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psnet.ahrq.gov/issue/cardiac-surgery-errors-results-uk-national-reporting-and-learning-system
May 24, 2012 - Study
Cardiac surgery errors: results from the UK National Reporting and Learning System.
Citation Text:
Martinez EA, Shore AD, Colantuoni E, et al. Cardiac surgery errors: results from the UK National Reporting and Learning System. Int J Qual Health Care. 2011;23(2):151-8. doi:10.1093/i…
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psnet.ahrq.gov/issue/parental-misinterpretations-over-counter-pediatric-cough-and-cold-medication-labels
May 04, 2012 - Study
Parental misinterpretations of over-the-counter pediatric cough and cold medication labels.
Citation Text:
Lokker N, Sanders LM, Perrin EM, et al. Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. Pediatrics. 2009;123(6):1464-1471. doi:10…
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psnet.ahrq.gov/issue/communication-and-collaboration-its-about-pharmacists-well-physicians-and-nurses
November 25, 2009 - Study
Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses.
Citation Text:
Holden LM, Watts DD, Walker PH. Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. Qual Saf Health Care. 2010;19(3):16…
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psnet.ahrq.gov/issue/use-appreciative-inquiry-approach-improve-resident-sign-out-era-multiple-shift-changes
December 27, 2014 - Study
Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes.
Citation Text:
Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. J Gen Intern Med. 2…
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psnet.ahrq.gov/issue/crisis-recovery-surgery-error-management-and-problem-solving-safety-critical-situations
November 30, 2022 - Study
Crisis recovery in surgery: error management and problem solving in safety-critical situations.
Citation Text:
Gogalniceanu P, Kunduzi B, Ruckley C, et al. Crisis recovery in surgery: error management and problem solving in safety-critical situations. Surgery. 2022;172(2):537-545. …
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Get Ready
Previous Page Next Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Chart
Appendix B. Prioritize Opportunities for I…
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psnet.ahrq.gov/issue/enhancing-safety-system-wide-situ-simulation-program-using-no-go-considerations
June 13, 2018 - Study
Enhancing safety of a system-wide in situ simulation program using no-go considerations.
Citation Text:
Minors AM, Yusaf TC, Bentley SK, et al. Enhancing safety of a system-wide in situ simulation program using no-go considerations. Simul Healthc. 2023;18(4):226-231. doi:10.1097/si…
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psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury
August 26, 2011 - Study
Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients.
Citation Text:
Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategie…
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psnet.ahrq.gov/issue/bayesian-cohort-and-cross-sectional-analyses-pincer-trial-pharmacist-led-intervention-reduce
December 21, 2022 - Study
Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led intervention to reduce medication errors in primary care.
Citation Text:
Hemming K, Chilton PJ, Lilford RJ, et al. Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led…
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psnet.ahrq.gov/issue/electronic-health-record-interoperability-why-electronically-discontinued-medications-are
August 25, 2021 - Commentary
Electronic health record interoperability-why electronically discontinued medications are still dispensed.
Citation Text:
Shervani S, Madden W, Gleason LJ. Electronic health record interoperability-why electronically discontinued medications are still dispensed. JAMA Intern Me…
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psnet.ahrq.gov/issue/opportunities-improve-diagnosis-emergency-transfers-pediatric-intensive-care-unit
June 28, 2023 - Study
Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit.
Citation Text:
Mehta SD, Congdon M, Phillips CA, et al. Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. J Hosp Med. 2023;18(6):509-518. do…
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psnet.ahrq.gov/issue/patient-safety-education-20-years-after-institute-medicine-report-results-cross-sectional
October 19, 2022 - Study
Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey.
Citation Text:
Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional natio…
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psnet.ahrq.gov/issue/pharmacy-e-prescription-dispensing-and-after-cancelrx-implementation
October 05, 2022 - Study
Pharmacy e-prescription dispensing before and after CancelRx implementation.
Citation Text:
Pitts SI, Olson S, Yanek LR, et al. Pharmacy e-prescription dispensing before and after CancelRx implementation. JAMA Intern Med. 2023;183(10):1120-1126. doi:10.1001/jamainternmed.2023.4192.…
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psnet.ahrq.gov/issue/results-national-neurosurgery-resident-survey-duty-hour-regulations
September 29, 2017 - Study
Results of a national neurosurgery resident survey on duty hour regulations.
Citation Text:
Fargen KM, Chakraborty A, Friedman WA. Results of a national neurosurgery resident survey on duty hour regulations. Neurosurgery. 2011;69(6):1162-70. doi:10.1227/NEU.0b013e3182245989.
Co…
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psnet.ahrq.gov/issue/comfort-uncertainty-reframing-our-conceptions-how-clinicians-navigate-complex-clinical
February 06, 2013 - Review
Emerging Classic
Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations.
Citation Text:
Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians navigate…
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psnet.ahrq.gov/issue/effects-brief-team-training-program-surgical-teams-nontechnical-skills-interrupted-time
December 08, 2021 - Study
Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study.
Citation Text:
Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series stu…
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psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything
November 03, 2021 - Commentary
Incident reporting systems: what will it take to make them less frustrating and achieve anything useful?
Citation Text:
Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12)…
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psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and-patient-safety
April 01, 2020 - Commentary
Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement.
Citation Text:
Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;…
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psnet.ahrq.gov/issue/investigating-influence-selected-leadership-styles-patient-safety-and-quality-care-systematic
October 07, 2020 - Review
Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis.
Citation Text:
Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety and quality of care: …
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psnet.ahrq.gov/issue/what-known-examining-empirical-literature-resident-work-hours-using-30-influential-articles
September 29, 2017 - Review
What is known: examining the empirical literature in resident work hours using 30 influential articles.
Citation Text:
Philibert I. What Is Known: Examining the Empirical Literature in Resident Work Hours Using 30 Influential Articles. J Grad Med Educ. 2016;8(5):795-805. doi:10.43…