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psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
August 12, 2020 - Study
Diffusing aviation innovations in a hospital in the Netherlands.
Citation Text:
de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47.
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psnet.ahrq.gov/issue/why-july-matters
October 13, 2018 - Commentary
Why July matters.
Citation Text:
Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912. doi:10.1097/ACM.0000000000001196.
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psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach
August 26, 2011 - Study
Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection.
Citation Text:
Kopp BJ, Erstad BL, Allen ME, et al. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Crit…
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psnet.ahrq.gov/issue/problem-my-five-moments-hand-hygiene
September 09, 2020 - Commentary
The problem with 'My Five Moments for Hand Hygiene'.
Citation Text:
Gould D, Purssell E, Jeanes A, et al. The problem with ‘My Five Moments for Hand Hygiene’. BMJ Qual Saf. 2022;31(4):322-326. doi:10.1136/bmjqs-2020-011911.
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psnet.ahrq.gov/issue/observational-study-changes-long-term-medication-after-admission-intensive-care-unit
January 06, 2018 - Study
An observational study of changes to long-term medication after admission to an intensive care unit.
Citation Text:
Campbell AJ, Bloomfield R, Noble DW. An observational study of changes to long-term medication after admission to an intensive care unit. Anaesthesia. 2006;61(11):1…
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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/cognitive-aids-management-clinical-emergencies-systematic-review
January 12, 2022 - Review
Cognitive aids in the management of clinical emergencies: a systematic review.
Citation Text:
Greig PR, Zolger D, Onwochei DN, et al. Cognitive aids in the management of clinical emergencies: a systematic review. Anaesthesia. 2023;78(3):343-355. doi:10.1111/anae.15939.
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psnet.ahrq.gov/issue/every-error-treasure-improving-medication-use-nonpunitive-reporting-system
August 17, 2016 - Study
Every error a treasure: improving medication use with a nonpunitive reporting system.
Citation Text:
Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.…
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psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
April 24, 2019 - Study
The use of a checklist in a pediatric oncology clinic.
Citation Text:
McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657.
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psnet.ahrq.gov/issue/effect-patient-safety-strategies-incidence-adverse-events
March 09, 2022 - Study
Effect of patient safety strategies on the incidence of adverse events.
Citation Text:
Sierra AF, del Aguila del MR, Espigares JLN, et al. Effect of patient safety strategies on the incidence of adverse events. J Eval Clin Pract. 2014;20(2):184-90. doi:10.1111/jep.12105.
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psnet.ahrq.gov/issue/unrecognized-cardiovascular-emergencies-among-medicare-patients
November 16, 2022 - Study
Unrecognized cardiovascular emergencies among Medicare patients.
Citation Text:
Waxman DA, Kanzaria HK, Schriger DL. Unrecognized Cardiovascular Emergencies Among Medicare Patients. JAMA Intern Med. 2018;178(4):477-484. doi:10.1001/jamainternmed.2017.8628.
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psnet.ahrq.gov/issue/examination-how-survey-can-spur-culture-changes-using-quality-improvement-approach-region
September 29, 2010 - Study
Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture.
Citation Text:
Pringle J, Weber RJ, Rice K, et al. Examination of how a survey can spur culture changes using a quality impro…
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psnet.ahrq.gov/issue/clinical-pharmacy-interventions-paediatric-electronic-prescriptions
April 14, 2010 - Study
Clinical pharmacy interventions in paediatric electronic prescriptions.
Citation Text:
Maat B, San Au Y, Bollen CW, et al. Clinical pharmacy interventions in paediatric electronic prescriptions. Arch Dis Child. 2013;98(3):222-7. doi:10.1136/archdischild-2012-302817.
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psnet.ahrq.gov/issue/assessing-clinical-reasoning-targeting-higher-levels-pyramid
June 15, 2022 - Commentary
Assessing clinical reasoning: targeting the higher levels of the pyramid.
Citation Text:
Thampy H, Willert E, Ramani S. Assessing Clinical Reasoning: Targeting the Higher Levels of the Pyramid. J Gen Intern Med. 2019;34(8):1631-1636. doi:10.1007/s11606-019-04953-4.
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psnet.ahrq.gov/issue/reporting-medical-errors-improve-patient-safety-survey-physicians-teaching-hospitals
February 24, 2011 - Study
Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals.
Citation Text:
Kaldjian LC, Jones EW, Wu BJ, et al. Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. Arch Intern Med. 2008;168(1):40-…
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psnet.ahrq.gov/issue/root-cause-analysis-clinical-error-confronting-disjunction-between-formal-rules-and-situated
June 14, 2011 - Commentary
A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity.
Citation Text:
Iedema RAM, Jorm C, Braithwaite J, et al. A root cause analysis of clinical error: confronting the disjunction between formal rules and si…
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psnet.ahrq.gov/issue/hidden-curriculum-and-residents-attitudes-about-medical-error-disclosure-comparison-surgical
September 30, 2020 - Study
The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and nonsurgical residents.
Citation Text:
Martinez W, Lehmann LS. The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and no…
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psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify-precursor-and
October 21, 2015 - Study
Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital.
Citation Text:
Mitchell RJ, Williamson A, Molesworth B. Application of a human factors classification framework for p…
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psnet.ahrq.gov/issue/speaking-patient-safety-hospital-based-health-care-professionals-literature-review
October 31, 2011 - Review
Speaking up for patient safety by hospital-based health care professionals: a literature review.
Citation Text:
Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.…
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psnet.ahrq.gov/issue/comprehensive-obstetrics-patient-safety-program-improves-safety-climate-and-culture
October 20, 2014 - Study
A comprehensive obstetrics patient safety program improves safety climate and culture.
Citation Text:
Pettker CM, Thung SF, Raab CA, et al. A comprehensive obstetrics patient safety program improves safety climate and culture. Am J Obstet Gynecol. 2011;204(3):216.e1-6. doi:10.1016/…