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psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned
April 20, 2022 - Commentary
Rooting an error review process in just culture: lessons learned.
Citation Text:
Neiswender K, Figueroa-Altmann A, Granahan K, et al. Rooting an error review process in just culture: lessons learned. Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5.
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psnet.ahrq.gov/issue/whistleblowing-over-patient-safety-and-care-quality-review-literature
April 08, 2019 - Review
Emerging Classic
Whistleblowing over patient safety and care quality: a review of the literature.
Citation Text:
Blenkinsopp J, Snowden N, Mannion R, et al. Whistleblowing over patient safety and care quality: a review of the literature. J Health Org Mana…
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psnet.ahrq.gov/issue/reducing-failures-daily-medical-practice-healthcare-failure-mode-and-effect-analysis-combined
August 10, 2022 - Study
Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation.
Citation Text:
Leeftink AG, Visser J, de Laat JM, et al. Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined wit…
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psnet.ahrq.gov/issue/national-survey-effect-oncology-drug-shortages-cancer-care
April 22, 2015 - Study
National survey on the effect of oncology drug shortages on cancer care.
Citation Text:
McBride A, Holle LM, Westendorf C, et al. National survey on the effect of oncology drug shortages on cancer care. Am J Health Syst Pharm. 2013;70(7):609-17. doi:10.2146/ajhp120563.
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psnet.ahrq.gov/issue/reduction-preventable-time-critical-dose-omissions-impact-electronic-medication-management
February 03, 2016 - Study
Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients.
Citation Text:
Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems …
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psnet.ahrq.gov/issue/safety-climate-survey-reliability-results-multicenter-icu-survey
June 13, 2012 - Study
Safety Climate Survey: reliability of results from a multicenter ICU survey.
Citation Text:
Kho ME. Safety Climate Survey: reliability of results from a multicenter ICU survey. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2005.014316.
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psnet.ahrq.gov/issue/multifaceted-approach-safety-synergistic-detection-adverse-drug-events-adult-inpatients
April 11, 2011 - Study
A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients.
Citation Text:
Ferranti JM, Horvath MM, Cozart H, et al. A Multifaceted Approach to Safety. J Patient Saf. 2008;4(3):184-190. doi:10.1097/pts.0b013e318184a9d5.
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psnet.ahrq.gov/issue/surgical-glove-perforation-and-risk-surgical-site-infection
March 02, 2011 - Study
Surgical glove perforation and the risk of surgical site infection.
Citation Text:
Misteli H, Weber WP, Reck S, et al. Surgical glove perforation and the risk of surgical site infection. Arch Surg. 2009;144(6):553-8; discussion 558. doi:10.1001/archsurg.2009.60.
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psnet.ahrq.gov/issue/prevalence-harmful-diagnostic-errors-hospitalised-adults-systematic-review-and-meta-analysis
April 01, 2020 - Review
Emerging Classic
Prevalence of harmful diagnostic errors in hospitalised adults: a systematic review and meta-analysis.
Citation Text:
Gunderson CG, Bilan VP, Holleck JL, et al. Prevalence of harmful diagnostic errors in hospitalised adults: a systematic …
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psnet.ahrq.gov/issue/amelie-project-failure-mode-effects-and-criticality-analysis-model-evaluate-nurse-medication
September 24, 2016 - Study
The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process on the floor.
Citation Text:
Nguyen C, Côté J, Lebel D, et al. The AMÉLIE project: failure mode, effects and criticality analysis: a model to evalua…
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psnet.ahrq.gov/issue/high-risk-prescribing-primary-care-patients-particularly-vulnerable-adverse-drug-events-cross
February 15, 2017 - Study
High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice.
Citation Text:
Guthrie B, McCowan C, Davey P, et al. High risk prescribing in primary care patients particular…
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psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian
May 11, 2022 - Study
Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study.
Citation Text:
Redley B, Raggatt M. Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mix…
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psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care
February 18, 2009 - Study
Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting.
Citation Text:
Söderberg J, Grankvist K, Brulin C, et al. Incident reporting practices in the preanalytical phase: Low reported frequencies in the primary health …
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psnet.ahrq.gov/issue/effect-sleep-deprivation-after-night-shift-duty-simulated-crisis-management-residents
August 09, 2023 - Study
Effect of sleep deprivation after a night shift duty on simulated crisis management by residents in anaesthesia. A randomised crossover study.
Citation Text:
Arzalier-Daret S, Buléon C, Bocca M-L, et al. Effect of sleep deprivation after a night shift duty on simulated crisis manag…
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psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review
February 23, 2011 - Review
Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature.
Citation Text:
Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care--mapping the problem, working to a solution: a systematic …
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psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire-survey
December 04, 2015 - Study
Important factors for effective patient safety governance auditing: a questionnaire survey.
Citation Text:
van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. d…
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psnet.ahrq.gov/issue/evidence-based-interventions-reduce-adverse-events-hospitals-systematic-review-systematic
December 04, 2015 - Review
Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews.
Citation Text:
Zegers M, Hesselink G, Geense W, et al. Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. BMJ …
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psnet.ahrq.gov/issue/time-day-effects-incidence-anesthetic-adverse-events
January 03, 2017 - Study
Time of day effects on the incidence of anesthetic adverse events.
Citation Text:
Wright MC, Phillips-Bute B, Mark JB, et al. Time of day effects on the incidence of anesthetic adverse events. Qual Saf Health Care. 2006;15(4):258-63.
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psnet.ahrq.gov/issue/frailty-and-potentially-inappropriate-prescribing-older-people-polypharmacy-bi-directional
November 16, 2022 - Review
Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship?
Citation Text:
Randles MA. Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? Drugs Aging. 2022;39(8…
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psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-case-studies
August 04, 2021 - Commentary
Surgical safety does not happen by accident: learning from perioperative near miss case studies.
Citation Text:
Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning from perioperative near miss case studies. J Perianesth Nurs. …