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psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
November 29, 2009 - Book/Report
Maximizing the Use of State Adverse Event Data to Improve Patient Safety.
Citation Text:
Maximizing the Use of State Adverse Event Data to Improve Patient Safety. Rosenthal J, Booth M. National Academy for State Health Policy; 2005.
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psnet.ahrq.gov/issue/do-hospital-boards-matter-better-safer-patient-care
April 21, 2015 - Study
Do hospital boards matter for better, safer, patient care?
Citation Text:
Mannion R, Davies HTO, Jacobs R, et al. Do Hospital Boards matter for better, safer, patient care? Soc Sci Med. 2017;177:278-287. doi:10.1016/j.socscimed.2017.01.045.
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psnet.ahrq.gov/issue/staff-attitudes-about-event-reporting-and-patient-safety-culture-hospital-transfusion
March 03, 2011 - Study
Staff attitudes about event reporting and patient safety culture in hospital transfusion services.
Citation Text:
Sorra J, Nieva V, Fastman BR, et al. Staff attitudes about event reporting and patient safety culture in hospital transfusion services. Transfusion (Paris). 2008;48(9…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-us-hospitals-results-2002-survey
April 29, 2018 - Study
Computerized physician order entry in US hospitals: results of a 2002 survey.
Citation Text:
Ash JS, Gorman PN, Seshadri V, et al. Computerized physician order entry in U.S. hospitals: results of a 2002 survey. J Am Med Inform Assoc. 2004;11(2):95-9.
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psnet.ahrq.gov/issue/identifying-and-reducing-distractions-and-interruptions-pharmacy-department
August 22, 2015 - Study
Identifying and reducing distractions and interruptions in a pharmacy department.
Citation Text:
Raimbault M, Guérin A, Caron E, et al. Identifying and reducing distractions and interruptions in a pharmacy department. Am J Health Syst Pharm. 2013;70(3):186, 188, 190. doi:10.2146/aj…
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psnet.ahrq.gov/issue/hospital-patients-reports-medical-errors-and-undesirable-events-their-health-care
July 06, 2012 - Study
Hospital patients' reports of medical errors and undesirable events in their health care.
Citation Text:
Davis R, Sevdalis N, Neale G, et al. Hospital patients' reports of medical errors and undesirable events in their health care. J Eval Clin Pract. 2013;19(5):875-81. doi:10.11…
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psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-center
August 12, 2020 - Commentary
Bias and racism teaching rounds at an academic medical center.
Citation Text:
Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest. 2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073.
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psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability
March 01, 2023 - Commentary
Using the patient safety huddle as a tool for high reliability.
Citation Text:
Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004.
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psnet.ahrq.gov/issue/participation-ehr-based-simulation-improves-recognition-patient-safety-issues
April 24, 2013 - Study
Participation in EHR based simulation improves recognition of patient safety issues.
Citation Text:
Stephenson LS, Gorsuch A, Hersh WR, et al. Participation in EHR based simulation improves recognition of patient safety issues. BMC Med Educ. 2014;14:224. doi:10.1186/1472-6920-14-22…
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psnet.ahrq.gov/issue/patient-pharmacist-communication-during-post-discharge-pharmacist-home-visit
May 28, 2015 - Study
Patient–pharmacist communication during a post-discharge pharmacist home visit.
Citation Text:
Ensing HT, Vervloet M, van Dooren AA, et al. Patient-pharmacist communication during a post-discharge pharmacist home visit. Int J Clin Pharm. 2018;40(3):712-720. doi:10.1007/s11096-018-0…
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psnet.ahrq.gov/issue/influence-perceived-difficulty-cases-student-osteopaths-diagnostic-reasoning-cross-sectional
February 03, 2011 - Study
Influence of perceived difficulty of cases on student osteopaths' diagnostic reasoning: a cross sectional study.
Citation Text:
Noyer AL, Esteves JE, Thomson OP. Influence of perceived difficulty of cases on student osteopaths' diagnostic reasoning: a cross sectional study. Chiropr…
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psnet.ahrq.gov/issue/effect-checklist-quality-post-anaesthesia-patient-handover-randomized-controlled-trial
February 15, 2012 - Study
The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial.
Citation Text:
Salzwedel C, Bartz H-J, Kühnelt I, et al. The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. Int…
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psnet.ahrq.gov/issue/sterile-compounding-clinical-legal-and-regulatory-implications-patient-safety
March 20, 2024 - Review
Sterile compounding: clinical, legal, and regulatory implications for patient safety.
Citation Text:
Qureshi N, Wesolowicz L, Stievater T, et al. Sterile compounding: clinical, legal, and regulatory implications for patient safety. J Manag Care Spec Pharm. 2014;20(12):1183-1191.
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psnet.ahrq.gov/issue/understanding-vs-competency-case-accuracy-checking-dispensed-medicines-pharmacy
December 11, 2013 - Study
Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy.
Citation Text:
James L, Davies G, Kinchin I, et al. Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Adv Health Sci Educ Theory Pract. 2010;15(…
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psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit
August 17, 2017 - Study
An analysis of near misses identified by anesthesia providers in the intensive care unit.
Citation Text:
Lipshutz AKM, Caldwell JE, Robinowitz DL, et al. An analysis of near misses identified by anesthesia providers in the intensive care unit. BMC Anesthesiol. 2015;15:93. doi:10.11…
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psnet.ahrq.gov/issue/omitted-and-unjustified-medications-discharge-summary
May 18, 2022 - Study
Omitted and unjustified medications in the discharge summary.
Citation Text:
Perren A, Previsdomini M, Cerutti B, et al. Omitted and unjustified medications in the discharge summary. Qual Saf Health Care. 2009;18(3):205-8. doi:10.1136/qshc.2007.024588.
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psnet.ahrq.gov/issue/harvey-cushings-open-and-thorough-documentation-surgical-mishaps-dawn-neurologic-surgery
November 16, 2022 - Study
Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery.
Citation Text:
Latimer K, Pendleton C, Olivi A, et al. Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. Arch Surg. 2011;1…
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psnet.ahrq.gov/issue/ascension-healths-demonstration-full-disclosure-protocol-unexpected-events-during-labor-and
January 22, 2017 - Study
Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise.
Citation Text:
Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and deliv…
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psnet.ahrq.gov/issue/greatest-impact-safe-harbor-rule-may-be-improve-patient-safety-not-reduce-liability-claims
July 05, 2017 - Study
Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians.
Citation Text:
Kachalia A, Little A, Isavoran M, et al. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by p…
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psnet.ahrq.gov/issue/infection-prevention-long-term-care-re-evaluating-system-using-human-factors-engineering
August 21, 2024 - Commentary
Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach.
Citation Text:
Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. Infect Control Hosp Epid…