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psnet.ahrq.gov/issue/influence-electronic-prescribing-has-medication-errors-and-preventable-adverse-drug-events
August 18, 2010 - Study
The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study.
Citation Text:
van Doormaal J, van den Bemt PMLA, Zaal RJ, et al. The influence that electronic prescribing has on medication errors and preve…
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psnet.ahrq.gov/issue/medical-error-second-victim
March 23, 2011 - Commentary
Classic
Medical error: the second victim.
Citation Text:
Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320(7237):726-727.
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psnet.ahrq.gov/issue/hardwiring-patient-blood-management-harnessing-information-technology-optimize-transfusion
September 20, 2012 - Review
Hardwiring patient blood management: harnessing information technology to optimize transfusion practice.
Citation Text:
Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;2…
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psnet.ahrq.gov/issue/emotional-impact-medical-errors-practicing-physicians-united-states-and-canada
January 23, 2008 - Study
Classic
The emotional impact of medical errors on practicing physicians in the United States and Canada.
Citation Text:
Waterman AD, Garbutt J, Hazel E, et al. The emotional impact of medical errors on practicing physicians in the United States and Canada.…
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psnet.ahrq.gov/issue/influence-burnout-patient-safety-systematic-review-and-meta-analysis
August 16, 2023 - Review
Classic
Influence of burnout on patient safety: systematic review and meta-analysis.
Citation Text:
Garcia C de L, de Abreu LC, Ramos JLS, et al. Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis. Medicina (Kaunas). 2019;55(9):55…
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psnet.ahrq.gov/issue/adverse-drug-event-rates-high-cost-and-high-use-drugs-intensive-care-unit
April 11, 2012 - Study
Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit.
Citation Text:
Kane-Gill SL, Rea RS, Verrico MM, et al. Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit. Am J Health Syst Pharm. 2006;63(19):1876-81.
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psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes
April 08, 2011 - Study
Classic
Surgical team behaviors and patient outcomes.
Citation Text:
Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-85. doi:10.1016/j.amjsurg.2008.03.002.
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psnet.ahrq.gov/issue/resolving-productivity-paradox-health-information-technology-time-optimism
November 16, 2022 - Commentary
Resolving the productivity paradox of health information technology: a time for optimism.
Citation Text:
Wachter R, Howell MD. Resolving the Productivity Paradox of Health Information Technology: A Time for Optimism. JAMA. 2018;320(1):25-26. doi:10.1001/jama.2018.5605.
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psnet.ahrq.gov/issue/evidence-synthesis-perioperative-handoffs-call-balanced-sociotechnical-solutions
June 23, 2021 - Review
An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions.
Citation Text:
Abraham J, Duffy C, Kandasamy M, et al. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Int J Med Inform. 2023;174:105038. d…
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psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices
July 24, 2019 - Review
A scoping review of clinical handover mnemonic devices.
Citation Text:
Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065.
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psnet.ahrq.gov/issue/problem-using-patient-complaints-improvement
February 20, 2019 - Commentary
The problem with using patient complaints for improvement.
Citation Text:
de Vos MS, Hamming JF, van de Mheen PJM-. The problem with using patient complaints for improvement. BMJ Qual Saf. 2018;27(9):758-762. doi:10.1136/bmjqs-2017-007463.
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psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system
November 23, 2014 - Study
Implementing SBAR across a large multihospital health system.
Citation Text:
Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8.
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psnet.ahrq.gov/issue/current-surgical-instrument-labeling-techniques-may-increase-risk-unintentionally-retained
February 08, 2012 - Commentary
Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis.
Citation Text:
Ipaktchi K, Kolnik A, Messina M, et al. Current surgical instrument labeling techniques may increase the risk of unintentionally ret…
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psnet.ahrq.gov/issue/whos-covering-our-loved-ones-surprising-barriers-sign-out-process
October 19, 2022 - Study
Who's covering our loved ones: surprising barriers in the sign-out process.
Citation Text:
Antonoff MB, Berdan EA, Kirchner VA, et al. Who's covering our loved ones: surprising barriers in the sign-out process. Am J Surg. 2013;205(1):77-84. doi:10.1016/j.amjsurg.2012.05.009.
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psnet.ahrq.gov/issue/learning-health-system-agenda-organizational-approaches-enhancing-occupational-well-being
October 28, 2020 - Commentary
A learning health system agenda for organizational approaches to enhancing occupational well-being among clinicians.
Citation Text:
Rotenstein LS, Melnick ER, Sinsky CA. A learning health system agenda for organizational approaches to enhancing occupational well-being among cl…
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psnet.ahrq.gov/issue/professionalism-era-duty-hours-time-shift-change
September 22, 2010 - Commentary
Professionalism in the era of duty hours: time for a shift change?
Citation Text:
Arora V, Farnan JM, Humphrey HJ. Professionalism in the era of duty hours: time for a shift change? JAMA. 2012;308(21):2195-6. doi:10.1001/jama.2012.14584.
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psnet.ahrq.gov/issue/impact-pharmacist-led-discharge-medication-reconciliation-error-and-patient-harm-prevention
March 27, 2019 - Study
Impact of pharmacist-led discharge medication reconciliation on error and patient harm prevention at a large academic medical center.
Citation Text:
Zheng L, Pon T, Bajorek SA, et al. Impact of pharmacist‐led discharge medication reconciliation on error and patient harm prevention …
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psnet.ahrq.gov/issue/survey-suggests-disrespectful-behaviors-persist-healthcare-practitioners-speak-yet-again
February 23, 2022 - Newspaper/Magazine Article
Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II.
Citation Text:
Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. ISMP Medicatio…
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psnet.ahrq.gov/issue/identifying-resilience-system-safety-review-trauma-and-orthopaedic-theatres
October 19, 2011 - Commentary
Identifying resilience: a system safety review of trauma and orthopaedic theatres.
Citation Text:
Wills VE. Identifying resilience: a system safety review of trauma and orthopaedic theatres. Ergonomics. 2024;Epub Aug 9. doi:10.1080/00140139.2024.2343930.
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psnet.ahrq.gov/issue/using-agency-healthcare-research-and-quality-patient-safety-indicators-targeting-nursing
April 03, 2017 - Study
Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement.
Citation Text:
Zrelak PA, Utter GH, Sadeghi B, et al. Using the Agency for Healthcare Research and Quality patient safety indicators for targeting nursing qua…