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psnet.ahrq.gov/issue/framing-patient-safety-initiatives-working-model-and-case-example
April 05, 2017 - Commentary
Framing patient safety initiatives: working model and case example.
Citation Text:
Kruger N, Hurley A, Gustafson M. Framing patient safety initiatives: working model and case example. J Nurs Adm. 2006;36(4):200-204.
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psnet.ahrq.gov/issue/disruptions-surgical-flow-and-their-relationship-surgical-errors-exploratory-investigation
August 26, 2011 - Study
Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation.
Citation Text:
Wiegmann DA, Elbardissi AW, Dearani JA, et al. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery. 2007;…
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psnet.ahrq.gov/issue/rating-raters-inconsistent-quality-health-care-performance-measurement
March 27, 2018 - Commentary
Rating the raters: the inconsistent quality of health care performance measurement.
Citation Text:
Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.000…
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psnet.ahrq.gov/issue/qualitative-study-comparing-experiences-surgical-safety-checklist-hospitals-high-income-and
June 16, 2021 - Study
A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low-income countries.
Citation Text:
Aveling E-L, McCulloch P, Dixon-Woods M. A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-…
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psnet.ahrq.gov/issue/what-do-family-physicians-consider-error-comparison-definitions-and-physician-perception
February 15, 2011 - Study
What do family physicians consider an error? A comparison of definitions and physician perception.
Citation Text:
Elder NC, Pallerla H, Regan S. What do family physicians consider an error? A comparison of definitions and physician perception. BMC Fam Pract. 2006;7:73.
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psnet.ahrq.gov/issue/ten-challenges-improving-quality-healthcare-lessons-health-foundations-programme-evaluations
February 19, 2020 - Commentary
Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature.
Citation Text:
Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's p…
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psnet.ahrq.gov/issue/prospective-daily-review-discharge-medications-pharmacists-effects-measures-safety-and
July 14, 2010 - Commentary
Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency.
Citation Text:
Craynon R, Hager DR, Reed M, et al. Prospective daily review of discharge medications by pharmacists: Effects on measures of safety and efficiency. Am…
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psnet.ahrq.gov/issue/improvement-medication-event-interventions-through-use-electronic-database
December 19, 2014 - Study
Improvement of medication event interventions through use of an electronic database.
Citation Text:
Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajh…
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psnet.ahrq.gov/issue/2016-updated-american-society-clinical-oncologyoncology-nursing-society-chemotherapy
February 15, 2023 - Commentary
2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology.
Citation Text:
Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract.…
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psnet.ahrq.gov/issue/safety-measurement-and-monitoring-healthcare-framework-guide-clinical-teams-and-healthcare
September 24, 2018 - Review
Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety.
Citation Text:
Vincent CA, Burnett S, Carthey J. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and health…
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psnet.ahrq.gov/issue/health-care-worker-fatigue
July 08, 2020 - Commentary
Health care worker fatigue.
Citation Text:
Gardner LA, Dubeck D. Health Care Worker Fatigue. Am J Nurs. 2016;116(8):58-62. doi:10.1097/01.NAJ.0000490182.21432.85.
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psnet.ahrq.gov/issue/optimizing-situation-awareness-reduce-emergency-transfers-hospitalized-children
January 19, 2022 - Study
Optimizing situation awareness to reduce emergency transfers in hospitalized children.
Citation Text:
Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2…
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psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation
June 18, 2013 - Commentary
A case of the birth and death of a high reliability healthcare organisation.
Citation Text:
Roberts KH, Madsen P, Desai V, et al. A case of the birth and death of a high reliability healthcare organisation. Qual Saf Health Care. 2005;14(3):216-20.
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psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident-reports
March 16, 2022 - Commentary
Qualitative content analysis: a framework for the substantive review of hospital incident reports.
Citation Text:
Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/…
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psnet.ahrq.gov/issue/safety-warnings-regarding-use-fentanyl-transdermal-skin-patches
August 12, 2015 - Government Resource
Fentanyl transdermal system (marketed as Duragesic) information.
Citation Text:
Fentanyl transdermal system (marketed as Duragesic) information. US Food and Drug Administration. MedWatch. July 10, 2015.
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psnet.ahrq.gov/issue/relationship-between-quality-care-and-negligence-litigation-nursing-homes
September 07, 2011 - Study
Relationship between quality of care and negligence litigation in nursing homes.
Citation Text:
Studdert DM, Spittal MJ, Mello MM, et al. Relationship between quality of care and negligence litigation in nursing homes. N Engl J Med. 2011;364(13):1243-1250. doi:10.1056/nejmsa100933…
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psnet.ahrq.gov/issue/obstetriciangynecologist-hospitalists-can-we-improve-safety-and-outcomes-patients-and
August 04, 2021 - Review
Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifestyle for physicians?
Citation Text:
Olson R, Garite TJ, Fishman A, et al. Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patient…
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psnet.ahrq.gov/issue/oxford-notechs-system-reliability-and-validity-tool-measuring-teamwork-behaviour-operating
March 03, 2011 - Study
The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre.
Citation Text:
Mishra A, Catchpole K, McCulloch P. The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operat…
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psnet.ahrq.gov/issue/anti-black-racism-chronic-condition
December 17, 2020 - Commentary
Anti-black racism as a chronic condition.
Citation Text:
Sederstrom N, Lasege T. Anti-black racism as a chronic condition. Hastings Cent Rep. 2022;52(S1):s24-s29. doi:10.1002/hast.1364.
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psnet.ahrq.gov/issue/addressing-elephant-room-shame-resilience-seminar-medical-students
June 07, 2023 - Commentary
Addressing the elephant in the room: a shame resilience seminar for medical students.
Citation Text:
Bynum WE, Adams A, Edelman CE, et al. Addressing the Elephant in the Room: A Shame Resilience Seminar for Medical Students. Acad Med. 2019;94(8):1132-1136. doi:10.1097/ACM.0000…