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psnet.ahrq.gov/issue/understanding-safety-culture-long-term-care-case-study
April 19, 2011 - Study
Understanding safety culture in long-term care: a case study.
Citation Text:
Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7.
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psnet.ahrq.gov/issue/systems-approach-sharp-end
April 21, 2021 - Commentary
The systems approach at the sharp end.
Citation Text:
Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. doi:10.7861/futurehosp.5-3-176.
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psnet.ahrq.gov/issue/health-literacy-informed-communication-reduce-discharge-medication-errors-hospitalized
July 12, 2023 - Study
Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinical trial.
Citation Text:
Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge medication errors in hospitalized…
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psnet.ahrq.gov/issue/effect-social-influences-pharmacists-intention-report-adverse-drug-events
November 13, 2019 - Study
Effect of social influences on pharmacists' intention to report adverse drug events.
Citation Text:
Gavaza P, Brown CM, Lawson KA, et al. Effect of social influences on pharmacists' intention to report adverse drug events. J Am Pharm Assoc (2003). 2012;52(5):622-629.
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psnet.ahrq.gov/issue/predictors-unit-level-medication-administration-accuracy-microsystem-impacts-medication
October 06, 2016 - Study
Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety.
Citation Text:
Donaldson N, Aydin C, Fridman M. Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. J Nurs Adm. 2014;44(6):353-6…
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psnet.ahrq.gov/issue/ordering-interruptions-tertiary-care-center-prospective-observational-study
July 15, 2020 - Study
Ordering interruptions in a tertiary care center: a prospective observational study.
Citation Text:
Dadlez NM, Azzarone G, Sinnett MJ, et al. Ordering Interruptions in a Tertiary Care Center: A Prospective Observational Study. Hosp Pediatr. 2017;7(3):134-139. doi:10.1542/hpeds.2016…
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psnet.ahrq.gov/issue/refining-framework-enhance-communication-emergency-department-during-diagnostic-process
May 08, 2024 - Study
Refining a framework to enhance communication in the emergency department during the diagnostic process: an eDelphi approach.
Citation Text:
Manojlovich M, Bettencourt AP, Mangus CW, et al. Refining a framework to enhance communication in the emergency department during the diagnos…
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psnet.ahrq.gov/issue/effects-educational-patient-safety-campaign-patients-safety-behaviours-and-adverse-events
November 05, 2013 - Study
Effects of an educational patient safety campaign on patients' safety behaviours and adverse events.
Citation Text:
Schwappach DLB, Frank O, Buschmann U, et al. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. J Eval Clin Pract.…
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psnet.ahrq.gov/issue/rates-and-characteristics-paid-malpractice-claims-among-us-physicians-specialty-1992-2014
December 19, 2014 - Study
Classic
Rates and characteristics of paid malpractice claims among US physicians by specialty, 1992–2014.
Citation Text:
Schaffer A, Jena AB, Seabury SA, et al. Rates and Characteristics of Paid Malpractice Claims Among US Physicians by Specialty, 1992-201…
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psnet.ahrq.gov/issue/sensemaking-patient-safety-risks-and-hazards
March 03, 2011 - Commentary
Sensemaking of patient safety risks and hazards.
Citation Text:
Battles J, Dixon NM, Borotkanics RJ, et al. Sensemaking of patient safety risks and hazards. Health Serv Res. 2006;41(4 Pt 2):1555-1575.
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psnet.ahrq.gov/issue/acting-wisely-complex-clinical-situations-mutual-safety-clinicians-well-patients
June 16, 2021 - Study
Acting wisely in complex clinical situations: 'Mutual safety' for clinicians as well as patients.
Citation Text:
Dornan T, Lee C, Findlay-White F, et al. Acting wisely in complex clinical situations: ‘Mutual safety’ for clinicians as well as patients. Med Teach. 2021;43(12):1419-14…
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psnet.ahrq.gov/issue/re-examining-high-reliability-actively-organising-safety
October 13, 2018 - Commentary
Re-examining high reliability: actively organising for safety.
Citation Text:
Sutcliffe K, Paine LA, Pronovost P. Re-examining high reliability: actively organising for safety. BMJ Qual Saf. 2017;26(3):248-251. doi:10.1136/bmjqs-2015-004698.
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psnet.ahrq.gov/issue/mind-overlap-how-system-problems-contribute-cognitive-failure-and-diagnostic-errors
August 14, 2019 - Study
Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors.
Citation Text:
Gupta A, Harrod M, Quinn M, et al. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Diagnosis (Berl). 2018;5(3):151-156. doi:10.15…
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psnet.ahrq.gov/issue/neonatal-intensive-care-unit-safety-culture-varies-widely
April 18, 2012 - Study
Neonatal intensive care unit safety culture varies widely.
Citation Text:
Profit J, Etchegaray J, Petersen L, et al. Neonatal intensive care unit safety culture varies widely. Arch Dis Child Fetal Neonatal Ed. 2012;97(2):F120-6. doi:10.1136/archdischild-2011-300635.
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psnet.ahrq.gov/issue/comprehensive-stroke-centers-overcome-weekend-versus-weekday-gap-stroke-treatment-and
July 13, 2010 - Study
Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality.
Citation Text:
McKinney JS, Deng Y, Kasner SE, et al. Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality. Stroke. 2011;42(9)…
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psnet.ahrq.gov/issue/effect-pharmacist-led-educational-intervention-inappropriate-medication-prescriptions-older
February 14, 2017 - Study
Classic
Effect of a pharmacist-led educational intervention on inappropriate medication prescriptions in older adults: the D-PRESCRIBE randomized clinical trial.
Citation Text:
Martin P, Tamblyn R, Benedetti A, et al. Effect of a Pharmacist-Led Educational…
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psnet.ahrq.gov/issue/using-nurses-and-office-staff-report-prescribing-errors-primary-care
May 04, 2010 - Study
Using nurses and office staff to report prescribing errors in primary care.
Citation Text:
Kennedy AG, Littenberg B, Senders JW. Using nurses and office staff to report prescribing errors in primary care. Int J Qual Health Care. 2008;20(4):238-45. doi:10.1093/intqhc/mzn015.
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psnet.ahrq.gov/issue/introduction-checklists-daily-progress-notes-improves-patient-care-among-gynecological
October 19, 2022 - Study
Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service.
Citation Text:
Diaz-Montes TP, Cobb L, Ibeanu OA, et al. Introduction of checklists at daily progress notes improves patient care among the gynecological oncology se…
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psnet.ahrq.gov/issue/womens-safety-alerts-maternity-care-speaking-enough
July 08, 2015 - Study
Women's safety alerts in maternity care: is speaking up enough?
Citation Text:
Rance S, McCourt C, Rayment J, et al. Women's safety alerts in maternity care: is speaking up enough? BMJ Qual Saf. 2013;22(4):348-55. doi:10.1136/bmjqs-2012-001295.
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psnet.ahrq.gov/issue/hospital-score-predicts-potentially-preventable-30-day-readmissions-conditions-targeted
May 08, 2017 - Study
The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program.
Citation Text:
Burke RE, Schnipper JL, Williams M, et al. The HOSPITAL Score Predicts Potentially Preventable 30-Day Readmissions in Condit…