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psnet.ahrq.gov/node/35134/psn-pdf
June 22, 2009 - Introduction of the medical emergency team (MET)
system: a cluster-randomised controlled trial.
June 22, 2009
Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster-
randomised controlled trial. Lancet. 2005;365(9477):2091-7.
https://psnet.ahrq.gov/issue/introducti…
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psnet.ahrq.gov/node/50746/psn-pdf
December 18, 2019 - The influence of organizational culture, climate and
commitment on speaking up about medical errors.
December 18, 2019
Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on
speaking up about medical errors. J Nurs Manag. 2019;28(1):130-138. doi:10.1111/jonm.12906.
https:…
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psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
September 26, 2012 - Amended Lab Results: Communication Slip
Citation Text:
Mohta V. Amended Lab Results: Communication Slip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/node/33835/psn-pdf
June 01, 2017 - In Conversation With… Paul Aylin, MBChB
June 1, 2017
In Conversation With… Paul Aylin, MBChB. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
Editor's note: Professor Aylin is Professor of Epidemiology and Public Health at Imperial College London,
where he is also Co-Direc…
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psnet.ahrq.gov/issue/mirror-mirror-wall-update-quality-american-health-care-through-patients-lens
August 15, 2007 - Book/Report
Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens.
Citation Text:
Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. Davis K, Schoen S, Schoenbaum SC, et al. New Yo…
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psnet.ahrq.gov/issue/nurse-health-work-environment-presenteeism-and-patient-safety
December 14, 2016 - Study
Nurse health, work environment, presenteeism and patient safety.
Citation Text:
Rainbow JG, Drake DA, Steege LM. Nurse health, work environment, presenteeism and patient safety. West J Nurs Res. 2020;42(5):332-339. doi:10.1177/0193945919863409.
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psnet.ahrq.gov/issue/rx-medication-errors
July 19, 2023 - Newspaper/Magazine Article
Rx for medication errors.
Citation Text:
Friedley NJC. Rx for medication errors. A patient medication safety plan can help prevent the cascade of devastating and preventable complications from adverse drug events. Medical economics. 2008;85(20):34-8.
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psnet.ahrq.gov/issue/handoff-communication-between-hospital-and-outpatient-dialysis-units-patient-discharge
August 20, 2018 - Study
Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study.
Citation Text:
Reilly JB, Marcotte LM, Berns JS, et al. Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. …
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psnet.ahrq.gov/issue/implementation-safety-huddle
November 03, 2021 - Commentary
Implementation of the safety huddle.
Citation Text:
Kylor C, Napier T, Rephann A, et al. Implementation of the Safety Huddle. Crit Care Nurse. 2016;36(6):80-82.
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psnet.ahrq.gov/issue/patient-safety-attitudes-paediatric-trainee-physicians
December 01, 2010 - Study
Patient safety attitudes of paediatric trainee physicians.
Citation Text:
Parry G, Horowitz L, Goldmann D. Patient safety attitudes of paediatric trainee physicians. Qual Saf Health Care. 2009;18(6):462-6. doi:10.1136/qshc.2006.020230.
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psnet.ahrq.gov/issue/patient-safety-nicu-comprehensive-review
September 12, 2016 - Review
Patient safety in the NICU: a comprehensive review.
Citation Text:
Samra HA, McGrath JM, Rollins W. Patient safety in the NICU: a comprehensive review. J Perinat Neonatal Nurs. 2011;25(2):123-132. doi:10.1097/JPN.0b013e31821693b2.
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psnet.ahrq.gov/issue/incidence-staff-awareness-and-mortality-patients-risk-general-wards
November 15, 2023 - Study
Incidence, staff awareness and mortality of patients at risk on general wards.
Citation Text:
Fuhrmann L, Lippert A, Perner A, et al. Incidence, staff awareness and mortality of patients at risk on general wards. Resuscitation. 2008;77(3):325-30. doi:10.1016/j.resuscitation.2008.…
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psnet.ahrq.gov/issue/inevitability-physician-burnout-implications-interventions
April 17, 2024 - Commentary
The inevitability of physician burnout: implications for interventions.
Citation Text:
Montgomery A. The inevitability of physician burnout: Implications for interventions. Burn Res. 2014;1(1). doi:10.1016/j.burn.2014.04.002.
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psnet.ahrq.gov/issue/detection-and-prevention-medication-errors-using-real-time-bedside-nurse-charting
September 27, 2017 - Study
Detection and prevention of medication errors using real-time bedside nurse charting.
Citation Text:
Nelson NC, Evans RS, Samore MH, et al. Detection and Prevention of Medication Errors Using Real-Time Bedside Nurse Charting. Journal of the American Medical Informatics Associatio…
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psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-patient-safety
March 09, 2022 - Commentary
Positive deviance: a new tool for infection prevention and patient safety.
Citation Text:
Marra AR, Santos OFPD, Neto MC, et al. Positive Deviance: A New Tool for Infection Prevention and Patient Safety. Curr Infect Dis Rep. 2013.
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psnet.ahrq.gov/issue/best-practices-medication-administration-preventing-adverse-drug-events-perinatal-settings
July 16, 2009 - Commentary
Best practices in medication administration: preventing adverse drug events in perinatal settings.
Citation Text:
Mahlmeister LR. Best practices in medication administration: preventing adverse drug events in perinatal settings. J Perinat Neonatal Nurs. 2007;21(1):6-8.
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psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
June 27, 2012 - Commentary
Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults.
Citation Text:
Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…
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psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events
November 16, 2022 - Commentary
It is time to define antimicrobial never events.
Citation Text:
Liu J, Kaye KS, Mercuro NJ, et al. It is time to define antimicrobial never events. Infect Control Hosp Epidemiol. 2019;40(2):206-207. doi:10.1017/ice.2018.313.
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psnet.ahrq.gov/issue/latency-ecg-displays-hospital-telemetry-systems-science-advisory-american-heart-association
March 14, 2018 - Commentary
Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.
Citation Text:
Turakhia MP, Estes NAM, Drew BJ, et al. Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.…
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psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
July 31, 2012 - Book/Report
Committed to Safety: Ten Case Studies on Reducing Harm to Patients.
Citation Text:
Committed to Safety: Ten Case Studies on Reducing Harm to Patients. McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006.
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