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psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies
March 06, 2005 - Book/Report
Classic
Normal Accidents: Living with High-Risk Technologies.
Citation Text:
Normal Accidents: Living with High-Risk Technologies. Perrow C. Princeton NJ: Princeton University Press; 1999.
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psnet.ahrq.gov/issue/collaboration-between-pharmacists-physicians-and-nurse-practitioners-qualitative
November 16, 2022 - Study
Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.
Citation Text:
Makowsky MJ, Schindel TJ, Rosenthal M, et al. Collaboration between pharmacists, physicians and nurse pract…
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psnet.ahrq.gov/issue/effective-communication-primary-care-providers
October 02, 2019 - Commentary
Effective communication with primary care providers.
Citation Text:
Smith K. Effective communication with primary care providers. Pediatr Clin North Am. 2014;61(4):671-679. doi:10.1016/j.pcl.2014.04.004.
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psnet.ahrq.gov/issue/development-medical-checklists-improved-quality-patient-care
March 23, 2011 - Review
Development of medical checklists for improved quality of patient care.
Citation Text:
Hales B, Terblanche M, Fowler R, et al. Development of medical checklists for improved quality of patient care. International Journal for Quality in Health Care. 2007;20(1). doi:10.1093/intqhc…
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psnet.ahrq.gov/issue/how-do-we-learn-about-error-cross-sectional-study-urology-trainees
October 21, 2010 - Study
How do we learn about error? A cross-sectional study of urology trainees.
Citation Text:
Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees. J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007.
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psnet.ahrq.gov/issue/violations-behavioral-practices-revealed-closed-claims-reviews
August 26, 2011 - Study
Violations of behavioral practices revealed in closed claims reviews.
Citation Text:
Griffen FD, Stephens LS, Alexander JB, et al. Violations of behavioral practices revealed in closed claims reviews. Ann Surg. 2008;248(3):468-474. doi:10.1097/sla.0b013e318185e196.
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psnet.ahrq.gov/issue/leveraging-continuum-novel-approach-meeting-quality-improvement-and-patient-safety-competency
August 02, 2015 - Commentary
Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine.
Citation Text:
Myers JS, Bellini LM. Leveraging the Continuum: A Novel Approach to Meeting Quality Improvement and Patien…
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psnet.ahrq.gov/issue/errors-and-omissions-hospital-prescriptions-survey-prescription-writing-hospital
April 13, 2022 - Study
Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.
Citation Text:
Calligaris L, Panzera A, Arnoldo L, et al. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. BMC Clin Pharmacol. 2009;9:9. d…
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psnet.ahrq.gov/issue/using-system-analysis-build-safety-culture-improving-reliability-epidural-analgesia
January 14, 2009 - Study
Using system analysis to build a safety culture: improving the reliability of epidural analgesia.
Citation Text:
Garnerin P, Huchet-Belouard A, Diby M, et al. Using system analysis to build a safety culture: improving the reliability of epidural analgesia. Acta Anaesthesiol Scand…
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psnet.ahrq.gov/issue/patient-access-electronic-health-records-during-hospitalization
October 19, 2022 - Study
Patient access to electronic health records during hospitalization.
Citation Text:
Pell JM, Mancuso M, Limon S, et al. Patient access to electronic health records during hospitalization. JAMA Intern Med. 2015;175(5):856-858. doi:10.1001/jamainternmed.2015.121.
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www.ahrq.gov/evidencenow/model/profiles/valada.html
March 01, 2021 - Running a Small Practice in the Big Apple
Dr. Vidya Valada is a proud New Yorker. Born and raised in India, Vidya moved to New York City in the 1990s to complete her residency in internal medicine. She speaks briskly and enthusiastically about practicing medicine, and it quickly becomes apparent that she feels …
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www.ahrq.gov/news/newsroom/case-studies/ktcquips92.html
October 01, 2014 - Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit
Search All Impact Case Studies
April 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, Delmarva Foundation for Medical Care, the Maryland Quality Improvement Organization (QIO), worked with h…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_4-speaker-notes.docx
September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals
Preventing CAUTI in the ICU Setting
Module 4: Summary and Next Steps
SAY:
SLIDE 1
SAY:
You’ve now seen three modules on how to stop catheter-associated urinary tract infections, or CAUTI, in your intensive care unit, or ICU. In Module 1, you learned that hos…
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psnet.ahrq.gov/issue/surgeons-difficulty-exploration-differences-assistance-seeking-behaviors-between-male-and
December 21, 2014 - Study
Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons.
Citation Text:
Sanfey H, Fromson J, Mellinger JD, et al. Surgeons in Difficulty: An Exploration of Differences in Assistance-Seeking Behaviors between Male and Fe…
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psnet.ahrq.gov/issue/comparative-performance-pediatric-weight-estimation-techniques-human-factor-errors-analysis
March 30, 2022 - Study
Comparative performance of pediatric weight estimation techniques: a human factor errors analysis.
Citation Text:
Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 201…
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psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures
August 04, 2021 - Study
Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures.
Citation Text:
Jeffs L, Espin S, Rorabeck L, et al. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. J Nurs Care Qual. …
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psnet.ahrq.gov/issue/medication-orders-are-written-clearly-and-transcribed-accurately-implementing-medication
May 27, 2011 - Commentary
Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b.
Citation Text:
Laselle TJ, May SK. Medication Orders are Written Clearly and Transcribed Accurately – Implementing Medicatio…
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psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations-comparative
July 30, 2014 - Commentary
Understanding psychological safety in health care and education organizations: a comparative perspective.
Citation Text:
Edmondson AC, Higgins M, Singer SJ, et al. Understanding Psychological Safety in Health Care and Education Organizations: A Comparative Perspective. Res Hum…
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psnet.ahrq.gov/issue/even-now-it-makes-me-angry-health-care-students-professionalism-dilemma-narratives
June 12, 2019 - Study
'Even now it makes me angry': health care students' professionalism dilemma narratives.
Citation Text:
Monrouxe L, Rees CE, Endacott R, et al. 'Even now it makes me angry': health care students' professionalism dilemma narratives. Med Educ. 2014;48(5):502-17. doi:10.1111/medu.12377…
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psnet.ahrq.gov/issue/ending-disruptive-behavior-staff-nurse-recommendations-nurse-educators
July 19, 2023 - Study
Ending disruptive behavior: staff nurse recommendations to nurse educators.
Citation Text:
Lux KM, Hutcheson JB, Peden AR. Ending disruptive behavior: staff nurse recommendations to nurse educators. Nurse Educ Pract. 2014;14(1):37-42. doi:10.1016/j.nepr.2013.06.014.
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