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psnet.ahrq.gov/issue/improving-care-teams-functioning-recommendations-team-science
June 24, 2020 - Commentary
Improving care teams' functioning: recommendations from team science.
Citation Text:
Fiscella K, Mauksch L, Bodenheimer T, et al. Improving Care Teams' Functioning: Recommendations from Team Science. Jt Comm J Qual Patient Saf. 2017;43(7):361-368. doi:10.1016/j.jcjq.2017.03.00…
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psnet.ahrq.gov/issue/use-public-health-law-framework-improve-medication-safety-anesthesia-providers
December 22, 2018 - Commentary
Use of a public health law framework to improve medication safety by anesthesia providers.
Citation Text:
Litman RS. Use of a public health law framework to improve medication safety by anesthesia providers. J Patient Saf Risk Manag. 2019;24(4):158-165. doi:10.1177/25160435188…
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psnet.ahrq.gov/issue/tort-claims-and-adverse-events-emergency-medical-services
January 02, 2008 - Study
Tort claims and adverse events in emergency medical services.
Citation Text:
Wang HE, Fairbanks RJ, Shah M, et al. Tort claims and adverse events in emergency medical services. Ann Emerg Med. 2008;52(3):256-62. doi:10.1016/j.annemergmed.2008.02.011.
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psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students
July 30, 2014 - Study
Work-arounds observed by fourth-year nursing students.
Citation Text:
Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707.
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psnet.ahrq.gov/issue/reporting-trends-regional-medication-error-data-sharing-system
September 29, 2010 - Study
Reporting trends in a regional medication error data-sharing system.
Citation Text:
Anderson J, Ramanujam R, Hensel DJ, et al. Reporting trends in a regional medication error data-sharing system. Health Care Manag Sci. 2010;13(1):74-83.
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psnet.ahrq.gov/issue/physician-health-and-wellbeing-provide-challenges-patient-safety-and-outcome-quality-across
October 14, 2015 - Study
Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan.
Citation Text:
Williams BW, Flanders P. Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. Australas Psychiatry…
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psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system
September 24, 2010 - Study
Using a quantitative risk register to promote learning from a patient safety reporting system.
Citation Text:
Mansfield JG, Caplan RA, Campos JS, et al. Using a quantitative risk register to promote learning from a patient safety reporting system. Jt Comm J Qual Patient Saf. 2015;4…
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www.ahrq.gov/data/apcd/backgroundrpt/measure.html
April 01, 2017 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases
Measure Inventory
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Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases …
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psnet.ahrq.gov/issue/missed-steps-preanesthetic-set
June 26, 2019 - Study
Missed steps in the preanesthetic set-up.
Citation Text:
DeMaria S, Blasius K, Neustein SM. Missed steps in the preanesthetic set-up. Anesth Analg. 2011;113(1):84-8. doi:10.1213/ANE.0b013e318219645e.
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psnet.ahrq.gov/issue/linking-nurse-characteristics-team-member-effectiveness-practice-environment-and-medication
May 14, 2008 - Study
Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence.
Citation Text:
Fasolino T, Snyder R. Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. J Nurs Care Qual. 2…
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psnet.ahrq.gov/issue/epidemiology-malpractice-lawsuits-paediatrics
June 16, 2021 - Review
Epidemiology of malpractice lawsuits in paediatrics.
Citation Text:
Najaf-Zadeh A, Dubos F, Aurel M, et al. Epidemiology of malpractice lawsuits in paediatrics. Acta Paediatr. 2008;97(11):1486-91. doi:10.1111/j.1651-2227.2008.00898.x.
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psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
October 05, 2022 - Study
Revisiting old slides—how worthwhile is it?
Citation Text:
Agarwal S, Wadhwa N. Revisiting old slides--how worthwhile is it? Pathol Res Pract. 2010;206(6):368-71. doi:10.1016/j.prp.2010.01.006.
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psnet.ahrq.gov/issue/handoff-not-telegram-understanding-patient-co-constructed
September 03, 2014 - Commentary
A handoff is not a telegram: an understanding of the patient is co-constructed.
Citation Text:
Cohen MD, Hilligoss B, Amaral ACK-B. A handoff is not a telegram: an understanding of the patient is co-constructed. Crit Care. 2012;16(1):303. doi:10.1186/cc10536.
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psnet.ahrq.gov/issue/nurses-medication-work-what-do-nurses-know
September 20, 2023 - Review
Nurses' medication work: what do nurses know?
Citation Text:
Folkmann L, Rankin J. Nurses' medication work: what do nurses know? J Clin Nurs. 2010;19(21-22):3218-26. doi:10.1111/j.1365-2702.2010.03249.x.
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psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health
November 16, 2022 - Commentary
Eliminating perioperative adverse events at Ascension Health.
Citation Text:
Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66.
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psnet.ahrq.gov/issue/interprofessional-conflict-and-medical-errors-results-national-multi-specialty-survey
July 10, 2017 - Study
Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US.
Citation Text:
Baldwin DC, Daugherty SR. Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents …
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psnet.ahrq.gov/issue/follow-study-medication-errors-reported-vaccine-adverse-event-reporting-system-vaers
May 27, 2011 - Study
Follow-up study of medication errors reported to the Vaccine Adverse Event Reporting System (VAERS).
Citation Text:
Varricchio F, Reed J, Group VAERSW. Follow-up study of medication errors reported to the vaccine adverse event reporting system (VAERS). South Med J. 2006;99(5):486…
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psnet.ahrq.gov/issue/err-human-use-simulation-enhance-training-and-patient-safety-anaesthesia
January 18, 2023 - Review
To err is human: use of simulation to enhance training and patient safety in anaesthesia.
Citation Text:
Higham H, Baxendale B. To err is human: use of simulation to enhance training and patient safety in anaesthesia. Br J Anaesth. 2017;119(suppl_1):i106-i114. doi:10.1093/bja/aex3…
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psnet.ahrq.gov/issue/electronic-prescribing-systems-pediatrics-rationale-and-functionality-requirements
November 25, 2013 - Organizational Policy/Guidelines
Electronic prescribing systems in pediatrics: the rationale and functionality requirements.
Citation Text:
Technology AA of PC on CI, Gerstle RS. Electronic prescribing systems in pediatrics: the rationale and functionality requirements. Pediatrics. 200…
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psnet.ahrq.gov/issue/banning-handshake-health-care-setting
January 12, 2022 - Commentary
Banning the handshake from the health care setting.
Citation Text:
Sklansky M, Nadkarni N, Ramirez-Avila L. Banning the handshake from the health care setting. JAMA. 2014;311(24):2477-8.
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