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psnet.ahrq.gov/issue/anaesthetic-drug-administration-potential-contributor-healthcare-associated-infections
January 07, 2015 - Study
Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs.
Citation Text:
Gargiulo DA, Sheridan J, Webster CS, et al. Anaesthetic drug …
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psnet.ahrq.gov/issue/reducing-iatrogenic-risks-icu-acquired-delirium-and-weakness-crossing-quality-chasm
November 30, 2022 - Study
Reducing iatrogenic risks: ICU–acquired delirium and weakness—crossing the quality chasm.
Citation Text:
Vasilevskis EE, Ely W, Speroff T, et al. Reducing iatrogenic risks: ICU-acquired delirium and weakness--crossing the quality chasm. Chest. 2010;138(5):1224-33. doi:10.1378/che…
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psnet.ahrq.gov/issue/quality-and-strength-patient-safety-climate-medical-surgical-units
February 15, 2011 - Study
Quality and strength of patient safety climate on medical–surgical units.
Citation Text:
Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a.
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psnet.ahrq.gov/issue/sterile-compounding-clinical-legal-and-regulatory-implications-patient-safety
March 20, 2024 - Review
Sterile compounding: clinical, legal, and regulatory implications for patient safety.
Citation Text:
Qureshi N, Wesolowicz L, Stievater T, et al. Sterile compounding: clinical, legal, and regulatory implications for patient safety. J Manag Care Spec Pharm. 2014;20(12):1183-1191.
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psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives
April 03, 2009 - Book/Report
Classic
The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives.
Citation Text:
The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalS…
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psnet.ahrq.gov/issue/electronic-prescribing-improving-efficiency-and-accuracy-prescribing-ambulatory-care-setting
March 16, 2022 - Review
Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting.
Citation Text:
Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspec…
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psnet.ahrq.gov/issue/characteristics-patient-care-management-problems-identified-emergency-department-morbidity
April 24, 2018 - Study
Characteristics of patient care management problems identified in emergency department morbidity and mortality investigations during 15 years.
Citation Text:
Cosby K, Roberts R, Palivos L, et al. Characteristics of patient care management problems identified in emergency departme…
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psnet.ahrq.gov/issue/impact-intensive-care-unit-discharge-time-patient-outcome
December 14, 2022 - Study
Impact of intensive care unit discharge time on patient outcome.
Citation Text:
Priestap FA, Martin CM. Impact of intensive care unit discharge time on patient outcome. Crit Care Med. 2006;34(12):2946-2951.
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psnet.ahrq.gov/issue/quality-improvement-implementation-and-hospital-performance-patient-safety-indicators
January 12, 2022 - Study
Classic
Quality improvement implementation and hospital performance on patient safety indicators.
Citation Text:
Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance on patient safety indicators. Med Care …
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psnet.ahrq.gov/issue/recognition-and-management-potential-drug-drug-interactions-patients-internal-medicine-wards
October 21, 2015 - Study
Recognition and management of potential drug-drug interactions in patients on internal medicine wards.
Citation Text:
Vonbach P, Dubied A, Beer JH, et al. Recognition and management of potential drug-drug interactions in patients on internal medicine wards. Eur J Clin Pharmacol. …
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psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource-management
May 29, 2024 - Study
Briefing and debriefing in the operating room using fighter pilot crew resource management.
Citation Text:
McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource management. J Am Coll Surg. 2007;205(1):169-76.
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psnet.ahrq.gov/issue/quality-management-and-patient-safety-survey-results-102-hungarian-hospitals
September 16, 2015 - Study
Quality management and patient safety: survey results from 102 Hungarian hospitals.
Citation Text:
Makai P, Klazinga NS, Wagner C, et al. Quality management and patient safety: survey results from 102 Hungarian hospitals. Health Policy (New York). 2009;90(2-3):175-80. doi:10.1016/…
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psnet.ahrq.gov/issue/improving-quality-through-effective-implementation-information-technology-healthcare
October 17, 2016 - Study
Improving quality through effective implementation of information technology in healthcare.
Citation Text:
Øvretveit J, Scott T, Rundall TG, et al. Improving quality through effective implementation of information technology in healthcare. Int J Qual Health Care. 2007;19(5):259-6…
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psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
September 23, 2020 - Study
Risk factors for i.v. compounding errors when using an automated workflow management system.
Citation Text:
Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…
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psnet.ahrq.gov/issue/effect-physicians-long-term-use-cpoe-their-test-management-work-practices
March 23, 2011 - Study
The effect of physicians' long-term use of CPOE on their test management work practices.
Citation Text:
Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test management work practices. J Am Med Inform Assoc. 2006;13(6):643-52.
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psnet.ahrq.gov/issue/saving-patient-ryan-can-advanced-electronic-medical-records-make-patient-care-safer
February 11, 2014 - Study
Saving Patient Ryan- can advanced electronic medical records make patient care safer?
Citation Text:
Saving Patient Ryan- can advanced electronic medical records make patient care safer? Hydari MZ, Telang R, Marella WM. Manage Sci. 2019;65:2041-2059.
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psnet.ahrq.gov/issue/minimising-treatment-associated-risks-systemic-cancer-therapy
December 22, 2021 - Review
Minimising treatment-associated risks in systemic cancer therapy.
Citation Text:
Jaehde U, Liekweg A, Simons S, et al. Minimising treatment-associated risks in systemic cancer therapy. Pharm World Sci. 2008;30(2):161-8.
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psnet.ahrq.gov/issue/mitigating-july-effect
August 05, 2020 - Commentary
Mitigating the July effect.
Citation Text:
Wu AW, Vincent CA, Shapiro DW, et al. Mitigating the July effect. J Patient Saf Risk Manag. 2021;26(3):93-96. doi:10.1177/25160435211019142.
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psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
May 27, 2011 - Study
Classic
An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection.
Citation Text:
Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: c…
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psnet.ahrq.gov/issue/resident-physicians-advice-seeking-and-error-making-social-networks-approach
July 13, 2010 - Study
Resident physicians' advice seeking and error making: a social networks approach.
Citation Text:
Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333.
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