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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/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/residents-reflections-quality-improvement-temporal-stability-and-associations-preventability
September 20, 2011 - Study
Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events.
Citation Text:
Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…
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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/barriers-staff-adoption-surgical-safety-checklist
February 25, 2015 - Study
Barriers to staff adoption of a surgical safety checklist.
Citation Text:
Fourcade A, Blache J-L, Grenier C, et al. Barriers to staff adoption of a surgical safety checklist. BMJ Qual Saf. 2012;21(3):191-7. doi:10.1136/bmjqs-2011-000094.
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psnet.ahrq.gov/issue/variation-rates-adverse-events-between-hospitals-and-hospital-departments
July 26, 2011 - Study
Variation in the rates of adverse events between hospitals and hospital departments.
Citation Text:
Zegers M, de Bruijne M, Spreeuwenberg P, et al. Variation in the rates of adverse events between hospitals and hospital departments. Int J Qual Health Care. 2011;23(2):126-33. doi:10…
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psnet.ahrq.gov/issue/teamwork-communication-and-safety-climate-systematic-review-interventions-improve-surgical
May 26, 2016 - Review
Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture.
Citation Text:
Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. BMJ Qua…
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psnet.ahrq.gov/issue/use-specific-indicators-detect-warfarin-related-adverse-events
October 19, 2022 - Study
Use of specific indicators to detect warfarin-related adverse events.
Citation Text:
Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events. American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404.
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psnet.ahrq.gov/issue/risk-adverse-drug-events-patient-destination-after-hospital-discharge
March 04, 2020 - Study
Risk of adverse drug events by patient destination after hospital discharge.
Citation Text:
Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital discharge. Am J Health Syst Pharm. 2005;62(18):1883-9.
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psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician-order-entry-systems
May 27, 2011 - Review
Evaluation and certification of computerized physician order entry systems.
Citation Text:
Classen D, Avery A, Bates DW. Evaluation and certification of computerized provider order entry systems. J Am Med Inform Assoc. 2007;14(1):48-55.
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psnet.ahrq.gov/issue/clinical-outcomes-associated-medication-regimen-complexity-older-people-systematic-review
March 21, 2012 - Review
Clinical outcomes associated with medication regimen complexity in older people: a systematic review.
Citation Text:
Wimmer BC, Cross AJ, Jokanovic N, et al. Clinical Outcomes Associated with Medication Regimen Complexity in Older People: A Systematic Review. J Am Geriatr Soc. 201…
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psnet.ahrq.gov/issue/ageing-surgeon-qualitative-study-expert-opinions-assuring-performance-and-supporting-safe
May 05, 2021 - Study
The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting safe career transitions among older surgeons.
Citation Text:
Sherwood R, Bismark M. The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting sa…
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psnet.ahrq.gov/issue/root-cause-analysis-ambulatory-adverse-drug-events-present-emergency-department
April 25, 2016 - Study
Root cause analysis of ambulatory adverse drug events that present to the emergency department.
Citation Text:
Gertler SA, Coralic Z, Lopez A, et al. Root Cause Analysis of Ambulatory Adverse Drug Events That Present to the Emergency Department. J Patient Saf. 2014;12(3). doi:10.10…
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psnet.ahrq.gov/issue/types-and-patterns-safety-concerns-home-care-client-and-family-caregiver-perspectives
December 29, 2014 - Study
Types and patterns of safety concerns in home care: client and family caregiver perspectives.
Citation Text:
Tong CE, Sims-Gould J, Martin-Matthews A. Types and patterns of safety concerns in home care: client and family caregiver perspectives. Int J Qual Health Care. 2016;28(2):21…
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psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
June 02, 2021 - Study
Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers.
Citation Text:
Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. Peard LM, Teplitsky S, Annabathula A, et al. Ca…
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psnet.ahrq.gov/issue/surgical-safety-checklists-childrens-surgery-surgeons-attitudes-and-review-literature
October 23, 2019 - Study
Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature.
Citation Text:
Roybal J, Tsao KJ, Rangel S, et al. Surgical Safety Checklists in Children's Surgery: Surgeons' Attitudes and Review of the Literature. Pediatr Qual Saf. 2018;3(5):e10…
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psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors
October 28, 2009 - Study
The impact of duty hours on resident self reports of errors.
Citation Text:
Vidyarthi A, Auerbach AD, Wachter R, et al. The impact of duty hours on resident self reports of errors. J Gen Intern Med. 2007;22(2):205-9.
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psnet.ahrq.gov/issue/impact-duty-hour-restriction-resident-inpatient-teaching
February 24, 2011 - Study
Impact of duty-hour restriction on resident inpatient teaching.
Citation Text:
Mazotti LA, Vidyarthi AR, Wachter RM, et al. Impact of duty-hour restriction on resident inpatient teaching. J Hosp Med. 2009;4(8). doi:10.1002/jhm.448.
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psnet.ahrq.gov/issue/situ-simulation-detection-safety-threats-and-teamwork-training-high-risk-emergency-department
May 23, 2013 - Study
In situ simulation: detection of safety threats and teamwork training in a high risk emergency department.
Citation Text:
Patterson M, Geis GL, Falcone RA, et al. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Qual Saf…
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psnet.ahrq.gov/issue/teaching-good-ward-round
October 28, 2020 - Commentary
Teaching a 'good' ward round.
Citation Text:
Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138. doi:10.7861/clinmedicine.15-2-135.
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