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psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklist-correcting-errors-literature-review-applying-reasons
January 10, 2018 - Review
Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model.
Citation Text:
Collins SJ, Newhouse R, Porter J, et al. Effectiveness of the surgical safety checklist in correcting errors: a literature review applying …
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psnet.ahrq.gov/issue/patient-perspectives-patient-provider-communication-after-adverse-events
March 28, 2011 - Study
Patient perspectives of patient–provider communication after adverse events.
Citation Text:
Duclos CW, Eichler M, Taylor L, et al. Patient perspectives of patient-provider communication after adverse events. Int J Qual Health Care. 2005;17(6):479-86.
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psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem
April 19, 2017 - Commentary
'Bad apples': time to redefine as a type of systems problem?
Citation Text:
Shojania KG, Dixon-Woods M. 'Bad apples': time to redefine as a type of systems problem? BMJ Qual Saf. 2013;22(7):528-531. doi:10.1136/bmjqs-2013-002138.
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psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
March 01, 2023 - Newspaper/Magazine Article
Considering human factors and developing systems-thinking behaviours to ensure patient safety.
Citation Text:
Considering human factors and developing systems-thinking behaviours to ensure patient safety. Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical H…
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psnet.ahrq.gov/issue/evolution-procedural-competency-internal-medicine-training
December 15, 2021 - Commentary
The evolution of procedural competency in internal medicine training.
Citation Text:
Sacks CA, Alba GA, Miloslavsky EM. The Evolution of Procedural Competency in Internal Medicine Training. JAMA Intern Med. 2017;177(12):1713-1714. doi:10.1001/jamainternmed.2017.5014.
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psnet.ahrq.gov/issue/innovation-practice-multidisciplinary-medication-safety-initiative
August 15, 2018 - Newspaper/Magazine Article
Innovation in practice: a multidisciplinary medication safety initiative.
Citation Text:
Eid KA. Innovation in practice: A multidisciplinary medication safety initiative. Nursing. 2015;45(7):14-6. doi:10.1097/01.NURSE.0000466458.62870.99.
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psnet.ahrq.gov/issue/long-term-effects-e-learning-course-patient-safety-controlled-longitudinal-study-medical
March 16, 2016 - Study
Long-term effects of an e-learning course on patient safety: a controlled longitudinal study with medical students.
Citation Text:
Gaupp R, Dinius J, Drazic I, et al. Long-term effects of an e-learning course on patient safety: A controlled longitudinal study with medical students.…
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psnet.ahrq.gov/issue/developing-expert-medical-teams-toward-evidence-based-approach
September 29, 2017 - Review
Developing expert medical teams: toward an evidence-based approach.
Citation Text:
Fernandez R, Vozenilek JA, Hegarty CB, et al. Developing expert medical teams: toward an evidence-based approach. Acad Emerg Med. 2008;15(11):1025-36. doi:10.1111/j.1553-2712.2008.00232.x.
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psnet.ahrq.gov/issue/perspective-ten-thousand-hours-patient-safety-sooner-or-later
June 23, 2009 - Commentary
Perspective: ten thousand hours to patient safety, sooner or later.
Citation Text:
Pellegrini VD. Perspective: ten thousand hours to patient safety, sooner or later. Acad Med. 2012;87(2):164-7. doi:10.1097/ACM.0b013e31823f7202.
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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/effect-clinical-pharmacists-care-emergency-department-systematic-review
January 16, 2008 - Review
Classic
Effect of clinical pharmacists on care in the emergency department: a systematic review.
Citation Text:
Cohen V, Jellinek SP, Hatch A, et al. Effect of clinical pharmacists on care in the emergency department: a systematic review. Am J Health Sy…
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psnet.ahrq.gov/issue/prioritising-recommendations-following-analyses-adverse-events-healthcare-systematic-review
April 20, 2022 - Review
Prioritising recommendations following analyses of adverse events in healthcare: a systematic review.
Citation Text:
Bos K, van der Laan MJ, Dongelmans DA. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. BMJ Open Qual. 2020;9(4…
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www.ahrq.gov/sites/default/files/publications/files/system-design_0.pdf
July 01, 2011 - Designing Consumer Reporting Systems for Patient Safety Events: Project Overview
Advancing Excellence in Health Care • www.ahrq.gov
Agency for Healthcare Research and Quality PATIENT
SAFETY
Designing Consumer Reporting
Systems for Patient Safety Events
Background
It’s been nearly a decade since the Institute of
M…
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psnet.ahrq.gov/issue/sleep-deprivation-and-clinical-performance
February 16, 2011 - Study
Classic
Sleep deprivation and clinical performance.
Citation Text:
Weinger MB, Ancoli-Israel S. Sleep deprivation and clinical performance. JAMA. 2002;287(8):955-7.
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psnet.ahrq.gov/issue/womens-safety-alerts-maternity-care-speaking-enough
July 08, 2015 - Study
Women's safety alerts in maternity care: is speaking up enough?
Citation Text:
Rance S, McCourt C, Rayment J, et al. Women's safety alerts in maternity care: is speaking up enough? BMJ Qual Saf. 2013;22(4):348-55. doi:10.1136/bmjqs-2012-001295.
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psnet.ahrq.gov/issue/expanded-pharmacy-technician-roles-accepting-verbal-prescriptions-and-communicating
October 05, 2011 - Commentary
Expanded pharmacy technician roles: accepting verbal prescriptions and communicating prescription transfers.
Citation Text:
Frost TP, Adams AJ. Expanded pharmacy technician roles: Accepting verbal prescriptions and communicating prescription transfers. Res Social Adm Pharm. 20…
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psnet.ahrq.gov/issue/residents-duty-hours-toward-empirical-narrative
March 28, 2018 - Commentary
Residents' duty hours—toward an empirical narrative.
Citation Text:
Rosenbaum L, Lamas D. Residents' duty hours--toward an empirical narrative. N Engl J Med. 2012;367(21):2044-9. doi:10.1056/NEJMsr1210160.
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psnet.ahrq.gov/issue/adverse-drug-events-paediatric-intensive-care-unit-prospective-cohort
April 24, 2018 - Study
Adverse drug events in a paediatric intensive care unit: a prospective cohort.
Citation Text:
Silva DCB, Araujo OR, Arduini RG, et al. Adverse drug events in a paediatric intensive care unit: a prospective cohort. BMJ Open. 2013;3(2):e001868. doi:10.1136/bmjopen-2012-001868.
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psnet.ahrq.gov/issue/impact-major-intraoperative-adverse-events-hospital-readmissions
July 01, 2017 - Study
The impact of major intraoperative adverse events on hospital readmissions.
Citation Text:
Nandan AR, Bohnen JD, Chang DC, et al. The impact of major intraoperative adverse events on hospital readmissions. Am J Surg. 2017;213(1):10-17. doi:10.1016/j.amjsurg.2016.03.018.
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psnet.ahrq.gov/issue/hospital-and-procedure-incidence-pediatric-retained-surgical-items
December 02, 2020 - Study
Hospital and procedure incidence of pediatric retained surgical items.
Citation Text:
Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054.
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