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psnet.ahrq.gov/issue/results-medication-reconciliation-survey-2006-society-hospital-medicine-national-meeting
October 27, 2010 - Study
Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting.
Citation Text:
Clay BJ, Halasyamani L, Stucky ER, et al. Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. J Hos…
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psnet.ahrq.gov/issue/human-factors-and-simulation-emergency-medicine
November 16, 2022 - Commentary
Human factors and simulation in emergency medicine.
Citation Text:
Hayden EM, Wong AH, Ackerman J, et al. Human Factors and Simulation in Emergency Medicine. Acad Emerg Med. 2018;25(2):221-229. doi:10.1111/acem.13315.
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psnet.ahrq.gov/issue/emergency-department-checklist-innovation-improve-safety-emergency-care
December 20, 2023 - Commentary
Emergency department checklist: an innovation to improve safety in emergency care.
Citation Text:
Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-00…
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psnet.ahrq.gov/issue/uptake-technologies-designed-influence-medication-safety-canadian-hospitals
March 10, 2021 - Study
The uptake of technologies designed to influence medication safety in Canadian hospitals.
Citation Text:
Saginur M, Graham ID, Forster AJ, et al. The uptake of technologies designed to influence medication safety in Canadian hospitals. J Eval Clin Pract. 2008;14(1):27-35. doi:10.…
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psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
September 23, 2020 - Study
How often do physicians review medication charts on ward rounds?
Citation Text:
Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9.
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psnet.ahrq.gov/issue/patient-care-square-rigger-sailing-and-safety
November 16, 2022 - Commentary
Patient care, square-rigger sailing, and safety.
Citation Text:
Henkind SJ, Sinnett C. Patient care, square-rigger sailing, and safety. JAMA. 2008;300(14):1691-3. doi:10.1001/jama.300.14.1691.
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psnet.ahrq.gov/issue/measuring-patient-safety-culture-assessment-clustering-responses-unit-level-and-hospital
February 20, 2013 - Study
Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level.
Citation Text:
Smits M, Wagner C, Spreeuwenberg P, et al. Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital lev…
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psnet.ahrq.gov/issue/national-physician-survey-diagnostic-error-paediatrics
August 04, 2021 - Study
A national physician survey of diagnostic error in paediatrics.
Citation Text:
Perrem LM, Fanshawe TR, Sharif F, et al. A national physician survey of diagnostic error in paediatrics. Eur J Pediatr. 2016;175(10):1387-92. doi:10.1007/s00431-016-2772-0.
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psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-frequency-and-seriousness-medication-errors
June 14, 2011 - Study
Preventing medication errors in community pharmacy: frequency and seriousness of medication errors.
Citation Text:
Knudsen P, Herborg H, Mortensen AR, et al. Preventing medication errors in community pharmacy: frequency and seriousness of medication errors. Qual Saf Health Care. …
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psnet.ahrq.gov/issue/ball-leadership-patient-safety-and-learning-critical-care
October 16, 2013 - Study
On the ball: leadership for patient safety and learning in critical care.
Citation Text:
Tregunno D, Jeffs L, Hall LMG, et al. On the ball: leadership for patient safety and learning in critical care. J Nurs Adm. 2009;39(7-8):334-9. doi:10.1097/NNA.0b013e3181ae9653.
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psnet.ahrq.gov/issue/safety-measurement-and-monitoring-healthcare-framework-guide-clinical-teams-and-healthcare
September 24, 2018 - Review
Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety.
Citation Text:
Vincent CA, Burnett S, Carthey J. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and health…
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psnet.ahrq.gov/issue/checklists-change-communication-about-key-elements-patient-care
November 16, 2022 - Study
Checklists change communication about key elements of patient care.
Citation Text:
Newkirk M, Pamplin JC, Kuwamoto R, et al. Checklists change communication about key elements of patient care. J Trauma Acute Care Surg. 2012;73(2 Suppl 1):S75-82. doi:10.1097/TA.0b013e3182606239.
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psnet.ahrq.gov/issue/supporting-recovery-after-adverse-events-essential-component-surgeon-well-being
February 15, 2023 - Study
Supporting recovery after adverse events: an essential component of surgeon well-being.
Citation Text:
Berman L, Rialon KL, Mueller CM, et al. Supporting recovery after adverse events: an essential component of surgeon well-being. J Pediatr Surg. 2021;56(5):833-838. doi:10.1016/j.j…
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psnet.ahrq.gov/issue/building-safer-systems-through-critical-occurrence-reviews-nine-years-learning
July 05, 2017 - Study
Building safer systems through critical occurrence reviews: nine years of learning.
Citation Text:
Stevens P, Campbell J, Urmson L, et al. Building safer systems through critical occurrence reviews: nine years of learning. Healthc Q. 2010;13 Spec No:74-80.
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psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system
September 28, 2010 - Study
Classic
A classification system for incidents and accidents in the health-care system.
Citation Text:
Runciman WB, Helps SC, Sexton EJ, et al. A classification for incidents and accidents in the health-care system. J Qual Clin Pract. 1998;18(3):199-211.
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psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
November 26, 2014 - Study
An initiative to improve the management of clinically significant test results in a large health care network.
Citation Text:
Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt …
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psnet.ahrq.gov/issue/debiasing-health-related-judgments-and-decision-making-systematic-review
January 04, 2010 - Review
Debiasing health-related judgments and decision making: a systematic review.
Citation Text:
Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review. Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672.
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psnet.ahrq.gov/issue/identification-adverse-events-ground-transport-emergency-medical-services
August 26, 2020 - Study
Identification of adverse events in ground transport emergency medical services.
Citation Text:
Patterson PD, Weaver MD, Abebe K, et al. Identification of adverse events in ground transport emergency medical services. Am J Med Qual. 2011;27(2):139-146. doi:10.1177/106286061141551…
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psnet.ahrq.gov/issue/using-computerized-prescriber-order-entry-limit-overrides-automated-dispensing-cabinets
May 18, 2022 - Commentary
Using computerized prescriber order entry to limit overrides from automated dispensing cabinets.
Citation Text:
Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14)…
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psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care-system
April 20, 2022 - Study
10,000 good catches: increasing safety event reporting in a pediatric health care system.
Citation Text:
Crandall KM, Almuhanna A, Cady R, et al. 10,000 Good Catches: Increasing Safety Event Reporting In A Pediatric Health Care System. Pediatr Qual Saf. 2019;3(2):e072. doi:10.1097/…