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psnet.ahrq.gov/issue/how-us-teams-advanced-communication-and-resolution-program-adoption-local-state-and-national
April 24, 2018 - Study
How U.S. teams advanced communication and resolution program adoption at local, state and national levels.
Citation Text:
LeCraw FR, Stearns SC, McCoy MJ. How U.S. Teams advanced communication and resolution program adoption at local, state and national levels. J Patient Saf Risk M…
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psnet.ahrq.gov/issue/perceived-patient-safety-culture-critical-care-transport-program
July 03, 2014 - Study
Perceived patient safety culture in a critical care transport program.
Citation Text:
Erler C, Edwards NE, Ritchey S, et al. Perceived patient safety culture in a critical care transport program. Air Med J. 2013;32(4):208-215. doi:10.1016/j.amj.2012.11.002.
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psnet.ahrq.gov/issue/inattentional-blindness-and-failures-rescue-deteriorating-patient-critical-care-emergency-and
October 12, 2016 - Study
Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings: four case scenarios.
Citation Text:
Jones A, Johnstone M-J. Inattentional blindness and failures to rescue the deteriorating patient in critical care, em…
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psnet.ahrq.gov/issue/medication-assessments-care-managers-reveal-potential-safety-issues-homebound-older-adults
August 18, 2021 - Study
Medication assessments by care managers reveal potential safety issues in homebound older adults.
Citation Text:
Golden AG, Qiu D, Roos BA. Medication assessments by care managers reveal potential safety issues in homebound older adults. Ann Pharmacother. 2011;45(4):492-8. doi:10…
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psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical
November 16, 2022 - Study
Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.
Citation Text:
Kiran RP, Ahmed Ali U, Coffey JC, et al. Impact of Resident Participation in Surgical Operations on Postoperative Outcomes. Ann Surg. 20…
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psnet.ahrq.gov/issue/implementation-pediatric-rapid-response-team-experience-hospital-sick-children-toronto
September 10, 2014 - Commentary
Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto.
Citation Text:
Kukreti V, Gaiteiro R, Mohseni-Bod H. Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Indian …
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psnet.ahrq.gov/issue/impact-critical-event-checklists-anaesthetist-performance-simulated-operating-theatre
August 16, 2017 - Study
Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies.
Citation Text:
Siddiqui A, Ng E, Burrows C, et al. Impact of Critical Event Checklists on Anaesthetist Performance in Simulated Operating Theatre Emergencies. Cureus. 2019;11…
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psnet.ahrq.gov/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart-surgeons
April 03, 2013 - Study
Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons.
Citation Text:
Lee S, Park J. Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. Strat Manage J…
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psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety
January 29, 2020 - Commentary
From patients to politicians: a cognitive engineering view of patient safety.
Citation Text:
Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health Care. 2002;11(4):302-4.
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psnet.ahrq.gov/issue/inaccuracies-assignment-clinical-stage-localized-prostate-cancer
April 06, 2022 - Study
Inaccuracies in assignment of clinical stage for localized prostate cancer.
Citation Text:
Reese AC, Sadetsky N, Carroll PR, et al. Inaccuracies in assignment of clinical stage for localized prostate cancer. Cancer. 2011;117(2):283-9. doi:10.1002/cncr.25596.
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psnet.ahrq.gov/issue/integrating-quality-and-safety-content-clinical-teaching-acute-care-setting
September 05, 2018 - Commentary
Integrating quality and safety content into clinical teaching in the acute care setting.
Citation Text:
Day L, Smith EL. Integrating quality and safety content into clinical teaching in the acute care setting. Nurs Outlook. 2007;55(3). doi:10.1016/j.outlook.2007.03.002.
Co…
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psnet.ahrq.gov/issue/incidence-and-prevention-iatrogenic-urethral-injuries
August 02, 2015 - Study
Incidence and prevention of iatrogenic urethral injuries.
Citation Text:
Kashefi C, Messer K, Barden R, et al. Incidence and prevention of iatrogenic urethral injuries. J Urol. 2008;179(6):2254-7; discussion 2257-8. doi:10.1016/j.juro.2008.01.108.
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psnet.ahrq.gov/issue/optimizing-smart-pump-technology-increasing-critical-safety-alerts-and-reducing-clinically
February 12, 2014 - Study
Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts.
Citation Text:
Mansfield J, Jarrett S. Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Hosp Pharm.…
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psnet.ahrq.gov/issue/safety-office-based-anesthesia-updated-review-literature-2016-2019
February 10, 2021 - Review
Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019
Citation Text:
de Lima A, Osman BM, Shapiro FE. Safety in office-based anesthesia. Curr Opin Anaesthesiol. 2019;32(6):749-755. doi:10.1097/aco.0000000000000794.
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psnet.ahrq.gov/issue/patient-safety-features-clinical-computer-systems-questionnaire-survey-gp-views
May 31, 2011 - Study
Patient safety features of clinical computer systems: questionnaire survey of GP views.
Citation Text:
Morris CJ, Savelyich BSP, Avery A, et al. Patient safety features of clinical computer systems: questionnaire survey of GP views. Qual Saf Health Care. 2005;14(3):164-8.
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psnet.ahrq.gov/issue/patient-safety-curriculum-graduate-medical-education-results-needs-assessment-educators-and
May 01, 2014 - Study
A patient safety curriculum for graduate medical education: results from a needs assessment of educators and patient safety experts.
Citation Text:
Varkey P, Karlapudi S, Rose S, et al. A patient safety curriculum for graduate medical education: results from a needs assessment of…
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psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
September 01, 2018 - Study
Designing highly reliable adverse-event detection systems to predict subsequent claims.
Citation Text:
Helmchen LA, Burke ME, Wojtusiak J. Designing highly reliable adverse-event detection systems to predict subsequent claims. J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm…
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psnet.ahrq.gov/issue/provider-and-patient-perceptions-external-medication-history-function
July 16, 2015 - Study
Provider and patient perceptions of an external medication history function.
Citation Text:
Wolver SE, Stultz JS, Aggarwal A, et al. Provider and Patient Perceptions of an External Medication History Function. J Patient Saf. 2018;14(4):234-240. doi:10.1097/PTS.0000000000000197.
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psnet.ahrq.gov/issue/two-sides-every-story-dual-perspectives-method-examining-interruptions-healthcare
September 29, 2017 - Commentary
Two sides to every story: the Dual Perspectives Method for examining interruptions in healthcare.
Citation Text:
McCurdie T, Sanderson P, Aitken LM, et al. Two sides to every story: The Dual Perspectives Method for examining interruptions in healthcare. Appl Ergon. 2017;58:102…
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psnet.ahrq.gov/issue/current-pulse-can-production-system-reduce-medical-errors-health-care
September 09, 2011 - Commentary
Current pulse: can a production system reduce medical errors in health care?
Citation Text:
Printezis A, Gopalakrishnan M. Current pulse: can a production system reduce medical errors in health care? Qual Manag Health Care. 2007;16(3):226-238.
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