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psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error
December 19, 2018 - Commentary
JAMA professionalism: disclosure of medical error.
Citation Text:
Levinson W, Yeung J, Ginsburg S. Disclosure of Medical Error. JAMA. 2016;316(7):764-5. doi:10.1001/jama.2016.9136.
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psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents
April 14, 2011 - Study
Possible solutions for barriers in incident reporting by residents.
Citation Text:
Martowirono K, Jansma JD, van Luijk SJ, et al. Possible solutions for barriers in incident reporting by residents. J Eval Clin Pract. 2012;18(1):76-81. doi:10.1111/j.1365-2753.2010.01544.x.
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psnet.ahrq.gov/issue/infection-prevention-long-term-care-re-evaluating-system-using-human-factors-engineering
August 21, 2024 - Commentary
Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach.
Citation Text:
Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. Infect Control Hosp Epid…
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psnet.ahrq.gov/issue/parenteral-nutrition-prescribing-processes-using-computerized-prescriber-order-entry
September 11, 2019 - Study
Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.
Citation Text:
Hilmas E, Peoples JD. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. JPEN …
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psnet.ahrq.gov/issue/quality-monitoring-program-bar-code-assisted-medication-administration
November 16, 2022 - Study
Quality-monitoring program for bar-code–assisted medication administration.
Citation Text:
Mims E, Tucker C, Carlson R, et al. Quality-monitoring program for bar-code-assisted medication administration. Am J Health Syst Pharm. 2009;66(12):1125-31. doi:10.2146/ajhp080172.
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psnet.ahrq.gov/issue/simulated-settings-powerful-arenas-learning-patient-safety-practices-and-facilitating
December 07, 2011 - Study
Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to clinical practice. A mixed method study.
Citation Text:
Reime MH, Johnsgaard T, Kvam FI, et al. Simulated settings; powerful arenas for learning patient safety practices and f…
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psnet.ahrq.gov/issue/effect-ward-based-pharmacy-team-preventable-adverse-drug-events-surgical-patients-surepill
March 11, 2015 - Study
Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study).
Citation Text:
Group S and P in LS. Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). Br J Surg. 2015;102(10):…
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psnet.ahrq.gov/issue/educational-intervention-increase-speaking-behaviors-nurses-and-improve-patient-safety
May 08, 2013 - Study
An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety.
Citation Text:
Sayre MM, McNeese-Smith D, Leach LS, et al. An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. J Nurs Care Qual.…
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psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care
July 15, 2020 - Commentary
Morbidity and mortality: delays in my patient’s cancer care.
Citation Text:
Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood). 2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513.
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psnet.ahrq.gov/issue/physician-understanding-and-ability-communicate-harms-and-benefits-common-medical-treatments
September 28, 2016 - Study
Physician understanding and ability to communicate harms and benefits of common medical treatments.
Citation Text:
Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1…
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psnet.ahrq.gov/issue/monitoring-and-reducing-central-line-associated-bloodstream-infections-national-survey-state
December 01, 2010 - Study
Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations.
Citation Text:
Murphy DJ, Needham DM, Goeschel CA, et al. Monitoring and reducing central line-associated bloodstream infections: a national survey of state h…
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psnet.ahrq.gov/issue/understanding-complaints-made-about-surgical-departments-uk-district-general-hospital
September 23, 2020 - Study
Understanding complaints made about surgical departments in a UK district general hospital.
Citation Text:
Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intq…
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psnet.ahrq.gov/issue/august-always-nightmare-results-royal-college-physicians-edinburgh-and-society-acute-medicine
November 05, 2014 - Study
'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey.
Citation Text:
Vaughan L, McAlister G, Bell D. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh a…
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psnet.ahrq.gov/issue/quality-improvement-initiative-reduce-safety-events-among-adolescents-hospitalized-after
July 22, 2020 - Study
A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt.
Citation Text:
Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events Among Adolescents Hospitalized After a Suicide Attempt…
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psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system
April 06, 2022 - Study
Accuracy of adverse-drug-event reports collected using an automated dispensing system.
Citation Text:
Romero A, Malone DC. Accuracy of adverse-drug-event reports collected using an automated dispensing system. Am J Health Syst Pharm. 2005;62(13):1375-80.
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psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-literature-review
November 13, 2019 - Review
Do team processes really have an effect on clinical performance? A systematic literature review.
Citation Text:
Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic literature review. Br J Anaesth. 2013;110(4). doi:10.1093/bja/aes513.…
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psnet.ahrq.gov/issue/increase-us-medication-error-deaths-between-1983-and-1993
March 14, 2022 - Study
Classic
Increase in US medication-error deaths between 1983 and 1993.
Citation Text:
Phillips DP, Christenfeld N, Glynn LM. Increase in US medication-error deaths between 1983 and 1993. Lancet. 1998;351(9103):643-4.
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psnet.ahrq.gov/issue/chronic-condition-experiences-patients-complex-health-care-needs-eight-countries-2008
December 23, 2012 - Study
In chronic condition: experiences of patients with complex health care needs, in eight countries, 2008.
Citation Text:
Schoen C, Osborn R, How SKH, et al. In chronic condition: experiences of patients with complex health care needs, in eight countries, 2008. Health Aff (Millwood)…
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psnet.ahrq.gov/issue/social-dimensions-safety-incident-reporting-maternity-care-influence-working-relationships
September 18, 2024 - Study
The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes.
Citation Text:
Lindsay P, Sandall J, Humphrey C. The social dimensions of safety incident reporting in maternity care: the influence of working relati…
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psnet.ahrq.gov/issue/assessing-impact-hospital-mergers-and-acquisitions-safety-culture-proactive-risk-assessments
June 12, 2024 - Study
Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments
Citation Text:
Folcarelli P, Hoffman J, Janes M, et al. Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments. J Healthc…