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psnet.ahrq.gov/issue/analysis-medication-therapy-discontinuation-orders-new-electronic-prescriptions-and
July 23, 2018 - Study
Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx.
Citation Text:
Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new electronic prescriptions and op…
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psnet.ahrq.gov/issue/critical-incident-technique
January 07, 2015 - Study
Classic
The critical incident technique.
Citation Text:
FLANAGAN JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358.
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psnet.ahrq.gov/issue/incident-reporting-behaviours-following-francis-report-cross-sectional-survey
October 12, 2016 - Study
Incident reporting behaviours following the Francis report: a cross-sectional survey.
Citation Text:
Archer G, Colhoun A. Incident reporting behaviours following the Francis report: A cross-sectional survey. J Eval Clin Pract. 2017;24(2). doi:10.1111/jep.12849.
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psnet.ahrq.gov/issue/improving-departmental-psychological-safety-through-medical-school-wide-initiative
July 19, 2023 - Study
Improving departmental psychological safety through a medical school-wide initiative
Citation Text:
Porter-Stransky KA, Horneffer-Ginter KJ, Bauler LD, et al. Improving departmental psychological safety through a medical school-wide initiative. BMC Med Educ. 2024;24(1):800. doi:10.…
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psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift
January 22, 2016 - Study
"Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs.
Citation Text:
Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory management communication (…
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psnet.ahrq.gov/issue/does-perception-severity-medical-error-differ-between-varying-levels-clinical-seniority
August 31, 2022 - Study
Does the perception of severity of medical error differ between varying levels of clinical seniority?
Citation Text:
Khan I, Arsanious M. Does the perception of severity of medical error differ between varying levels of clinical seniority? Adv Med Educ Pract. 2018;9:443-452. doi:10…
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psnet.ahrq.gov/issue/hospital-not-just-factory-complex-adaptive-system-implications-perioperative-care
May 11, 2019 - Commentary
A hospital is not just a factory, but a complex adaptive system—implications for perioperative care.
Citation Text:
Mahajan A, Islam SD, Schwartz MJ, et al. A Hospital Is Not Just a Factory, but a Complex Adaptive System-Implications for Perioperative Care. Anesth Analg. 2017;…
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psnet.ahrq.gov/issue/using-social-and-behavioural-science-support-covid-19-pandemic-response
March 02, 2022 - Commentary
Classic
Using social and behavioural science to support COVID-19 pandemic response.
Citation Text:
Bavel JJV, Baicker K, Boggio PS, et al. Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav. 2020;4(5):460-471. do…
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psnet.ahrq.gov/issue/implementation-sustainment-large-scale-adverse-event-disclosure-support-program-generated
March 26, 2015 - Study
From implementation to sustainment: a large-scale adverse event disclosure support program generated through embedded research in the Veterans Health Administration.
Citation Text:
Elwy AR, Maguire EM, McCullough M, et al. From implementation to sustainment: a large-scale adverse e…
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psnet.ahrq.gov/issue/experience-family-activation-rapid-response-teams
December 17, 2008 - Commentary
Experience with family activation of rapid response teams.
Citation Text:
Bogert S, Ferrell C, Rutledge DN. Experience with family activation of rapid response teams. Medsurg Nurs. 2010;19(4):215-22; quiz 223.
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psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients
March 03, 2011 - Study
Classic
Patterns of communication breakdowns resulting in injury to surgical patients.
Citation Text:
Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204…
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psnet.ahrq.gov/issue/fatigue-risk-management-impact-anesthesiology-residents-work-schedules-job-performance-and
November 03, 2010 - Commentary
Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures.
Citation Text:
Wong LR, Flynn-Evans E, Ruskin KJ. Fatigue Risk Management: The Impact of Anesthesiology Residents' Work Schedules on Jo…
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psnet.ahrq.gov/issue/integrative-review-fatigue-among-nurses-acute-care-settings
June 01, 2022 - Review
An integrative review: fatigue among nurses in acute care settings.
Citation Text:
Smith-Miller CA, Shaw-Kokot J, Curro B, et al. An integrative review: fatigue among nurses in acute care settings. J Nurs Adm. 2014;44(9):487-94. doi:10.1097/NNA.0000000000000104.
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psnet.ahrq.gov/issue/persistent-opioid-use-among-pediatric-patients-after-surgery
January 29, 2020 - Study
Classic
Persistent opioid use among pediatric patients after surgery.
Citation Text:
Harbaugh CM, Lee JS, Hu HM, et al. Persistent Opioid Use Among Pediatric Patients After Surgery. Pediatrics. 2018;141(1):e20172439. doi:10.1542/peds.2017-2439.
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psnet.ahrq.gov/issue/wide-variation-and-overprescription-opioids-after-elective-surgery
April 24, 2018 - Study
Classic
Wide variation and overprescription of opioids after elective surgery.
Citation Text:
Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.00000…
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psnet.ahrq.gov/issue/barriers-and-enablers-affecting-patient-engagement-managing-medications-within-specialty
December 12, 2014 - Study
Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings.
Citation Text:
Manias E, Rixon S, Williams A, et al. Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. Health …
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psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety
November 03, 2021 - Commentary
Trainee autonomy and patient safety.
Citation Text:
George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599.
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psnet.ahrq.gov/issue/how-do-hospitalized-patients-feel-about-resident-work-hours-fatigue-and-discontinuity-care
July 02, 2008 - Study
How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care?
Citation Text:
Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(…
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psnet.ahrq.gov/issue/impact-clinical-pharmacy-admission-medication-reconciliation-program-medication-errors-high
August 30, 2017 - Study
Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients.
Citation Text:
Buckley MS, Harinstein LM, Clark KB, et al. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "hig…
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psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature
November 16, 2022 - Review
The "To Err Is Human Report" and the patient safety literature.
Citation Text:
Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature. Qual Saf Health Care. 2006;15(3):174-8.
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