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psnet.ahrq.gov/issue/medication-safety-teams-guided-implementation-electronic-medication-administration-records
September 27, 2016 - Study
Medication safety teams' guided implementation of electronic medication administration records in five nursing homes.
Citation Text:
Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of electronic medication administration records in f…
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psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-primary-care-implementing-patient-safety-curriculum
January 15, 2020 - Commentary
Enhancing patient safety in pediatric primary care: implementing a patient safety curriculum.
Citation Text:
Zenlea IS, Scheff E, Szeidler B, et al. Enhancing Patient Safety in Pediatric Primary Care: Implementing a Patient Safety Curriculum. Clin Pediatr (Phila). 2015;54(11):…
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psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools
September 23, 2020 - Commentary
The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies.
Citation Text:
Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technolog…
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psnet.ahrq.gov/issue/corridor-care-emergency-department-managing-patient-care-non-clinical-areas-safely-and
May 19, 2021 - Commentary
'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently.
Citation Text:
Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely and efficiently. Emerg Nurse. 2023;31(6):…
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psnet.ahrq.gov/issue/physician-led-chart-audit-engaging-providers-fortifying-culture-safety
November 20, 2013 - Study
The "physician-led chart audit": engaging providers in fortifying a culture of safety.
Citation Text:
Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000…
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psnet.ahrq.gov/issue/human-factors-and-simulation-emergency-medicine
November 16, 2022 - Commentary
Human factors and simulation in emergency medicine.
Citation Text:
Hayden EM, Wong AH, Ackerman J, et al. Human Factors and Simulation in Emergency Medicine. Acad Emerg Med. 2018;25(2):221-229. doi:10.1111/acem.13315.
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psnet.ahrq.gov/issue/transferring-aviation-practices-clinical-medicine-promotion-high-reliability
September 12, 2018 - Review
Transferring aviation practices into clinical medicine for the promotion of high reliability.
Citation Text:
Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…
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psnet.ahrq.gov/issue/design-patient-safety-systems-based-risk-identification-framework
February 03, 2021 - Study
Emerging Classic
Design for patient safety: a systems-based risk identification framework.
Citation Text:
Simsekler MCE, Ward JR, Clarkson J. Design for patient safety: a systems-based risk identification framework. Ergonomics. 2018;61(8):1046-1064. doi:10…
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psnet.ahrq.gov/issue/safety-using-computerized-rounding-and-sign-out-system-reduce-resident-duty-hours
June 23, 2009 - Study
Safety of using a computerized rounding and sign-out system to reduce resident duty hours.
Citation Text:
Van Eaton EG, McDonough K, Lober WB, et al. Safety of Using a Computerized Rounding and Sign-Out System to Reduce Resident Duty Hours. Academic Medicine. 2010;85(7). doi:10.1…
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psnet.ahrq.gov/issue/making-infection-prevention-and-control-everyones-business-hospital-staff-views-patient
April 29, 2015 - Study
Making infection prevention and control everyone's business? Hospital staff views on patient involvement.
Citation Text:
Sutton E, Brewster L, Tarrant C. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Health Expect. 2019;22…
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psnet.ahrq.gov/issue/handoff-practices-emergency-medicine-are-we-making-progress
September 23, 2020 - Study
Handoff practices in emergency medicine: are we making progress?
Citation Text:
Hern G, Gallahue FE, Burns BD, et al. Handoff Practices in Emergency Medicine: Are We Making Progress? Acad Emerg Med. 2016;23(2):197-201. doi:10.1111/acem.12867.
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psnet.ahrq.gov/issue/safety-australian-healthcare-10-years-after-qahcs
January 12, 2022 - Commentary
The safety of Australian healthcare: 10 years after QAHCS.
Citation Text:
Wilson RML, Van Der Weyden MB. The safety of Australian healthcare: 10 years after QAHCS. Med J Aust. 2005;182(6):260-1.
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psnet.ahrq.gov/issue/anatomy-patient-safety-event-pediatric-patient-safety-taxonomy
May 18, 2022 - Study
Anatomy of a patient safety event: a pediatric patient safety taxonomy.
Citation Text:
Woods DM, Johnson JK, Holl JL, et al. Anatomy of a patient safety event: a pediatric patient safety taxonomy. Qual Saf Health Care. 2005;14(6):422-7.
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psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
September 10, 2014 - Study
Improved incident reporting following the implementation of a standardized emergency department peer review process.
Citation Text:
Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized emergency department peer review process. Int J Qual …
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psnet.ahrq.gov/issue/opioid-crisis-origins-trends-policies-and-roles-pharmacists
December 14, 2022 - Review
The opioid crisis: origins, trends, policies, and the roles of pharmacists.
Citation Text:
Chisholm-Burns MA, Spivey CA, Sherwin E, et al. The opioid crisis: Origins, trends, policies, and the roles of pharmacists. Am J Health-Syst Pharm. 2019;76(7):424-435. doi:10.1093/ajhp/zxy08…
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psnet.ahrq.gov/issue/rural-community-members-perceptions-harm-medical-mistakes-high-plains-research-network-hprn
February 03, 2011 - Study
Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study.
Citation Text:
Van Vorst RF, Araya-Guerra R, Felzien M, et al. Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN…
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psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk-rehospitalisation
March 25, 2015 - Study
Hospital discharge documentation and risk of rehospitalisation.
Citation Text:
Hansen LO, Strater A, Smith L, et al. Hospital discharge documentation and risk of rehospitalisation. BMJ Qual Saf. 2011;20(9):773-8. doi:10.1136/bmjqs.2010.048470.
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psnet.ahrq.gov/issue/healthcare-scandals-and-failings-doctors-do-official-inquiries-hold-profession-account
November 13, 2019 - Review
Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account?
Citation Text:
Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126.
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psnet.ahrq.gov/issue/achieving-diagnostic-excellence-roadmaps-develop-and-use-patient-reported-measures-equity
November 02, 2022 - Commentary
Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens.
Citation Text:
McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. Int…
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psnet.ahrq.gov/issue/journey-no-preventable-risk-baylor-health-care-system-patient-safety-experience
November 23, 2014 - Commentary
Journey to no preventable risk: The Baylor Health Care System patient safety experience.
Citation Text:
Kennerly DA, Richter KM, Good V, et al. Journey to no preventable risk: the Baylor Health Care System patient safety experience. Am J Med Qual. 2011;26(1):43-52. doi:10.11…