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psnet.ahrq.gov/issue/events-inspired-change-importance-sharing-what-happened-stop-it-happening-again
August 07, 2024 - Commentary
Events that inspired change: the importance of sharing what happened to stop it from happening again.
Citation Text:
Myers E, Allen C. Events that inspired change: the importance of sharing what happened to stop it from happening again. Patient Saf. 2023;5(1):62-63. doi:10.339…
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psnet.ahrq.gov/issue/six-steps-head-hand-simulator-based-transfer-oriented-psychological-training-improve-patient
August 20, 2018 - Commentary
Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient safety.
Citation Text:
Müller MP, Hänsel M, Stehr SN, et al. Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient …
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psnet.ahrq.gov/issue/multicenter-multidisciplinary-high-alert-medication-collaborative-improve-patient-safety
December 04, 2016 - Study
A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience.
Citation Text:
Khoo AL, Teng M, Lim BP, et al. A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapor…
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psnet.ahrq.gov/issue/medical-errors-education-prospective-study-new-educational-tool
March 20, 2024 - Study
Medical errors education: a prospective study of a new educational tool.
Citation Text:
Paxton JH, Rubinfeld IS. Medical errors education: A prospective study of a new educational tool. Am J Med Qual. 2010;25(2):135-42. doi:10.1177/1062860609353345.
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psnet.ahrq.gov/issue/could-emotional-intelligence-make-patients-safer
October 29, 2017 - Commentary
Could emotional intelligence make patients safer?
Citation Text:
Codier E, Codier DD. Could Emotional Intelligence Make Patients Safer? Am J Nurs. 2017;117(7):58-62. doi:10.1097/01.NAJ.0000520946.39224.db.
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psnet.ahrq.gov/issue/diagnostic-decision-making-emergency-department
December 16, 2020 - Review
Diagnostic decision-making in the emergency department.
Citation Text:
Medford-Davis LN, Singh H, Mahajan P. Diagnostic decision-making in the emergency department. Pediatr Clin North Am. 2018;65(6):1097-1105. doi:10.1016/j.pcl.2018.07.003.
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psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action
July 07, 2021 - Commentary
I-PASS handover system: a decade of evidence demands action.
Citation Text:
Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314.
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its-implementation-canada
September 24, 2018 - Commentary
Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada.
Citation Text:
Carthey J. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. BMJ Qual Saf. 2023;32(8):441-443. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/issue/patient-safety-ambulance-services-scoping-review
April 19, 2017 - Book/Report
Patient Safety in Ambulance Services: A Scoping Review.
Citation Text:
Patient Safety In Ambulance Services: A Scoping Review.
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psnet.ahrq.gov/issue/hiding-plain-sight-resurrecting-power-inspecting-patient
September 16, 2020 - Commentary
Hiding in plain sight—resurrecting the power of inspecting the patient.
Citation Text:
Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634.
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psnet.ahrq.gov/issue/johns-hopkins-hospital-identifying-and-addressing-risks-and-safety-issues
January 06, 2017 - Commentary
The Johns Hopkins Hospital: identifying and addressing risks and safety issues.
Citation Text:
Paine LA, Baker DR, Rosenstein BJ, et al. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Jt Comm J Qual Saf. 2004;30(10):543-50.
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psnet.ahrq.gov/issue/evidence-based-red-cell-transfusion-critically-ill-quality-improvement-using-computerized
February 15, 2017 - Study
Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry.
Citation Text:
Rana R, Afessa B, Keegan MT, et al. Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician …
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psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine
March 09, 2022 - Review
"First, know thyself": cognition and error in medicine.
Citation Text:
Elia F, Aprà F, Verhovez A, et al. "First, know thyself": cognition and error in medicine. Acta Diabetol. 2016;53(2):169-175. doi:10.1007/s00592-015-0762-8.
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psnet.ahrq.gov/issue/perioperative-patient-safety-multisite-qualitative-analysis
September 20, 2023 - Study
Perioperative patient safety: a multisite qualitative analysis.
Citation Text:
Chappy S. Perioperative patient safety: a multisite qualitative analysis. AORN J. 2006;83(4):871-4, 877-88, 891-7.
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psnet.ahrq.gov/issue/medication-related-clinical-decision-support-computerized-provider-order-entry-systems-review
March 11, 2011 - Review
Medication-related clinical decision support in computerized provider order entry systems: a review.
Citation Text:
Kuperman GJ, Bobb A, Payne TH, et al. Medication-related clinical decision support in computerized provider order entry systems: a review. J Am Med Inform Assoc. 2…
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psnet.ahrq.gov/issue/pediatric-clinician-comfort-discussing-diagnostic-errors-improving-patient-safety-survey
July 06, 2022 - Study
Pediatric clinician comfort discussing diagnostic errors for improving patient safety: a survey.
Citation Text:
Grubenhoff JA, Ziniel SI, Cifra CL, et al. Pediatric Clinician Comfort Discussing Diagnostic Errors for Improving Patient Safety. Pediatr Qual Saf. 2020;5(2):e259. doi:10…
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psnet.ahrq.gov/issue/impact-electronic-health-record-systems-information-integrity-quality-and-safety-implications
April 03, 2024 - Review
Impact of electronic health record systems on information integrity: quality and safety implications.
Citation Text:
Bowman S. Impact of electronic health record systems on information integrity: quality and safety implications. Perspect Health Inf Manag. 2013;10:1c.
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psnet.ahrq.gov/issue/establishing-rapid-response-team-rrt-academic-hospital-one-years-experience
September 28, 2010 - Study
Establishing a rapid response team (RRT) in an academic hospital: one year's experience.
Citation Text:
King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114.
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psnet.ahrq.gov/issue/predictors-misunderstanding-pediatric-liquid-medication-instructions
December 21, 2017 - Study
Predictors of misunderstanding pediatric liquid medication instructions.
Citation Text:
Bailey SC, Pandit AU, Yin S, et al. Predictors of misunderstanding pediatric liquid medication instructions. Fam Med. 2009;41(10):715-21.
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psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-during-opioid-overdose-epidemic
January 31, 2024 - Commentary
Emerging Classic
Parenteral opioid shortage—treating pain during the opioid-overdose epidemic.
Citation Text:
Bruera E. Parenteral Opioid Shortage - Treating Pain during the Opioid-Overdose Epidemic. N Engl J Med. 2018;379(7):601-603. doi:10.1056/NEJM…