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psnet.ahrq.gov/issue/understanding-informal-aspects-medication-processes-maintain-patient-safety-hospitals
March 06, 2024 - Study
Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units.
Citation Text:
Sutherland AB, Phipps DL, Grant S, et al. Understanding the informal aspects of medication processes to mainta…
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psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes
March 25, 2017 - Study
Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes.
Citation Text:
Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. A…
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psnet.ahrq.gov/issue/observational-study-conformity-yet-another-medical-learning-environment-conformity-preceptors
June 19, 2019 - Study
Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidelity simulation.
Citation Text:
Beran T, Altabbaa G, Oddone Paolucci E. Observational study of conformity in yet another medical learning environment: conformity …
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psnet.ahrq.gov/issue/national-mixed-methods-evaluation-preparedness-general-surgery-residency-and-association
September 02, 2020 - Study
A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout.
Citation Text:
Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for general surgery residency and the asso…
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psnet.ahrq.gov/issue/sustained-improvement-quality-patient-handoffs-after-orthopaedic-surgery-i-pass-intervention
June 15, 2022 - Study
Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention.
Citation Text:
Stenquist DS, Yeung CM, Szapary HJ, et al. Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. J Am Acad Orthop Surg Gl…
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psnet.ahrq.gov/issue/impact-computerised-physician-order-entry-and-clinical-decision-support-pharmacist-physician
August 24, 2016 - Study
The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study.
Citation Text:
Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clin…
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psnet.ahrq.gov/issue/quality-improvement-initiative-improve-patient-safety-event-reporting-residents
March 08, 2023 - Study
A quality improvement initiative to improve patient safety event reporting by residents.
Citation Text:
Herchline D, Rojas C, Shah AA, et al. A quality improvement initiative to improve patient safety event reporting by residents. Pediatr Qual Saf. 2022;7(1):e519. doi:10.1097/pq9.0…
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psnet.ahrq.gov/issue/timeout-procedure-paediatric-surgery-effective-tool-or-lip-service-randomised-prospective
April 06, 2022 - Study
Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study.
Citation Text:
Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observa…
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psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events
January 16, 2008 - Study
Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events.
Citation Text:
Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.100…
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psnet.ahrq.gov/issue/systematic-workup-transfusion-reactions-reveals-passive-co-reporting-handling-errors
December 21, 2016 - Study
Systematic workup of transfusion reactions reveals passive co-reporting of handling errors.
Citation Text:
Nitsche E, Dreßler J, Henschler R. Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. J Blood Med. 2023;14:435-443. doi:10.2147/jbm.s4…
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psnet.ahrq.gov/issue/antibiotic-prescribing-errors-patients-discharged-pediatric-emergency-department
September 22, 2021 - Study
Antibiotic prescribing errors in patients discharged from the pediatric emergency department.
Citation Text:
LaScala EC, Monroe AK, Hall GA, et al. Antibiotic prescribing errors in patients discharged from the pediatric emergency department. Pediatr Emerg Care. 2022;38(1):e387-e392…
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psnet.ahrq.gov/issue/leadership-and-high-reliability-transformation-qualitative-study-truman-va-medical-center
May 31, 2023 - Study
Leadership and the high reliability transformation: a qualitative study at Truman VA medical center.
Citation Text:
Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. J Healthc Risk Manag. 2…
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psnet.ahrq.gov/issue/review-application-safety-attitudes-questionnaire-saq-primary-care-systematic-synthesis
November 13, 2024 - Review
Review: application of the Safety Attitudes Questionnaire (SAQ) in primary care - a systematic synthesis on validity, descriptive and comparative results, and variance across organisational units.
Citation Text:
Olesen AE, Juhl MH, Deilkås ET, et al. Review: application of the Saf…
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psnet.ahrq.gov/issue/impact-comprehensive-safety-initiative-patient-controlled-analgesia-errors
April 02, 2014 - Study
Impact of a comprehensive safety initiative on patient-controlled analgesia errors.
Citation Text:
Paul JE, Bertram B, Antoni K, et al. Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Anesthesiology. 2010;113(6):1427-32. doi:10.1097/ALN.0b013e3…
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psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing
August 02, 2017 - Study
Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting.
Citation Text:
Stojkovic T, Marinkovic V, Jaehde U, et al. Using Failure mode and Effects Analysis to reduce patient safety risks related to t…
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psnet.ahrq.gov/issue/30-day-potentially-avoidable-readmissions-due-adverse-drug-events
June 14, 2017 - Study
30-day potentially avoidable readmissions due to adverse drug events.
Citation Text:
Dalleur O, Beeler PE, Schnipper JL, et al. 30-Day Potentially Avoidable Readmissions Due to Adverse Drug Events. J Patient Saf. 2021;17(5):e379-e386. doi:10.1097/pts.0000000000000346.
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psnet.ahrq.gov/issue/examination-leapfrog-safety-measures-and-magnet-designation
January 27, 2021 - Study
An examination of Leapfrog safety measures and Magnet designation.
Citation Text:
Tai TWC, Mattie A, Miller SM, et al. An examination of Leapfrog safety measures and Magnet designation. J Healthc Risk Manag. 2023;42(3-4):21-29. doi:10.1002/jhrm.21533.
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psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-warns-about-prescribing-and-dispensing-errors-resulting
August 05, 2020 - Press Release/Announcement
FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor).
Citation Text:
FDA Drug Safety Communication: FDA warns ab…
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psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors
October 03, 2011 - Study
Dispensing errors in community pharmacy: perceived influence of sociotechnical factors.
Citation Text:
Szeinbach S, Seoane-Vazquez E, Parekh A, et al. Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. Int J Qual Health Care. 2007;19(4):203-9.…
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psnet.ahrq.gov/issue/outcome-adverse-events-and-medical-errors-intensive-care-unit-systematic-review-and-meta
March 16, 2022 - Review
Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis.
Citation Text:
Ahmed AH, Giri J, Kashyap R, et al. Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Am J M…