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psnet.ahrq.gov/issue/association-between-paediatric-intraoperative-anaesthesia-handover-and-adverse-postoperative
July 21, 2021 - Study
Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes.
Citation Text:
Kannampallil TG, Lew D, Pfeifer EE, et al. Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. BMJ Qual Saf. 2021…
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psnet.ahrq.gov/issue/prescribing-decision-making-medical-residents-night-shifts-qualitative-study
April 14, 2021 - Study
Prescribing decision making by medical residents on night shifts: a qualitative study.
Citation Text:
Lauffenburger JC, Coll MD, Kim E, et al. Prescribing decision making by medical residents on night shifts: a qualitative study. Med Educ. 2022;56(10):1032-1041. doi:10.1111/medu.14…
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psnet.ahrq.gov/issue/incidence-potentially-avoidable-urgent-readmissions-and-their-relation-all-cause-urgent
April 22, 2011 - Study
Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions.
Citation Text:
van Walraven C, Jennings A, Taljaard M, et al. Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Ca…
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psnet.ahrq.gov/issue/medication-reconciliation-barriers-and-facilitators-perspectives-resident-physicians-and
October 23, 2024 - Study
Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists.
Citation Text:
Boockvar KS, Santos SL, Kushniruk AW, et al. Medication reconciliation: Barriers and facilitators from the perspectives of resident physicians and pha…
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psnet.ahrq.gov/issue/teamwork-communication-and-safety-climate-systematic-review-interventions-improve-surgical
May 26, 2016 - Review
Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture.
Citation Text:
Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. BMJ Qua…
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psnet.ahrq.gov/issue/emergency-department-checklist-innovation-improve-safety-emergency-care
December 20, 2023 - Commentary
Emergency department checklist: an innovation to improve safety in emergency care.
Citation Text:
Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-00…
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psnet.ahrq.gov/issue/timely-follow-abnormal-outpatient-test-results-perceived-barriers-and-impact-patient-safety
August 02, 2010 - Study
Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety.
Citation Text:
Moore C, Saigh O, Trikha A, et al. Timely Follow-Up of Abnormal Outpatient Test Results. J Patient Saf. 2008;4(4):241-244. doi:10.1097/pts.0b013e31818d1ca4.
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psnet.ahrq.gov/issue/risk-adverse-drug-events-patient-destination-after-hospital-discharge
March 04, 2020 - Study
Risk of adverse drug events by patient destination after hospital discharge.
Citation Text:
Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital discharge. Am J Health Syst Pharm. 2005;62(18):1883-9.
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psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician-order-entry-systems
May 27, 2011 - Review
Evaluation and certification of computerized physician order entry systems.
Citation Text:
Classen D, Avery A, Bates DW. Evaluation and certification of computerized provider order entry systems. J Am Med Inform Assoc. 2007;14(1):48-55.
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psnet.ahrq.gov/issue/discrepancies-between-prescribed-and-actual-pediatric-home-parenteral-nutrition-solutions
November 11, 2009 - Study
Discrepancies between prescribed and actual pediatric home parenteral nutrition solutions.
Citation Text:
Raphael BP, Murphy M, Gura KM, et al. Discrepancies Between Prescribed and Actual Pediatric Home Parenteral Nutrition Solutions. Nutr Clin Pract. 2016;31(5):654-658. doi:10.117…
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psnet.ahrq.gov/issue/prospective-risk-assessment-informal-carers-medication-administration-errors-within
February 08, 2017 - Study
A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting.
Citation Text:
Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setti…
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psnet.ahrq.gov/issue/learning-best
February 22, 2023 - Newspaper/Magazine Article
Learning from the best.
Citation Text:
Grantham D. Learning from the best. Behavioral healthcare. 2010;30(4):22-4.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/patient-safety-learning
January 12, 2022 - Multi-use Website
Patient Safety Learning.
Citation Text:
Patient Safety Learning. Patient Safety Learning.
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psnet.ahrq.gov/issue/learning-mistakes
March 28, 2018 - July 19, 2023
Unlocking Solutions in Imaging: Working Together to Learn from Failings
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psnet.ahrq.gov/node/43253/psn-pdf
May 01, 2015 - interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
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psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
February 01, 2019 - RW : How has the drive to rethink the content of the curriculum (what learners needed to learn) synced … the health care system around bringing these concepts front and center into the way in which students learn … We want to learn from you, we want to evaluate together, and we want to rapidly disseminate best practices … We're worried they might feel like why did I learn all of that or why did I get invested in all of that … a state we refer to as being a systems citizen.( 6-8 ) For such a paradigm shift, providers need to learn
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psnet.ahrq.gov/issue/building-learning-organization
June 16, 2011 - Study
Classic
Building a learning organization.
Citation Text:
Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91.
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psnet.ahrq.gov/issue/learning-health-systems
December 24, 2008 - Multi-use Website
Learning Health Systems
Citation Text:
Learning Health Systems Agency for Health Research and Quality.
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psnet.ahrq.gov/issue/shifting-learning-curve
March 09, 2009 - Commentary
Shifting the learning curve.
Citation Text:
Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260.
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psnet.ahrq.gov/issue/learning-investigations
July 28, 2013 - Book/Report
Learning from Investigations.
Citation Text:
Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636.
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