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psnet.ahrq.gov/issue/association-between-organizational-culture-and-ability-benefit-just-culture-training
August 04, 2021 - Study
The association between organizational culture and the ability to benefit from "just culture" training.
Citation Text:
David DS. The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training. J Patient Saf. 2019;15(1):e3-e7. doi:10.1097/PTS.…
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psnet.ahrq.gov/issue/tablet-splitting-common-yet-not-so-innocent-practice
August 31, 2022 - Study
Tablet-splitting: a common yet not so innocent practice.
Citation Text:
Verrue C, Mehuys E, Boussery K, et al. Tablet-splitting: a common yet not so innocent practice. J Adv Nurs. 2011;67(1):26-32. doi:10.1111/j.1365-2648.2010.05477.x.
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psnet.ahrq.gov/issue/diagnostic-performance-medical-students-working-individually-or-teams
January 26, 2022 - Study
Diagnostic performance by medical students working individually or in teams.
Citation Text:
Hautz WE, Kämmer JE, Schauber SK, et al. Diagnostic performance by medical students working individually or in teams. JAMA. 2015;313(3):303-4. doi:10.1001/jama.2014.15770.
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psnet.ahrq.gov/issue/assessment-healthcare-professionals-knowledge-managing-emergency-complications-patients
March 14, 2018 - Slideset
Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy.
Citation Text:
Casserly P, Lang E, Fenton JE, et al. Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a …
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psnet.ahrq.gov/issue/infection-prevention-emergency-department
July 13, 2016 - Review
Infection prevention in the emergency department.
Citation Text:
Liang SY, Theodoro DL, Schuur JD, et al. Infection prevention in the emergency department. Ann Emerg Med. 2014;64(3):299-313. doi:10.1016/j.annemergmed.2014.02.024.
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psnet.ahrq.gov/issue/five-new-ways-advance-diagnostic-safety-your-clinical-practice
June 30, 2021 - Commentary
Five new ways to advance diagnostic safety in your clinical practice.
Citation Text:
Five new ways to advance diagnostic safety in your clinical practice. Bradford A, Goeschel C, Shofer M, et al. Am Fam Physician. 2023;108(1):14-16.
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psnet.ahrq.gov/issue/errors-near-misses-and-adverse-events-emergency-department-what-can-patients-tell-us
April 25, 2018 - Study
Errors, near misses and adverse events in the emergency department: what can patients tell us?
Citation Text:
Friedman SM, Provan D, Moore S, et al. Errors, near misses and adverse events in the emergency department: what can patients tell us? CJEM. 2008;10(5):421-427.
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psnet.ahrq.gov/issue/computer-based-medication-error-reporting-insights-and-implications
August 02, 2010 - Study
Computer based medication error reporting: insights and implications.
Citation Text:
Miller MR, Clark JS, Lehmann CU. Computer based medication error reporting: insights and implications. Qual Saf Health Care. 2006;15(3):208-13.
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psnet.ahrq.gov/issue/effect-pharmacists-medication-errors-emergency-department
September 23, 2020 - Study
Effect of pharmacists on medication errors in an emergency department.
Citation Text:
Brown JN, Barnes CL, Beasley B, et al. Effect of pharmacists on medication errors in an emergency department. Am J Health Syst Pharm. 2008;65(4):330-3. doi:10.2146/ajhp070391.
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psnet.ahrq.gov/issue/hospital-patient-care-becoming-safer-conversation-lucian-leape
November 02, 2014 - Commentary
Classic
Is hospital patient care becoming safer? A conversation with Lucian Leape.
Citation Text:
Leape L. Is hospital patient care becoming safer? A conversation with Lucian Leape. Interview by Peter I. Buerhaus. Health Aff (Millwood). 2007;26(6):w…
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psnet.ahrq.gov/issue/nurse-interrupted-development-realistic-medication-administration-simulation-undergraduate
September 27, 2016 - Commentary
Nurse interrupted: development of a realistic medication administration simulation for undergraduate nurses.
Citation Text:
Hayes C, Power T, Davidson PM, et al. Nurse interrupted: Development of a realistic medication administration simulation for undergraduate nurses. Nurse …
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psnet.ahrq.gov/issue/effects-electrode-misplacement-clinicians-interpretation-standard-12-lead-electrocardiogram
February 10, 2016 - Study
The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram.
Citation Text:
Bond RR, Finlay DD, Nugent CD, et al. The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. Eur J…
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psnet.ahrq.gov/issue/organizational-resilience-paradox-management-systematic-review-literature
February 15, 2017 - Review
Organizational resilience as paradox management: a systematic review of the literature.
Citation Text:
Tekletsion BF, Gomes JFDS, Tefera B. Organizational resilience as paradox management: a systematic review of the literature. J Contingencies Crisis Manage. 2024;32(1):e12495. doi…
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psnet.ahrq.gov/issue/patient-safety-institute-demonstration-project-model-implementing-local-health-information
May 15, 2013 - Commentary
The Patient Safety Institute demonstration project: a model for implementing a local health information infrastructure.
Citation Text:
Classen D, Kanhouwa M, Will D, et al. The patient safety institute demonstration project: a model for implementing a local health informatio…
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psnet.ahrq.gov/issue/microanalysis-video-operating-room-underused-approach-patient-safety-research
January 22, 2014 - Study
Microanalysis of video from the operating room: an underused approach to patient safety research.
Citation Text:
Bezemer J, Cope A, Korkiakangas T, et al. Microanalysis of video from the operating room: an underused approach to patient safety research. BMJ Qual Saf. 2017;26(7):583-…
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psnet.ahrq.gov/issue/common-errors-computer-electrocardiogram-interpretation
May 08, 2024 - Study
Common errors in computer electrocardiogram interpretation.
Citation Text:
Guglin ME, Thatai D. Common errors in computer electrocardiogram interpretation. Int J Cardiol. 2006;106(2):232-7.
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psnet.ahrq.gov/issue/reducing-falls-safety-spotter-program
November 16, 2022 - Commentary
Reducing falls with a safety spotter program.
Citation Text:
Primmer P, Borenstein KK, Downing MT, et al. Reducing falls with a safety spotter program. Nursing (Brux). 2015;45(8):16-9. doi:10.1097/01.NURSE.0000469244.89222.27.
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psnet.ahrq.gov/issue/normalization-deviance-threat-patient-safety
December 21, 2016 - Commentary
The normalization of deviance: a threat to patient safety.
Citation Text:
Odom-Forren J. The normalization of deviance: a threat to patient safety. J Perianesth Nurs. 2011;26(3):216-9. doi:10.1016/j.jopan.2011.05.002.
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psnet.ahrq.gov/issue/or-and-just-culture
February 01, 2017 - Commentary
The OR and a "just culture."
Citation Text:
Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003.
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psnet.ahrq.gov/issue/va-health-care-steps-taken-improve-practitioner-screening-facility-compliance-screening
September 28, 2010 - Government Resource
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor.
Citation Text:
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. W…