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psnet.ahrq.gov/issue/microanalysis-video-operating-room-underused-approach-patient-safety-research
January 22, 2014 - Study
Microanalysis of video from the operating room: an underused approach to patient safety research.
Citation Text:
Bezemer J, Cope A, Korkiakangas T, et al. Microanalysis of video from the operating room: an underused approach to patient safety research. BMJ Qual Saf. 2017;26(7):583-…
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psnet.ahrq.gov/issue/unmeasured-quality-metric-burn-out-and-second-victim-syndrome-healthcare
September 25, 2024 - Commentary
The unmeasured quality metric: burn out and the second victim syndrome in healthcare.
Citation Text:
Heiss K, Clifton M. The unmeasured quality metric: Burn out and the second victim syndrome in healthcare. Semin Pediatr Surg. 2019;28(3):189-194. doi:10.1053/j.sempedsurg.2019.…
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psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality
September 20, 2012 - Commentary
Changing the medical malpractice system to align with what we know about patient safety and quality improvement.
Citation Text:
Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement. Acad Med. 2017;92(7):891-8…
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psnet.ahrq.gov/issue/iv-medication-safety-software-implementation-multihospital-health-system
October 17, 2018 - Commentary
IV medication safety software implementation in a multihospital health system.
Citation Text:
Cassano AT. IV Medication Safety Software Implementation in a Multihospital Health System. Hosp Pharm. 2010;41(2):151-156. doi:10.1310/hpj4102-151.
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psnet.ahrq.gov/issue/radio-frequency-identification-applications-hospital-environments
March 24, 2021 - Commentary
Radio frequency identification applications in hospital environments.
Citation Text:
Wicks AM, Visich JK, Li S. Radio frequency identification applications in hospital environments. Hosp Top. 2007;84(3):3-9. doi:10.3200/htps.84.3.3-9.
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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/team-types-perceived-efficiency-and-team-climate-swedish-cross-professional-teamwork
October 18, 2023 - Study
Team types, perceived efficiency and team climate in Swedish cross-professional teamwork.
Citation Text:
Thylefors I, Persson O, Hellström D. Team types, perceived efficiency and team climate in Swedish cross-professional teamwork. J Interprof Care. 2005;19(2):102-14.
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psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics
March 05, 2010 - Study
What constitutes a prescribing error in paediatrics?
Citation Text:
Ghaleb MA, Barber N, Franklin D, et al. What constitutes a prescribing error in paediatrics? Qual Saf Health Care. 2005;14(5):352-7.
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psnet.ahrq.gov/issue/perspective-beyond-counting-hours-importance-supervision-professionalism-transitions-care-and
September 20, 2011 - Commentary
Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training.
Citation Text:
Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7). doi:10.1097/acm.0b013e318257…
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www.ahrq.gov/patient-safety/reports/engage/model-in-pc.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Model of Patient Safety in Primary Care
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Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduc…
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psnet.ahrq.gov/issue/it-vulnerabilities-highlighted-errors-malfunctions-veterans-medical-centers
January 31, 2024 - Commentary
IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers.
Citation Text:
Kuehn BM. IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers. JAMA. 2009;301(9):919. doi:10.1001/jama.2009.239.
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psnet.ahrq.gov/issue/doctors-new-dilemma
November 13, 2024 - Commentary
The doctor's new dilemma.
Citation Text:
Koven S. The Doctor's New Dilemma. N Engl J Med. 2016;374(7):608-9. doi:10.1056/NEJMp1513708.
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psnet.ahrq.gov/issue/alternative-perspectives-safety-home-delivered-health-care-sequential-exploratory-mixed
February 17, 2016 - Study
Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study.
Citation Text:
Jones S. Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. J Adv Nurs. 2016;72(10):2536-46. doi…
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psnet.ahrq.gov/issue/alarm-system-management-evidence-based-guidance-encouraging-direct-measurement
August 11, 2021 - Review
Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response.
Citation Text:
Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve ala…
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psnet.ahrq.gov/issue/human-factors-considerations-relevant-cpoe-implementations
October 23, 2024 - Review
Human factors considerations relevant to CPOE implementations.
Citation Text:
Saathoff A. Human factors considerations relevant to CPOE implementations. J Healthc Inf Manag. 2005;19(3):71-8.
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psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
November 11, 2020 - Commentary
Use of complex adaptive systems metaphor to achieve professional and organizational change.
Citation Text:
Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.0351…
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psnet.ahrq.gov/issue/adverse-events-and-preventable-adverse-events-children
March 24, 2011 - Study
Classic
Adverse events and preventable adverse events in children.
Citation Text:
Woods D, Thomas EJ, Holl JL, et al. Adverse events and preventable adverse events in children. Pediatrics. 2005;115(1):155-60.
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psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-primary-care-through-pharmacy-led-interventions
August 18, 2021 - Study
Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions.
Citation Text:
Bryant E, Claire K, Needham R. Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. Pharm J. 2019;303(7932). doi:10.1211/pj.2019.20207385.
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psnet.ahrq.gov/issue/adverse-drug-event-surveillance-and-drug-withdrawals-united-states-1969-2002
October 08, 2014 - Study
Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002.
Citation Text:
Wysowski DK, Swartz L. Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002: the importance of reporting suspected reactions. Arch Intern Med. 2005…
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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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