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psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology
May 06, 2009 - Study
A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology.
Citation Text:
Lander L, Roberson DW, Plummer KM, et al. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Otolaryngol Head Neck Surg. 201…
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psnet.ahrq.gov/issue/strategies-reduce-medication-errors-pediatric-ambulatory-settings
August 04, 2021 - Review
Strategies to reduce medication errors in pediatric ambulatory settings.
Citation Text:
Mehndiratta S. Strategies to reduce medication errors in pediatric ambulatory settings. J Postgrad Med. 2012;58(1):47-53. doi:10.4103/0022-3859.93252.
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psnet.ahrq.gov/issue/what-have-we-learnt-after-15-years-research-weekend-effect
December 02, 2020 - Commentary
What have we learnt after 15 years of research into the 'weekend effect'?
Citation Text:
Bray BD, Steventon A. What have we learnt after 15 years of research into the 'weekend effect'? BMJ Qual Saf. 2017;26(8):607-610. doi:10.1136/bmjqs-2016-005793.
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psnet.ahrq.gov/issue/prevention-potential-errors-resuscitation-medications-orders-means-computerised-physician
July 05, 2013 - Study
Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care.
Citation Text:
Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in p…
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psnet.ahrq.gov/issue/multicenter-trial-aviation-style-training-surgical-teams
October 03, 2011 - Study
A multicenter trial of aviation-style training for surgical teams.
Citation Text:
Catchpole K, Dale TJ, Hirst G, et al. A multicenter trial of aviation-style training for surgical teams. J Patient Saf. 2010;6(3):180-6. doi:10.1097/PTS.0b013e3181f100ea.
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psnet.ahrq.gov/issue/practice-advisory-intraoperative-awareness-and-brain-function-monitoring
July 16, 2018 - Review
Practice Advisory on Intraoperative Awareness and Brain Function Monitoring.
Citation Text:
Awareness AS of ATF on I. Practice advisory for intraoperative awareness and brain function monitoring: a report by the american society of anesthesiologists task force on intraoperative …
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psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
June 22, 2011 - Commentary
Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes.
Citation Text:
Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Int J …
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psnet.ahrq.gov/issue/medication-errors-pediatrics-octopus-evading-defeat
March 14, 2022 - Review
Medication errors in pediatrics—the octopus evading defeat.
Citation Text:
Sullivan JE, Buchino JJ. Medication errors in pediatrics--the octopus evading defeat. J Surg Oncol. 2004;88(3):182-8.
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psnet.ahrq.gov/issue/electronic-health-records-and-malpractice-claims-office-practice
December 31, 2014 - Study
Electronic health records and malpractice claims in office practice.
Citation Text:
Virapongse A, Bates DW, Shi P, et al. Electronic health records and malpractice claims in office practice. Arch Intern Med. 2008;168(21):2362-7. doi:10.1001/archinte.168.21.2362.
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psnet.ahrq.gov/issue/quality-and-safety-educators-academy-fulfilling-unmet-need-faculty-development
January 15, 2020 - Commentary
The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development.
Citation Text:
Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10…
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psnet.ahrq.gov/issue/primary-care-physician-communication-hospital-discharge-reduces-medication-discrepancies
May 04, 2010 - Study
Primary care physician communication at hospital discharge reduces medication discrepancies.
Citation Text:
Lindquist LA, Yamahiro A, Garrett A, et al. Primary care physician communication at hospital discharge reduces medication discrepancies. J Hosp Med. 2013;8(12):672-7. doi:10…
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psnet.ahrq.gov/issue/new-technology-transfusion-safety
September 09, 2020 - Commentary
New technology for transfusion safety.
Citation Text:
Dzik WH. New technology for transfusion safety. Br J Haematol. 2006;136(2). doi:10.1111/j.1365-2141.2006.06373.x.
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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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www.ahrq.gov/es/programs/index.html?page=2
Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
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psnet.ahrq.gov/issue/medical-and-nursing-staff-highly-value-clinical-pharmacists-emergency-department
September 09, 2008 - Study
Medical and nursing staff highly value clinical pharmacists in the emergency department.
Citation Text:
Fairbanks RJ, Hildebrand JM, Kolstee KE, et al. Medical and nursing staff highly value clinical pharmacists in the emergency department. Emergency Medicine Journal. 2007;24(10)…
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psnet.ahrq.gov/issue/how-prevent-top-4-medication-errors
May 20, 2020 - Newspaper/Magazine Article
How to prevent the top 4 medication errors.
Citation Text:
How to prevent the top 4 medication errors. Sederstrom J. Drug Topics. September 17, 2018.
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psnet.ahrq.gov/issue/effectiveness-course-designed-teach-handoffs-medical-students
April 12, 2023 - Study
Effectiveness of a course designed to teach handoffs to medical students.
Citation Text:
Chu ES, Reid M, Burden M, et al. Effectiveness of a course designed to teach handoffs to medical students. J Hosp Med. 2010;5(6):344-8. doi:10.1002/jhm.633.
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psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory
October 08, 2008 - Commentary
What's the difference between a hospital and a bottling factory?
Citation Text:
Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20 1). doi:10.1136/bmj.b2727.
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psnet.ahrq.gov/issue/institution-wide-handoff-task-force-standardise-and-improve-physician-handoffs
January 07, 2015 - Study
An institution-wide handoff task force to standardise and improve physician handoffs.
Citation Text:
Horwitz LI, Schuster KM, Thung SF, et al. An institution-wide handoff task force to standardise and improve physician handoffs. BMJ Qual Saf. 2012;21(10):863-71.
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psnet.ahrq.gov/issue/excessive-work-hours-physicians-training-el-salvador-putting-patients-risk
August 04, 2021 - Commentary
Excessive work hours of physicians in training in El Salvador: putting patients at risk.
Citation Text:
Taylor KRF. Excessive work hours of physicians in training in El Salvador: putting patients at risk. PLoS Med. 2007;4(7):e205.
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