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psnet.ahrq.gov/issue/efficacy-computer-enabled-discharge-communication-interventions-systematic-review
November 16, 2022 - Review
The efficacy of computer-enabled discharge communication interventions: a systematic review.
Citation Text:
Motamedi SM, Posadas-Calleja J, Straus SE, et al. The efficacy of computer-enabled discharge communication interventions: a systematic review. BMJ Qual Saf. 2011;20(5):403…
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psnet.ahrq.gov/issue/prospective-observational-study-incidence-medication-errors-during-simulated-resuscitation
April 22, 2011 - Study
Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department.
Citation Text:
Kozer E, Seto W, Verjee Z, et al. Prospective observational study on the incidence of medication errors during simulated resus…
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psnet.ahrq.gov/issue/getting-teams-talk-development-and-pilot-implementation-checklist-promote-interprofessional
April 06, 2011 - Study
Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR.
Citation Text:
Lingard L, Espin S, Rubin B, et al. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessio…
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psnet.ahrq.gov/issue/developing-and-deploying-patient-safety-program-large-health-care-delivery-system-you-cant
August 03, 2017 - Commentary
Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about.
Citation Text:
Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health care delivery system: you ca…
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psnet.ahrq.gov/issue/el-camino-hospital-using-health-information-technology-promote-patient-safety
March 06, 2013 - Award Recipient
El Camino Hospital: using health information technology to promote patient safety.
Citation Text:
Bukunt S, Hunter C, Perkins S, et al. El Camino Hospital: Using Health Information Technology to Promote Patient Safety. Jt Comm J Qual Patient Saf. 2016;31(10):561-565. doi:…
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psnet.ahrq.gov/issue/critical-events-lives-interns
November 16, 2022 - Study
Critical events in the lives of interns.
Citation Text:
Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8.
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psnet.ahrq.gov/issue/understanding-whistleblowing-qualitative-insights-nurse-whistleblowers
April 24, 2018 - Study
Understanding whistleblowing: qualitative insights from nurse whistleblowers.
Citation Text:
Jackson D, Peters K, Andrew S, et al. Understanding whistleblowing: qualitative insights from nurse whistleblowers. J Adv Nurs. 2010;66(10):2194-201. doi:10.1111/j.1365-2648.2010.05365.x.…
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psnet.ahrq.gov/issue/active-shooter-response-health-care-facility
January 18, 2012 - Commentary
Active-shooter response at a health care facility.
Citation Text:
Inaba K, Eastman AL, Jacobs LM, et al. Active-Shooter Response at a Health Care Facility. N Engl J Med. 2018;379(6):583-586. doi:10.1056/NEJMms1800582.
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psnet.ahrq.gov/issue/impact-preoperative-briefings-operating-room-delays
July 28, 2010 - Study
Impact of preoperative briefings on operating room delays.
Citation Text:
Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068.
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psnet.ahrq.gov/issue/delayed-flow-risk-patient-safety-mixed-method-analysis-emergency-department-patient-flow
May 13, 2009 - Study
Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow.
Citation Text:
Pryce A, Unwin M, Kinsman L, et al. Delayed flow is a risk to patient safety: A mixed method analysis of emergency department patient flow. Int Emerg Nurs. 2020;54…
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psnet.ahrq.gov/issue/levels-reflective-thinking-and-patient-safety-investigation-mechanisms-impact-student
January 30, 2013 - Study
Levels of reflective thinking and patient safety: an investigation of the mechanisms that impact on student learning in a single cohort over a 5 year curriculum.
Citation Text:
Ambrose LJ, Ker J. Levels of reflective thinking and patient safety: an investigation of the mechanisms t…
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psnet.ahrq.gov/issue/inappropriate-drug-use-elderly-nationwide-register-based-study
July 09, 2008 - Study
Inappropriate drug use in the elderly: a nationwide register-based study.
Citation Text:
Johnell K, Fastbom J, Rosén M, et al. Inappropriate drug use in the elderly: a nationwide register-based study. Ann Pharmacother. 2007;41(7):1243-8.
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psnet.ahrq.gov/issue/development-medication-safety-and-quality-survey-small-rural-hospitals
July 15, 2010 - Study
Development of a medication safety and quality survey for small rural hospitals.
Citation Text:
Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.00000000…
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psnet.ahrq.gov/issue/risk-adverse-drug-events-patient-destination-after-hospital-discharge
March 04, 2020 - Study
Risk of adverse drug events by patient destination after hospital discharge.
Citation Text:
Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital discharge. Am J Health Syst Pharm. 2005;62(18):1883-9.
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psnet.ahrq.gov/issue/development-and-implementation-oral-sign-out-skills-curriculum
February 15, 2011 - Commentary
Development and implementation of an oral sign-out skills curriculum.
Citation Text:
Horwitz LI, Moin T, Green M. Development and implementation of an oral sign-out skills curriculum. J Gen Intern Med. 2007;22(10):1470-4.
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psnet.ahrq.gov/issue/time-out-and-checklists-survey-rural-and-urban-operating-room-personnel
January 09, 2014 - Study
Time-out and checklists: a survey of rural and urban operating room personnel.
Citation Text:
Lyons VE, Popejoy LL. Time-Out and Checklists: A Survey of Rural and Urban Operating Room Personnel. J Nurs Care Qual. 2017;32(1):E3-E10.
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psnet.ahrq.gov/issue/raising-alarm-cross-sectional-study-exploring-factors-affecting-patients-willingness-escalate
September 12, 2016 - Study
Raising the alarm: a cross-sectional study exploring the factors affecting patients' willingness to escalate care on surgical wards.
Citation Text:
Johnston MJ, Davis R, Arora S, et al. Raising the Alarm: A Cross-Sectional Study Exploring the Factors Affecting Patients' Willingness…
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psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-plan-implementation-smart-iv-pump-technology
July 14, 2010 - Study
Using failure mode and effects analysis to plan implementation of smart i.v. pump technology.
Citation Text:
Wetterneck TB, Skibinski K, Roberts TL, et al. Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. Am J Health Syst Pharm. 2006;6…
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psnet.ahrq.gov/issue/tipping-point-relationship-between-volume-and-patient-harm
September 10, 2014 - Study
The tipping point: the relationship between volume and patient harm.
Citation Text:
Pedroja AT. The tipping point: the relationship between volume and patient harm. Am J Med Qual. 2008;23(5):336-41. doi:10.1177/1062860608320628.
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psnet.ahrq.gov/issue/cost-implications-acgmes-2011-changes-resident-duty-hours-and-training-environment
August 05, 2015 - Study
Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.
Citation Text:
Nuckols TK, Escarce JJ. Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. J Gen Intern Med. 2012;27(2):241-9. doi:10.1007/s1160…