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November 06, 2015 - Role of cognition in generating and mitigating clinical
errors.
November 6, 2015
Patel VL, Kannampallil TG, Shortliffe EH. Role of cognition in generating and mitigating clinical errors. BMJ
Qual Saf. 2015;24(7):468-474. doi:10.1136/bmjqs-2014-003482.
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January 01, 2020 - Usability and feasibility of consumer-facing technology to
reduce unsafe medication use by older adults.
May 22, 2019
Holden RJ, Campbell NL, Abebe E, et al. Usability and feasibility of consumer-facing technology to reduce
unsafe medication use by older adults. Res Social Adm Pharm. 2020;16(1):54-61.
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January 01, 2022 - Safer prescribing and care for the elderly (SPACE):
cluster randomised controlled trial in general practice.
December 15, 2021
Wallis KA, Elley CR, Moyes SA, et al. Safer prescribing and care for the elderly (SPACE): cluster
randomised controlled trial in general practice. BJGP Open. 2022;6(1):BJGPO.2021.0129.
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December 23, 2008 - Relationship between medication errors and adverse drug
events.
December 23, 2008
Bates DW, Boyle DL, Vliet MBV, et al. Relationship between medication errors and adverse drug events. J
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July 18, 2016 - How safe is primary care? A systematic review.
July 18, 2016
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Patient safety in ambulato…
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December 02, 2015 - Power and conflict: the effect of a superior's interpersonal
behaviour on trainees' ability to challenge authority
during a simulated airway emergency.
December 2, 2015
Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal
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January 01, 2025 - Understanding the enablers and barriers to implementing
a patient-led escalation system: a qualitative study.
July 10, 2024
Sutton E, Ibrahim M, Plath W, et al. Understanding the enablers and barriers to implementing a patient-led
escalation system: a qualitative study. BMJ Qual Saf. 2025;34(1):18-27. doi:10.1136/b…
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June 12, 2024 - Defining, identifying and addressing problematic
polypharmacy within multimorbidity in primary care: a
scoping review.
June 12, 2024
Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy
within multimorbidity in primary care: a scoping review. BMJ Open. 2024;14(5):e0…
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March 14, 2023 - Controlled substance drug diversion by healthcare
workers as a threat to patient safety.
March 14, 2023
ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4):1-4; March 9, 2023:28(5):1-4.
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February 25, 2009 - Intensive care unit nurse staffing and the risk for
complications after abdominal aortic surgery.
February 25, 2009
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November 06, 2015 - Understanding missed opportunities for more timely
diagnosis of cancer in symptomatic patients after
presentation.
November 6, 2015
Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of
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February 07, 2018 - The use of patient feedback by hospital boards of
directors: a qualitative study of two NHS hospitals in
England.
February 7, 2018
Lee R, Baeza JI, Fulop NJ. The use of patient feedback by hospital boards of directors: a qualitative study
of two NHS hospitals in England. BMJ Qual Saf. 2018;27(2):103-109. doi:10.11…
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October 25, 2023 - Beyond the surgical safety checklist: using intraoperative
handoff to facilitate team situation awareness in the OR.
October 25, 2023
Ramjaun A, Hammond Mobilio M, Wright N, et al. Beyond the surgical safety checklist: using intraoperative
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December 18, 2024 - Overview of Methicillin-Resistant Staphylococcus aureus
(MRSA)-Related Adult Inpatient Stays, 2016–2021. HCUP
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December 18, 2024
Miller MA, Owens P, Kim J, et al. Overview Of Methicillin-Resistant Staphylococcus Aureus (Mrsa)-Related
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July 19, 2017 - Burnout Among Health Care Professionals. A Call to
Explore and Address This Underrecognized Threat to
Safe, High-Quality Care.
July 19, 2017
Dyrbye LN, Shanafelt TD, Sinsky CA, et al. Washington, DC: National Academy of Medicine; July 5, 2017.
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April 08, 2020 - Hierarchy and medical error: speaking up when
witnessing an error.
April 8, 2020
Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an
error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.2020.104648.
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June 12, 2018 - The collapse of sensemaking in organizations: the Mann
Gulch disaster.
June 12, 2018
Weick KE. The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. Admin Sci Q.
2006;38(4):628-652. doi:10.2307/2393339.
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October 11, 2017 - Is there a role for patients and their relatives in escalating
clinical deterioration in hospital? A systematic review.
October 11, 2017
Albutt AK, O'Hara JK, Conner MT, et al. Is there a role for patients and their relatives in escalating clinical
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September 28, 2016 - Measurement of patient safety: a systematic review of the
reliability and validity of adverse event detection with
record review.
September 28, 2016
Hanskamp-Sebregts M, Zegers M, Vincent CA, et al. Measurement of patient safety: a systematic review of
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - SPOTLIGHT CASE
Which Line: Ordering Provider or Proceduralist?
Citation Text:
Blackmore CC. Which Line: Ordering Provider or Proceduralist?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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