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psnet.ahrq.gov/issue/development-and-early-experience-intervention-facilitate-teamwork-between-general-practices
June 29, 2011 - Study
Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study.
Citation Text:
Harris MF, Chan BC, Daniel C, et al. Development and early experience from an intervention to facilitate teamwor…
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psnet.ahrq.gov/issue/diagnostic-blood-loss-phlebotomy-and-hospital-acquired-anemia-during-acute-myocardial
March 14, 2022 - Study
Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction.
Citation Text:
Salisbury AC, Reid KJ, Alexander KP, et al. Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. Arch Intern Med…
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psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital-transport-critically
March 15, 2016 - Study
A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients.
Citation Text:
Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of…
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psnet.ahrq.gov/issue/problems-health-information-technology-and-their-effects-care-delivery-and-patient-outcomes
February 14, 2024 - Review
Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review.
Citation Text:
Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic r…
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psnet.ahrq.gov/issue/effect-medication-errors-pharmacists-charting-medication-emergency-department
November 16, 2022 - Study
The effect on medication errors of pharmacists charting medication in an emergency department.
Citation Text:
Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci. 2009;31(3):373-9.…
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psnet.ahrq.gov/issue/reducing-readmission-academic-medical-center-results-pharmacy-facilitated-discharge
August 04, 2021 - Study
Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program.
Citation Text:
Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilita…
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psnet.ahrq.gov/issue/sustained-impact-pediatric-resident-led-patient-safety-council
March 21, 2017 - Study
Sustained impact of a pediatric resident-led patient safety council.
Citation Text:
Parente V, Feeney C, Page L, et al. Sustained Impact of a Pediatric Resident-Led Patient Safety Council. J Patient Saf. 2021;17(8):e1346-e1357. doi:10.1097/PTS.0000000000000495.
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psnet.ahrq.gov/issue/intervention-improve-transitions-nicu-ambulatory-care-quasi-experimental-study
December 30, 2014 - Study
An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study.
Citation Text:
Moyer VA, Papile L-A, Eichenwald E, et al. An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. BMJ Qual Saf. 2014;23(12):e3. …
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psnet.ahrq.gov/issue/closing-gap-and-raising-bar-assessing-board-competency-quality-and-safety
July 20, 2022 - Study
Closing the gap and raising the bar: assessing board competency in quality and safety.
Citation Text:
McGaffigan PA, Ullem BD, Gandhi TK. Closing the Gap and Raising the Bar: Assessing Board Competency in Quality and Safety. Jt Comm J Qual Patient Saf. 2017;43(6):267-274. doi:10.10…
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psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
November 26, 2014 - Study
An initiative to improve the management of clinically significant test results in a large health care network.
Citation Text:
Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt …
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psnet.ahrq.gov/issue/transforming-communication-and-safety-culture-intrapartum-care-multi-organization-blueprint
May 21, 2019 - Commentary
Transforming communication and safety culture in intrapartum care: a multi-organization blueprint.
Citation Text:
Lyndon A, Johnson C, Bingham D, et al. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Obstet Gynecol. 2015;125(…
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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/disclosing-adverse-events-patients-international-norms-and-trends
July 29, 2020 - Study
Disclosing adverse events to patients: international norms and trends.
Citation Text:
Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107.
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psnet.ahrq.gov/issue/examining-relationship-among-ambulatory-surgical-settings-work-environment-nurses
March 29, 2017 - Study
Examining the relationship among ambulatory surgical settings work environment, nurses' characteristics, and medication errors reporting.
Citation Text:
Farag AA, Anthony MK. Examining the Relationship Among Ambulatory Surgical Settings Work Environment, Nurses' Characteristics, an…
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psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient
April 03, 2005 - Commentary
A failure in the medication delivery system-how disclosure and systems investigation improve patient safety.
Citation Text:
Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Ri…
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psnet.ahrq.gov/issue/introducing-new-junior-doctor-electronic-weekend-handover-orthopaedic-ward
May 31, 2017 - Commentary
Introducing a new junior doctor electronic weekend handover on an orthopaedic ward.
Citation Text:
Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059.
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psnet.ahrq.gov/issue/characterising-near-miss-events-complex-laparoscopic-surgery-through-video-analysis
October 09, 2013 - Study
Characterising 'near miss' events in complex laparoscopic surgery through video analysis.
Citation Text:
Bonrath EM, Gordon LE, Grantcharov T. Characterising 'near miss' events in complex laparoscopic surgery through video analysis. BMJ Qual Saf. 2015;24(8):516-21. doi:10.1136/bmjq…
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psnet.ahrq.gov/issue/prevalence-and-characteristics-interruptions-and-distractions-during-surgical-counts
March 09, 2016 - Study
Prevalence and characteristics of interruptions and distractions during surgical counts.
Citation Text:
Bubric KA, Biesbroek SL, Laberge JC, et al. Prevalence and characteristics of interruptions and distractions during surgical counts. Jt Comm J Qual Patient Saf. 2021;47(9):556-56…
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psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting
July 13, 2009 - Commentary
Creating a just culture in the perioperative setting.
Citation Text:
Hooven K, Altmiller G. Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160. doi:10.1002/aorn.14074.
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psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-medical-errors-killing-my-mom
December 19, 2012 - Commentary
As she lay dying: how I fought to stop medical errors from killing my mom.
Citation Text:
Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833.
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