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psnet.ahrq.gov/issue/frequency-medication-administration-timing-error-hospitals-systematic-review
March 15, 2023 - Review
Frequency of medication administration timing error in hospitals: a systematic review.
Citation Text:
Pullam T, Russell CL, White-Lewis S. Frequency of medication administration timing error in hospitals: a systematic review. J Nurs Care Qual. 2023;38(2):126-133. doi:10.1097/ncq.0…
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psnet.ahrq.gov/issue/development-pediatric-adverse-events-terminology
November 16, 2022 - Commentary
Development of a pediatric adverse events terminology.
Citation Text:
Gipson DS, Kirkendall E, Gumbs-Petty B, et al. Development of a Pediatric Adverse Events Terminology. Pediatrics. 2017;139(1). doi:10.1542/peds.2016-0985.
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psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review
January 22, 2016 - Review
Shift-to-shift handoff effects on patient safety and outcomes: a systematic review.
Citation Text:
Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923.
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psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
April 24, 2018 - Commentary
Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety.
Citation Text:
Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-…
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psnet.ahrq.gov/issue/strategies-enhance-adoption-ventilator-associated-pneumonia-prevention-interventions
July 10, 2017 - Review
Strategies to enhance adoption of ventilator-associated pneumonia prevention interventions: a systematic literature review.
Citation Text:
Goutier JM, Holzmueller CG, Edwards KC, et al. Strategies to enhance adoption of ventilator-associated pneumonia prevention interventions: a s…
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psnet.ahrq.gov/issue/safety-personal-partnering-patients-and-families-safest-care
January 06, 2015 - Book/Report
Safety Is Personal: Partnering With Patients and Families for the Safest Care.
Citation Text:
Safety Is Personal: Partnering With Patients and Families for the Safest Care. NPSF Lucian Leape Institute Roundtable on Consumer Engagement in Patient Safety. Boston, MA: National P…
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psnet.ahrq.gov/issue/emotion-and-coping-aftermath-medical-error-cross-country-exploration
August 10, 2022 - Study
Emotion and coping in the aftermath of medical error: a cross-country exploration.
Citation Text:
Harrison R, Lawton R, Perlo J, et al. Emotion and coping in the aftermath of medical error: a cross-country exploration. J Patient Saf. 2015;11(1):28-35. doi:10.1097/PTS.0b013e3182979b…
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psnet.ahrq.gov/issue/improving-safety-and-quality-care-enhanced-teamwork-through-operating-room-briefings
May 11, 2019 - Commentary
Improving safety and quality of care with enhanced teamwork through operating room briefings.
Citation Text:
Hicks CW, Rosen MA, Hobson DB, et al. Improving safety and quality of care with enhanced teamwork through operating room briefings. JAMA Surg. 2014;149(8):863-8. doi:10…
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psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities-across-us
July 20, 2022 - Study
Implementation of an antibiotic stewardship program in long-term care facilities across the US.
Citation Text:
doi:http://www.doi.org/10.1001/jamanetworkopen.2022.0181.
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psnet.ahrq.gov/issue/effects-work-hour-limitations-resident-well-being-patient-care-and-education-internal
January 13, 2021 - Study
The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program.
Citation Text:
Goitein L, Shanafelt TD, Wipf JE, et al. The effects of work-hour limitations on resident well-being, patient care, and education in …
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psnet.ahrq.gov/issue/transforming-concepts-patient-safety-progress-report
January 20, 2015 - Review
Classic
Transforming concepts in patient safety: a progress report.
Citation Text:
Gandhi TK, Kaplan GS, Leape L, et al. Transforming concepts in patient safety: a progress report. BMJ Qual Saf. 2018;27(12):1019-1026. doi:10.1136/bmjqs-2017-007756.
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psnet.ahrq.gov/issue/systems-approach-suicide-prevention-strengthening-culture-practice-and-education
July 10, 2024 - Commentary
Systems approach to suicide prevention: strengthening culture, practice, and education.
Citation Text:
Pisani AR, Boudreaux ED. Systems approach to suicide prevention: strengthening culture, practice, and education. Focus (Am Psychiatr Publ). 2023;21(2):152-159. doi:10.1176/ap…
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/annual-summary/2011
January 01, 2011 - Tools for Optimizing Medication Safety (TOP-MEDS) - 2011
Project Name
Tools for Optimizing Medication Safety (TOP-MEDS)
Principal Investigator
Lambert, Bruce
Organization
University of Illinois at Chicago
Funding Mechanism
RFA: HS11-004: Centers for Education and Re…
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psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
September 23, 2020 - Commentary
Using Kotter's change model for implementing bedside handoff: a quality improvement project.
Citation Text:
Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…
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psnet.ahrq.gov/issue/measuring-teamwork-health-care-settings-review-survey-instruments
December 14, 2016 - Review
Measuring teamwork in health care settings: a review of survey instruments.
Citation Text:
Valentine MA, Nembhard IM, Edmondson A. Measuring teamwork in health care settings: a review of survey instruments. Med Care. 2015;53(4):e16-e30. doi:10.1097/MLR.0b013e31827feef6.
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psnet.ahrq.gov/issue/facing-ambiguous-threats
December 24, 2008 - Commentary
Facing ambiguous threats.
Citation Text:
Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157.
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psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error
November 30, 2012 - Study
Error codes at autopsy to study potential biases in diagnostic error.
Citation Text:
Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010.
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psnet.ahrq.gov/issue/efficiency-and-interpretability-text-paging-communication-medical-inpatients-mixed-methods
August 09, 2023 - Study
Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis.
Citation Text:
Mandl KD, Khoong EC. Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again. JAMA Intern Med. 2017;177(8). doi:10.1001/jamainternmed.20…
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psnet.ahrq.gov/issue/blink-or-think-can-further-reflection-improve-initial-diagnostic-impressions
November 28, 2012 - Study
Blink or think: can further reflection improve initial diagnostic impressions?
Citation Text:
Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550.
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psnet.ahrq.gov/issue/developing-medical-emergency-team-running-sheet-improve-clinical-handoff-and-documentation
June 26, 2024 - Study
Developing a medical emergency team running sheet to improve clinical handoff and documentation.
Citation Text:
Mardegan K, Heland M, Whitelock T, et al. Developing a medical emergency team running sheet to improve clinical handoff and documentation. Jt Comm J Qual Patient Saf. 2…