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psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication
December 04, 2013 - Study
A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions.
Citation Text:
Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…
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psnet.ahrq.gov/issue/speaking-about-dangers-hidden-curriculum
September 30, 2020 - Commentary
Speaking up about the dangers of the hidden curriculum.
Citation Text:
Liao JM, Thomas EJ, Bell SK. Speaking up about the dangers of the hidden curriculum. Health Aff (Millwood). 2014;33(1):168-171. doi:10.1377/hlthaff.2013.1073.
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psnet.ahrq.gov/issue/can-social-media-be-used-hospital-quality-improvement-tool
May 27, 2011 - Study
Can social media be used as a hospital quality improvement tool?
Citation Text:
Lagu T, Goff SL, Craft B, et al. Can social media be used as a hospital quality improvement tool? J Hosp Med. 2016;11(1):52-5. doi:10.1002/jhm.2486.
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psnet.ahrq.gov/issue/how-does-patient-safety-culture-operating-room-and-post-anesthesia-care-unit-compare-rest
October 14, 2009 - Study
How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital?
Citation Text:
Kaafarani HMA, Itani KMF, Rosen AK, et al. How does patient safety culture in the operating room and post-anesthesia care unit compare to the re…
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psnet.ahrq.gov/issue/improving-patient-care-through-leadership-engagement-frontline-staff-department-veterans
October 14, 2009 - Study
Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study.
Citation Text:
Singer SJ, Rivard PE, Hayes J, et al. Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs…
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psnet.ahrq.gov/issue/comparing-safety-climate-naval-aviation-and-hospitals-implications-improving-patient-safety
October 14, 2009 - Study
Comparing safety climate in naval aviation and hospitals: implications for improving patient safety.
Citation Text:
Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010…
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psnet.ahrq.gov/issue/error-disclosure-new-domain-safety-culture-assessment
September 01, 2018 - Study
Error disclosure: a new domain for safety culture assessment.
Citation Text:
Etchegaray J, Gallagher TH, Bell SK, et al. Error disclosure: a new domain for safety culture assessment. BMJ Qual Saf. 2012;21(7):594-9. doi:10.1136/bmjqs-2011-000530.
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psnet.ahrq.gov/issue/improving-communication-and-resolution-following-adverse-events-using-patient-created
September 01, 2018 - Study
Improving communication and resolution following adverse events using a patient-created simulation exercise.
Citation Text:
Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise. H…
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psnet.ahrq.gov/issue/ethnography-parents-perceptions-patient-safety-neonatal-intensive-care-unit
September 01, 2018 - Study
An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit.
Citation Text:
Ottosen MJ, Engebretson J, Etchegaray J, et al. An Ethnography of Parents' Perceptions of Patient Safety in the Neonatal Intensive Care Unit. Adv Neonatal Care. 2019;19(6):5…
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psnet.ahrq.gov/issue/step-toward-high-reliability-implementation-daily-safety-brief-childrens-hospital
August 23, 2023 - Study
A step toward high reliability: implementation of a daily safety brief in a children's hospital.
Citation Text:
Saysana M, McCaskey M, Cox E, et al. A Step Toward High Reliability: Implementation of a Daily Safety Brief in a Children's Hospital. J Patient Saf. 2017;13(3):149-152. d…
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psnet.ahrq.gov/issue/creating-pediatric-joint-council-promote-patient-safety-and-quality-governance-and
January 29, 2015 - Commentary
Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine.
Citation Text:
Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance…
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psnet.ahrq.gov/issue/how-teams-work-or-dont-primary-care-field-study-internal-medicine-practices
November 28, 2012 - Study
How teams work—or don’t—in primary care: a field study on internal medicine practices.
Citation Text:
Chesluk BJ, Holmboe ES. How teams work--or don't--in primary care: a field study on internal medicine practices. Health Aff (Millwood). 2010;29(5):874-879. doi:10.1377/hlthaff.2009…
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psnet.ahrq.gov/issue/standardized-handoff-report-form-clinical-nursing-education-educational-tool-patient-safety
August 20, 2014 - Commentary
Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care.
Citation Text:
Lim F, J Y Pajarillo E. Standardized handoff report form in clinical nursing education: An educational tool for patient safety and quality…
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psnet.ahrq.gov/issue/compelled-disclosure-confidential-information-patient-safety-research
September 29, 2017 - Commentary
Compelled disclosure of confidential information in patient safety research.
Citation Text:
Du L, Murdoch B, Chiu C, et al. Compelled disclosure of confidential information in patient safety research. J Patient Saf. 2021;17(3):200-206. doi:10.1097/pts.0000000000000293.
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psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
March 11, 2020 - Study
Supporting a psychiatric hospital culture of safety.
Citation Text:
Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577.
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psnet.ahrq.gov/issue/antibiotic-shortages-pediatrics
September 13, 2017 - Commentary
Antibiotic shortages in pediatrics.
Citation Text:
Banerjee R, Thurm CW, Fox ER, et al. Antibiotic Shortages in Pediatrics. Pediatrics. 2018;142(5). doi:10.1542/peds.2018-0858.
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psnet.ahrq.gov/issue/augmenting-health-care-failure-modes-and-effects-analysis-simulation
December 18, 2024 - Study
Augmenting health care failure modes and effects analysis with simulation.
Citation Text:
Nielsen DS, Dieckmann P, Mohr M, et al. Augmenting health care failure modes and effects analysis with simulation. Simul Healthc. 2014;9(1):48-55. doi:10.1097/SIH.0b013e3182a3defd.
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psnet.ahrq.gov/issue/crisis-preparedness-systems-based-framework-avoiding-harm-surgery
September 14, 2022 - Study
Crisis preparedness: a systems-based framework for avoiding harm in surgery.
Citation Text:
Gogalniceanu P, Karydis N, Costan V-V, et al. Crisis preparedness: a systems-based framework for avoiding harm in surgery. J Am Coll Surg. 2022;235(4):612-623. doi:10.1097/xcs.00000000000003…
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psnet.ahrq.gov/issue/medical-errors-orthopaedics-results-aaos-member-survey
August 04, 2021 - Study
Medical errors in orthopaedics. Results of an AAOS member survey.
Citation Text:
Wong DA, Herndon JH, Canale T, et al. Medical errors in orthopaedics. Results of an AAOS member survey. J Bone Joint Surg Am. 2009;91(3):547-57. doi:10.2106/JBJS.G.01439.
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psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric
June 13, 2011 - Study
Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward.
Citation Text:
van Tilburg CM, Leistikow IP, Rademaker CMA, et al. Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology w…