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psnet.ahrq.gov/issue/using-situ-simulation-identify-and-resolve-latent-environmental-threats-patient-safety-case
April 17, 2011 - Commentary
Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward.
Citation Text:
Hamman WR, Beaudin-Seiler BM, Beaubien JM, et al. Using in situ simulation to identify and resolve latent environme…
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psnet.ahrq.gov/issue/house-staff-team-workload-and-organization-effects-patient-outcomes-academic-general-internal
February 24, 2011 - Study
House staff team workload and organization effects on patient outcomes in an academic general internal medicine inpatient service.
Citation Text:
Ong M, Bostrom A, Vidyarthi A, et al. House staff team workload and organization effects on patient outcomes in an academic general in…
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psnet.ahrq.gov/issue/fighting-mrsa-infections-hospital-care-how-organizational-factors-matter
July 10, 2008 - Study
Fighting MRSA infections in hospital care: how organizational factors matter.
Citation Text:
Salge TO, Vera A, Antons D, et al. Fighting MRSA Infections in Hospital Care: How Organizational Factors Matter. Health Serv Res. 2016;52(3):959-983. doi:10.1111/1475-6773.12521.
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psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
January 06, 2017 - Study
Process of care failures in breast cancer diagnosis.
Citation Text:
Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0.
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-curriculum-outline-patient-safety-and
September 22, 2021 - Organizational Policy/Guidelines
Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows.
Citation Text:
Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and qua…
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psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system
September 08, 2010 - Study
Out-of-hospital medication errors: a 6-year analysis of the national poison data system.
Citation Text:
Shah K, Barker KA. Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Pharmacoepidemiol Drug Saf. 2009;18(11):1080-5. doi:10.1002/pds.1823…
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psnet.ahrq.gov/issue/racial-implicit-bias-and-communication-among-physicians-simulated-environment
October 19, 2022 - Study
Racial implicit bias and communication among physicians in a simulated environment.
Citation Text:
Gonzalez CM, Ark TK, Fisher MR, et al. Racial implicit bias and communication among physicians in a simulated environment. JAMA Netw Open. 2024;7(3):e242181. doi:10.1001/jamanetworkop…
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2013
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Prescribing and transcribing-2013. Am J Health Syst Pharm. 2…
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psnet.ahrq.gov/issue/pharmacist-counseling-when-dispensing-naloxone-standing-order-secret-shopper-study-4-chain
March 17, 2021 - Study
Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies.
Citation Text:
Contreras J, Baus C, Brandt C, et al. Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. J Am …
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psnet.ahrq.gov/issue/how-do-hospitalized-patients-feel-about-resident-work-hours-fatigue-and-discontinuity-care
July 02, 2008 - Study
How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care?
Citation Text:
Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(…
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psnet.ahrq.gov/issue/extended-work-duration-and-risk-self-reported-percutaneous-injuries-interns
January 07, 2011 - Study
Extended work duration and the risk of self-reported percutaneous injuries in interns.
Citation Text:
Ayas N, Barger LK, Cade BE, et al. Extended work duration and the risk of self-reported percutaneous injuries in interns. JAMA. 2006;296(9):1055-62.
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psnet.ahrq.gov/issue/assessing-teamwork-attitudes-healthcare-development-teamstepps-teamwork-attitudes
September 23, 2020 - Study
Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire.
Citation Text:
Baker DP, Amodeo AM, Krokos KJ, et al. Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. Qual Saf H…
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psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care
October 19, 2022 - Review
A new, evidence-based estimate of patient harms associated with hospital care.
Citation Text:
James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69.
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2011
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration—2011. American Journal of H…
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psnet.ahrq.gov/issue/causes-death-residents-acgme-accredited-programs-2000-through-2014-implications-learning
January 31, 2018 - Study
Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment.
Citation Text:
Yaghmour NA, Brigham T, Richter T, et al. Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014. Acad Med. 2017;92(7):976-983…
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psnet.ahrq.gov/issue/racism-pain-medicine-we-can-and-should-do-more
December 15, 2008 - Commentary
Racism in pain medicine: we can and should do more.
Citation Text:
Strand NH, Mariano ER, Goree JH, et al. Racism in pain medicine: we can and should do more. Mayo Clin Proc. 2021;96(6):1394-1400. doi:10.1016/j.mayocp.2021.02.030.
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psnet.ahrq.gov/issue/assessment-opioid-prescribing-practices-and-after-implementation-health-system-intervention
November 16, 2022 - Study
Emerging Classic
Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing.
Citation Text:
Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practi…
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psnet.ahrq.gov/issue/evaluating-horizontal-violence-and-bullying-nursing-workforce-oncology-academic-medical
February 24, 2021 - Study
Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center.
Citation Text:
Lewis-Pierre LT, Anglade D, Saber D, et al. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. J Nur…
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psnet.ahrq.gov/issue/challenging-authority-and-speaking-operating-room-environment-narrative-synthesis
December 13, 2017 - Review
Emerging Classic
Challenging authority and speaking up in the operating room environment: a narrative synthesis.
Citation Text:
Pattni N, Arzola C, Malavade A, et al. Challenging authority and speaking up in the operating room environment: a narrative syn…
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psnet.ahrq.gov/issue/characterising-icu-ward-handoffs-three-academic-medical-centres-process-and-perceptions
September 27, 2023 - Study
Characterising ICU–ward handoffs at three academic medical centres: process and perceptions.
Citation Text:
Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1…