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psnet.ahrq.gov/issue/health-care-huddles-managing-complexity-achieve-high-reliability
November 17, 2015 - Study
Health care huddles: managing complexity to achieve high reliability.
Citation Text:
Provost SM, Lanham H, Leykum LK, et al. Health care huddles: managing complexity to achieve high reliability. Health Care Manage Rev. 2015;40(1):2-12. doi:10.1097/HMR.0000000000000009.
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psnet.ahrq.gov/issue/evaluation-anonymous-system-report-medical-errors-pediatric-inpatients
April 30, 2014 - Study
Evaluation of an anonymous system to report medical errors in pediatric inpatients.
Citation Text:
Taylor JA, Brownstein D, Klein EJ, et al. Evaluation of an anonymous system to report medical errors in pediatric inpatients. J Hosp Med. 2007;2(4):226-33.
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psnet.ahrq.gov/issue/computerized-rounding-report-implementation-model-system-support-transitions-care
October 19, 2022 - Study
The computerized rounding report: implementation of a model system to support transitions of care.
Citation Text:
Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7.…
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psnet.ahrq.gov/issue/surgical-team-training-northwestern-memorial-hospital-experience
March 03, 2011 - Study
Surgical team training: the Northwestern Memorial Hospital experience.
Citation Text:
Halverson AL, Andersson JL, Anderson K, et al. Surgical team training: the Northwestern Memorial Hospital experience. Arch Surg. 2009;144(2):107-12. doi:10.1001/archsurg.2008.545.
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psnet.ahrq.gov/issue/family-involvement-patient-safety-and-suicide-prevention-mental-healthcare-ethnographic-study
February 19, 2020 - Study
Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study.
Citation Text:
Gorman LS, Littlewood DL, Quinlivan L, et al. Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study. BJPsych Open. 2023;9(…
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psnet.ahrq.gov/issue/responding-unprofessional-behavior-trainees-just-culture-framework
June 24, 2020 - Commentary
Responding to unprofessional behavior by trainees - a "just culture" framework.
Citation Text:
Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms191…
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-patients-2-outpatient-settings
November 18, 2009 - Study
Potentially inappropriate prescribing for elderly patients in 2 outpatient settings.
Citation Text:
Maio V, Hartmann CW, Poston S, et al. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Am J Med Qual. 2006;21(3):162-8.
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psnet.ahrq.gov/issue/hospital-readmissions-physician-awareness-and-communication-practices
December 19, 2009 - Study
Classic
Hospital readmissions: physician awareness and communication practices.
Citation Text:
Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s1…
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psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
August 20, 2018 - Commentary
Reducing errors resulting from commonly missed chest radiography findings.
Citation Text:
Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003.
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psnet.ahrq.gov/issue/toward-new-paradigm-hospital-based-pediatric-education-development-onsite-simulator-program
May 18, 2022 - Commentary
Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program.
Citation Text:
Weinstock PH, Kappus LJ, Kleinman ME, et al. Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator progra…
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psnet.ahrq.gov/issue/time-motion-study-pediatric-emergency-department-and-after-computer-physician-order-entry
October 19, 2022 - Study
Time motion study in a pediatric emergency department before and after computer physician order entry.
Citation Text:
Yen K, Shane EL, Pawar SS, et al. Time motion study in a pediatric emergency department before and after computer physician order entry. Ann Emerg Med. 2009;53(4)…
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psnet.ahrq.gov/issue/high-reliability-pediatric-intensive-care-unit
July 16, 2014 - Review
The high-reliability pediatric intensive care unit.
Citation Text:
Niedner M, Muething S, Sutcliffe K. The high-reliability pediatric intensive care unit. Pediatr Clin North Am. 2013;60(3):563-80. doi:10.1016/j.pcl.2013.02.005.
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psnet.ahrq.gov/issue/prevalence-and-predictability-low-yield-inpatient-laboratory-diagnostic-tests
November 13, 2024 - Journal Article
Prevalence and predictability of low-yield inpatient laboratory diagnostic tests.
Citation Text:
Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamane…
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psnet.ahrq.gov/issue/longitudinal-trends-us-drug-shortages-medications-used-emergency-departments-2001-2014
July 19, 2023 - Study
Longitudinal trends in U.S. drug shortages for medications used in emergency departments (2001–2014).
Citation Text:
Hawley KL, Mazer-Amirshahi M, Zocchi MS, et al. Longitudinal Trends in U.S. Drug Shortages for Medications Used in Emergency Departments (2001-2014). Acad Emerg Med.…
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psnet.ahrq.gov/issue/hospital-staffing-and-health-care-associated-infections-systematic-review-literature
December 23, 2020 - Review
Emerging Classic
Hospital staffing and health care–associated infections: a systematic review of the literature.
Citation Text:
Mitchell BG, Gardner A, Stone PW, et al. Hospital Staffing and Health Care-Associated Infections: A Systematic Review of the Li…
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psnet.ahrq.gov/issue/simulation-based-training-missing-link-lastingly-improved-patient-safety-and-health
January 17, 2024 - Review
Simulation-based training: the missing link to lastingly improved patient safety and health?
Citation Text:
Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/post…
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psnet.ahrq.gov/issue/time-accelerate-integration-human-factors-and-ergonomics-patient-safety
October 03, 2013 - Commentary
Time to accelerate integration of human factors and ergonomics in patient safety.
Citation Text:
Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421.
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psnet.ahrq.gov/issue/incidence-prescription-errors-patients-discharged-emergency-department
March 30, 2022 - Study
Incidence of prescription errors in patients discharged from the emergency department.
Citation Text:
Gregory H, Cantley M, Calhoun C, et al. Incidence of prescription errors in patients discharged from the emergency department. Am J Emerg Med. 2021;46:266-270. doi:10.1016/j.ajem.2…
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psnet.ahrq.gov/issue/errors-prevented-and-associated-bar-code-medication-administration-systems
October 16, 2019 - Study
Errors prevented by and associated with bar-code medication administration systems.
Citation Text:
Cochran GL, Jones KJ, Brockman J, et al. Errors prevented by and associated with bar-code medication administration systems. Jt Comm J Qual Patient Saf. 2007;33(5):293-301, 245.
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psnet.ahrq.gov/issue/harm-hope-and-purposeful-action-what-could-we-do-after-francis
August 01, 2016 - Commentary
From harm to hope and purposeful action: what could we do after Francis?
Citation Text:
Woodhead T, Lachman P, Mountford J, et al. From harm to hope and purposeful action: what could we do after Francis? BMJ Qual Saf. 2014;23(8):619-23. doi:10.1136/bmjqs-2013-002581.
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