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psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust
March 19, 2019 - Commentary
Implementing the Safety Thermometer tool in one NHS trust.
Citation Text:
Buckley C, Cooney K, Sills E, et al. Implementing the Safety Thermometer tool in one NHS trust. Br J Nurs. 2014;23(5):268-72.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-0
December 21, 2011 - Commentary
Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Fassett WE. Patient Safety and Quality Improvement Act of 2005. Ann Pharmacother. 2006;40(5):917-24.
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psnet.ahrq.gov/issue/medical-professional-liability-insurance-and-its-relation-medical-error-and-healthcare-risk
December 21, 2014 - Review
Medical professional liability insurance and its relation to medical error and healthcare risk management for the practicing physician.
Citation Text:
Abbott RL, Weber P, Kelley B. Medical professional liability insurance and its relation to medical error and healthcare risk man…
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psnet.ahrq.gov/issue/pharmacist-physician-relationship-detection-ambulatory-medication-errors
September 30, 2020 - Study
The pharmacist-physician relationship in the detection of ambulatory medication errors.
Citation Text:
Brown A, Bailey JH, Lee J, et al. The pharmacist-physician relationship in the detection of ambulatory medication errors. Am J Med Sci. 2006;331(1):22-24.
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psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed
October 19, 2022 - Commentary
Regulatory and policy barriers to effective clinical data exchange: lessons learned from MedsInfo-ED.
Citation Text:
Gottlieb LK, Stone EM, Stone D, et al. Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED. Health Aff. 2005;…
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psnet.ahrq.gov/issue/speaking-when-doctors-navigate-medical-hierarchy
August 19, 2020 - Commentary
Speaking up—when doctors navigate medical hierarchy.
Citation Text:
Srivastava R. Speaking up--when doctors navigate medical hierarchy. New Engl J Med. 2013;368(4):302-305. doi:10.1056/NEJMp1212410.
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psnet.ahrq.gov/issue/apparent-cause-analysis-safety-tool
June 27, 2018 - Study
Apparent cause analysis: a safety tool.
Citation Text:
Parikh K, Hochberg E, Cheng JJ, et al. Apparent cause analysis: a safety tool. Pediatrics. 2020;145(5):e20191819. doi:10.1542/peds.2019-1819.
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psnet.ahrq.gov/issue/increases-mortality-length-stay-and-cost-associated-hospital-acquired-infections-trauma
December 21, 2014 - Study
Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma patients.
Citation Text:
Glance LG, Stone PW, Mukamel DB, et al. Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma patients.…
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psnet.ahrq.gov/issue/ending-extra-payment-never-events-stronger-incentives-patients-safety
November 13, 2024 - Commentary
Ending extra payment for "never events"—stronger incentives for patients' safety.
Citation Text:
Milstein A. Ending extra payment for "never events"--stronger incentives for patients' safety. N Engl J Med. 2009;360(23):2388-90. doi:10.1056/NEJMp0809125.
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psnet.ahrq.gov/issue/nurses-perception-shift-handovers-europe-results-european-nurses-early-exit-study
September 24, 2016 - Study
Nurses' perception of shift handovers in Europe - results from the European Nurses' Early Exit Study.
Citation Text:
Meissner A, Hasselhorn H-M, Estryn-Behar M, et al. Nurses' perception of shift handovers in Europe: results from the European Nurses' Early Exit Study. J Adv Nurs.…
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psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool
June 02, 2021 - Newspaper/Magazine Article
High-reliability and the I-PASS communication tool.
Citation Text:
Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5.
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psnet.ahrq.gov/issue/advancing-more-health-literate-approach-patient-safety
May 31, 2017 - Journal Article
Advancing a More Health-Literate Approach to Patient Safety
Citation Text:
Sanders LM. Advancing a More Health-Literate Approach to Patient Safety. J Pediatr. 2019;214:10-11. doi:10.1016/j.jpeds.2019.07.003.
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psnet.ahrq.gov/issue/handoffs-and-communication-underappreciated-roles-situational-awareness-and-inattentional
February 01, 2003 - Commentary
Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness.
Citation Text:
Gosbee JW. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Clin Obstet Gynecol. 2010;53(3)…
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psnet.ahrq.gov/issue/development-and-implementation-pediatric-patient-safety-program
September 27, 2010 - Commentary
Development and implementation of a pediatric patient safety program.
Citation Text:
Alton M, Frush K, Brandon D, et al. DEVELOPMENT AND IMPLEMENTATION OF A PEDIATRIC PATIENT SAFETY PROGRAM. Adv Neonatal Care. 2006;6(3):104-111. doi:10.1016/j.adnc.2006.02.003.
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psnet.ahrq.gov/issue/safety-huddles-pacu-when-patient-self-medicates
December 14, 2016 - Commentary
Safety huddles in the PACU: when a patient self-medicates.
Citation Text:
Setaro J, Connolly M. Safety huddles in the PACU: when a patient self-medicates. J Perianesth Nurs. 2011;26(2):96-102. doi:10.1016/j.jopan.2011.01.010.
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psnet.ahrq.gov/issue/influence-language-barriers-outcomes-hospital-care-general-medicine-inpatients
May 16, 2012 - Study
Influence of language barriers on outcomes of hospital care for general medicine inpatients.
Citation Text:
Karliner LS, Kim SE, Meltzer DO, et al. Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010;5(5):276-82. doi:10.10…
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psnet.ahrq.gov/issue/predictors-prescription-errors-involving-anticancer-chemotherapy-agents
February 01, 2012 - Study
Predictors of prescription errors involving anticancer chemotherapy agents.
Citation Text:
Ranchon F, Moch C, You B, et al. Predictors of prescription errors involving anticancer chemotherapy agents. Eur J Cancer. 2012;48(8):1192-9. doi:10.1016/j.ejca.2011.12.031.
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psnet.ahrq.gov/issue/improving-teamwork-impact-structured-interdisciplinary-rounds-medical-teaching-unit
December 21, 2014 - Study
Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.
Citation Text:
O'Leary KJ, Wayne DB, Haviley C, et al. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. J Gen Intern Med. 2010;25(8):826-32. do…
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psnet.ahrq.gov/issue/team-checkup-tool-evaluating-qi-team-activities-and-giving-feedback-senior-leaders
November 27, 2012 - Commentary
The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders.
Citation Text:
Lubomski LH, Marsteller JA, Hsu Y-J, et al. The team checkup tool: evaluating QI team activities and giving feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008;3…
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psnet.ahrq.gov/issue/patient-safety-where-nursing-education
December 06, 2017 - Commentary
Patient safety: where is nursing education?
Citation Text:
Gregory DM, Guse LW, Dick DD, et al. Patient safety: where is nursing education? J Nurs Educ. 2007;46(2):79-82. doi:10.3928/01484834-20070201-08.
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