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psnet.ahrq.gov/issue/safety-culture-and-care-program-prevent-surgical-errors
March 25, 2020 - Commentary
Safety culture and care: a program to prevent surgical errors.
Citation Text:
Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002.
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psnet.ahrq.gov/issue/connected-care-reducing-errors-through-automated-vital-signs-data-upload
September 01, 2018 - Study
Connected care: reducing errors through automated vital signs data upload.
Citation Text:
Smith LB, Banner L, Lozano D, et al. Connected care: reducing errors through automated vital signs data upload. Comput Inform Nurs. 2009;27(5):318-23. doi:10.1097/NCN.0b013e3181b21d65.
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psnet.ahrq.gov/issue/computerized-rounding-report-implementation-model-system-support-transitions-care
October 19, 2022 - Study
The computerized rounding report: implementation of a model system to support transitions of care.
Citation Text:
Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7.…
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psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety
January 16, 2017 - Commentary
Classic
Gaps in the continuity of care and progress on patient safety.
Citation Text:
Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320(7237):791-4.
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psnet.ahrq.gov/issue/associations-between-communication-climate-and-frequency-medical-error-reporting-among
July 18, 2016 - Study
Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting.
Citation Text:
Patterson ME, Pace HA, Fincham JE. Associations between communication climate and the frequency of medical error reporting among ph…
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psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklist-correcting-errors-literature-review-applying-reasons
January 10, 2018 - Review
Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model.
Citation Text:
Collins SJ, Newhouse R, Porter J, et al. Effectiveness of the surgical safety checklist in correcting errors: a literature review applying …
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psnet.ahrq.gov/issue/implementation-second-victim-program-pediatric-hospital
December 18, 2013 - Study
Implementation of a "second victim" program in a pediatric hospital.
Citation Text:
Krzan KD, Merandi J, Morvay S, et al. Implementation of a "second victim" program in a pediatric hospital. Am J Health Syst Pharm. 2015;72(7):563-7. doi:10.2146/ajhp140650.
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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/qualitative-exploration-patients-attitudes-towards-participate-inform-notice-know-pink
July 06, 2012 - Study
A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video.
Citation Text:
Pinto A, Vincent CA, Darzi A, et al. A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patien…
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psnet.ahrq.gov/issue/prospective-risk-assessment-informal-carers-medication-administration-errors-within
February 08, 2017 - Study
A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting.
Citation Text:
Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setti…
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psnet.ahrq.gov/issue/field-test-results-new-ambulatory-care-medication-error-and-adverse-drug-event-reporting
September 27, 2010 - Study
Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS.
Citation Text:
Hickner J, Zafar A, Kuo GM, et al. Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System--MEADERS. Ann Fam M…
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psnet.ahrq.gov/issue/patient-perspectives-patient-provider-communication-after-adverse-events
March 28, 2011 - Study
Patient perspectives of patient–provider communication after adverse events.
Citation Text:
Duclos CW, Eichler M, Taylor L, et al. Patient perspectives of patient-provider communication after adverse events. Int J Qual Health Care. 2005;17(6):479-86.
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psnet.ahrq.gov/issue/optimising-delivery-remediation-programmes-doctors-realist-review
June 02, 2021 - Review
Optimising the delivery of remediation programmes for doctors: a realist review.
Citation Text:
Price T, Wong G, Withers L, et al. Optimising the delivery of remediation programmes for doctors: a realist review. Med Educ. 2021;55(9):995-1010. doi:10.1111/medu.14528.
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psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-recommendations
June 13, 2011 - Study
Communicating critical test results: safe practice recommendations.
Citation Text:
Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qual Patient Saf. 2005;31(2):68-80.
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psnet.ahrq.gov/issue/using-near-miss-events-improve-mri-safety-large-academic-centre
May 31, 2017 - Commentary
Using near-miss events to improve MRI safety in a large academic centre.
Citation Text:
Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593.
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psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
March 01, 2023 - Newspaper/Magazine Article
Considering human factors and developing systems-thinking behaviours to ensure patient safety.
Citation Text:
Considering human factors and developing systems-thinking behaviours to ensure patient safety. Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical H…
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psnet.ahrq.gov/issue/international-perspectives-modifications-surgical-safety-checklist
November 17, 2021 - Study
International perspectives on modifications to the surgical safety checklist.
Citation Text:
Turley N, Elam M, Brindle ME. International perspectives on modifications to the surgical safety checklist. JAMA Netw Open. 2023;6(6):e2317183. doi:10.1001/jamanetworkopen.2023.17183.
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psnet.ahrq.gov/issue/rapid-response-team-rural-hospital
October 19, 2022 - Study
Rapid response team in a rural hospital.
Citation Text:
Brown S, Anderson MA, Hill PD. Rapid response team in a rural hospital. Clin Nurse Spec. 2012;26(2):95-102. doi:10.1097/NUR.0b013e31824590fb.
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psnet.ahrq.gov/issue/hospital-system-barriers-rapid-response-team-activation-cognitive-work-analysis
September 09, 2015 - Study
Hospital system barriers to rapid response team activation: a cognitive work analysis.
Citation Text:
Braaten JS. CE: Original research: hospital system barriers to rapid response team activation: a cognitive work analysis. Am J Nurs. 2015;115(2):22-32; test 33; 47. doi:10.1097/01.…
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psnet.ahrq.gov/issue/correlation-between-24-hour-predischarge-opioid-use-and-amount-opioids-prescribed-hospital
November 13, 2024 - Study
Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge.
Citation Text:
Chen EY, Marcantonio A, Tornetta P. Correlation Between 24-Hour Predischarge Opioid Use and Amount of Opioids Prescribed at Hospital Discharge. JAMA Surg. 2018…