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psnet.ahrq.gov/issue/second-victim-experience-and-support-tool-validation-organizational-resource-assessing-second
September 19, 2016 - Study
The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources.
Citation Text:
Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: validation of an …
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psnet.ahrq.gov/issue/covid-19-and-patient-safety-time-tap-our-investment-high-reliability
July 21, 2021 - Commentary
COVID-19 and patient safety: time to tap into our investment in high reliability.
Citation Text:
Adelman JS, Gandhi TK. COVID-19 and patient safety: time to tap into our investment in high reliability. J Patient Saf. 2021;17(4):331-333. doi:10.1097/pts.0000000000000843.
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psnet.ahrq.gov/issue/principles-automation-patient-safety-intensive-care-learning-aviation
April 20, 2022 - Commentary
Principles of automation for patient safety in intensive care: learning from aviation.
Citation Text:
Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jc…
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psnet.ahrq.gov/issue/use-cpoe-log-analysis-physicians-behavior-when-responding-drug-duplication-reminders
October 27, 2016 - Study
The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders.
Citation Text:
Long A-J, Chang P, Li Y-C, et al. The use of a CPOE log for the analysis of physicians’ behavior when responding to drug-duplication reminders. Int J Med I…
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psnet.ahrq.gov/issue/theoretical-model-flow-disruptions-anesthesia-team-during-cardiovascular-surgery
July 21, 2021 - Study
A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery.
Citation Text:
Boquet A, Cohen T, Diljohn F, et al. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. J Patient Saf. 2021;17(6):e534-e539. doi…
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psnet.ahrq.gov/issue/how-improve-delivery-medication-alerts-within-computerized-physician-order-entry-systems
October 30, 2013 - Study
How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study.
Citation Text:
Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within computerized physician order entry systems:…
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psnet.ahrq.gov/issue/cardiac-surgery-errors-results-uk-national-reporting-and-learning-system
May 24, 2012 - Study
Cardiac surgery errors: results from the UK National Reporting and Learning System.
Citation Text:
Martinez EA, Shore AD, Colantuoni E, et al. Cardiac surgery errors: results from the UK National Reporting and Learning System. Int J Qual Health Care. 2011;23(2):151-8. doi:10.1093/i…
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psnet.ahrq.gov/issue/intraoperative-sentinel-events-era-surgical-safety-checklists-results-national-survey
August 04, 2021 - Study
Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey.
Citation Text:
Cramer JD, Balakrishnan K, Roy S, et al. Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. OTO Open. 2020;4(4):…
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psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-culture-2015-user-comparative-database-report
November 30, 2016 - Book/Report
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report.
Citation Text:
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. Famolaro T, Yount N, Sorra J, et al. Rockville, MD: Agency for Healthcare Resea…
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psnet.ahrq.gov/issue/comparison-methods-identifying-patients-risk-medication-related-harm
March 04, 2011 - Study
Comparison of methods for identifying patients at risk of medication-related harm.
Citation Text:
van Doormaal J, Rommers MK, Kosterink JGW, et al. Comparison of methods for identifying patients at risk of medication-related harm. Qual Saf Health Care. 2010;19(6):e26. doi:10.1136…
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psnet.ahrq.gov/issue/randomized-trial-electronic-clinical-reminders-improve-medication-laboratory-monitoring
June 11, 2014 - Study
Classic
A randomized trial of electronic clinical reminders to improve medication laboratory monitoring.
Citation Text:
Matheny ME, Sequist TD, Seger AC, et al. A randomized trial of electronic clinical reminders to improve medication laboratory monitori…
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psnet.ahrq.gov/issue/implementing-rise-second-victim-support-programme-johns-hopkins-hospital-case-study
March 03, 2019 - Study
Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study.
Citation Text:
Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. d…
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psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy
January 12, 2011 - Commentary
Classic
A 38-year-old woman with fetal loss and hysterectomy.
Citation Text:
Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840. doi:10.1001/jama.294.7.833.
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psnet.ahrq.gov/issue/should-electronic-differential-diagnosis-support-be-used-early-or-late-diagnostic-process
November 16, 2022 - Study
Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel.
Citation Text:
Sibbald M, Monteiro SD, Sherbino J, et al. Should electronic differential diagnosis support be used early or late in the diag…
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psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety
July 10, 2008 - Study
Classic
A framework for engaging physicians in quality and safety.
Citation Text:
Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf. 2012;21(9):722-728. doi:10.1136/bmjqs-2011-000167.
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psnet.ahrq.gov/issue/what-known-examining-empirical-literature-resident-work-hours-using-30-influential-articles
September 29, 2017 - Review
What is known: examining the empirical literature in resident work hours using 30 influential articles.
Citation Text:
Philibert I. What Is Known: Examining the Empirical Literature in Resident Work Hours Using 30 Influential Articles. J Grad Med Educ. 2016;8(5):795-805. doi:10.43…
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psnet.ahrq.gov/issue/better-medical-office-safety-culture-not-associated-better-scores-quality-measures
April 12, 2011 - Study
Better medical office safety culture is not associated with better scores on quality measures.
Citation Text:
Hagopian B, Singer ME, Curry-Smith AC, et al. Better medical office safety culture is not associated with better scores on quality measures. J Patient Saf. 2012;8(1):15-2…
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psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything
November 03, 2021 - Commentary
Incident reporting systems: what will it take to make them less frustrating and achieve anything useful?
Citation Text:
Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12)…
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psnet.ahrq.gov/issue/executive-summary-american-college-obstetricians-and-gynecologists-presidential-task-force
September 23, 2020 - Commentary
Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery.
Citation Text:
Erickson TB, Kirkpatrick DH, DeFrancesco MS, et al. Executi…
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psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and
August 28, 2013 - Study
Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication.
Citation Text:
Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Fa…