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psnet.ahrq.gov/issue/teamwork-matters-team-situation-awareness-build-high-performing-healthcare-teams-narrative
August 23, 2023 - Review
Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review.
Citation Text:
Weller JM, Mahajan R, Fahey-Williams K, et al. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Br J An…
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psnet.ahrq.gov/issue/making-health-care-safer-critical-review-modern-evidence-supporting-strategies-improve
June 08, 2011 - Special or Theme Issue
Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety.
Citation Text:
Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety. Shekelle PG, Pronovost…
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psnet.ahrq.gov/issue/preventable-harm-because-outpatient-medication-errors-among-children-leukemia-and-lymphoma
January 15, 2020 - Study
Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment.
Citation Text:
Wong CI, Vannatta K, Gilleland Marchak J, et al. Preventable harm because of outpatient medication errors among children with leuk…
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psnet.ahrq.gov/issue/real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities
April 30, 2014 - Study
Real-time automated paging and decision support for critical laboratory abnormalities.
Citation Text:
Etchells E, Adhikari NKJ, Wu RC, et al. Real-time automated paging and decision support for critical laboratory abnormalities. BMJ Qual Saf. 2011;20(11):924-30. doi:10.1136/bmjqs…
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psnet.ahrq.gov/issue/are-bad-outcomes-questionable-clinical-decisions-preventable-medical-errors-case-cascade
February 24, 2011 - Study
Classic
Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis.
Citation Text:
Hofer TP, Hayward RA. Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cas…
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psnet.ahrq.gov/issue/balancing-patient-safety-clinical-efficacy-and-cybersecurity-clinician-partners
May 04, 2022 - Commentary
Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners.
Citation Text:
Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-…
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psnet.ahrq.gov/issue/mobile-physician-reporting-clinically-significant-events-novel-way-improve-handoff
September 14, 2011 - Study
Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities.
Citation Text:
Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel way t…
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psnet.ahrq.gov/issue/leadership-and-high-reliability-transformation-qualitative-study-truman-va-medical-center
May 31, 2023 - Study
Leadership and the high reliability transformation: a qualitative study at Truman VA medical center.
Citation Text:
Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. J Healthc Risk Manag. 2…
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psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric
September 01, 2016 - Study
Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study.
Citation Text:
Stultz JS, Nahata MC. Preventability of Voluntarily Reported or Trigger Tool-Identified Medication …
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psnet.ahrq.gov/issue/implementation-online-reporting-system-identify-unprofessional-behaviors-and-mistreatment
July 13, 2022 - Study
Implementation of an online reporting system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center.
Citation Text:
Leitman IM, Muller D, Miller S, et al. Implementation of an online reporting system to identify unprofessional behav…
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psnet.ahrq.gov/issue/technology-enhanced-simulation-health-professions-education-systematic-review-and-meta
October 19, 2022 - Review
Classic
Technology-enhanced simulation for health professions education: a systematic review and meta-analysis.
Citation Text:
Cook DA, Hatala R, Brydges R, et al. Technology-enhanced simulation for health professions education: a systematic review and me…
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psnet.ahrq.gov/issue/adverse-inpatient-outcomes-during-transition-new-electronic-health-record-system
September 29, 2017 - Study
Adverse inpatient outcomes during the transition to a new electronic health record system: observational study.
Citation Text:
Barnett ML, Mehrotra A, Jena AB. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. BMJ. 2016;…
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psnet.ahrq.gov/issue/communication-and-birth-experiences-among-black-birthing-people-who-experienced-preterm-birth
September 23, 2020 - Study
Communication and birth experiences among Black birthing people who experienced preterm birth.
Citation Text:
Gregory EF, Johnson GT, Barreto A, et al. Communication and birth experiences among Black birthing people who experienced preterm birth. Ann Fam Med. 2024;22(1):31-36. doi:…
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psnet.ahrq.gov/issue/four-year-impact-alert-notification-system-closed-loop-communication-critical-test-results
June 21, 2016 - Study
Four-year impact of an alert notification system on closed-loop communication of critical test results.
Citation Text:
Lacson R, Prevedello LM, Andriole KP, et al. Four-year impact of an alert notification system on closed-loop communication of critical test results. AJR Am J Roent…
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psnet.ahrq.gov/issue/pipc-study-development-indicators-potentially-inappropriate-prescribing-children-pipc-primary
December 05, 2018 - Study
PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique.
Citation Text:
Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate prescribing …
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psnet.ahrq.gov/issue/mixed-method-study-merits-e-prescribing-drug-alerts-primary-care
September 25, 2011 - Study
A mixed method study of the merits of e-prescribing drug alerts in primary care.
Citation Text:
Lapane KL, Waring ME, Schneider KL, et al. A mixed method study of the merits of e-prescribing drug alerts in primary care. J Gen Intern Med. 2008;23(4):442-6. doi:10.1007/s11606-008-0…
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psnet.ahrq.gov/issue/improving-medication-safety-during-hospital-based-transitions-care
May 08, 2017 - Commentary
Improving medication safety during hospital-based transitions of care.
Citation Text:
Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care. Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025.
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psnet.ahrq.gov/issue/women-large-vessel-occlusion-acute-ischemic-stroke-are-less-likely-be-routed-comprehensive
October 12, 2022 - Study
Women with large vessel occlusion acute ischemic stroke are less likely to be routed to comprehensive stroke centers.
Citation Text:
Tariq MB, Ali I, Salazar‐Marioni S, et al. Women with large vessel occlusion acute ischemic stroke are less likely to be routed to comprehensive stro…
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psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients
April 13, 2011 - Study
Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions.
Citation Text:
Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. doi:10.1097/pts.0000000000000153.
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psnet.ahrq.gov/issue/chronic-pain-diagnoses-and-opioid-dispensings-among-insured-individuals-serious-mental
November 29, 2023 - Study
Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness.
Citation Text:
Owen-Smith A, Stewart C, Sesay MM, et al. Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. BMC Psych. 2020;20(1):4…