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psnet.ahrq.gov/issue/importance-preparation-doctors-handovers-acute-medical-assessment-unit-hierarchical-task
March 02, 2011 - Study
The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis.
Citation Text:
Raduma-Tomàs MA, Flin R, Yule S, et al. The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical …
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psnet.ahrq.gov/issue/incidence-staff-awareness-and-mortality-patients-risk-general-wards
November 15, 2023 - Study
Incidence, staff awareness and mortality of patients at risk on general wards.
Citation Text:
Fuhrmann L, Lippert A, Perner A, et al. Incidence, staff awareness and mortality of patients at risk on general wards. Resuscitation. 2008;77(3):325-30. doi:10.1016/j.resuscitation.2008.…
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psnet.ahrq.gov/issue/improving-quality-care-and-patient-outcomes-during-care-transitions-r01
October 09, 2022 - Grant Announcement
Improving Quality of Care and Patient Outcomes During Care Transitions (R01).
Citation Text:
Improving Quality of Care and Patient Outcomes During Care Transitions (R01). Rockville, MD: Agency for Healthcare Research and Quality; December 6, 2019. PA-20-068.
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psnet.ahrq.gov/issue/teamwork-and-error-operating-room-analysis-skills-and-roles
April 15, 2009 - Study
Teamwork and error in the operating room: analysis of skills and roles.
Citation Text:
Catchpole K, Mishra A, Handa A, et al. Teamwork and error in the operating room: analysis of skills and roles. Ann Surg. 2008;247(4):699-706. doi:10.1097/SLA.0b013e3181642ec8.
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psnet.ahrq.gov/issue/reasons-accident-causation-model-application-adverse-events-acute-care
October 29, 2014 - Commentary
Reason's accident causation model: application to adverse events in acute care.
Citation Text:
Elliott M, Page K, Worrall-Carter L. Reason's accident causation model: application to adverse events in acute care. Contemp Nurse. 2012;43(1):22-8. doi:10.5172/conu.2012.43.1.22.
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psnet.ahrq.gov/issue/systems-based-approaches-improve-patient-safety-improving-healthcare-worker-safety-and-well
July 22, 2024 - Grant Announcement
Systems-Based Approaches to Improve Patient Safety by Improving Healthcare Worker Safety and Well-Being (R01 Clinical Trial Optional).
Citation Text:
Systems-Based Approaches to Improve Patient Safety by Improving Healthcare Worker Safety and Well-Being (R01 Clinical T…
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psnet.ahrq.gov/issue/diagnostic-error-internal-medicine
May 25, 2022 - Study
Diagnostic error in internal medicine.
Citation Text:
Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
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psnet.ahrq.gov/issue/awareness-human-factors-operating-theatres-during-covid-19-pandemic
October 27, 2021 - Study
Awareness of human factors in the operating theatres during the COVID-19 pandemic.
Citation Text:
Britton CR, Hayman G, Stroud N. Awareness of Human Factors in the operating theatres during the COVID-19 pandemic. J Perioper Pract. 2021;31(1-2):44-50. doi:10.1177/1750458920978858.
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psnet.ahrq.gov/issue/speaking-factors-and-issues-nurses-advocating-patients-when-patients-are-jeopardy
April 28, 2021 - Commentary
Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy.
Citation Text:
Rainer J. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. J Nurs Care Qual. 2015;30(1):53-62. doi:10.1097/NCQ.000000…
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psnet.ahrq.gov/issue/bar-code-technology-medication-administration-medication-errors-and-nurse-satisfaction
July 29, 2020 - Study
Bar-code technology for medication administration: medication errors and nurse satisfaction.
Citation Text:
Fowler SB, Sohler P, Zarillo DF. Bar-code technology for medication administration: medication errors and nurse satisfaction. Medsurg Nurs. 2009;18(2):103-9.
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psnet.ahrq.gov/issue/identifying-safety-hazards-associated-intravenous-vancomycin-through-analysis-patient-safety
January 25, 2023 - Study
Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports.
Citation Text:
Krukas A, Franklin ES, Bonk C, et al. Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety even…
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psnet.ahrq.gov/issue/pediatric-vaccination-errors-application-5-rights-framework-national-error-reporting-database
September 21, 2008 - Study
Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database.
Citation Text:
Bundy DG, Shore AD, Morlock L, et al. Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database. Vaccine.…
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psnet.ahrq.gov/issue/hospital-ran-out-her-childs-cancer-drug-now-shes-fighting-end-shortages
February 06, 2019 - Newspaper/Magazine Article
The hospital ran out of her child's cancer drug. Now she's fighting to end shortages.
Citation Text:
The hospital ran out of her child's cancer drug. Now she's fighting to end shortages. Noguchi Y. Health Shots and All Things Considered. National Public Ra…
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psnet.ahrq.gov/issue/assessment-healthcare-professionals-knowledge-managing-emergency-complications-patients
March 14, 2018 - Slideset
Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy.
Citation Text:
Casserly P, Lang E, Fenton JE, et al. Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a …
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psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-facilities-r18-0
January 11, 2023 - Grant Announcement
Making Health Care Safer in Ambulatory Care Settings and Long-term Care Facilities (R18).
Citation Text:
Making Health Care Safer in Ambulatory Care Settings and Long-term Care Facilities (R18). Rockville, MD: Agency for Healthcare Research and Quality; September 9, 20…
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psnet.ahrq.gov/issue/infection-prevention-emergency-department
July 13, 2016 - Review
Infection prevention in the emergency department.
Citation Text:
Liang SY, Theodoro DL, Schuur JD, et al. Infection prevention in the emergency department. Ann Emerg Med. 2014;64(3):299-313. doi:10.1016/j.annemergmed.2014.02.024.
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psnet.ahrq.gov/issue/healthcare-provider-complaints-emergency-department-preliminary-report-new-quality
October 07, 2013 - Study
Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument.
Citation Text:
Griffey RT, Bohan JS. Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument.…
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psnet.ahrq.gov/issue/finding-and-fixing-diagnosis-errors-can-triggers-help
January 31, 2024 - Commentary
Finding and fixing diagnosis errors: can triggers help?
Citation Text:
Schiff GD. Finding and fixing diagnosis errors: can triggers help? BMJ Qual Saf. 2011;21(2):89-92. doi:10.1136/bmjqs-2011-000590.
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psnet.ahrq.gov/issue/using-electronic-prescribing-system-ensure-accurate-medication-lists-large-multidisciplinary
August 28, 2017 - Study
Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group.
Citation Text:
Stock R, Scott J, Gurtel S. Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group. J…
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psnet.ahrq.gov/issue/how-trainees-would-disclose-medical-errors-educational-implications-training-programmes
February 16, 2011 - Study
How trainees would disclose medical errors: educational implications for training programmes.
Citation Text:
White AA, Bell SK, Krauss MJ, et al. How trainees would disclose medical errors: educational implications for training programmes. Med Educ. 2011;45(4):372-80. doi:10.1111…