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psnet.ahrq.gov/issue/overview-use-and-implementation-checklists-surgical-specialities-systematic-review
July 31, 2013 - Review
An overview of the use and implementation of checklists in surgical specialities - a systematic review.
Citation Text:
Patel J, Ahmed K, Guru KA, et al. An overview of the use and implementation of checklists in surgical specialities - a systematic review. Int J Surg. 2014;12(12):…
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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/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/effect-automated-alerts-provider-ordering-behavior-outpatient-setting
November 23, 2016 - Study
The effect of automated alerts on provider ordering behavior in an outpatient setting.
Citation Text:
Steele AW, Eisert S, Witter J, et al. The effect of automated alerts on provider ordering behavior in an outpatient setting. PLoS Med. 2005;2(9):e255. doi:10.1371/journal.pmed.…
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psnet.ahrq.gov/issue/interventions-improve-hand-hygiene-compliance-patient-care
September 09, 2020 - Review
Interventions to improve hand hygiene compliance in patient care.
Citation Text:
Gould DJ, Moralejo D, Drey N, et al. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;9(9):CD005186. doi:10.1002/14651858.cd005186.pub4.
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psnet.ahrq.gov/issue/evaluation-safety-radiation-oncology-setting-using-failure-mode-and-effects-analysis
January 22, 2017 - Study
Evaluation of safety in a radiation oncology setting using failure mode and effects analysis.
Citation Text:
Ford E, Gaudette R, Myers L, et al. Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. Int J Radiat Oncol Biol Phys. 2009;74(3):8…
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psnet.ahrq.gov/issue/patient-safety-womens-health-care-professional-colleges-can-make-difference-society
November 28, 2018 - Commentary
Patient safety in women's health-care: professional colleges can make a difference. The Society of Obstetricians and Gynaecologists of Canada MORE(OB) program.
Citation Text:
Milne JK, Lalonde AB. Patient safety in women's health-care: professional colleges can make a differ…
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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/hospital-staffing-and-health-care-associated-infections-systematic-review-literature
December 23, 2020 - Review
Emerging Classic
Hospital staffing and health care–associated infections: a systematic review of the literature.
Citation Text:
Mitchell BG, Gardner A, Stone PW, et al. Hospital Staffing and Health Care-Associated Infections: A Systematic Review of the Li…
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psnet.ahrq.gov/issue/flow-disruptions-trauma-care-handoffs
August 02, 2015 - Study
Flow disruptions in trauma care handoffs.
Citation Text:
Catchpole K, Gangi A, Blocker RC, et al. Flow disruptions in trauma care handoffs. J Surg Res. 2013;184(1):586-91. doi:10.1016/j.jss.2013.02.038.
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psnet.ahrq.gov/issue/process-changes-increase-compliance-universal-protocol-bedside-procedures
December 01, 2014 - Study
Process changes to increase compliance with the Universal Protocol for bedside procedures.
Citation Text:
Barsuk JH, Brake H, Caprio T, et al. Process changes to increase compliance with the universal protocol for bedside procedures. Arch Intern Med. 2011;171(10):947-9. doi:10.10…
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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/patient-perceptions-misdiagnosis-endometriosis-results-online-national-survey
February 05, 2020 - Study
Patient perceptions of misdiagnosis of endometriosis: results from an online national survey.
Citation Text:
Bontempo AC, Mikesell L. Patient perceptions of misdiagnosis of endometriosis: results from an online national survey. Diagnosis (Berl). 2020;7(2):97-106. doi:10.1515/dx-201…
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psnet.ahrq.gov/issue/toward-new-paradigm-hospital-based-pediatric-education-development-onsite-simulator-program
May 18, 2022 - Commentary
Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program.
Citation Text:
Weinstock PH, Kappus LJ, Kleinman ME, et al. Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator progra…
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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/wrong-site-nerve-blocks-systematic-literature-review-guide-principles-prevention
July 22, 2020 - Review
Wrong-site nerve blocks: a systematic literature review to guide principles for prevention.
Citation Text:
Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.10…
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psnet.ahrq.gov/issue/unintended-consequences-electronic-health-record-and-cognitive-load-emergency-department
June 22, 2011 - Study
Unintended consequences of the electronic health record and cognitive load in emergency department nurses.
Citation Text:
Harmon CS, Adams SA, Davis JE, et al. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. …
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psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery
September 09, 2015 - Review
Applying fault tree analysis to the prevention of wrong-site surgery.
Citation Text:
Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062.
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psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor
January 31, 2024 - Study
Double checking medicines: defence against error or contributory factor?
Citation Text:
Armitage G. Double checking medicines: defence against error or contributory factor? J Eval Clin Pract. 2008;14(4):513-9.
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psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives-campaign-nhs-wales
August 04, 2021 - Study
Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales.
Citation Text:
Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J…