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psnet.ahrq.gov/issue/some-version-most-time-surgical-safety-checklist-patient-safety-and-everyday-experience
December 15, 2021 - Study
"Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation.
Citation Text:
Hammond Mobilio M, Paradis E, Moulton C-A. “Some version, most of the time”: The surgical safety checklist, patient safety, and the eve…
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psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods-analysis
October 21, 2020 - Study
Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis.
Citation Text:
Sharma AE, Huang B, Del Rosario JB, et al. Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. BMJ Open Qual. 2021;10(3):e001421. doi:10.1136/b…
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psnet.ahrq.gov/issue/qualitative-study-prescribing-errors-among-multi-professional-prescribers-within-e
December 02, 2020 - Study
A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system.
Citation Text:
Alshahrani F, Marriott JF, Cox AR. A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system. Int J Clin…
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psnet.ahrq.gov/issue/healthcare-professionals-views-feedback-patient-safety-culture-assessment
October 25, 2023 - Study
Healthcare professionals' views on feedback of a patient safety culture assessment.
Citation Text:
Zwijnenberg NC, Hendriks M, Hoogervorst-Schilp J, et al. Healthcare professionals' views on feedback of a patient safety culture assessment. BMC Health Serv Res. 2016;16:199. doi:10.1…
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psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction
May 19, 2021 - Study
Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction?
Citation Text:
Dzisko M, Lewandowska A, Wudarska B. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? Sensors (Basel). 2022;22(9):…
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psnet.ahrq.gov/issue/implementation-evaluation-and-recommendations-extension-ahrq-common-formats-capture-patient
June 13, 2018 - Study
Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data.
Citation Text:
Collins S, Couture B, Dykes PC, et al. Implementation, evaluation, and recommendations for extension of AHRQ Common Formats…
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psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient
October 29, 2017 - Review
Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care.
Citation Text:
Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…
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psnet.ahrq.gov/issue/inequities-inpatient-pediatric-patient-safety-events-category
April 01, 2009 - Study
Inequities in inpatient pediatric patient safety events by category.
Citation Text:
Pantell MS, Karvonen KL, Porter P, et al. Inequities in inpatient pediatric patient safety events by category. Hosp Pediatr. 2024;14(12):953-962. doi:10.1542/hpeds.2023-007129.
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psnet.ahrq.gov/issue/does-simulator-based-clinical-performance-correlate-actual-hospital-behavior-effect-extended
February 17, 2011 - Study
Does simulator-based clinical performance correlate with actual hospital behavior? The effect of extended work hours on patient care provided by medical interns.
Citation Text:
Gordon JA, Alexander EK, Lockley SW, et al. Does Simulator-Based Clinical Performance Correlate With Ac…
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psnet.ahrq.gov/issue/proficiency-based-virtual-reality-training-significantly-reduces-error-rate-residents-during
November 13, 2009 - Study
Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies.
Citation Text:
Ahlberg G, Enochsson L, Gallagher AG, et al. Proficiency-based virtual reality training significantly reduces the err…
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psnet.ahrq.gov/issue/diagnostic-stewardship-improve-patient-outcomes-and-healthcare-associated-infection-hai
May 18, 2022 - Commentary
Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics.
Citation Text:
Singh HK, Claeys KC, Advani SD, et al. Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. Infect Control Hosp…
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psnet.ahrq.gov/issue/effect-implementing-bar-code-medication-administration-emergency-department-medication
December 01, 2021 - Study
The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction.
Citation Text:
Owens K, Palmore M, Penoyer D, et al. The effect of implementing bar-code medication administration in an emergency …
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psnet.ahrq.gov/issue/do-professionalism-lapses-medical-school-predict-problems-residency-and-clinical-practice
February 15, 2017 - Study
Do professionalism lapses in medical school predict problems in residency and clinical practice?
Citation Text:
Krupat E, Dienstag JL, Padrino SL, et al. Do professionalism lapses in medical school predict problems in residency and clinical practice? Acad Med. 2020;95(6):888-895. d…
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psnet.ahrq.gov/issue/patient-involvement-patient-safety-how-willing-are-patients-participate
September 05, 2013 - Study
Classic
Patient involvement in patient safety: how willing are patients to participate?
Citation Text:
Davis R, Sevdalis N, Vincent C. Patient involvement in patient safety: How willing are patients to participate? BMJ Qual Saf. 2011;20(1):108-114. doi:…
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psnet.ahrq.gov/issue/nighttime-cross-coverage-associated-decreased-intensive-care-unit-mortality-single-center
March 07, 2012 - Study
Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study.
Citation Text:
Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J R…
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psnet.ahrq.gov/issue/patient-involvement-medication-safety-hospital-exploratory-study
February 21, 2024 - Study
Patient involvement in medication safety in hospital: an exploratory study.
Citation Text:
Mohsin-Shaikh S, Garfield S, Franklin BD. Patient involvement in medication safety in hospital: an exploratory study. Int J Clin Pharm. 2014;36(3):657-66. doi:10.1007/s11096-014-9951-8.
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psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety-incidents-using-theory
January 16, 2013 - Study
Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour.
Citation Text:
Williams SD, Phipps D, Ashcroft DM. Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theo…
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psnet.ahrq.gov/issue/rudeness-and-medical-team-performance
June 21, 2016 - Study
Rudeness and medical team performance.
Citation Text:
Riskin A, Erez A, Foulk T, et al. Rudeness and Medical Team Performance. Pediatrics. 2017;139(2):e20162305. doi:10.1542/peds.2016-2305.
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psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automated-compounding-devices-preparation-parenteral-nutrition
October 19, 2022 - Organizational Policy/Guidelines
ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures.
Citation Text:
Iredell B, Mourad H, Nickman NA, et al. ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Prepar…
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
December 29, 2014 - Study
Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness.
Citation Text:
Anderson JE, Kodate N. Learning from patient safety incidents in incident review meetings: Organisational factors and indicato…