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psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals
January 03, 2017 - Study
A review of verbal order policies in acute care hospitals.
Citation Text:
Wakefield DS, Wakefield BJ, Despins L, et al. A review of verbal order policies in acute care hospitals. Jt Comm J Qual Patient Saf. 2012;38(1):24-33.
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psnet.ahrq.gov/issue/association-overlapping-cardiac-surgery-short-term-patient-outcomes
November 09, 2022 - Study
Association of overlapping cardiac surgery with short-term patient outcomes.
Citation Text:
Glauser G, Goodrich S, McClintock SD, et al. Association of overlapping cardiac surgery with short-term patient outcomes. J Thorac Cardiovasc Surg. 2021;162(1):155-164.e2. doi:10.1016/j.jtc…
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psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability
March 01, 2023 - Commentary
Using the patient safety huddle as a tool for high reliability.
Citation Text:
Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004.
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psnet.ahrq.gov/issue/role-advice-medication-administration-errors-pediatric-ambulatory-setting
February 06, 2008 - Study
The role of advice in medication administration errors in the pediatric ambulatory setting.
Citation Text:
Lemer C, Bates DW, Yoon CS, et al. The role of advice in medication administration errors in the pediatric ambulatory setting. J Patient Saf. 2009;5(3):168-75. doi:10.1097/P…
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psnet.ahrq.gov/issue/electronic-intervention-improve-safety-pain-patients-co-prescribed-chronic-opioids-and
March 23, 2022 - Study
An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines.
Citation Text:
Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. Subs…
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psnet.ahrq.gov/issue/complying-acgme-resident-duty-hours-restrictions-restructuring-80-hour-workweek-enhance
August 04, 2021 - Study
Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.
Citation Text:
Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictio…
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psnet.ahrq.gov/issue/expected-and-unanticipated-consequences-quality-and-information-technology-revolutions
March 02, 2011 - Commentary
Classic
Expected and unanticipated consequences of the quality and information technology revolutions.
Citation Text:
Wachter R. Expected and unanticipated consequences of the quality and information technology revolutions. JAMA. 2006;295(23):2780-3…
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psnet.ahrq.gov/issue/examining-nature-interprofessional-interventions-designed-promote-patient-safety-narrative
August 17, 2018 - Review
Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review.
Citation Text:
Reeves ST, Clark E, Lawton S, et al. Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. Inter…
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psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
October 07, 2013 - Review
Team-based care: the changing face of cardiothoracic surgery.
Citation Text:
Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003.
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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/relationship-between-electronic-health-records-and-malpractice-claims
August 05, 2009 - Study
The relationship between electronic health records and malpractice claims.
Citation Text:
Quinn MA, Kats AM, Kleinman K, et al. The relationship between electronic health records and malpractice claims. Arch Intern Med. 2012;172(15):1187-9. doi:10.1001/archinternmed.2012.2371.
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psnet.ahrq.gov/issue/importance-leadership-preventing-healthcare-associated-infection-results-multisite
April 13, 2011 - Study
The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.
Citation Text:
Saint S, Kowalski CP, Banaszak-Holl J, et al. The importance of leadership in preventing healthcare-associated infection: results of a multisite qu…
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psnet.ahrq.gov/issue/feedback-incident-reporting-information-and-action-improve-patient-safety
August 26, 2009 - Study
Feedback from incident reporting: information and action to improve patient safety.
Citation Text:
Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve patient safety. Qual Saf Health Care. 2009;18(1):11-21. doi:10.1136/qshc.2…
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psnet.ahrq.gov/issue/applying-modern-error-theory-problem-missed-injuries-trauma
June 15, 2011 - Study
Applying modern error theory to the problem of missed injuries in trauma.
Citation Text:
Clarke DL, Gouveia J, Thomson SR, et al. Applying modern error theory to the problem of missed injuries in trauma. World J Surg. 2008;32(6):1176-82. doi:10.1007/s00268-008-9543-7.
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psnet.ahrq.gov/issue/systematic-review-adult-admissions-icus-related-adverse-drug-events
March 16, 2016 - Review
A systematic review of adult admissions to ICUs related to adverse drug events.
Citation Text:
Jolivot P-A, Hindlet P, Pichereau C, et al. A systematic review of adult admissions to ICUs related to adverse drug events. Crit Care. 2014;18(6):643. doi:10.1186/s13054-014-0643-5.
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psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management
October 19, 2022 - Study
Elopement: evidence-based mitigation and management.
Citation Text:
Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence‐based mitigation and management. Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683.
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psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
June 27, 2018 - Study
A multicomponent fall prevention strategy reduces falls at an academic medical center.
Citation Text:
France D, Slayton J, Moore S, et al. A Multicomponent Fall Prevention Strategy Reduces Falls at an Academic Medical Center. The Joint Commission Journal on Quality and Patient Safe…
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psnet.ahrq.gov/issue/paediatric-nurses-adherence-double-checking-process-during-medication-administration
October 03, 2012 - Study
Paediatric nurses' adherence to the double-checking process during medication administration in a children's hospital: an observational study.
Citation Text:
Alsulami Z, Choonara I, Conroy S. Paediatric nurses' adherence to the double-checking process during medication administrati…
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psnet.ahrq.gov/issue/patient-safety-dilemma-obesity-surgical-patient
October 29, 2012 - Study
A patient safety dilemma: obesity in the surgical patient.
Citation Text:
Goode V, Phillips E, DeGuzman P, et al. A Patient Safety Dilemma: Obesity in the Surgical Patient. AANA J. 2016;84(6):404-412.
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psnet.ahrq.gov/issue/relationship-between-early-emergency-team-calls-and-serious-adverse-events
June 02, 2010 - Study
The relationship between early emergency team calls and serious adverse events.
Citation Text:
Chen J, Bellomo R, Flabouris A, et al. The relationship between early emergency team calls and serious adverse events. Crit Care Med. 2009;37(1):148-53. doi:10.1097/CCM.0b013e3181928ce3…