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psnet.ahrq.gov/issue/evaluation-redesign-initiative-internal-medicine-residency
February 17, 2011 - Study
Evaluation of a redesign initiative in an internal-medicine residency.
Citation Text:
McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136.
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psnet.ahrq.gov/issue/ozis-and-politics-safety-using-ict-create-regionally-accessible-patient-medication-record
February 04, 2009 - Commentary
OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record.
Citation Text:
Stoop AP, Bal R, Berg M. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Int J Med Inform. 2007;76 S…
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psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors
December 31, 2014 - Study
Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors.
Citation Text:
Teefey SA, Middleton WD, Payne WT, et al. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. AJR Am J Roentgenol. 2005;184(6…
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psnet.ahrq.gov/issue/preventing-adverse-events-cataract-surgery-recommendations-massachusetts-expert-panel
July 16, 2019 - Study
Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel.
Citation Text:
Nanji KC, Roberto SA, Morley MG, et al. Preventing Adverse Events in Cataract Surgery: Recommendations From a Massachusetts Expert Panel. Anesth Analg. 2018;126(5):1537-…
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psnet.ahrq.gov/issue/satisfaction-intensive-care-unit-nurses-nurse-physician-communication
March 18, 2009 - Study
Satisfaction of intensive care unit nurses with nurse-physician communication.
Citation Text:
Manojlovich M, Antonakos C. Satisfaction of intensive care unit nurses with nurse-physician communication. J Nurs Adm. 2008;38(5):237-43. doi:10.1097/01.NNA.0000312769.19481.18.
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psnet.ahrq.gov/issue/reducing-methicillin-resistant-staphylococcus-aureus-mrsa-infections
January 03, 2018 - Commentary
Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections.
Citation Text:
Griffin F. 5 Million Lives Campaign. Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections. Jt Comm J Qual Patient Saf. 2007;33(12):726-31.
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psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
February 15, 2017 - Commentary
Beyond medication reconciliation: the correct medication list.
Citation Text:
Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628.
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psnet.ahrq.gov/issue/assumptions-quality-medicine-role-uncertainty
October 31, 2014 - Commentary
Assumptions of quality medicine: the role of uncertainty.
Citation Text:
Scott-Wittenborn N, Schneider JS. Assumptions of Quality Medicine: The Role of Uncertainty. JAMA Otolaryngol Head Neck Surg. 2017;143(8):753-754. doi:10.1001/jamaoto.2017.0257.
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psnet.ahrq.gov/issue/deprescribing-simple-method-reducing-polypharmacy
September 09, 2015 - Commentary
Deprescribing: a simple method for reducing polypharmacy.
Citation Text:
McGrath K, Hajjar ER, Kumar C, et al. Deprescribing: A simple method for reducing polypharmacy. J Fam Pract. 2017;66(7):436-445. https://www.mdedge.com/familymedicine/article/141753/practice-management/de…
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psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-process-deprescribing
September 23, 2020 - Commentary
Reducing inappropriate polypharmacy: the process of deprescribing.
Citation Text:
Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324.
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psnet.ahrq.gov/issue/primary-medication-non-adherence-analysis-195930-electronic-prescriptions
July 27, 2016 - Study
Primary medication non-adherence: analysis of 195,930 electronic prescriptions.
Citation Text:
Fischer MA, Stedman MR, Lii J, et al. Primary medication non-adherence: analysis of 195,930 electronic prescriptions. J Gen Intern Med. 2010;25(4):284-90. doi:10.1007/s11606-010-1253-9.…
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psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-overdose
January 04, 2017 - Commentary
Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose.
Citation Text:
Just S, Schepers G, Piotrowski MM, et al. Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose. Jt Comm J Qual Patient Saf. 2006;32(7…
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psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway
November 06, 2015 - Review
The role of documents and documentation in communication failure across the perioperative pathway. A literature review.
Citation Text:
Braaf S, Manias E, Riley R. The role of documents and documentation in communication failure across the perioperative pathway. A literature revi…
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psnet.ahrq.gov/node/33620/psn-pdf
September 01, 2005 - In response to “Getting to the Root of the Matter” (June
2005)
September 1, 2005
Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
In response to "Getting to the R…
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psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm-improve-patient
June 05, 2024 - Review
Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety.
Citation Text:
Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care. 2010;48(11):941-6. doi:10…
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psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy
July 24, 2024 - Commentary
Alarm fatigue: use of an evidence-based alarm management strategy.
Citation Text:
Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223.
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psnet.ahrq.gov/issue/patient-safety-instruction-us-health-professions-education
September 01, 2015 - Review
Patient safety instruction in US health professions education.
Citation Text:
Kiersma ME, Plake KS, Darbishire PL. Patient safety instruction in US health professions education. Am J Pharm Educ. 2011;75(8):162. doi:10.5688/ajpe758162.
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psnet.ahrq.gov/issue/failed-spinal-anaesthesia-mechanisms-management-and-prevention
August 04, 2021 - Review
Failed spinal anaesthesia: mechanisms, management, and prevention.
Citation Text:
Fettes PDW, Jansson J-R, Wildsmith JAW. Failed spinal anaesthesia: mechanisms, management, and prevention. Br J Anaesth. 2009;102(6):739-48. doi:10.1093/bja/aep096.
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psnet.ahrq.gov/issue/improving-oversight-graduate-medical-education-enterprise-one-institutions-strategies-and
September 21, 2009 - Study
Improving oversight of the graduate medical education enterprise: one institution's strategies and tools.
Citation Text:
Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise: One Institution???s Strategies and Tools. Academic Medic…
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psnet.ahrq.gov/issue/nursing-perception-impact-automated-dispensing-cabinets-patient-safety-and-ergonomics
September 27, 2016 - Study
Nursing perception of the impact of automated dispensing cabinets on patient safety and ergonomics in a teaching health care center.
Citation Text:
Rochais E, Atkinson S, Guilbeault M, et al. Nursing perception of the impact of automated dispensing cabinets on patient safety and er…