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psnet.ahrq.gov/issue/inpatient-notes-human-factors-engineering-and-inpatient-care-new-ways-solve-old-problems
December 27, 2018 - Commentary
Inpatient Notes: human factors engineering and inpatient care—new ways to solve old problems.
Citation Text:
Clack L, Sax H. Web Exclusives. Annals for Hospitalists Inpatient Notes - Human Factors Engineering and Inpatient Care-New Ways to Solve Old Problems. Ann Intern Med. 2…
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psnet.ahrq.gov/issue/understanding-causes-intravenous-medication-administration-errors-hospitals-qualitative
June 25, 2014 - Study
Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study.
Citation Text:
Keers RN, Williams SD, Cooke J, et al. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative c…
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psnet.ahrq.gov/issue/motivational-antecedents-incident-reporting-evidence-survey-nurses-and-physicians
March 11, 2013 - Study
Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians.
Citation Text:
Pfeiffer Y, Briner M, Wehner T, et al. Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. Swiss Med Wkly. 2013;143:w13881.…
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psnet.ahrq.gov/issue/long-term-effects-e-learning-course-patient-safety-controlled-longitudinal-study-medical
March 16, 2016 - Study
Long-term effects of an e-learning course on patient safety: a controlled longitudinal study with medical students.
Citation Text:
Gaupp R, Dinius J, Drazic I, et al. Long-term effects of an e-learning course on patient safety: A controlled longitudinal study with medical students.…
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psnet.ahrq.gov/issue/identifying-latent-failures-underpinning-medication-administration-errors-exploratory-study
December 21, 2016 - Study
Identifying the latent failures underpinning medication administration errors: an exploratory study.
Citation Text:
Lawton R, Carruthers S, Gardner P, et al. Identifying the latent failures underpinning medication administration errors: an exploratory study. Health Serv Res. 2012…
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psnet.ahrq.gov/issue/optimizing-situation-awareness-reduce-emergency-transfers-hospitalized-children
January 19, 2022 - Study
Optimizing situation awareness to reduce emergency transfers in hospitalized children.
Citation Text:
Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2…
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psnet.ahrq.gov/issue/henry-ford-health-system-no-harm-campaign-comprehensive-model-reduce-harm-and-save-lives
May 11, 2019 - Commentary
The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives.
Citation Text:
Conway WA, Hawkins S, Jordan J, et al. 2011 John M. Eisenberg Patient Safety and Quality Awards. The Henry Ford Health System No Harm Campaign: a comprehensive mo…
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psnet.ahrq.gov/issue/comparison-medication-safety-systems-critical-access-hospitals-combined-analysis-two-studies
September 28, 2016 - Study
Comparison of medication safety systems in critical access hospitals: combined analysis of two studies.
Citation Text:
Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies. Am J Health Syst Pharm. 20…
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psnet.ahrq.gov/issue/effect-blue-enriched-lighting-medical-error-rate-university-hospital-icu
March 10, 2021 - Study
The effect of blue-enriched lighting on medical error rate in a university hospital ICU.
Citation Text:
Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j…
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psnet.ahrq.gov/issue/pediatric-crisis-resource-management-training-improves-emergency-medicine-trainees-perceived
March 25, 2020 - Study
Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify teamwork errors.
Citation Text:
Bank I, Snell L, Bhanji F. Pediatric crisis resource management training improves emergency medicine t…
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psnet.ahrq.gov/issue/postdischarge-adverse-events-1-day-hospital-admissions-older-adults-admitted-emergency
May 18, 2022 - Study
Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department.
Citation Text:
Pines JM, Mongelluzzo J, Hilton JA, et al. Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency depa…
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psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national
March 12, 2025 - Study
Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency.
Citation Text:
Thomas AN, McGrath BA. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK Na…
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psnet.ahrq.gov/issue/disclosure-nonharmful-medical-errors-and-other-events-duty-disclose
January 23, 2017 - Commentary
Disclosure of "nonharmful" medical errors and other events: duty to disclose.
Citation Text:
Chamberlain CJ, Koniaris LG, Wu AW, et al. Disclosure of "nonharmful" medical errors and other events: duty to disclose. Arch Surg. 2012;147(3):282-6. doi:10.1001/archsurg.2011.1005.
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psnet.ahrq.gov/issue/program-access-depressive-symptoms-and-medical-errors-among-resident-physicians-disability
May 19, 2021 - Study
Program access, depressive symptoms, and medical errors among resident physicians with disability.
Citation Text:
Meeks LM, Pereira-Lima K, Frank E, et al. Program access, depressive symptoms, and medical errors among resident physicians with disability. JAMA Netw Open. 2021;4(12):…
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psnet.ahrq.gov/issue/effect-checklist-quality-post-anaesthesia-patient-handover-randomized-controlled-trial
February 15, 2012 - Study
The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial.
Citation Text:
Salzwedel C, Bartz H-J, Kühnelt I, et al. The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. Int…
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psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting
July 30, 2014 - Study
Participation in a system-thinking simulation experience changes adverse event reporting.
Citation Text:
Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473.…
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psnet.ahrq.gov/issue/older-veterans-and-emergency-department-discharge-information
March 02, 2011 - Study
Older veterans and emergency department discharge information.
Citation Text:
Hastings S, Stechuchak K, Oddone E, et al. Older veterans and emergency department discharge information. BMJ Qual Saf. 2012;21(10):835-42.
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psnet.ahrq.gov/issue/realizing-e-prescribings-potential-reduce-outpatient-psychiatric-medication-errors
November 12, 2014 - Commentary
Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors.
Citation Text:
Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps…
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psnet.ahrq.gov/issue/12-h-shifts-and-rates-error-among-nurses-systematic-review
October 20, 2021 - Review
12 h shifts and rates of error among nurses: a systematic review.
Citation Text:
Clendon J, Gibbons V. 12 h shifts and rates of error among nurses: a systematic review. Int J Nurs Stud. 2015;52(7):1231-1242. doi:10.1016/j.ijnurstu.2015.03.011.
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psnet.ahrq.gov/issue/hospira-carpuject-pre-filled-cartridges-drug-alert-products-may-contain-more-intended-fill
August 05, 2020 - Press Release/Announcement
Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended fill volume.
Citation Text:
Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended fill volume. MedWatch Safety Alert. S…