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psnet.ahrq.gov/issue/impact-resident-workload-and-handoff-training-patient-outcomes
April 12, 2023 - Study
Impact of resident workload and handoff training on patient outcomes.
Citation Text:
Mueller SK, Call S, McDonald FS, et al. Impact of resident workload and handoff training on patient outcomes. Am J Med. 2012;125(1):104-10. doi:10.1016/j.amjmed.2011.09.005.
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psnet.ahrq.gov/issue/hospital-acquired-infections-under-pay-performance-systems-administrative-perspective
January 30, 2019 - Review
Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change.
Citation Text:
Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and C…
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psnet.ahrq.gov/issue/medication-errors-injured-patients
April 03, 2019 - Study
Medication errors in injured patients.
Citation Text:
Dolejs SC, Janowak CF, Zarzaur BL. Medication Errors in Injured Patients. Am Surg. 2017;83(7):780-785.
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psnet.ahrq.gov/issue/oral-outpatient-chemotherapy-medication-errors-children-acute-lymphoblastic-leukemia
August 12, 2020 - Study
Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia.
Citation Text:
Taylor JA, Winter L, Geyer LJ, et al. Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. Cancer. 2006;107(6):1400-6.
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psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
July 13, 2010 - Study
A patient reported approach to identify medical errors and improve patient safety in the emergency department.
Citation Text:
Glickman SW, Mehrotra A, Shea CM, et al. A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department. J Pa…
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psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
August 12, 2020 - Study
Diffusing aviation innovations in a hospital in the Netherlands.
Citation Text:
de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47.
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psnet.ahrq.gov/issue/lost-translation-medication-labeling-immigrant-families
May 31, 2017 - Commentary
Lost in translation: medication labeling for immigrant families.
Citation Text:
Smith MCJ, Yin S, Sanders LM. Lost in translation: Medication labeling for immigrant families. J Am Pharm Assoc (2003). 2016;56(6):677-679. doi:10.1016/j.japh.2016.07.002.
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psnet.ahrq.gov/issue/nurses-perceptions-subspecialization-pediatric-cardiac-intensive-care-unit-quality-and
April 16, 2018 - Study
Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.
Citation Text:
Kane JM, Preze E. Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.…
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psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
December 23, 2008 - Study
Classic
Medication prescribing errors in a teaching hospital.
Citation Text:
Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34.
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psnet.ahrq.gov/issue/communication-preclinical-emergency-teams-critical-situations-nationwide-study
January 23, 2019 - Study
Communication of preclinical emergency teams in critical situations: a nationwide study.
Citation Text:
Zimmer M, Czarniecki DM, Sahm S. Communication of preclinical emergency teams in critical situations: a nationwide study. PLoS One. 2021;16(5):e0250932. doi:10.1371/journal.pone.…
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psnet.ahrq.gov/issue/implementation-preoperative-briefing-protocol-improves-accuracy-teamwork-assessment-operating
February 25, 2009 - Study
Implementation of a preoperative briefing protocol improves accuracy of teamwork assessment in the operating room.
Citation Text:
Paige JT, Aaron DL, Yang T, et al. Implementation of a preoperative briefing protocol improves accuracy of teamwork assessment in the operating room. …
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psnet.ahrq.gov/issue/recovery-medical-errors-critical-care-nursing-safety-net
February 18, 2011 - Study
Recovery from medical errors: the critical care nursing safety net.
Citation Text:
Rothschild JM, Hurley A, Landrigan CP, et al. Recovery from medical errors: the critical care nursing safety net. Jt Comm J Qual Patient Saf. 2006;32(2):63-72.
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psnet.ahrq.gov/issue/quality-measures-clinical-pharmacy-services-during-transitions-care
December 05, 2012 - Commentary
Quality measures of clinical pharmacy services during transitions of care.
Citation Text:
King PK, Burkhardt CDO, Rafferty A, et al. Quality measures of clinical pharmacy services during transitions of care. J Am Coll Clin Pharm. 2021;4(7):883-907. doi:10.1002/jac5.1479.
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psnet.ahrq.gov/issue/reducing-anticoagulant-medication-adverse-events-and-avoidable-patient-harm
May 19, 2021 - Study
Reducing anticoagulant medication adverse events and avoidable patient harm.
Citation Text:
Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200.
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psnet.ahrq.gov/issue/prescribing-errors-pediatric-emergency-department
December 04, 2016 - Study
Prescribing errors in a pediatric emergency department.
Citation Text:
Rinke ML, Moon M, Clark J, et al. Prescribing errors in a pediatric emergency department. Pediatr Emerg Care. 2008;24(1):1-8. doi:10.1097/pec.0b013e31815f6f6c.
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psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
August 20, 2018 - Commentary
Reducing errors resulting from commonly missed chest radiography findings.
Citation Text:
Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003.
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psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge
November 03, 2015 - Study
Last orders: follow-up of tests ordered on the day of hospital discharge.
Citation Text:
Ong M-S, Magrabi F, Jones G, et al. Last Orders: Follow-up of Tests Ordered on the Day of Hospital Discharge. Arch Intern Med. 2012;172(17):1347-9. doi:10.1001/archinternmed.2012.2836.
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psnet.ahrq.gov/issue/every-error-treasure-improving-medication-use-nonpunitive-reporting-system
August 17, 2016 - Study
Every error a treasure: improving medication use with a nonpunitive reporting system.
Citation Text:
Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.…
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psnet.ahrq.gov/issue/hospital-readmission-after-noncardiac-surgery-role-major-complications
July 20, 2016 - Study
Hospital readmission after noncardiac surgery: the role of major complications.
Citation Text:
Glance LG, Kellermann AL, Osler T, et al. Hospital readmission after noncardiac surgery: the role of major complications. JAMA Surg. 2014;149(5):439-45.
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psnet.ahrq.gov/issue/outcomes-are-worse-us-patients-undergoing-surgery-weekends-compared-weekdays
August 02, 2015 - Study
Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays.
Citation Text:
Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.00000000000…