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psnet.ahrq.gov/issue/practising-safely-foundation-years
February 04, 2015 - Commentary
Practising safely in the foundation years.
Citation Text:
Long SJ, Neale G, Vincent CA. Practising safely in the foundation years. BMJ. 2009;338:b1046. doi:10.1136/bmj.b1046.
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psnet.ahrq.gov/issue/impact-obstetrical-hospitalist-program-safety-events-mid-sized-obstetrical-unit
April 03, 2019 - Study
Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit.
Citation Text:
Decesare JZ, Bush SY, Morton AN. Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. J Patient Saf. 2020;16(3):e179-e181.…
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psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperative-arena
February 03, 2010 - Study
Impact and implications of disruptive behavior in the perioperative arena.
Citation Text:
Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am Coll Surg. 2006;203(1):96-105.
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psnet.ahrq.gov/issue/clinical-dental-faculty-members-perceptions-diagnostic-errors-and-how-avoid-them
November 01, 2023 - Study
Clinical dental faculty members' perceptions of diagnostic errors and how to avoid them.
Citation Text:
Nikdel C, Nikdel K, Ibarra-Noriega A, et al. Clinical Dental Faculty Members' Perceptions of Diagnostic Errors and How to Avoid Them. J Dent Educ. 2018;82(4):340-348. doi:10.2181…
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2008
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration--2008. Am J Health Syst Pha…
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psnet.ahrq.gov/issue/checklists-assessment-and-certification-clinical-procedural-skills-omit-essential
June 07, 2023 - Review
Checklists for assessment and certification of clinical procedural skills omit essential competencies: a systematic review.
Citation Text:
McKinley RK, Strand J, Ward L, et al. Checklists for assessment and certification of clinical procedural skills omit essential competencies: …
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psnet.ahrq.gov/issue/prescribing-errors-hospital-practice
July 01, 2017 - Review
Prescribing errors in hospital practice.
Citation Text:
Tully MP. Prescribing errors in hospital practice. Br J Clin Pharmacol. 2012;74(4):668-75. doi:10.1111/j.1365-2125.2012.04313.x.
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psnet.ahrq.gov/issue/assessment-simulated-case-based-measurement-physician-diagnostic-performance
May 20, 2019 - Study
Assessment of a simulated case-based measurement of physician diagnostic performance.
Citation Text:
Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006. doi:10.1001/jamanetw…
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psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors
January 26, 2022 - Commentary
Successful remediation of patient safety incidents: a tale of two medication errors.
Citation Text:
Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…
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psnet.ahrq.gov/issue/effect-evidence-crisis-learning-based-perspective-integration-framework
March 24, 2019 - Commentary
The effect of evidence in crisis learning: based on a perspective integration framework.
Citation Text:
Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1…
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digital.ahrq.gov/track-5-achieving-and-sustaining-improvements
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs
August 30, 2023 - Study
Adverse events and near miss reporting in the NHS.
Citation Text:
Shaw R. Adverse events and near miss reporting in the NHS. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010553.
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psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders
May 18, 2022 - Study
Overnight and postcall errors in medication orders.
Citation Text:
Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34.
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psnet.ahrq.gov/issue/medication-errors-resulting-computer-entry-nonprescribers
January 02, 2017 - Study
Medication errors resulting from computer entry by nonprescribers.
Citation Text:
Santell JP, Kowiatek JG, Weber RJ, et al. Medication errors resulting from computer entry by nonprescribers. Am J Health Syst Pharm. 2009;66(9):843-53. doi:10.2146/ajhp080208.
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psnet.ahrq.gov/issue/multi-disciplinary-approach-medication-safety-and-implication-nursing-education-and-practice
September 26, 2018 - Study
A multi-disciplinary approach to medication safety and the implication for nursing education and practice.
Citation Text:
Adhikari R, Tocher J, Smith P, et al. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse Educ To…
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psnet.ahrq.gov/issue/sensemaking-safety-and-cooperative-work-intensive-care-unit
September 29, 2010 - Study
Sensemaking, safety, and cooperative work in the intensive care unit.
Citation Text:
Albolino S, Cook RI, O’Connor M. Sensemaking, safety, and cooperative work in the intensive care unit. Cog Tech Work. 2006;9(3):131-137. doi:10.1007/s10111-006-0057-5.
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psnet.ahrq.gov/issue/impact-time-pressure-dentists-diagnostic-performance
November 16, 2022 - Study
Impact of time pressure on dentists' diagnostic performance.
Citation Text:
Plessas A, Nasser M, Hanoch Y, et al. Impact of time pressure on dentists' diagnostic performance. J Dent. 2019;82:38-44. doi:10.1016/j.jdent.2019.01.011.
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psnet.ahrq.gov/issue/perceived-factors-associated-sustained-improvement-following-participation-multicenter
November 20, 2019 - Study
Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative.
Citation Text:
Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following Participation in a Multicenter Quality Im…
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psnet.ahrq.gov/issue/role-continuous-quality-improvement-and-psychological-safety-predicting-work-arounds
July 31, 2008 - Study
The role of continuous quality improvement and psychological safety in predicting work-arounds.
Citation Text:
Halbesleben JRB, Rathert C. The role of continuous quality improvement and psychological safety in predicting work-arounds. Health Care Manage Rev. 2008;33(2):134-44. do…
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psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography
March 04, 2015 - Study
A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors.
Citation Text:
Tridandapani S, Ramamurthy S, Provenzale J, et al. A multiobserver study of the effects of including point-of-care p…