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psnet.ahrq.gov/issue/decreasing-handoff-related-care-failures-childrens-hospitals
April 24, 2018 - Study
Decreasing handoff-related care failures in children's hospitals.
Citation Text:
Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844.
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psnet.ahrq.gov/issue/its-all-about-patient-safety-ethnographic-study-how-pharmacy-staff-construct-medicines-safety
October 06, 2021 - Study
'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy.
Citation Text:
Fudge N, Swinglehurst D. ‘It's all about patient safety’: an ethnographic study of how pharmacy staff construct medicines safety in…
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psnet.ahrq.gov/issue/medication-safety-incidents-associated-remote-delivery-primary-care-rapid-review
June 29, 2022 - Review
Medication safety incidents associated with the remote delivery of primary care: a rapid review.
Citation Text:
Gleeson LL, Clyne B, Barlow JW, et al. Medication safety incidents associated with the remote delivery of primary care: a rapid review. Int J Pharm Pract. 2023;30(6):495…
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psnet.ahrq.gov/issue/impact-implementing-alerts-about-medication-black-box-warnings-electronic-health-records
July 10, 2008 - Study
Impact of implementing alerts about medication black-box warnings in electronic health records.
Citation Text:
Yu DT, Seger DL, Lasser KE, et al. Impact of implementing alerts about medication black-box warnings in electronic health records. Pharmacoepidemiol Drug Saf. 2011;20(2):1…
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psnet.ahrq.gov/issue/racism-health-services-adolescents-scoping-review
July 19, 2023 - Review
Racism in health services for adolescents: a scoping review.
Citation Text:
Hilario C, Louie-Poon S, Taylor M, et al. Racism in health services for adolescents: a scoping review. Int J Soc Determinants Health Health Serv. 2023;53(3):343-353. doi:10.1177/27551938231162560.
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psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
June 22, 2022 - Study
Care transition of trauma patients: processes with articulation work before and after handoff.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Care transition of trauma patients: processes with articulation work before and after handoff. Appl Ergon. 2022;98:103606. d…
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psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery
September 09, 2015 - Review
A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery.
Citation Text:
Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Surgery. 20…
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psnet.ahrq.gov/issue/effect-electronic-transmission-prescriptions-dispensing-errors-and-prescription-enhancements
December 16, 2020 - Study
The effect of the electronic transmission of prescriptions on dispensing errors and prescription enhancements made in English community pharmacies: a naturalistic stepped wedge study.
Citation Text:
Franklin BD, Reynolds M, Sadler S, et al. The effect of the electronic transmission…
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psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue
January 26, 2022 - Commentary
Rapid response teams as a patient safety practice for failure to rescue.
Citation Text:
Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510.
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psnet.ahrq.gov/issue/we-are-not-there-yet-qualitative-system-probing-study-hospital-rapid-response-system
March 15, 2023 - Study
We are not there yet: a qualitative system probing study of a hospital rapid response system.
Citation Text:
Olsen SL, Søreide E, Hansen BS. We are not there yet: a qualitative system probing study of a hospital rapid response system. J Patient Saf. 2022;18(7):717-721. doi:10.1097/…
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psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement
January 18, 2013 - Review
Emerging Classic
Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies.
Citation Text:
Burke JR, Downey C, Almoudaris AM. Failure to rescue deteriorating patients: a systematic review of root causes and im…
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psnet.ahrq.gov/issue/exploration-ward-based-nurses-perspectives-their-preparedness-recognize-clinical
December 14, 2022 - Review
Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review.
Citation Text:
Mikhail J, King L. Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review.…
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psnet.ahrq.gov/issue/enabling-learning-healthcare-system-automated-computer-protocols-produce-replicable-and
September 23, 2020 - Commentary
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.
Citation Text:
Morris AH, Stagg B, Lanspa M, et al. Enabling a learning healthcare system with automated computer protocols that produce replicab…
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psnet.ahrq.gov/issue/advancing-science-patient-safety
March 13, 2013 - Commentary
Classic
Advancing the science of patient safety.
Citation Text:
Shekelle PG, Pronovost P, Wachter R, et al. Advancing the science of patient safety. Ann Intern Med. 2011;154(10):693-6. doi:10.7326/0003-4819-154-10-201105170-00011.
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psnet.ahrq.gov/issue/effect-program-shorten-decision-delivery-interval-emergent-cesarean-section-maternal-and
April 12, 2019 - Study
The effect of a program to shorten the decision-to-delivery interval for emergent cesarean section on maternal and neonatal outcome.
Citation Text:
Weiner E, Bar J, Fainstein N, et al. The effect of a program to shorten the decision-to-delivery interval for emergent cesarean sectio…
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psnet.ahrq.gov/issue/time-take-hearing-loss-seriously
September 23, 2020 - Commentary
Time to take hearing loss seriously.
Citation Text:
Blustein J, Wallhagen MI, Weinstein BE, et al. Time to take hearing loss seriously. Jt Comm J Qual Patient Saf. 2019;46(1):53-58. doi:10.1016/j.jcjq.2019.10.003.
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psnet.ahrq.gov/issue/effect-residency-duty-hour-limits-views-key-clinical-faculty
July 08, 2009 - Study
Effect of residency duty-hour limits: views of key clinical faculty.
Citation Text:
Schuster B. Tough times for teaching faculty. Arch Intern Med. 2007;167(14):1453-5.
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psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
June 08, 2022 - Study
Debrief it all: a tool for inclusion of Safety-II.
Citation Text:
Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3.
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psnet.ahrq.gov/issue/diagnostic-errors-emergency-department-systematic-review
October 27, 2021 - Book/Report
Diagnostic Errors in the Emergency Department: A Systematic Review.
Citation Text:
Diagnostic Errors in the Emergency Department: A Systematic Review. Newman-Toker DE, Peterson SM, Badihian S, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2022.&nb…
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psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
January 22, 2014 - Commentary
Classic
The wisdom and justice of not paying for "preventable complications."
Citation Text:
Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.1…