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psnet.ahrq.gov/issue/evaluation-patient-safety-culture-community-pharmacies
May 11, 2016 - Study
Evaluation of patient safety culture in community pharmacies.
Citation Text:
Aboneh EA, Stone JA, Lester CA, et al. Evaluation of Patient Safety Culture in Community Pharmacies. J Patient Saf. 2020;16(1):e18-e24. doi:10.1097/pts.0000000000000245.
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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/impact-resident-workload-and-handoff-training-patient-outcomes
April 12, 2023 - Study
Impact of resident workload and handoff training on patient outcomes.
Citation Text:
Mueller SK, Call S, McDonald FS, et al. Impact of resident workload and handoff training on patient outcomes. Am J Med. 2012;125(1):104-10. doi:10.1016/j.amjmed.2011.09.005.
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psnet.ahrq.gov/issue/hospital-acquired-infections-under-pay-performance-systems-administrative-perspective
January 30, 2019 - Review
Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change.
Citation Text:
Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and C…
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psnet.ahrq.gov/issue/blending-evidence-and-innovation-improving-intershift-handoffs-multihospital-setting
September 23, 2017 - Commentary
Blending evidence and innovation: improving intershift handoffs in a multihospital setting.
Citation Text:
Thomas L, Donohue-Porter P. Blending evidence and innovation: improving intershift handoffs in a multihospital setting. J Nurs Care Qual. 2012;27(2):116-24. doi:10.1097…
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psnet.ahrq.gov/issue/influence-availability-heuristic-physicians-emergency-department
September 30, 2020 - Study
The influence of the availability heuristic on physicians in the emergency department.
Citation Text:
Ly DP. The influence of the availability heuristic on physicians in the emergency department. Ann Emerg Med. 2021;78(5):650-657. doi:10.1016/j.annemergmed.2021.06.012.
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psnet.ahrq.gov/issue/electronic-health-record-use-and-quality-ambulatory-care-united-states
May 31, 2023 - Study
Electronic health record use and the quality of ambulatory care in the United States.
Citation Text:
Linder JA, Ma J, Bates DW, et al. Electronic health record use and the quality of ambulatory care in the United States. Arch Intern Med. 2007;167(13):1400-5.
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psnet.ahrq.gov/issue/adverse-events-among-hospital-medicare-patients-2021-and-2022
November 20, 2024 - Book/Report
Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022.
Citation Text:
Rodrick D, Timashenka A, Umscheid C. Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication no. …
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psnet.ahrq.gov/issue/lack-timely-follow-abnormal-imaging-results-and-radiologists-recommendations
April 13, 2017 - Study
Lack of timely follow-up of abnormal imaging results and radiologists' recommendations.
Citation Text:
Al-Mutairi A, Meyer AND, Chang P, et al. Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. J Am Coll Radiol. 2015;12(4):385-389. doi:10.1016/…
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psnet.ahrq.gov/issue/how-do-we-learn-about-error-cross-sectional-study-urology-trainees
October 21, 2010 - Study
How do we learn about error? A cross-sectional study of urology trainees.
Citation Text:
Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees. J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007.
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psnet.ahrq.gov/issue/creating-spaces-intensive-care-safe-communication-video-reflexive-ethnographic-study
December 18, 2013 - Study
Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study.
Citation Text:
Hor S-Y, Iedema R, Manias E. Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study. BMJ Qual Saf. 2014;23(12):1007-13. doi:10.1136…
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psnet.ahrq.gov/issue/seen-through-patients-eyes-safety-chronic-illness-care
May 16, 2018 - Study
Seen through the patients' eyes: safety of chronic illness care.
Citation Text:
Desmedt M, Petrovic M, Bergs J, et al. Seen through the patients' eyes: Safety of chronic illness care. Int J Qual Health Care. 2017;29(7):916-921. doi:10.1093/intqhc/mzx137.
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psnet.ahrq.gov/issue/factors-underlying-suboptimal-diagnostic-performance-physicians-under-time-pressure
June 01, 2016 - Study
Factors underlying suboptimal diagnostic performance in physicians under time pressure.
Citation Text:
ALQahtani DA, Rotgans JI, Mamede S, et al. Factors underlying suboptimal diagnostic performance in physicians under time pressure. Med Educ. 2018;52(12):1288-1298. doi:10.1111/med…
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psnet.ahrq.gov/issue/safe-injection-infusion-and-medication-vial-practices-health-care-2016
October 19, 2022 - Organizational Policy/Guidelines
Safe injection, infusion, and medication vial practices in health care (2016).
Citation Text:
Dolan SA, Arias KM, Felizardo G, et al. APIC position paper: Safe injection, infusion, and medication vial practices in health care. American journal of infectio…
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psnet.ahrq.gov/issue/practice-indicators-suboptimal-care-and-avoidable-adverse-events-content-analysis-national
May 13, 2015 - Study
Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination.
Citation Text:
Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a natio…
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psnet.ahrq.gov/issue/barriers-and-facilitators-taking-action-after-classroom-based-crew-resource-management
July 10, 2013 - Study
Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs.
Citation Text:
Kemper PE, van Dyck C, Wagner C, et al. Barriers and facilitators for taking action after classroom-based crew resource management training at three ICU…
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psnet.ahrq.gov/issue/diagnostic-heuristics-dermatology-part-1-and-part-2
June 24, 2010 - Review
Diagnostic heuristics in dermatology—part 1 and part 2.
Citation Text:
Lowenstein EJ, Sidlow R. Cognitive and visual diagnostic errors in dermatology: part 1 and part 2. J Dermatol. 2018;179(6):1263-1276. doi:10.1111/bjd.16932.
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psnet.ahrq.gov/issue/adverse-effects-computers-during-bedside-rounds-critical-care-unit
August 02, 2015 - Study
Adverse effects of computers during bedside rounds in a critical care unit.
Citation Text:
Dhillon NK, Francis SE, Tatum JM, et al. Adverse Effects of Computers During Bedside Rounds in a Critical Care Unit. JAMA Surg. 2018;153(11):1052-1053. doi:10.1001/jamasurg.2018.1752.
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psnet.ahrq.gov/issue/investigating-workplace-support-and-importance-psychological-safety-general-surgery-residency
July 16, 2015 - Study
Investigating workplace support and the importance of psychological safety in general surgery residency training.
Citation Text:
Ojute F, Gonzales PA, Berler M, et al. Investigating workplace support and the importance of psychological safety in general surgery residency training. …
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psnet.ahrq.gov/issue/impact-type-manual-medication-cart-filling-method-frequency-medication-administration-errors
January 23, 2019 - Study
The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study.
Citation Text:
Schimmel AM, Becker ML, van den Bout T, et al. The impact of type of manual medication cart filling method on the f…