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psnet.ahrq.gov/issue/repair-project
March 27, 2005 - Multi-use Website
The REPAIR Project.
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The REPAIR Project. University of California San Francisco, San Francisco, CA.
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psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate-patient-safety
July 08, 2015 - Meeting/Conference Proceedings
The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report.
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The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. Hanlon…
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psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
May 06, 2016 - Book/Report
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy.
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Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. Edmondson AC, Schein EH. San Franscisco, CA: Jossey-Bass; 2012. ISBN: 9780787970932.
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psnet.ahrq.gov/issue/patient-safety-here-health-texas
August 19, 2020 - Journal Article
Patient Safety: Here for the Health of Texas.
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March 6, 2005
This site provides information on health care safety with updates on cu…
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psnet.ahrq.gov/issue/systematic-review-nursing-practice-workarounds
April 28, 2021 - Review
A systematic review of nursing practice workarounds.
Citation Text:
McCord JL, Lippincott CR, Abreu E, et al. A systematic review of nursing practice workarounds. Dimens Crit Care Nurs. 2022;41(6):347-356. doi:10.1097/dcc.0000000000000549.
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psnet.ahrq.gov/issue/variation-caregiver-perceptions-teamwork-climate-labor-and-delivery-units
August 04, 2021 - Study
Variation in caregiver perceptions of teamwork climate in labor and delivery units.
Citation Text:
Sexton JB, Holzmueller CG, Pronovost PJ, et al. Variation in caregiver perceptions of teamwork climate in labor and delivery units. J Perinatol. 2006;26(8):463-70.
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psnet.ahrq.gov/issue/culture-trauma-team-relation-human-factors
February 22, 2023 - Study
The culture of a trauma team in relation to human factors.
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Cole E, Crichton N. The culture of a trauma team in relation to human factors. J Clin Nurs. 2006;15(10). doi:10.1111/j.1365-2702.2006.01566.x.
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psnet.ahrq.gov/issue/simulation-based-clinical-rehearsals-method-improving-patient-safety
September 28, 2022 - Commentary
Simulation-based clinical rehearsals as a method for improving patient safety.
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Arnold J, Cashin M, Olutoye OO. Simulation-Based Clinical Rehearsals as a Method for Improving Patient Safety. JAMA Surg. 2018;153(12):1143-1144. doi:10.1001/jamasurg.2018.3526.
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psnet.ahrq.gov/issue/standardised-proformas-improve-patient-handover-audit-trauma-handover-practice
October 19, 2022 - Study
Standardised proformas improve patient handover: audit of trauma handover practice.
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Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24.
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psnet.ahrq.gov/issue/how-talk-about-patient-safety
June 24, 2019 - Book/Report
How to Talk About Patient Safety.
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How to Talk About Patient Safety. Hendricks R, O'Neil M, Volmert A. Boston, MA: Betsy Lehman Center for Patient Safety; March 2019.
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psnet.ahrq.gov/issue/detecting-adverse-drug-reactions-paediatric-wards-intensified-surveillance-versus
May 10, 2023 - Study
Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory values.
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Haffner S, von Laue N, Wirth S, et al. Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computeri…
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psnet.ahrq.gov/issue/ensuring-competency-and-safety-when-onboarding-newly-hired-professional-staff
February 22, 2023 - Newspaper/Magazine Article
Ensuring competency and safety when onboarding newly hired professional staff.
Citation Text:
Ensuring competency and safety when onboarding newly hired professional staff. ISMP Medication Safety Alert! Acute care edition. April 20, 2023;28(8):1-4; May 4, 2023;…
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psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion
January 12, 2022 - Commentary
A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion.
Citation Text:
Pragst F, Correns A, Priem F, et al. A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Forensic Sci Int. 2007;170(2-3):207-12.
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psnet.ahrq.gov/issue/fall-prevention-hospitals-integrative-review
November 03, 2021 - Review
Fall prevention in hospitals: an integrative review.
Citation Text:
Spoelstra SL, Given BA, Given CW. Fall Prevention in Hospitals. Clin Nurs Res. 2011;21(1). doi:10.1177/1054773811418106.
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psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story
October 28, 2020 - Commentary
Learning from tragedy: the Julia Berg story.
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Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl). 2018;5(4):257-266. doi:10.1515/dx-2018-0067.
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psnet.ahrq.gov/issue/how-surgical-trainees-handle-catastrophic-errors-qualitative-study
March 19, 2019 - Study
How surgical trainees handle catastrophic errors: a qualitative study.
Citation Text:
Balogun JA, Bramall AN, Bernstein M. How Surgical Trainees Handle Catastrophic Errors: A Qualitative Study. J Surg Educ. 2015;72(6):1179-84. doi:10.1016/j.jsurg.2015.05.003.
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psnet.ahrq.gov/issue/improving-medication-administration-safety-community-hospital-setting-using-lean-methodology
September 23, 2020 - Commentary
Improving medication administration safety in a community hospital setting using Lean methodology.
Citation Text:
Critchley S. Improving medication administration safety in a community hospital setting using Lean methodology. J Nurs Care Qual. 2015;30(4):345-351. doi:10.1097/N…
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psnet.ahrq.gov/issue/diagnostic-difficulty-and-error-primary-care-systematic-review
April 07, 2021 - Review
Diagnostic difficulty and error in primary care—a systematic review.
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Kostopoulou O, Delaney B, Munro CW. Diagnostic difficulty and error in primary care--a systematic review. Fam Pract. 2008;25(6):400-413. doi:10.1093/fampra/cmn071.
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psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-primary-care-through-pharmacy-led-interventions
August 18, 2021 - Study
Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions.
Citation Text:
Bryant E, Claire K, Needham R. Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. Pharm J. 2019;303(7932). doi:10.1211/pj.2019.20207385.
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psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-trainees
July 29, 2020 - Study
Patient safety knowledge and its determinants in medical trainees.
Citation Text:
Kerfoot P, Conlin PR, Travison T, et al. Patient safety knowledge and its determinants in medical trainees. J Gen Intern Med. 2007;22(8):1150-4.
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