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psnet.ahrq.gov/issue/transfers-patient-care-between-house-staff-internal-medicine-wards-national-survey
August 15, 2018 - Study
Transfers of patient care between house staff on internal medicine wards: a national survey.
Citation Text:
Horwitz LI, Krumholz HM, Green M, et al. Transfers of patient care between house staff on internal medicine wards: a national survey. Arch Intern Med. 2006;166(11):1173-7. …
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psnet.ahrq.gov/issue/quantifying-discharge-medication-reconciliation-errors-2-pediatric-hospitals
October 20, 2021 - Study
Quantifying discharge medication reconciliation errors at 2 pediatric hospitals.
Citation Text:
Morse KE, Chadwick WA, Paul W, et al. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Pediatr Qual Saf. 2021;6(4):e436. doi:10.1097/pq9.0000000000000436.…
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psnet.ahrq.gov/issue/applying-aviation-factors-oral-and-maxillofacial-surgery-human-element
September 23, 2020 - Commentary
Applying aviation factors to oral and maxillofacial surgery—the human element.
Citation Text:
Seager L, Smith DW, Patel A, et al. Applying aviation factors to oral and maxillofacial surgery--the human element. Br J Oral Maxillofac Surg. 2013;51(1):8-13. doi:10.1016/j.bjoms.2…
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psnet.ahrq.gov/issue/multidisciplinary-teamwork-training-program-triad-optimal-patient-safety-tops-experience
February 12, 2018 - Study
A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience.
Citation Text:
Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience. J Gen Intern Med. 200…
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psnet.ahrq.gov/issue/development-medication-safety-and-quality-survey-small-rural-hospitals
July 15, 2010 - Study
Development of a medication safety and quality survey for small rural hospitals.
Citation Text:
Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.00000000…
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psnet.ahrq.gov/issue/handoffs-era-duty-hours-reform-focused-review-and-strategy-address-changes-accreditation
July 13, 2010 - Commentary
Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements.
Citation Text:
DeRienzo CM, Frush K, Barfield ME, et al. Handoffs in the era of duty hours reform…
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psnet.ahrq.gov/issue/development-and-implementation-oral-sign-out-skills-curriculum
February 15, 2011 - Commentary
Development and implementation of an oral sign-out skills curriculum.
Citation Text:
Horwitz LI, Moin T, Green M. Development and implementation of an oral sign-out skills curriculum. J Gen Intern Med. 2007;22(10):1470-4.
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psnet.ahrq.gov/issue/medication-safety-acute-care-australia-where-are-we-now-part-2-review-strategies-and
January 04, 2010 - Review
Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.
Citation Text:
Semple SJ, Roughead EE. Medication safety in acute care in Australia: where are we now? Part 2: a review of stra…
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psnet.ahrq.gov/issue/evaluation-nurse-led-safety-program-critical-care-unit
June 03, 2013 - Study
Evaluation of a nurse-led safety program in a critical care unit.
Citation Text:
Saladino L, Pickett LC, Frush K, et al. Evaluation of a nurse-led safety program in a critical care unit. J Nurs Care Qual. 2013;28(2):139-46. doi:10.1097/NCQ.0b013e31827464c3.
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psnet.ahrq.gov/issue/flight-deck-bedside-core-aviation-concepts-applied-acute-care-physical-therapist-practice-and
December 14, 2022 - Commentary
From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice and education.
Citation Text:
Shoemaker MJ, Collins SM. From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice a…
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psnet.ahrq.gov/issue/managing-near-miss-reporting-hospitals-dynamics-between-staff-members-willingness-report-and
March 30, 2016 - Study
Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report and management’s handling of near-miss events.
Citation Text:
Caspi H, Perlman Y, Westreich S. Managing near-miss reporting in hospitals: the dynamics between staff members’ willing…
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psnet.ahrq.gov/issue/communication-and-patient-safety-training-programme-all-healthcare-staff-can-it-make
July 01, 2017 - Study
A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference?
Citation Text:
Lee P, Allen K, Daly M. A ‘Communication and Patient Safety’ training programme for all healthcare staff: can it make a difference? BMJ Qual Saf. 2011;21(1).…
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psnet.ahrq.gov/issue/emotional-influences-patient-safety
July 02, 2014 - Review
Emotional influences in patient safety.
Citation Text:
Croskerry P, Abbass A, Wu AW. Emotional Influences in Patient Safety. J Patient Saf. 2010;6(4):199-205. doi:10.1097/pts.0b013e3181f6c01a.
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psnet.ahrq.gov/issue/strategies-reduce-patient-harm-infusion-associated-medication-errors-scoping-review
August 10, 2016 - Review
Strategies to reduce patient harm from infusion-associated medication errors: a scoping review.
Citation Text:
Wolf ZR. Strategies to Reduce Patient Harm From Infusion-Associated Medication Errors: A Scoping Review. J Infus Nurs. 2018;36(1):58-65. doi:10.1097/NAN.0000000000000263.…
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psnet.ahrq.gov/issue/sbar-electronic-handoff-tool-noncomplicated-procedural-patients
October 19, 2022 - Study
SBAR: electronic handoff tool for noncomplicated procedural patients.
Citation Text:
Wentworth L, Diggins J, Bartel D, et al. SBAR: electronic handoff tool for noncomplicated procedural patients. J Nurs Care Qual. 2012;27(2):125-31. doi:10.1097/NCQ.0b013e31823cc9a0.
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psnet.ahrq.gov/issue/dealing-unforeseen-complexity-or-role-heedful-interrelating-medical-teams
July 06, 2011 - Study
Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams.
Citation Text:
Schraagen JM. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. Theor Issues Ergon Sci. 2011;12(3). doi:10.1080/1464536…
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psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and-considerations
September 14, 2022 - Commentary
The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety.
Citation Text:
Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and…
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psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue-improve-patient-safety
January 31, 2024 - Journal Article
IOM: shorten residents' work shifts to reduce fatigue, improve patient safety.
Citation Text:
Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA. 2009;301(3):259-61. doi:10.1001/jama.2008.940.
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psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-medical-errors-killing-my-mom
December 19, 2012 - Commentary
As she lay dying: how I fought to stop medical errors from killing my mom.
Citation Text:
Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833.
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psnet.ahrq.gov/issue/err-system-comparison-methodologies-investigation-adverse-outcomes-healthcare
January 26, 2022 - Commentary
To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare.
Citation Text:
Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. J Patient Saf Risk Manag. 2…