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psnet.ahrq.gov/issue/structured-patient-handoff-internal-medicine-ward-cluster-randomized-control-trial
September 23, 2020 - Study
Structured patient handoff on an internal medicine ward: a cluster randomized control trial.
Citation Text:
Tam P, Nijjar AP, Fok M, et al. Structured patient handoff on an internal medicine ward: A cluster randomized control trial. PLoS One. 2018;13(4):e0195216. doi:10.1371/journa…
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psnet.ahrq.gov/issue/sages-fundamental-use-surgical-energy-program-fuse-history-development-and-purpose
April 05, 2017 - Commentary
The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose.
Citation Text:
Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):…
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psnet.ahrq.gov/issue/management-test-results-family-medicine-offices
July 14, 2010 - Study
Management of test results in family medicine offices.
Citation Text:
Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961.
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psnet.ahrq.gov/issue/improving-patient-safety-five-years-after-iom-report
February 18, 2011 - Commentary
Classic
Improving patient safety—five years after the IOM report.
Citation Text:
Altman DE, Clancy CM, Blendon RJ. Improving Patient Safety — Five Years after the IOM Report. New Engl J Med. 2004;351(20):2041-2043. doi:10.1056/nejmp048243.
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psnet.ahrq.gov/issue/defining-and-classifying-terminology-medication-harm-call-consensus
June 22, 2022 - Review
Defining and classifying terminology for medication harm: a call for consensus.
Citation Text:
Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-25…
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psnet.ahrq.gov/issue/why-patient-safety-challenge-insights-professionalism-opinions-medical-students-research
January 26, 2022 - Study
Why is patient safety a challenge? Insights from the Professionalism Opinions of Medical Students' research.
Citation Text:
McGurgan PM, Calvert KL, Nathan EA, et al. Why is patient safety a challenge? Insights from the Professionalism Opinions of Medical Students' research. J Pati…
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psnet.ahrq.gov/issue/scoping-review-studies-evaluating-frailty-and-its-association-medication-harm
May 25, 2022 - Review
Scoping review of studies evaluating frailty and its association with medication harm.
Citation Text:
Lam JYJ, Barras M, Scott IA, et al. Scoping review of studies evaluating frailty and its association with medication harm. Drugs Aging. 2022;39(5):333-353. doi:10.1007/s40266-022-…
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psnet.ahrq.gov/issue/operational-failures-detected-frontline-acute-care-nurses
July 19, 2023 - Study
Operational failures detected by frontline acute care nurses.
Citation Text:
Stevens KR, Engh EP, Tubbs-Cooley HL, et al. Operational Failures Detected by Frontline Acute Care Nurses. Res Nurs Health. 2017;40(3):197-205. doi:10.1002/nur.21791.
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psnet.ahrq.gov/issue/complications-acknowledging-managing-and-coping-human-error
March 13, 2024 - Review
Complications: acknowledging, managing, and coping with human error.
Citation Text:
Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28.
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psnet.ahrq.gov/issue/diagnostic-errors-and-temporal-stability-bipolar-disorder
March 09, 2022 - Study
Diagnostic errors and temporal stability in bipolar disorder.
Citation Text:
López J, Baca E, Botillo C, et al. [Diagnostic errors and temporal stability in bipolar disorder]. Actas Esp Psiquiatr. 2008;36(4):205-9.
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psnet.ahrq.gov/issue/do-professional-interpreters-improve-clinical-care-patients-limited-english-proficiency
November 30, 2016 - Review
Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature.
Citation Text:
Karliner LS, Jacobs EA, Chen AH, et al. Do professional interpreters improve clinical care for patients with limited English pr…
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psnet.ahrq.gov/issue/multidisciplinary-medication-review-nursing-home-residents-what-are-most-significant-drug
August 04, 2021 - Study
Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study.
Citation Text:
Ruths S, Straand J, Nygaard HA. Multidisciplinary medication review in nursing home residents: what…
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psnet.ahrq.gov/issue/evaluation-outpatient-computerized-physician-medication-order-entry-systems-systematic-review
February 14, 2024 - Review
Evaluation of outpatient computerized physician medication order entry systems: a systematic review.
Citation Text:
Eslami S, Abu-Hanna A, de Keizer NF. Evaluation of outpatient computerized physician medication order entry systems: a systematic review. J Am Med Inform Assoc. 20…
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psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change
March 10, 2021 - Commentary
Beyond the corrective action hierarchy: a systems approach to organizational change.
Citation Text:
Wood LJ, Wiegmann DA. Beyond the corrective action hierarchy: a systems approach to organizational change. Int J Qual Health Care. 2020;32(7):438-444. doi:10.1093/intqhc/mzaa068…
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psnet.ahrq.gov/issue/room-horrors-simulation-healthcare-education-systematic-review
September 09, 2020 - Review
Room of horrors simulation in healthcare education: a systematic review.
Citation Text:
Lee SE, Repsha C, Seo WJ, et al. Room of horrors simulation in healthcare education: a systematic review. Nurse Educ Today. 2023;126:105824. doi:10.1016/j.nedt.2023.105824.
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psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
August 24, 2022 - Study
Registered nurses' judgments of the classification and risk level of patient care errors.
Citation Text:
Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097…
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psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review
October 31, 2014 - Review
Requirements for implementing a 'just culture' within healthcare organisations: an integrative review.
Citation Text:
Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…
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psnet.ahrq.gov/issue/compliance-patient-safety-bundle-management-placenta-accreta-spectrum
October 19, 2022 - Study
The compliance with a patient safety bundle for management of placenta accreta spectrum.
Citation Text:
Quist-Nelson J, Crank A, Oliver EA, et al. The compliance with a patient-safety bundle for management of placenta accreta spectrum†. J Matern Fetal Neonatal Med. 2021;34(17):2880…
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psnet.ahrq.gov/issue/understanding-unwarranted-variation-clinical-practice-focus-network-effects-reflective
March 31, 2021 - Commentary
Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems.
Citation Text:
Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective …
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psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died
September 30, 2020 - Book/Report
Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died.
Citation Text:
Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Repor…