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psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety
January 16, 2017 - Commentary
Classic
Gaps in the continuity of care and progress on patient safety.
Citation Text:
Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320(7237):791-4.
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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/impact-and-implications-disruptive-behavior-perioperative-arena
February 03, 2010 - Study
Impact and implications of disruptive behavior in the perioperative arena.
Citation Text:
Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am Coll Surg. 2006;203(1):96-105.
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psnet.ahrq.gov/issue/communication-and-patient-safety-training-programme-all-healthcare-staff-can-it-make
July 01, 2017 - Study
A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference?
Citation Text:
Lee P, Allen K, Daly M. A ‘Communication and Patient Safety’ training programme for all healthcare staff: can it make a difference? BMJ Qual Saf. 2011;21(1).…
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psnet.ahrq.gov/issue/diagnosing-sepsis-subjective-and-highly-variable-survey-intensivists-using-case-vignettes
August 20, 2018 - Study
Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes.
Citation Text:
Rhee C, Kadri SS, Danner RL, et al. Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. Crit Care. 2016;20:89. doi:10.1…
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psnet.ahrq.gov/issue/changing-conversations-teaching-safety-and-quality-residency-training
January 02, 2017 - Study
Changing conversations: teaching safety and quality in residency training.
Citation Text:
Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8.
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psnet.ahrq.gov/issue/rapid-response-systems-adult-academic-medical-centers
February 16, 2011 - Study
Rapid response systems in adult academic medical centers.
Citation Text:
Wood KA, Ranji SR, Ide B, et al. Rapid response systems in adult academic medical centers. Jt Comm J Qual Patient Saf. 2009;35(9):475-82, 437.
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psnet.ahrq.gov/issue/sleep-deprivation-and-starvation-hospitalised-patients-how-medical-care-can-harm-patients
September 27, 2017 - Commentary
Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients.
Citation Text:
Xu T, Wick EC, Makary MA. Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. BMJ Qual Saf. 2016;25(5):311-314. doi:10.1136/…
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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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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/pharmacist-workload-and-pharmacy-characteristics-associated-dispensing-potentially-clinically
May 26, 2011 - Study
Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions.
Citation Text:
Malone DC, Abarca J, Skrepnek GH, et al. Pharmacist workload and pharmacy characteristics associated with the dispensing of p…
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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/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/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/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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psnet.ahrq.gov/issue/catheter-associated-urinary-tract-infection-reduction-pediatric-safety-engagement-network
July 14, 2021 - Study
Catheter-associated urinary tract infection reduction in a pediatric safety engagement network.
Citation Text:
Foster CB, Ackerman K, Hupertz V, et al. Catheter-associated urinary tract infection reduction in a pediatric safety engagement network. Pediatrics. 2020;146(4):e20192057.…
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psnet.ahrq.gov/issue/epidemiology-and-risk-factors-harmful-anti-infective-medication-errors-pediatric-hospital
March 22, 2017 - Study
Epidemiology of and risk factors for harmful anti-infective medication errors in a pediatric hospital.
Citation Text:
Modi A, Germain E, Soma V, et al. Epidemiology of and Risk Factors for Harmful Anti-Infective Medication Errors in a Pediatric Hospital. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/impact-stress-surgical-performance-systematic-review-literature
February 10, 2010 - Review
The impact of stress on surgical performance: a systematic review of the literature.
Citation Text:
Arora S, Sevdalis N, Nestel D, et al. The impact of stress on surgical performance: a systematic review of the literature. Surgery. 2010;147(3):318-30, 330.e1-6. doi:10.1016/j.sur…
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www.ahrq.gov/news/newsroom/case-studies/201516.html
June 01, 2015 - San Diego Universities Collaborate Using TeamSTEPPS® to Boost Professional Education
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June 2015
About 900 students at two San Diego universities have been instructed in the team-based methods of TeamSTEPPS® , AHRQ's evidence-based patient safety training program for health car…
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psnet.ahrq.gov/issue/disruptive-physician-behavior-importance-recognition-and-intervention-and-its-impact-patient
January 26, 2022 - Commentary
Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety.
Citation Text:
John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13…