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psnet.ahrq.gov/issue/understanding-pharmacist-decision-making-adverse-drug-event-ade-detection
May 27, 2011 - Study
Understanding pharmacist decision making for adverse drug event (ADE) detection.
Citation Text:
Phansalkar S, Hoffman JM, Hurdle JF, et al. Understanding pharmacist decision making for adverse drug event (ADE) detection. J Eval Clin Pract. 2009;15(2):266-75. doi:10.1111/j.1365-27…
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psnet.ahrq.gov/issue/educational-interventions-improve-handover-health-care-systematic-review
August 04, 2021 - Review
Educational interventions to improve handover in health care: a systematic review.
Citation Text:
Gordon M, Findley R. Educational interventions to improve handover in health care: a systematic review. Med Educ. 2011;45(11):1081-9. doi:10.1111/j.1365-2923.2011.04049.x.
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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/pediatric-radiology-malpractice-claims-characteristics-and-comparison-adult-radiology-claims
December 01, 2021 - Study
Pediatric radiology malpractice claims—characteristics and comparison to adult radiology claims.
Citation Text:
Breen MA, Dwyer K, Yu-Moe W, et al. Pediatric radiology malpractice claims - characteristics and comparison to adult radiology claims. Pediatr Radiol. 2017;47(7):808-816.…
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psnet.ahrq.gov/issue/systematic-evaluation-errors-occurring-during-preparation-intravenous-medication
October 07, 2015 - Study
Systematic evaluation of errors occurring during the preparation of intravenous medication.
Citation Text:
Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.06174…
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psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
November 16, 2022 - Study
Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography.
Citation Text:
Dadich A, Rodrigues J, De Bellis A, et al. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. Dementia (London). 202…
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psnet.ahrq.gov/issue/role-checklists-and-human-factors-improved-patient-safety-plastic-surgery
November 02, 2016 - Commentary
The role of checklists and human factors for improved patient safety in plastic surgery.
Citation Text:
Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pfcc.html
June 01, 2018 - Chartbook on Person- and Family-Centered Care
Person- and Family-Centered Care
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Table of Contents
Chartbook on Person- and Family-Centered Care
Acknowledgments
Person- and Family-Centered Care
Summary of Trends
Measures of Person- and Family- Centered Care
Communicat…
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psnet.ahrq.gov/issue/lack-standardisation-between-specialties-human-factors-content-postgraduate-training-analysis
July 19, 2019 - Study
Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curricula in the UK.
Citation Text:
Greig PR, Higham H, Vaux E. Lack of standardisation between specialties for human factors content in postgraduate training: a…
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psnet.ahrq.gov/issue/determining-safety-office-based-surgery-what-10-years-florida-data-and-6-years-alabama-data
October 04, 2011 - Study
Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal.
Citation Text:
Starling J, Thosani MK, Coldiron BM. Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. …
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psnet.ahrq.gov/issue/acute-stroke-chameleons-university-hospital-risk-factors-circumstances-and-outcomes
March 05, 2025 - Study
Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes.
Citation Text:
Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0…
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psnet.ahrq.gov/issue/use-medical-emergency-team-met-responses-detect-medical-errors
April 06, 2011 - Study
Use of medical emergency team (MET) responses to detect medical errors.
Citation Text:
Braithwaite RS, Devita MA, Mahidhara R, et al. Use of medical emergency team (MET) responses to detect medical errors. Qual Saf Health Care. 2004;13(4):255-259.
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psnet.ahrq.gov/issue/lingering-safety-menace-10-year-review-enteral-misconnection-adverse-events-and-narrative
January 06, 2017 - Review
The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review.
Citation Text:
Ethington S, Volpe A, Guenter P, et al. The lingering safety menace: A 10‐year review of enteral misconnection adverse events and narrative review. Nutr Clin …
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psnet.ahrq.gov/issue/impact-resident-participation-morbidity-and-mortality-neurosurgical-procedures-analysis-16098
June 17, 2014 - Study
Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients.
Citation Text:
Bydon M, Abt NB, De la Garza-Ramos R, et al. Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis …
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psnet.ahrq.gov/issue/challenges-communication-referring-clinicians-pathologists-electronic-health-record-era
June 29, 2011 - Study
Challenges in communication from referring clinicians to pathologists in the electronic health record era.
Citation Text:
Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists in the Electronic Health Record Era. J Pathol Inform.…
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psnet.ahrq.gov/issue/using-met-service-manage-hemorrhage-post-percutaneous-liver-biopsy
January 05, 2017 - Study
Using an MET service to manage hemorrhage post-percutaneous liver biopsy.
Citation Text:
Jones D, Bellomo R, Leong T. Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Jt Comm J Qual Patient Saf. 2006;32(8):459-62, 417.
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psnet.ahrq.gov/issue/practising-safely-foundation-years
February 04, 2015 - Commentary
Practising safely in the foundation years.
Citation Text:
Long SJ, Neale G, Vincent CA. Practising safely in the foundation years. BMJ. 2009;338:b1046. doi:10.1136/bmj.b1046.
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2008
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration--2008. Am J Health Syst Pha…
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psnet.ahrq.gov/issue/incorporation-patient-safety-board-certification-examinations
October 26, 2010 - Commentary
The incorporation of patient safety into board certification examinations.
Citation Text:
Kachalia A, Johnson J, Miller ST, et al. The incorporation of patient safety into board certification examinations. Acad Med. 2006;81(4):317-25.
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psnet.ahrq.gov/issue/analysis-and-prioritization-near-miss-adverse-events-radiology-department
June 15, 2016 - Study
Analysis and prioritization of near-miss adverse events in a radiology department.
Citation Text:
Thornton RH, Miransky J, Killen A, et al. Analysis and prioritization of near-miss adverse events in a radiology department. AJR Am J Roentgenol. 2011;196(5):1120-4. doi:10.2214/AJR.10…