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psnet.ahrq.gov/issue/demonstrating-value-postgraduate-fellowships-physicians-quality-improvement-and-patient
November 04, 2015 - Study
Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety.
Citation Text:
Myers JS, Lane-Fall MB, Perfetti AR, et al. Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. BMJ…
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psnet.ahrq.gov/issue/relationship-between-nursing-home-safety-culture-and-joint-commission-accreditation
June 02, 2010 - Study
Relationship between nursing home safety culture and Joint Commission accreditation.
Citation Text:
Wagner LM, McDonald SM, Castle NG. Relationship between nursing home safety culture and Joint Commission accreditation. Jt Comm J Qual Patient Saf. 2012;38(5):207-15.
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psnet.ahrq.gov/issue/high-reliability-organisation-principles-implemented-dentistry
April 06, 2022 - Commentary
High-reliability organisation principles implemented in dentistry.
Citation Text:
Minyé HM, Benjamin EM. High-reliability organisation principles implemented in dentistry. Br Dent J. 2022;232(12):879-885. doi:10.1038/s41415-022-4354-z.
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca4.jsp
November 01, 2014 - Script for Hospital Staff to Explain to Patients Why They are Asking for R/E/L Information
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/approaches-improving-patient-safety-integrated-care-scoping-review
May 18, 2022 - Review
Approaches to improving patient safety in integrated care: a scoping review.
Citation Text:
Lalani M, Wytrykowski S, Hogan H. Approaches to improving patient safety in integrated care: a scoping review. BMJ Open. 2023;13(4):e067441. doi:10.1136/bmjopen-2022-067441.
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psnet.ahrq.gov/issue/improving-resident-handoffs-children-transitioning-intensive-care-unit
January 12, 2022 - Study
Improving resident handoffs for children transitioning from the intensive care unit.
Citation Text:
Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2…
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psnet.ahrq.gov/issue/medicine-self-administration-errors-older-adult-population-systematic-review
August 18, 2021 - Review
Medicine self-administration errors in the older adult population: a systematic review.
Citation Text:
Aldila F, Walpola RL. Medicine self-administration errors in the older adult population: a systematic review. Res Social Adm Pharm. 2021;17(11):1877-1886. doi:10.1016/j.sapharm.2…
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psnet.ahrq.gov/issue/roles-and-role-ambiguity-patient-and-caregiver-performed-outpatient-parenteral-antimicrobial
November 20, 2024 - Study
Roles and role ambiguity in patient- and caregiver-performed outpatient parenteral antimicrobial therapy.
Citation Text:
Keller SC, Cosgrove SE, Arbaje AI, et al. Roles and Role Ambiguity in Patient- and Caregiver-Performed Outpatient Parenteral Antimicrobial Therapy. Jt Comm J Qua…
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psnet.ahrq.gov/issue/standardizing-medication-reconciliation-pediatric-emergency-department
March 10, 2019 - Study
Standardizing medication reconciliation in a pediatric emergency department.
Citation Text:
Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964.
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psnet.ahrq.gov/issue/stigmatizing-language-patient-demographics-and-errors-diagnostic-process
April 12, 2023 - Study
Stigmatizing language, patient demographics, and errors in the diagnostic process.
Citation Text:
Brooks KC, Raffel KE, Chia D, et al. Stigmatizing language, patient demographics, and errors in the diagnostic process. JAMA Intern Med. 2024;184(6):704-706. doi:10.1001/jamainternmed.…
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psnet.ahrq.gov/issue/standardisation-handoffs-large-academic-paediatric-emergency-department-using-i-pass
October 21, 2020 - Study
The standardisation of handoffs in a large academic paediatric emergency department using I-PASS.
Citation Text:
Chladek MS, Doughty C, Patel B, et al. The Standardisation of handoffs in a large academic paediatric emergency department using I-PASS. BMJ Open Qual. 2021;10(3):e00125…
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psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-identify-and
January 03, 2017 - Study
A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad.
Citation Text:
Holmes J, Chipman M, Barbour T, et al. A simulation systems testing program using HFMEA methodology can effectively ide…
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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/standardising-classification-harm-associated-medication-errors-harm-associated-medication
August 28, 2024 - Commentary
Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC).
Citation Text:
Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with Medication Errors: The H…
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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/teamwork-matters-team-situation-awareness-build-high-performing-healthcare-teams-narrative
August 23, 2023 - Review
Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review.
Citation Text:
Weller JM, Mahajan R, Fahey-Williams K, et al. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Br J An…
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psnet.ahrq.gov/issue/operational-failures-and-interruptions-hospital-nursing
November 03, 2021 - Study
Operational failures and interruptions in hospital nursing.
Citation Text:
Tucker AL, Spear SJ. Operational failures and interruptions in hospital nursing. Health Serv Res. 2006;41(3 Pt 1):643-662.
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psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management
June 22, 2009 - Study
Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system.
Citation Text:
Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. …
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program
June 29, 2022 - Study
Medication errors in community pharmacies: evaluation of a standardized safety program.
Citation Text:
Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016…
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psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow
January 27, 2019 - Study
Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety.
Citation Text:
Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors analysis to evaluate the…