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psnet.ahrq.gov/issue/armstrong-institute-academic-institute-patient-safety-and-quality-improvement-research
September 27, 2017 - Commentary
The Armstrong Institute: an academic institute for patient safety and quality improvement, research, training, and practice.
Citation Text:
Pronovost P, Holzmueller CG, Molello NE, et al. The Armstrong Institute: An Academic Institute for Patient Safety and Quality Improvement…
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psnet.ahrq.gov/issue/suffering-silence-medical-error-and-its-impact-health-care-providers
December 12, 2014 - Review
Suffering in silence: medical error and its impact on health care providers.
Citation Text:
Robertson JJ, Long B. Suffering in Silence: Medical Error and its Impact on Health Care Providers. J Emerg Med. 2018;54(4). doi:10.1016/j.jemermed.2017.12.001.
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psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-neglected
February 14, 2024 - Commentary
The WHO World Alliance for Patient Safety: a new challenge or an old one neglected?
Citation Text:
Edwards R. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Drug Saf. 2005;28(5):379-86.
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psnet.ahrq.gov/issue/equipped-overcoming-barriers-change-improve-quality-care-theories-change
May 23, 2018 - Commentary
Equipped: overcoming barriers to change to improve quality of care (theories of change).
Citation Text:
Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):1…
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psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
October 16, 2013 - Study
The effect of an organizational network for patient safety on safety event reporting.
Citation Text:
Jeffs L, Hayes C, Smith O, et al. The effect of an organizational network for patient safety on safety event reporting. Eval Health Prof. 2014;37(3):366-78. doi:10.1177/016327871349…
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psnet.ahrq.gov/issue/speaking-patient-safety-and-staff-well-being-qualitative-study
November 16, 2016 - Study
'Speaking Up' for patient safety and staff well-being: a qualitative study.
Citation Text:
Delpino R, Lees-Deutsch L, Solanki B. ‘Speaking Up’ for patient safety and staff well-being: a qualitative study. BMJ Open Qual. 2023;12(2):e002047. doi:10.1136/bmjoq-2022-002047.
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psnet.ahrq.gov/issue/quality-care-concerns-and-facility-response-following-medical-emergency-va-southern-nevada
July 13, 2022 - Book/Report
Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas.
Citation Text:
Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care Sy…
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psnet.ahrq.gov/issue/safe-implementation-standard-concentration-infusions-paediatric-intensive-care
June 17, 2014 - Study
Safe implementation of standard concentration infusions in paediatric intensive care.
Citation Text:
Arenas-López S, Stanley IM, Tunstell P, et al. Safe implementation of standard concentration infusions in paediatric intensive care. Journal of Pharmacy and Pharmacology. 2016;69(5)…
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psnet.ahrq.gov/issue/computerized-decision-support-medication-dosing-renal-insufficiency-randomized-controlled
September 30, 2009 - Study
Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.
Citation Text:
Terrell KM, Perkins AJ, Hui SL, et al. Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial. Ann Emerg …
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psnet.ahrq.gov/issue/implementing-standardized-reporting-and-safety-checklists
September 29, 2017 - Study
Implementing standardized reporting and safety checklists.
Citation Text:
Stevens JD, Bader MK, Luna MA, et al. Cultivating quality: implementing standardized reporting and safety checklists. Am J Nurs. 2011;111(5):48-53. doi:10.1097/01.naj.0000398051.07923.69.
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psnet.ahrq.gov/issue/effect-diagnostic-accuracy-cognitive-reasoning-tools-workplace-setting-systematic-review-and
February 02, 2022 - Review
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.
Citation Text:
Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review…
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psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-rounds-implementation-and-impact
March 27, 2024 - Study
Psychiatry morbidity and mortality rounds: implementation and impact.
Citation Text:
Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact. Acad Psychiatry. 2009;33(5):383-8. doi:10.1176/appi.ap.33.5.383.
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psnet.ahrq.gov/issue/what-influences-sustainment-and-nonsustainment-facilitation-activities-implementation
April 17, 2017 - Study
What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS.
Citation Text:
Baloh J, Zhu X, Ward MM. What influences sustainment and nonsustainment of facilitation activities in…
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psnet.ahrq.gov/issue/using-electronic-health-records-identify-adverse-drug-events-ambulatory-care-systematic
May 04, 2012 - Review
Using electronic health records to identify adverse drug events in ambulatory care: a systematic review.
Citation Text:
Feng C, Le D, McCoy AB. Using Electronic Health Records to Identify Adverse Drug Events in Ambulatory Care: A Systematic Review. Appl Clin Inform. 2019;10(1):123…
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psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors
June 19, 2024 - Study
Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors.
Citation Text:
Harada Y, Watari T, Nagano H, et al. Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. Diagnosis (Berl). 2023;10(4):3…
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psnet.ahrq.gov/issue/potentially-inappropriate-opioid-prescribing-overdose-and-mortality-massachusetts-2011-2015
January 23, 2019 - Study
Potentially inappropriate opioid prescribing, overdose, and mortality in Massachusetts, 2011–2015.
Citation Text:
Rose AJ, Bernson D, Chui KKH, et al. Potentially Inappropriate Opioid Prescribing, Overdose, and Mortality in Massachusetts, 2011-2015. J Gen Intern Med. 2018;33(9):151…
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psnet.ahrq.gov/issue/proactive-patient-safety-focusing-what-goes-right-perioperative-environment
April 26, 2023 - Study
Proactive patient safety: focusing on what goes right in the perioperative environment.
Citation Text:
Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.000000…
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psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
September 12, 2012 - Study
Incorrect surgical counts: a qualitative analysis.
Citation Text:
Rowlands A, Steeves R. Incorrect surgical counts: a qualitative analysis. AORN J. 2010;92(4):410-9. doi:10.1016/j.aorn.2010.01.019.
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psnet.ahrq.gov/issue/bad-behavior-healthcare-insidious-threat-patients-staff-and-organizations
October 16, 2019 - Commentary
Bad behavior in healthcare: an insidious threat to patients, staff, and organizations.
Citation Text:
Crowe L, Riley CM. Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. Curr Opin Cardiol. 2024;39(4):331-337. doi:10.1097/hco.00000000000011…
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psnet.ahrq.gov/issue/curriculum-development-and-implementation-national-interprofessional-fellowship-patient
November 18, 2016 - Commentary
Curriculum development and implementation of a national interprofessional fellowship in patient safety.
Citation Text:
Watts B, Williams L, Mills PD, et al. Curriculum Development and Implementation of a National Interprofessional Fellowship in Patient Safety. J Patient Saf. 2…