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psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and
August 12, 2020 - Commentary
Systems approach and systems engineering applied to health care: improving patient safety and health care delivery.
Citation Text:
Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. Ravitz AD, Sapirstein A, Pha…
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psnet.ahrq.gov/issue/rapid-response-systems
September 30, 2010 - Commentary
Rapid response systems.
Citation Text:
Hillman KM, Chen J, Jones D. Rapid response systems. Med J Aust. 2014;201(9):519-21.
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psnet.ahrq.gov/issue/new-tool-give-hospitalists-feedback-improve-interprofessional-teamwork-and-advance-patient
February 10, 2015 - Commentary
A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care.
Citation Text:
Chesluk BJ, Bernabeo E, Hess B, et al. A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. Health Aff…
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psnet.ahrq.gov/issue/assessing-accuracy-drug-profiles-electronic-medical-record-system-washington-state-hospital
September 20, 2011 - Study
Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital.
Citation Text:
Platte B, Akinci F, Güç Y. Assessing the accuracy of drug profiles in an electronic medical record system of a Washington state hospital. Am J Manag Care. 2…
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psnet.ahrq.gov/issue/managing-health-it-risks-reflections-and-recommendations
July 10, 2024 - Commentary
Managing health IT risks: reflections and recommendations.
Citation Text:
Sujan M. Managing health IT risks: reflections and recommendations. J Innov Health Inform. 2018;25(1):952. doi:10.14236/jhi.v25i1.952.
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psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-trainees
July 29, 2020 - Study
Patient safety knowledge and its determinants in medical trainees.
Citation Text:
Kerfoot P, Conlin PR, Travison T, et al. Patient safety knowledge and its determinants in medical trainees. J Gen Intern Med. 2007;22(8):1150-4.
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psnet.ahrq.gov/issue/double-gloves-randomized-trial-evaluate-simple-strategy-reduce-contamination-operating-room
November 09, 2015 - Study
Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room.
Citation Text:
Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. …
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psnet.ahrq.gov/issue/demonstration-project-impact-safety-culture-infection-control-practices-hemodialysis
May 01, 2024 - Journal Article
A demonstration project on the impact of safety culture on infection control practices in hemodialysis
Citation Text:
Millson T, Hackbarth D, Bernard HL. A demonstration project on the impact of safety culture on infection control practices in hemodialysis. Am J Infect Co…
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psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system
October 13, 2018 - Commentary
Creating the web-based intensive care unit safety reporting system.
Citation Text:
Holzmueller CG. Creating the Web-based Intensive Care Unit Safety Reporting System. Journal of the American Medical Informatics Association. 2004;12(2). doi:10.1197/jamia.m1408.
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psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event-occurrence-closing-holes
September 25, 2024 - Commentary
The Swiss cheese model of adverse event occurrence—closing the holes.
Citation Text:
Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003.
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psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center
December 05, 2013 - Study
Analysis of laboratory critical value reporting at a large academic medical center.
Citation Text:
Dighe AS, Rao A, Coakley AB, et al. Analysis of laboratory critical value reporting at a large academic medical center. Am J Clin Pathol. 2006;125(5):758-64.
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psnet.ahrq.gov/issue/using-simulation-improve-systems
May 29, 2014 - Review
Using simulation to improve systems.
Citation Text:
Lundberg PW, Korndorffer JR. Using Simulation to Improve Systems. Surg Clin North Am. 2015;95(4):885-92. doi:10.1016/j.suc.2015.04.007.
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psnet.ahrq.gov/issue/what-measure-safe-hospital-medication-errors-missed-risk-management-clinical-staff-and
September 27, 2017 - Study
What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors.
Citation Text:
Grasso BC, Rothschild JM, Jordan CW, et al. What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and su…
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psnet.ahrq.gov/issue/potential-utility-data-mining-algorithms-early-detection-potentially-fataldisabling-adverse
July 19, 2023 - Study
Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adverse drug reactions: a retrospective evaluation.
Citation Text:
Hauben M, Reich L. Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adve…
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psnet.ahrq.gov/issue/impact-organizations-healthcare-associated-infections
December 11, 2024 - Commentary
Impact of organizations on healthcare-associated infections.
Citation Text:
Castro-Sánchez E, Holmes AH. Impact of organizations on healthcare-associated infections. J Hosp Infect. 2015;89(4):346-50. doi:10.1016/j.jhin.2015.01.012.
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psnet.ahrq.gov/issue/implementing-smart-infusion-pumps-dose-error-reduction-software-real-world-experiences
May 26, 2021 - Commentary
Implementing smart infusion pumps with dose-error reduction software: real-world experiences.
Citation Text:
Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13.
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psnet.ahrq.gov/issue/pediatric-medication-errors-postanesthesia-care-unit-analysis-medmarx-data
January 06, 2017 - Study
Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data.
Citation Text:
Payne CH, Smith CR, Newkirk LE, et al. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. AORN J. 2007;85(4):731-40; quiz 741-4.
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psnet.ahrq.gov/issue/trainees-voice-recognising-importance-preoperative-briefings-surgical-trainees
October 09, 2019 - Commentary
The trainee's voice: recognising the importance of preoperative briefings for surgical trainees.
Citation Text:
Bethune R, Blencowe NS. The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. J Perioper Pract. 2014;24(3):56-58.
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psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration
March 28, 2012 - Study
Errors in thyroid gland fine-needle aspiration.
Citation Text:
Raab SS, Vrbin CM, Grzybicki DM, et al. Errors in Thyroid Gland Fine-Needle Aspiration. Am J Clin Pathol. 2007;125(6). doi:10.1309/7rqe37k6439t4pb4.
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psnet.ahrq.gov/issue/effects-weekend-admission-and-hospital-teaching-status-hospital-mortality
September 12, 2011 - Study
Effects of weekend admission and hospital teaching status on in-hospital mortality.
Citation Text:
Cram P, Hillis SL, Barnett M, et al. Effects of weekend admission and hospital teaching status on in-hospital mortality. Am J Med. 2004;117(3):151-7.
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