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psnet.ahrq.gov/issue/radio-frequency-identification-applications-hospital-environments
March 24, 2021 - Commentary
Radio frequency identification applications in hospital environments.
Citation Text:
Wicks AM, Visich JK, Li S. Radio frequency identification applications in hospital environments. Hosp Top. 2007;84(3):3-9. doi:10.3200/htps.84.3.3-9.
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psnet.ahrq.gov/issue/empowering-patients-and-supporting-health-care-providers-new-avenues-high-quality-care-and
June 23, 2021 - Special or Theme Issue
Empowering Patients and Supporting Health Care Providers—New Avenues for High Quality Care and Safety.
Citation Text:
Empowering Patients and Supporting Health Care Providers—New Avenues for High Quality Care and Safety. Rimondini M, Busch IM, eds. Int J Envir…
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psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors
March 14, 2022 - Study
Improving reporting of outpatient pediatric medical errors.
Citation Text:
Neuspiel DR, Stubbs EH, Liggin L. Improving Reporting of Outpatient Pediatric Medical Errors. PEDIATRICS. 2011;128(6). doi:10.1542/peds.2011-0477.
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psnet.ahrq.gov/issue/reduced-verification-medication-alerts-increases-prescribing-errors
January 09, 2019 - Study
Reduced verification of medication alerts increases prescribing errors.
Citation Text:
Lyell D, Magrabi F, Coiera E. Reduced Verification of Medication Alerts Increases Prescribing Errors. Appl Clin Inform. 2019;10(1):66-76. doi:10.1055/s-0038-1677009.
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psnet.ahrq.gov/issue/top-10-list-safe-and-effective-sign-out
April 12, 2019 - Commentary
The top 10 list for a safe and effective sign-out.
Citation Text:
Kemp CD, Bath JM, Berger J, et al. The top 10 list for a safe and effective sign-out. Arch Surg. 2008;143(10):1008-10. doi:10.1001/archsurg.143.10.1008.
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psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-after-colonoscopy
March 25, 2020 - Study
Risk factors of missed colorectal lesions after colonoscopy.
Citation Text:
Lee J, Park SW, Kim YS, et al. Risk factors of missed colorectal lesions after colonoscopy. Medicine (Baltimore). 2017;96(27):e7468. doi:10.1097/MD.0000000000007468.
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psnet.ahrq.gov/issue/human-factors-anaesthesia-narrative-review
March 01, 2023 - Review
Human factors in anaesthesia: a narrative review.
Citation Text:
Kelly FE, Frerk C, Bailey CR, et al. Human factors in anaesthesia: a narrative review. Anaesthesia. 2023;78(4):479-490. doi:10.1111/anae.15920.
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psnet.ahrq.gov/issue/impact-pharmacists-participation-hospitalists-rounds
March 16, 2022 - Study
The impact of a pharmacist's participation on hospitalists' rounds.
Citation Text:
Patel R, Butler K, Garrett D, et al. The Impact of a Pharmacist's Participation on Hospitalists' Rounds. Hosp Pharm. 2010;45(2). doi:10.1310/hpj4502-129.
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psnet.ahrq.gov/issue/nobody-cared-women-who-have-reported-mistreatment-while-giving-birth-say-cdc-report-validates
April 27, 2022 - Newspaper/Magazine Article
'Nobody cared': Women who have reported mistreatment while giving birth say CDC report validates their trauma. Advocates call for systemic change in treatment of pregnant people.
Citation Text:
'Nobody cared': Women who have reported mistreatment while giving b…
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psnet.ahrq.gov/issue/developing-intervention-reduce-harm-hospitalized-patients-patients-and-families-research
December 21, 2018 - Study
Developing an intervention to reduce harm in hospitalized patients: patients and families in research.
Citation Text:
Schenk EC, Bryant RA, Van Son CR, et al. Developing an Intervention to Reduce Harm in Hospitalized Patients: Patients and Families in Research. J Nurs Care Qual. 20…
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psnet.ahrq.gov/issue/design-patient-safety-systems-based-risk-identification-framework
February 03, 2021 - Study
Emerging Classic
Design for patient safety: a systems-based risk identification framework.
Citation Text:
Simsekler MCE, Ward JR, Clarkson J. Design for patient safety: a systems-based risk identification framework. Ergonomics. 2018;61(8):1046-1064. doi:10…
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psnet.ahrq.gov/issue/bridging-communication-gap-operating-room-medical-team-training
March 05, 2025 - Study
Bridging the communication gap in the operating room with medical team training.
Citation Text:
Awad SS, Fagan SP, Bellows C, et al. Bridging the communication gap in the operating room with medical team training. Am J Surg. 2005;190(5):770-4.
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psnet.ahrq.gov/issue/effort-improve-electronic-health-record-medication-list-accuracy-between-visits-patients-and
May 15, 2024 - Study
An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response.
Citation Text:
Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list accuracy between visits: patients' a…
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psnet.ahrq.gov/issue/prescribing-errors-admission-hospital-and-their-potential-impact-mixed-methods-study
December 20, 2023 - Study
Prescribing errors on admission to hospital and their potential impact: a mixed-methods study.
Citation Text:
Basey AJ, Krska J, Kennedy TD, et al. Prescribing errors on admission to hospital and their potential impact: a mixed-methods study. BMJ Qual Saf. 2014;23(1):17-25. doi:1…
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psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor
January 31, 2024 - Study
Double checking medicines: defence against error or contributory factor?
Citation Text:
Armitage G. Double checking medicines: defence against error or contributory factor? J Eval Clin Pract. 2008;14(4):513-9.
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psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource-management
May 29, 2024 - Study
Briefing and debriefing in the operating room using fighter pilot crew resource management.
Citation Text:
McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource management. J Am Coll Surg. 2007;205(1):169-76.
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psnet.ahrq.gov/issue/estimating-hospital-related-deaths-due-medical-error-perspective-patient-advocates
November 08, 2023 - Commentary
Estimating hospital-related deaths due to medical error: a perspective from patient advocates.
Citation Text:
Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. d…
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psnet.ahrq.gov/issue/recalls-and-safety-alerts-affecting-automated-external-defibrillators
December 03, 2014 - Audiovisual
Recalls and safety alerts affecting automated external defibrillators.
Citation Text:
Shah JS, Maisel WH. Recalls and safety alerts affecting automated external defibrillators. JAMA. 2006;296(6):655-60.
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psnet.ahrq.gov/issue/practical-tool-learn-defects-patient-care
September 28, 2010 - Commentary
A practical tool to learn from defects in patient care.
Citation Text:
Pronovost P, Holzmueller CG, Martinez EA, et al. A practical tool to learn from defects in patient care. Jt Comm J Qual Patient Saf. 2006;32(2):102-108.
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psnet.ahrq.gov/issue/defining-technical-skills-teamwork-surgery
October 26, 2010 - Commentary
Defining the technical skills of teamwork in surgery.
Citation Text:
Healey A, Undre S, Vincent C. Defining the technical skills of teamwork in surgery. Qual Saf Health Care. 2006;15(4):231-4.
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