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psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care
May 18, 2022 - Commentary
Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting.
Citation Text:
Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18. doi:10.1097/pts.0b013e31820c98a8.
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psnet.ahrq.gov/issue/health-literacy-and-medication-understanding-among-hospitalized-adults
April 05, 2013 - Study
Health literacy and medication understanding among hospitalized adults.
Citation Text:
Marvanova M, Roumie CL, Eden SK, et al. Health literacy and medication understanding among hospitalized adults. J Hosp Med. 2011;6(9):488-93. doi:10.1002/jhm.925.
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psnet.ahrq.gov/issue/medication-reconciliation-qualitative-analysis-clinicians-perceptions
October 10, 2015 - Study
Medication reconciliation: a qualitative analysis of clinicians' perceptions.
Citation Text:
Vogelsmeier A, Pepper GA, Oderda L, et al. Medication reconciliation: A qualitative analysis of clinicians' perceptions. Res Social Adm Pharm. 2013;9(4):419-30. doi:10.1016/j.sapharm.201…
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psnet.ahrq.gov/issue/nurse-interruptions-pre-and-post-implementation-point-care-medication-administration-system
March 11, 2015 - Study
Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.
Citation Text:
Stamp KD, Willis DG. Nurse interruptions pre- and postimplementation of a point-of-care medication administration system. J Nurs Care Qual. 2010;25(3):231-239. doi:1…
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psnet.ahrq.gov/issue/patient-safety-north-america-beyond-operate-through-your-initials-and-sign-your-site
March 18, 2009 - Meeting/Conference Proceedings
Patient safety in North America: beyond "operate through your initials" and "sign your site."
Citation Text:
Wong DA, Lewis B, Herndon JH, et al. Patient Safety in North America: Beyond “Operate Through Your Initials” and “Sign Your Site”*. doi:10.2106/jb…
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psnet.ahrq.gov/issue/work-system-design-patient-safety-seips-model
December 18, 2013 - Commentary
Work system design for patient safety: the SEIPS model.
Citation Text:
Carayon P, Schoofs Hundt A, Karsh B-T, et al. Work system design for patient safety: the SEIPS model. Qual Saf Health Care. 2006;15(suppl 1):i50-i58. doi:10.1136/qshc.2005.015842.
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psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
March 14, 2022 - Organizational Policy/Guidelines
Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists.
Citation Text:
Kinsella SM, Boaden B, El‐Ghazali S, et al. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. …
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psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem
October 19, 2022 - Study
Drug-induced hypoglycaemia--new insight into an old problem.
Citation Text:
Ching CK, Lai CK, Poon WT, et al. Drug-induced hypoglycaemia--new insight into an old problem. Hong Kong Med J. 2006;12(5):334-8.
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psnet.ahrq.gov/issue/new-professionalism-surgical-residents-duty-hours-restrictions-and-shift-transitions
October 19, 2022 - Study
A new professionalism? Surgical residents, duty hours restrictions, and shift transitions.
Citation Text:
Coverdill JE, Carbonell AM, Fryer J, et al. A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. Acad Med. 2010;85(10 Suppl):S72-5. doi:1…
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psnet.ahrq.gov/issue/story-behind-story-physician-skepticism-about-relying-clinical-information-technologies
July 14, 2010 - Study
The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors.
Citation Text:
McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about relying on clinical information tec…
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psnet.ahrq.gov/issue/measuring-and-comparing-safety-climate-intensive-care-units
January 05, 2011 - Study
Measuring and comparing safety climate in intensive care units.
Citation Text:
France DJ, Greevy RA, Liu X, et al. Measuring and comparing safety climate in intensive care units. Med Care. 2010;48(3):279-84. doi:10.1097/MLR.0b013e3181c162d6.
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psnet.ahrq.gov/issue/meta-analysis-surgical-safety-checklist-effects-teamwork-communication-morbidity-mortality
April 12, 2017 - Review
Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety.
Citation Text:
Lyons VE, Popejoy LL. Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety. West J Nurs Res.…
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psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
January 30, 2019 - Commentary
Classic
Risk mitigation in large scale systems: lessons from high reliability organizations.
Citation Text:
Risk mitigation in large scale systems: lessons from high reliability organizations. Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-16…
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psnet.ahrq.gov/issue/patient-safety-learning-laboratories-advancing-patient-safety-through-design-systems
July 22, 2024 - Grant Announcement
Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Engineering, and Health Services Research (R18 Clinical Trial Optional).
Citation Text:
Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Enginee…
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psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
December 02, 2020 - Commentary
Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events.
Citation Text:
Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Kirby J, Cannon C, Darrah …
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psnet.ahrq.gov/issue/beyond-communication-role-standardized-protocols-changing-health-care-environment
October 12, 2011 - Study
Beyond communication: the role of standardized protocols in a changing health care environment.
Citation Text:
Vardaman JM, Cornell P, Gondo MB, et al. Beyond communication: the role of standardized protocols in a changing health care environment. Health Care Manage Rev. 2012;37…
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psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
July 01, 2017 - Commentary
The limits of checklists: handoff and narrative thinking.
Citation Text:
Hilligoss B, Moffatt-Bruce SD. The limits of checklists: handoff and narrative thinking. BMJ Qual Saf. 2014;23(7):528-33. doi:10.1136/bmjqs-2013-002705.
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psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-effectiveness-and-safety-patient-safety-practices
December 24, 2008 - Press Release/Announcement
Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria.
Citation Text:
Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Crit…
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psnet.ahrq.gov/issue/bad-stars-or-guiding-lights-learning-disasters-improve-patient-safety
June 08, 2011 - Commentary
Bad stars or guiding lights? Learning from disasters to improve patient safety.
Citation Text:
Hughes C, Travaglia JF, Braithwaite J. Bad stars or guiding lights? Learning from disasters to improve patient safety. Qual Saf Health Care. 2010;19(4):332-6. doi:10.1136/qshc.2008…
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psnet.ahrq.gov/issue/utilizing-improvement-science-methods-improve-physician-compliance-proper-hand-hygiene
April 13, 2011 - Study
Utilizing improvement science methods to improve physician compliance with proper hand hygiene.
Citation Text:
White CM, Statile AM, Conway PH, et al. Utilizing improvement science methods to improve physician compliance with proper hand hygiene. Pediatrics. 2012;129(4):e1042-50.…