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psnet.ahrq.gov/issue/use-specific-indicators-detect-warfarin-related-adverse-events
October 19, 2022 - Study
Use of specific indicators to detect warfarin-related adverse events.
Citation Text:
Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events. American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404.
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psnet.ahrq.gov/issue/attitudinal-changes-resulting-repetitive-training-operating-room-personnel-using-high
February 25, 2009 - Study
Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care.
Citation Text:
Paige JT, Kozmenko V, Yang T, et al. Attitudinal changes resulting from repetitive training of operating room personnel using of …
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psnet.ahrq.gov/issue/cognitive-bias-and-dissonance-surgical-practice-narrative-review
June 25, 2018 - Review
Cognitive bias and dissonance in surgical practice: a narrative review.
Citation Text:
Richburg CE, Dossett LA, Hughes TM. Cognitive bias and dissonance in surgical practice: a narrative review. Surg Clin North Am. 2023;103(2):271-285. doi:10.1016/j.suc.2022.11.003.
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psnet.ahrq.gov/issue/developing-expert-medical-teams-toward-evidence-based-approach
September 29, 2017 - Review
Developing expert medical teams: toward an evidence-based approach.
Citation Text:
Fernandez R, Vozenilek JA, Hegarty CB, et al. Developing expert medical teams: toward an evidence-based approach. Acad Emerg Med. 2008;15(11):1025-36. doi:10.1111/j.1553-2712.2008.00232.x.
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psnet.ahrq.gov/issue/effect-80-hour-work-week-resident-case-coverage
July 21, 2010 - Study
Effect of the 80-hour work week on resident case coverage.
Citation Text:
Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg. 2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028.
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psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk-rehospitalisation
March 25, 2015 - Study
Hospital discharge documentation and risk of rehospitalisation.
Citation Text:
Hansen LO, Strater A, Smith L, et al. Hospital discharge documentation and risk of rehospitalisation. BMJ Qual Saf. 2011;20(9):773-8. doi:10.1136/bmjqs.2010.048470.
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psnet.ahrq.gov/issue/overview-research-priorities-surgical-simulation-what-literature-shows-has-been-achieved
June 17, 2015 - Review
An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains.
Citation Text:
Johnston MJ, Paige JT, Aggarwal R, et al. An overview of research priorities in surgical simulation: what the literature …
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psnet.ahrq.gov/issue/study-frequency-and-rationale-overriding-allergy-warnings-computerized-prescriber-order-entry
February 15, 2011 - Study
A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system.
Citation Text:
Swiderski SM, Pedersen CA, Schneider PJ, et al. A Study of the Frequency and Rationale for Overriding Allergy Warnings in a Computerized Prescrib…
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psnet.ahrq.gov/issue/development-and-implementation-oral-sign-out-skills-curriculum
February 15, 2011 - Commentary
Development and implementation of an oral sign-out skills curriculum.
Citation Text:
Horwitz LI, Moin T, Green M. Development and implementation of an oral sign-out skills curriculum. J Gen Intern Med. 2007;22(10):1470-4.
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psnet.ahrq.gov/issue/analysis-human-performance-deficiencies-associated-surgical-adverse-events
April 15, 2016 - Study
Emerging Classic
Analysis of human performance deficiencies associated with surgical adverse events.
Citation Text:
Suliburk JW, Buck QM, Pirko CJ, et al. Analysis of Human Performance Deficiencies Associated With Surgical Adverse Events. JAMA Netw Open. 2…
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psnet.ahrq.gov/issue/creating-nurse-led-culture-minimize-horizontal-violence-acute-care-setting-multi
July 05, 2017 - Commentary
Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach.
Citation Text:
Parker KM, Harrington A, Smith CM, et al. Creating a Nurse-Led Culture to Minimize Horizontal Violence in the Acute Care Setting: A Multi-Int…
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psnet.ahrq.gov/issue/developing-and-deploying-patient-safety-program-large-health-care-delivery-system-you-cant
August 03, 2017 - Commentary
Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about.
Citation Text:
Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health care delivery system: you ca…
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psnet.ahrq.gov/issue/el-camino-hospital-using-health-information-technology-promote-patient-safety
March 06, 2013 - Award Recipient
El Camino Hospital: using health information technology to promote patient safety.
Citation Text:
Bukunt S, Hunter C, Perkins S, et al. El Camino Hospital: Using Health Information Technology to Promote Patient Safety. Jt Comm J Qual Patient Saf. 2016;31(10):561-565. doi:…
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psnet.ahrq.gov/issue/striving-zero-error-patient-surgical-journey-through-adoption-aviation-style-challenge-and
July 10, 2017 - Study
Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project.
Citation Text:
Low DK, Reed MA, Geiduschek JM, et al. Striving for a zero-error patient surgical journey through adoption …
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2010
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2010.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing--2010. Am J Health Syst Pharm…
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2008
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration--2008. Am J Health Syst Pha…
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psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
June 19, 2024 - Commentary
Learning from mistakes and near mistakes: using root cause analysis as a risk management tool.
Citation Text:
Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.20…
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psnet.ahrq.gov/issue/teaching-hospital-financial-status-and-patient-outcomes-following-acgme-duty-hour-reform
November 26, 2014 - Study
Teaching hospital financial status and patient outcomes following ACGME duty hour reform.
Citation Text:
Navathe AS, Silber JH, Small DS, et al. Teaching hospital financial status and patient outcomes following ACGME duty hour reform. Health Serv Res. 2013;48(2 Pt 1):476-98. doi:…
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psnet.ahrq.gov/issue/performance-measures-neurosurgical-patient-care-differing-applications-patient-safety
June 03, 2020 - Study
Performance measures in neurosurgical patient care: differing applications of patient safety indicators.
Citation Text:
Moghavem N, McDonald KM, Ratliff JK, et al. Performance Measures in Neurosurgical Patient Care: Differing Applications of Patient Safety Indicators. Med Care. 201…
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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…