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psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
November 18, 2015 - Study
Using Six Sigma to reduce medication errors in a home-delivery pharmacy service.
Citation Text:
Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24.
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psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants
August 14, 2014 - Study
Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members.
Citation Text:
Jeffs L, Abramovich IA, Hayes C, et al. Implementing an interprofessional patient safety learning initiative: insights fr…
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psnet.ahrq.gov/issue/harm-hope-and-purposeful-action-what-could-we-do-after-francis
August 01, 2016 - Commentary
From harm to hope and purposeful action: what could we do after Francis?
Citation Text:
Woodhead T, Lachman P, Mountford J, et al. From harm to hope and purposeful action: what could we do after Francis? BMJ Qual Saf. 2014;23(8):619-23. doi:10.1136/bmjqs-2013-002581.
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psnet.ahrq.gov/issue/minimising-treatment-associated-risks-systemic-cancer-therapy
December 22, 2021 - Review
Minimising treatment-associated risks in systemic cancer therapy.
Citation Text:
Jaehde U, Liekweg A, Simons S, et al. Minimising treatment-associated risks in systemic cancer therapy. Pharm World Sci. 2008;30(2):161-8.
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psnet.ahrq.gov/issue/action-research-simulation-team-communication-and-bringing-tacit-voice-society-simulation
April 16, 2019 - Study
Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare.
Citation Text:
Forsythe L. Action research, simulation, team communication, and bringing the tacit into voice society for simulation in healthcare. Simul Heal…
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psnet.ahrq.gov/issue/improving-patient-safety-using-sterile-cockpit-principle-during-medication-administration
September 12, 2016 - Study
Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.
Citation Text:
Fore AM, Sculli GL, Albee D, et al. Improving patient safety using the sterile cockpit principle during medication administration: a…
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psnet.ahrq.gov/issue/effects-extended-work-shifts-and-shift-work-patient-safety-productivity-and-employee-health
October 20, 2021 - Commentary
Effects of extended work shifts and shift work on patient safety, productivity, and employee health.
Citation Text:
Keller SM. Effects of extended work shifts and shift work on patient safety, productivity, and employee health. AAOHN J. 2009;57(12):497-504. doi:10.3928/08910…
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psnet.ahrq.gov/issue/understanding-link-between-burnout-and-sub-optimal-care-why-should-healthcare-education-be
August 03, 2022 - Review
Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence?
Citation Text:
Montgomery A, Lainidi O. Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in emp…
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psnet.ahrq.gov/issue/two-cultures-modern-science-and-technology-safety-and-validity-does-medicine-have-update
January 12, 2022 - Commentary
Two cultures in modern science and technology: for safety and validity does medicine have to update?
Citation Text:
Becker RE. Two cultures in modern science and technology: for safety and validity does medicine have to update? J Patient Saf. 2020;16(1):e46-e50. doi:10.1097/pt…
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psnet.ahrq.gov/issue/improving-hospital-safety-culture-falls-prevention-through-interdisciplinary-health-education
December 16, 2011 - Study
Improving hospital safety culture for falls prevention through interdisciplinary health education.
Citation Text:
Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi…
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psnet.ahrq.gov/issue/improving-follow-high-risk-psychiatry-outpatients-resident-year-end-transfer
January 27, 2016 - Study
Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer.
Citation Text:
Young JQ, Pringle Z, Wachter R. Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. Jt Comm J Qual Patient Saf. 2011;37(7):300-308.
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psnet.ahrq.gov/issue/year-end-resident-clinic-handoffs-narrative-review-and-recommendations-improvement
March 28, 2018 - Review
Year-end resident clinic handoffs: narrative review and recommendations for improvement.
Citation Text:
Pincavage A, Donnelly MJ, Young JQ, et al. Year-End Resident Clinic Handoffs: Narrative Review and Recommendations for Improvement. Jt Comm J Qual Patient Saf. 2017;43(2):71-79.…
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psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-out
November 06, 2024 - Study
Standardization and visualization of the surgical time-out.
Citation Text:
Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156.
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psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe
June 17, 2020 - Commentary
The role of purple pens in learning to prescribe.
Citation Text:
Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach. 2019;16(6):598-603. doi:10.1111/tct.12991.
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psnet.ahrq.gov/issue/interruptions-during-delivery-high-risk-medications
September 26, 2016 - Study
Interruptions during the delivery of high-risk medications.
Citation Text:
Trbovich PL, Prakash V, Stewart J, et al. Interruptions during the delivery of high-risk medications. J Nurs Adm. 2010;40(5):211-8. doi:10.1097/NNA.0b013e3181da4047.
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psnet.ahrq.gov/issue/physicians-practice-dispensing-medicines-qualitative-study
November 16, 2022 - Study
Physicians' practice of dispensing medicines: a qualitative study.
Citation Text:
Darbyshire D, Gordon M, Baker P, et al. Physicians' Practice of Dispensing Medicines: A Qualitative Study. J Patient Saf. 2016;12(2):82-8. doi:10.1097/PTS.0000000000000122.
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psnet.ahrq.gov/issue/unconscious-bias-among-health-professionals-scoping-review
December 10, 2008 - Review
Unconscious bias among health professionals: a scoping review.
Citation Text:
Meidert U, Dönnges G, Bucher T, et al. Unconscious bias among health professionals: a scoping review. Int J Environ Res Public Health. 2023;20(16):6569. doi:10.3390/ijerph20166569.
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psnet.ahrq.gov/issue/information-loss-emergency-medical-services-handover-trauma-patients
August 04, 2021 - Study
Information loss in emergency medical services handover of trauma patients.
Citation Text:
Carter AJE, Davis KA, Evans L, et al. Information loss in emergency medical services handover of trauma patients. Prehosp Emerg Care. 2009;13(3):280-5. doi:10.1080/10903120802706260.
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psnet.ahrq.gov/issue/errors-mri-evaluation-musculoskeletal-tumors-and-tumorlike-lesions
September 04, 2019 - Study
Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions.
Citation Text:
Heck RK, O'Malley AM, Kellum EL, et al. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Clin Orthop Relat Res. 2007;459:28-33.
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psnet.ahrq.gov/issue/survey-factors-affecting-clinician-acceptance-clinical-decision-support
July 10, 2008 - Study
A survey of factors affecting clinician acceptance of clinical decision support.
Citation Text:
Sittig DF, Krall MA, Dykstra RH, et al. A survey of factors affecting clinician acceptance of clinical decision support. BMC Med Inform Decis Mak. 2006;6(1). doi:10.1186/1472-6947-6-6.…