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psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors
June 27, 2018 - Study
Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals.
Citation Text:
Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe…
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psnet.ahrq.gov/issue/optimization-drug-drug-interaction-alert-rules-pediatric-hospitals-electronic-health-record
May 20, 2019 - Study
Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard.
Citation Text:
Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electro…
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psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation-scoping-review
March 18, 2020 - Review
Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes.
Citation Text:
Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and medication reconciliatio…
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psnet.ahrq.gov/issue/effectiveness-double-checking-reduce-medication-administration-errors-systematic-review
August 26, 2020 - Review
Effectiveness of double checking to reduce medication administration errors: a systematic review.
Citation Text:
Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603.…
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psnet.ahrq.gov/issue/effects-two-commercial-electronic-prescribing-systems-prescribing-error-rates-hospital
September 01, 2016 - Study
Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.
Citation Text:
Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on prescribing error rates in hos…
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psnet.ahrq.gov/issue/who-do-hospital-physicians-and-nurses-go-advice-about-medications-social-network-analysis-and
May 22, 2013 - Study
Who do hospital physicians and nurses go to for advice about medications? A social network analysis and examination of prescribing error rates.
Citation Text:
Creswick N, Westbrook JI. Who Do Hospital Physicians and Nurses Go to for Advice About Medications? A Social Network Analys…
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psnet.ahrq.gov/issue/longitudinal-study-manifestations-and-mechanisms-technology-related-prescribing-errors
January 18, 2023 - Study
Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics.
Citation Text:
Raban MZ, Fitzpatrick E, Merchant A, et al. Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics.…
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psnet.ahrq.gov/issue/providers-perceptions-communication-breakdowns-cancer-care
March 11, 2013 - Study
Providers' perceptions of communication breakdowns in cancer care.
Citation Text:
Prouty CD, Mazor KM, Greene SM, et al. Providers' perceptions of communication breakdowns in cancer care. J Gen Intern Med. 2014;29(8):1122-30. doi:10.1007/s11606-014-2769-1.
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psnet.ahrq.gov/issue/were-not-ready-i-dont-think-youre-ever-ready-clinician-perspectives-implementation-crisis
September 23, 2020 - Study
"We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care.
Citation Text:
Chuang E, Cuartas PA, Powell T, et al. "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of cr…
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psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
July 20, 2011 - Study
Medication discrepancies upon hospital to skilled nursing facility transitions.
Citation Text:
Tjia J, Bonner A, Briesacher BA, et al. Medication discrepancies upon hospital to skilled nursing facility transitions. J Gen Intern Med. 2009;24(5):630-5. doi:10.1007/s11606-009-0948-2…
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psnet.ahrq.gov/issue/how-induce-error-management-climate-experimental-evidence-newly-formed-teams
August 24, 2022 - Study
How to induce an error management climate: experimental evidence from newly formed teams.
Citation Text:
Horvath D, Keith N, Klamar A, et al. How to induce an error management climate: experimental evidence from newly formed teams. J Bus Psychol. 2023;38:763–775. doi:10.1007/s10869…
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psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton-vertex-cesarean
October 19, 2022 - Study
Classic
Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate.
Citation Text:
Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous term singleton ver…
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psnet.ahrq.gov/issue/application-trigger-tools-detecting-adverse-drug-events-older-people-systematic-review-and
June 15, 2022 - Review
Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis.
Citation Text:
Schiavo G, Forgerini M, Varallo FR, et al. Application of trigger tools for detecting adverse drug events in older people: a systematic review and …
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psnet.ahrq.gov/issue/understanding-patient-centred-readmission-factors-multi-site-mixed-methods-study
May 08, 2017 - Study
Understanding patient-centred readmission factors: a multi-site, mixed-methods study.
Citation Text:
Greysen R, Harrison JD, Kripalani S, et al. Understanding patient-centred readmission factors: a multi-site, mixed-methods study. BMJ Qual Saf. 2017;26(1):33-41. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/issue/multi-facetted-patient-safety-resource-qualitative-interview-study-hospital-managers
September 20, 2023 - Study
A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team.
Citation Text:
Axelsen MS, Baumgarten M, Egholm CL, et al. A multi‐facetted patient safety resource—a qualitative interview study on hospit…
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psnet.ahrq.gov/issue/improving-safety-recommendations-implementation-simulation-based-event-analysis-optimize
July 24, 2019 - Study
Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events.
Citation Text:
Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a s…
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psnet.ahrq.gov/issue/impact-surgical-complications-obstetricians-and-gynecologists-wellbeing-and-coping-mechanisms
February 28, 2024 - Study
The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims.
Citation Text:
Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechani…
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psnet.ahrq.gov/issue/evaluation-natural-language-processing-approach-identify-diagnostic-errors-and-analysis
October 30, 2024 - Study
Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study.
Citation Text:
Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identi…
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psnet.ahrq.gov/issue/views-and-experiences-patients-and-health-care-professionals-disclosure-adverse-events
August 25, 2021 - Review
The views and experiences of patients and health-care professionals on the disclosure of adverse events: a systematic review and qualitative meta-ethnographic synthesis.
Citation Text:
Sattar R, Johnson J, Lawton R. The views and experiences of patients and health‐care professiona…
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psnet.ahrq.gov/issue/tipping-balance-systematic-review-and-meta-ethnography-unfold-complexity-surgical
August 04, 2021 - Review
Tipping the balance: a systematic review and meta-ethnography to unfold the complexity of surgical antimicrobial prescribing behavior in hospital settings.
Citation Text:
Parker H, Frost J, Day J, et al. Tipping the balance: a systematic review and meta-ethnography to unfold the c…