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psnet.ahrq.gov/issue/handover-after-pediatric-heart-surgery-simple-tool-improves-information-exchange
July 03, 2016 - Study
Handover after pediatric heart surgery: a simple tool improves information exchange.
Citation Text:
Zavalkoff SR, Razack SI, Lavoie J, et al. Handover after pediatric heart surgery: a simple tool improves information exchange. Pediatr Crit Care Med. 2011;12(3):309-13. doi:10.1097/…
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psnet.ahrq.gov/issue/medication-safety-program-reduces-adverse-drug-events-community-hospital
April 24, 2018 - Study
Medication safety program reduces adverse drug events in a community hospital.
Citation Text:
Cohen MM, Kimmel NL, Benage MK, et al. Medication safety program reduces adverse drug events in a community hospital. Qual Saf Health Care. 2005;14(3):169-74.
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psnet.ahrq.gov/issue/integrating-ethics-and-patient-safety-role-clinical-ethics-consultants-quality-improvement
October 04, 2011 - Commentary
Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement.
Citation Text:
Opel DJ, Brownstein D, Diekema DS, et al. Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. J Clin Ethic…
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psnet.ahrq.gov/issue/bringing-perioperative-emergency-manuals-your-institution-how-concept-implementation-10-steps
November 15, 2018 - Commentary
Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps.
Citation Text:
Agarwala A, McRichards K, Rao V, et al. Bringing Perioperative Emergency Manuals to Your Institution: A "How To" from Concept to Implementation i…
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psnet.ahrq.gov/issue/medication-error-prevention-pharmacists
August 04, 2021 - Study
Classic
Medication error prevention by pharmacists.
Citation Text:
Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-3.
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psnet.ahrq.gov/issue/optimising-delivery-remediation-programmes-doctors-realist-review
June 02, 2021 - Review
Optimising the delivery of remediation programmes for doctors: a realist review.
Citation Text:
Price T, Wong G, Withers L, et al. Optimising the delivery of remediation programmes for doctors: a realist review. Med Educ. 2021;55(9):995-1010. doi:10.1111/medu.14528.
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psnet.ahrq.gov/issue/tools-primary-care-patient-safety-narrative-review
July 20, 2016 - Review
Tools for primary care patient safety: a narrative review.
Citation Text:
Spencer R, Campbell S. Tools for primary care patient safety: a narrative review. BMC Fam Pract. 2014;15:166. doi:10.1186/1471-2296-15-166.
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psnet.ahrq.gov/issue/adverse-events-detected-clinical-surveillance-obstetric-service
September 11, 2009 - Study
Adverse events detected by clinical surveillance on an obstetric service.
Citation Text:
Forster AJ, Fung I, Caughey S, et al. Adverse events detected by clinical surveillance on an obstetric service. Obstet Gynecol. 2006;108(5):1073-83.
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psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts
September 25, 2013 - Study
Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan.
Citation Text:
Tokuda Y, Kishida N, Konishi R, et al. Cognitive error as the most frequent contributory factor in cases of medical inju…
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psnet.ahrq.gov/issue/epidemiology-and-patient-outcome-after-medical-emergency-team-calls-triggered-atrial
March 05, 2010 - Study
Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation.
Citation Text:
Schneider A, Calzavacca P, Jones D, et al. Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. Resuscitation. 2011…
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psnet.ahrq.gov/issue/comparison-voluntarily-reported-medication-errors-intensive-care-and-general-care-units
October 26, 2010 - Study
A comparison of voluntarily reported medication errors in intensive care and general care units.
Citation Text:
Kane-Gill SL, Kowiatek JG, Weber RJ. A comparison of voluntarily reported medication errors in intensive care and general care units. Qual Saf Health Care. 2010;19(1):5…
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psnet.ahrq.gov/issue/association-between-concurrent-use-prescription-opioids-and-benzodiazepines-and-overdose
November 16, 2022 - Study
Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analysis.
Citation Text:
Sun EC, Dixit A, Humphreys K, et al. Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analys…
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psnet.ahrq.gov/issue/rapid-response-team-rural-hospital
October 19, 2022 - Study
Rapid response team in a rural hospital.
Citation Text:
Brown S, Anderson MA, Hill PD. Rapid response team in a rural hospital. Clin Nurse Spec. 2012;26(2):95-102. doi:10.1097/NUR.0b013e31824590fb.
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psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-academic-medical
October 19, 2022 - Study
Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center.
Citation Text:
Ramanathan R, Leavell P, Stockslager G, et al. Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical cen…
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psnet.ahrq.gov/issue/disruptive-physician-behavior-importance-recognition-and-intervention-and-its-impact-patient
January 26, 2022 - Commentary
Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety.
Citation Text:
John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-critical-care-environment-review-current-literature
September 19, 2012 - Review
Computerized physician order entry in the critical care environment: a review of current literature.
Citation Text:
Maslove DM, Rizk NW, Lowe HJ. Computerized Physician Order Entry in the Critical Care Environment: A Review of Current Literature. J Intensive Care Med. 2011;26(3)…
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psnet.ahrq.gov/issue/safer-and-more-appropriate-opioid-prescribing-large-healthcare-systems-comprehensive-approach
June 10, 2020 - Study
Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach.
Citation Text:
Losby JL, Hyatt JD, Kanter MH, et al. Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. J Eval Clin Pract. 2017;23(6):1…
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psnet.ahrq.gov/issue/sleep-deprivation-and-clinical-performance
February 16, 2011 - Study
Classic
Sleep deprivation and clinical performance.
Citation Text:
Weinger MB, Ancoli-Israel S. Sleep deprivation and clinical performance. JAMA. 2002;287(8):955-7.
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psnet.ahrq.gov/issue/performance-based-payment-incentives-increase-burden-and-blame-hospital-nurses
February 10, 2015 - Study
Performance-based payment incentives increase burden and blame for hospital nurses.
Citation Text:
Kurtzman ET, O'Leary D, Sheingold BH, et al. Performance-based payment incentives increase burden and blame for hospital nurses. Health Aff (Millwood). 2011;30(2):211-218. doi:10.1377…
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psnet.ahrq.gov/issue/proposal-surgical-checklist-ambulatory-oral-surgery
January 17, 2012 - Commentary
Proposal for a 'surgical checklist' for ambulatory oral surgery.
Citation Text:
Perea-Pérez B, Santiago-Sáez A, García-Marín F, et al. Proposal for a 'surgical checklist' for ambulatory oral surgery. Int J Oral Maxillofac Surg. 2011;40(9):949-54. doi:10.1016/j.ijom.2011.04.0…