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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/prospective-controlled-trial-effect-multi-faceted-intervention-early-recognition-and
June 13, 2011 - Study
A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients.
Citation Text:
Mitchell IA, McKay H, Van Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted interve…
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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/using-computerized-sign-out-system-improve-physician-nurse-communication
September 28, 2016 - Study
Using a computerized sign-out system to improve physician–nurse communication.
Citation Text:
Sidlow R, Katz-Sidlow RJ. Using a computerized sign-out system to improve physician-nurse communication. Jt Comm J Qual Patient Saf. 2006;32(1):32-36.
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psnet.ahrq.gov/issue/improving-responses-safety-incidents-we-need-talk-about-justice
February 02, 2022 - Commentary
Improving responses to safety incidents: we need to talk about justice.
Citation Text:
Cribb A, O'Hara JK, Waring J. Improving responses to safety incidents: we need to talk about justice. BMJ Qual Saf. 2022;31(4):327-330. doi:10.1136/bmjqs-2021-014333.
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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/framework-patient-safety-defense-nuclear-industry-based-high-reliability-model
June 14, 2017 - Commentary
A framework for patient safety: a defense nuclear industry-based high-reliability model.
Citation Text:
Birnbach DJ, Rosen LF, Williams L, et al. A framework for patient safety: a defense nuclear industry--based high-reliability model. Jt Comm J Qual Patient Saf. 2013;39(5):…
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psnet.ahrq.gov/issue/communicating-uncertainty-narrative-review-and-framework-future-research
February 24, 2021 - Review
Communicating uncertainty: a narrative review and framework for future research.
Citation Text:
Simpkin AL, Armstrong KA. Communicating uncertainty: a narrative review and framework for future research. J Gen Intern Med. 2019;34(11):2586-2591. doi:10.1007/s11606-019-04860-8.
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psnet.ahrq.gov/issue/effectiveness-facilitated-introduction-standard-operating-procedure-routine-processes
February 04, 2015 - Study
Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series.
Citation Text:
Morgan L, New S, Robertson ER, et al. Effectiveness of facilitated introduction of a standard operating …
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psnet.ahrq.gov/issue/misuse-pediatric-medications-and-parent-physician-communication-interactive-voice-response
May 27, 2011 - Study
Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention.
Citation Text:
Walsh KE, Bacic J, Phillips BD, et al. Misuse of Pediatric Medications and Parent-Physician Communication: An Interactive Voice Response Intervention. J Pa…
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-need-commitment-transparency-and-research
June 17, 2020 - Commentary
Medication errors in community pharmacies: the need for commitment, transparency, and research.
Citation Text:
Hong K, Hong YD, Cooke CE. Medication errors in community pharmacies: the need for commitment, transparency, and research. Res Social Adm Pharm. 2019;15(7):823-826. d…
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psnet.ahrq.gov/issue/canadian-association-university-surgeons-annual-symposium-surgical-simulation-solution-safe
March 09, 2022 - Review
Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled?
Citation Text:
Brindley PG, Jones DB, Grantcharov T, et al. Canadian Association of University Surgeons' Annual Symposium. Surgical simulat…
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psnet.ahrq.gov/issue/improving-medication-administration-safety-solid-organ-transplant-patients-through-barcode
October 02, 2013 - Study
Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration.
Citation Text:
Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ transplant patients through barcode-as…
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psnet.ahrq.gov/issue/retrieval-medicine-review-and-guide-uk-practitioners-part-2-safety-patient-retrieval-systems
March 09, 2016 - Commentary
Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems.
Citation Text:
Hearns S, Shirley PJ. Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. Emerg Med J. 2006;23(12):9…