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psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department-pediatric
March 08, 2023 - Study
Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery.
Citation Text:
Mattioli G, Guida E, Montobbio G, et al. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Pediatr …
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psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-safety
January 22, 2025 - Review
Towards a more patient-centered approach to medication safety.
Citation Text:
Lee JL, Dy SM, Gurses AP, et al. Towards a More Patient-Centered Approach to Medication Safety. J Patient Exp. 2018;5(2):83-87. doi:10.1177/2374373517727532.
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psnet.ahrq.gov/issue/motivational-antecedents-incident-reporting-evidence-survey-nurses-and-physicians
March 11, 2013 - Study
Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians.
Citation Text:
Pfeiffer Y, Briner M, Wehner T, et al. Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. Swiss Med Wkly. 2013;143:w13881.…
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psnet.ahrq.gov/issue/optimizing-graduate-medical-trainee-resident-hours-and-work-schedules-improve-patient-safety
July 05, 2008 - Book/Report
Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety.
Citation Text:
Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Gra…
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psnet.ahrq.gov/issue/attitude-everything-impact-workload-safety-climate-and-safety-tools-medical-errors-study
March 11, 2020 - Study
Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units.
Citation Text:
Steyrer J, Schiffinger M, Huber C, et al. Attitude is everything? The impact of workload, safety climate, and safety tools on med…
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psnet.ahrq.gov/issue/staying-silent-about-safety-issues-conceptualizing-and-measuring-safety-silence-motives
August 28, 2019 - Study
Staying silent about safety issues: conceptualizing and measuring safety silence motives.
Citation Text:
Manapragada A, Bruk-Lee V. Staying silent about safety issues: Conceptualizing and measuring safety silence motives. Accid Anal Prev. 2016;91:144-56. doi:10.1016/j.aap.2016.02.0…
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psnet.ahrq.gov/issue/deafening-silence-time-reconsider-whether-organisations-are-silent-or-deaf-when-things-go
August 24, 2016 - Commentary
Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong.
Citation Text:
Jones A, Kelly D. Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. BMJ Qual Saf. 2014;23(9):709-13. doi:10.11…
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psnet.ahrq.gov/issue/ritualisation-surgical-safety-checklist-and-its-decoupling-patient-safety-goals
January 19, 2022 - Study
The ritualisation of the surgical safety checklist and its decoupling from patient safety goals.
Citation Text:
Facey M, Baxter NN, Hammond Mobilio M, et al. The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Sociol Health Illn. 2024;46…
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psnet.ahrq.gov/issue/gender-biases-and-diagnostic-delay-inflammatory-bowel-disease-multicenter-observational-study
March 09, 2022 - Study
Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study.
Citation Text:
Sempere L, Bernabeu P, Cameo J, et al. Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Inflamm Bowel Dis. 2023;29(12)…
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psnet.ahrq.gov/issue/secure-text-messaging-healthcare-latent-threats-and-opportunities-improve-patient-safety
October 25, 2023 - Commentary
Secure text messaging in healthcare: latent threats and opportunities to improve patient safety.
Citation Text:
Hagedorn PA, Singh A, Luo B, et al. Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety. J Hosp Med. 2020;15(6):378-380.…
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psnet.ahrq.gov/issue/systematic-approach-identification-and-classification-near-miss-events-labor-and-delivery
May 21, 2019 - Study
A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system.
Citation Text:
Clark SL, Meyers JA, Frye DR, et al. A systematic approach to the identification and classification of near-miss events…
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psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-reduce-nicu-line-associated-bloodstream
April 24, 2018 - Study
Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections.
Citation Text:
Chandonnet CJ, Kahlon PS, Rachh P, et al. Health care failure mode and effect analysis to reduce NICU line-associated bloodstream infections. Pediatrics. 2013;131(6):e…
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psnet.ahrq.gov/issue/dispensing-error-rate-highly-automated-mail-service-pharmacy-practice
November 16, 2022 - Study
Dispensing error rate in a highly automated mail-service pharmacy practice.
Citation Text:
Teagarden R, Nagle B, Aubert RE, et al. Dispensing error rate in a highly automated mail-service pharmacy practice. Pharmacotherapy. 2005;25(11):1629-35.
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psnet.ahrq.gov/issue/quantifying-nursing-workflow-medication-administration
January 07, 2009 - Study
Quantifying nursing workflow in medication administration.
Citation Text:
Keohane CA, Bane AD, Featherstone E, et al. Quantifying nursing workflow in medication administration. J Nurs Adm. 2007;38(1):19-26. doi:10.1097/01.nna.0000295628.87968.bc.
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psnet.ahrq.gov/issue/effect-medical-emergency-teams-patient-outcome-review-literature
September 23, 2020 - Review
The effect of medical emergency teams on patient outcome: a review of the literature.
Citation Text:
Laurens NH, Dwyer TA. The effect of medical emergency teams on patient outcome: a review of the literature. Int J Nurs Pract. 2010;16(6):533-44. doi:10.1111/j.1440-172X.2010.0187…
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psnet.ahrq.gov/issue/diagnostic-delays-paediatric-stroke
April 24, 2018 - Study
Diagnostic delays in paediatric stroke.
Citation Text:
Mallick AA, Ganesan V, Kirkham FJ, et al. Diagnostic delays in paediatric stroke. J Neurol Neurosurg Psychiatry. 2015;86(8):917-21. doi:10.1136/jnnp-2014-309188.
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psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
March 18, 2019 - Commentary
Classic
Five years after 'To Err is Human': what have we learned?
Citation Text:
Leape L, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90.
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psnet.ahrq.gov/issue/executivesenior-leader-checklist-improve-culture-and-reduce-central-line-associated
August 25, 2010 - Commentary
Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections.
Citation Text:
Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream…
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psnet.ahrq.gov/issue/horus-meets-nightingale-modern-age-how-nursing-communicates-pharmacy-hcit-era
July 10, 2008 - Study
Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era.
Citation Text:
Armstrong I, Cox MA. Horus meets Nightingale in the modern age: How nursing communicates with pharmacy in HCIT era. Stud Health Technol Inform. 2006;122:585-6.
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psnet.ahrq.gov/issue/quality-and-safety-considerations-intensity-modulated-radiation-therapy-astro-safety-white
October 30, 2024 - Organizational Policy/Guidelines
Quality and Safety Considerations in Intensity Modulated Radiation Therapy: An ASTRO Safety White Paper Update.
Citation Text:
Moran JM, Bazan JG, Dawes SL, et al. Quality and Safety Considerations in Intensity Modulated Radiation Therapy: An ASTRO Safety…