep: a rural community hospital's experience.
Citation Text:
Paige JT, Aaron DL, Yang T, et al. Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. World J Surg. 2009;33(6):1181-7. doi:10.1007/s00…
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psnet.ahrq.gov/issue/impact-rvu-based-compensation-patient-safety-outcomes-outpatient-otolaryngology-procedures
October 19, 2022 - Study
The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures.
Citation Text:
Stanisce L, Ahmad N, Deckard N, et al. The Impact of RVU-Based Compensation on Patient Safety Outcomes in Outpatient Otolaryngology Procedures. Otolaryngol Head N…
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psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-case-control-study
April 12, 2011 - Study
Patient risk factors for medical injury: a case–control study.
Citation Text:
Marbella AM, Laud PW, Brasel KJ, et al. Patient risk factors for medical injury: a case-control study. BMJ Qual Saf. 2011;20(2):187-93. doi:10.1136/bmjqs.2009.032664.
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psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
May 27, 2011 - Study
Computer physician order entry: benefits, costs, and issues.
Citation Text:
Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9.
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psnet.ahrq.gov/issue/implications-case-managers-perceptions-and-attitude-safety-home-delivered-care
September 18, 2016 - Study
Implications of case managers' perceptions and attitude on safety of home-delivered care.
Citation Text:
Jones S. Implications of case managers' perceptions and attitude on safety of home-delivered care. Br J Community Nurs. 2015;20(12):602-7. doi:10.12968/bjcn.2015.20.12.602.
Co…
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psnet.ahrq.gov/issue/patient-identification-error-among-prostate-needle-core-biopsy-specimens-are-we-ready-dna
March 12, 2025 - Study
Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out?
Citation Text:
Suba EJ, Pfeifer JD, Raab SS. Patient identification error among prostate needle core biopsy specimens--are we ready for a DNA time-out? J Urol. 2007;178(4 Pt …
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psnet.ahrq.gov/issue/best-practices-safe-handling-products-containing-concentrated-potassium
April 22, 2011 - Study
Best practices for safe handling of products containing concentrated potassium.
Citation Text:
Tubman M, Majumdar SR, Lee D, et al. Best practices for safe handling of products containing concentrated potassium. BMJ. 2005;331(7511):274-7.
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psnet.ahrq.gov/issue/case-mistaken-identity-staff-input-patient-id-errors
March 27, 2024 - Study
A case of mistaken identity: staff input on patient ID errors.
Citation Text:
Ortiz J, Amatucci C. A case of mistaken identity: staff input on patient ID errors. Nurs Manag. 2009;40(4):37-41. doi:10.1097/01.NUMA.0000349689.98615.6d.
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psnet.ahrq.gov/node/40335/psn-pdf
December 18, 2014 - Assessing teamwork and communication in the authentic
patient care learning environment.
December 18, 2014
Haftel HM, Hicks PJ. Assessing teamwork and communication in the authentic patient care learning
environment. Pediatrics. 2011;127(4):601-3. doi:10.1542/peds.2010-3767.
https://psnet.ahrq.gov/issue/assessing-…
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psnet.ahrq.gov/node/34138/psn-pdf
January 20, 2016 - National Quality Forum.
January 20, 2016
1099 14th Street NW, Suite 500, Washington DC 20005.
https://psnet.ahrq.gov/issue/national-quality-forum
The National Quality Forum (NQF) is a private, not-for-profit membership organization created to develop
and implement a national strategy for quality and safety measure…
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psnet.ahrq.gov/node/41395/psn-pdf
May 23, 2012 - Bridging gaps in handoffs: a continuity of care based
approach.
May 23, 2012
Abraham J, Kannampallil TG, Patel VL. Bridging gaps in handoffs: a continuity of care based approach. J
Biomed Inform. 2012;45(2):240-54. doi:10.1016/j.jbi.2011.10.011.
https://psnet.ahrq.gov/issue/bridging-gaps-handoffs-continuity-care-b…