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psnet.ahrq.gov/issue/clinical-informatics-team-members-perspectives-health-information-technology-safety-after
September 04, 2024 - Study
Clinical informatics team members' perspectives on health information technology safety after experiential learning and safety process development: qualitative descriptive study.
Citation Text:
Recsky C, Rush KL, MacPhee M, et al. Clinical informatics team members' perspectives on …
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psnet.ahrq.gov/issue/role-feedback-emergency-ambulance-services-qualitative-interview-study
April 06, 2022 - Study
The role of feedback in emergency ambulance services: a qualitative interview study.
Citation Text:
Wilson C, Howell A-M, Janes G, et al. The role of feedback in emergency ambulance services: a qualitative interview study. BMC Health Serv Res. 2022;22(1):296. doi:10.1186/s12913-022…
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psnet.ahrq.gov/issue/relationship-between-perceived-practice-quality-and-quality-improvement-activities-and
December 21, 2014 - Study
The relationship between perceived practice quality and quality improvement activities and physician practice dissatisfaction, professional isolation, and work-life stress.
Citation Text:
Quinn MA, Wilcox A, Orav J, et al. The relationship between perceived practice quality and q…
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psnet.ahrq.gov/issue/prescription-opioid-crisis-role-anaesthesiologist-reducing-opioid-use-and-misuse
November 16, 2022 - Review
Emerging Classic
The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse.
Citation Text:
Soffin EM, Lee BH, Kumar KK, et al. The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and m…
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psnet.ahrq.gov/issue/contribution-prescription-chart-design-and-familiarity-prescribing-error-prospective
March 20, 2024 - Study
The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study.
Citation Text:
Tallentire VR, Hale RL, Dewhurst NG, et al. The contribution of prescription chart design and familiarity to prescribing error: a prospe…
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psnet.ahrq.gov/issue/fatigue-and-safety-paramedicine
December 16, 2020 - Study
Fatigue and safety in paramedicine.
Citation Text:
Donnelly EA, Bradford P, Davis M, et al. Fatigue and Safety in Paramedicine. CJEM. 2019;21(6):762-765. doi:10.1017/cem.2019.380.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
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psnet.ahrq.gov/issue/limits-psychological-safety-nonlinear-relationships-performance
April 24, 2018 - Study
The limits of psychological safety: nonlinear relationships with performance.
Citation Text:
Eldor L, Hodor M, Cappelli P. The limits of psychological safety: nonlinear relationships with performance. Org Behav Human Decision Proc. 2023;177:104255. doi:10.1016/j.obhdp.2023.104255. …
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psnet.ahrq.gov/issue/addressing-ambulatory-safety-and-malpractice-massachusetts-promises-project
August 14, 2017 - Commentary
Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project.
Citation Text:
Schiff G, Nieva HR, Griswold P, et al. Addressing Ambulatory Safety and Malpractice: The Massachusetts PROMISES Project. Health Serv Res. 2016;51 Suppl 3:2634-2641. doi:10.1111/147…
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psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-model-assess-telehealth-psychiatry-and-behavioral
September 27, 2023 - Commentary
Using a patient safety/quality improvement model to assess telehealth for psychiatry and behavioral health services among special populations during COVID-19 and beyond.
Citation Text:
Using a patient safety/quality improvement model to assess telehealth for psychiatry and beh…
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psnet.ahrq.gov/issue/handoff-tool-improves-transitions-operating-room-neonatal-intensive-care-unit
November 16, 2022 - Study
Handoff tool improves transitions from the operating room to the neonatal intensive care unit.
Citation Text:
Gallois JB, Zagory JA, Barkemeyer B, et al. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Pediatr Qual Saf. 2023;8(5):e695.…
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psnet.ahrq.gov/issue/improving-patient-handoffs-and-transitions-through-adaptation-and-implementation-i-pass
September 23, 2020 - Study
Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings.
Citation Text:
Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation and implementation of I-PASS acros…
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psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality
September 08, 2021 - Study
Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project.
Citation Text:
Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality i…
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psnet.ahrq.gov/issue/safety-culture-assessment-community-pharmacy-development-face-validity-and-feasibility
June 09, 2011 - Study
Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework.
Citation Text:
Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy: development, face validit…
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psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse-event-detection
November 16, 2016 - Review
Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review.
Citation Text:
Hanskamp-Sebregts M, Zegers M, Vincent CA, et al. Measurement of patient safety: a systematic review of the reliability and validity of …
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psnet.ahrq.gov/issue/performance-variability-perioperative-sentinel-events-report-nationwide-data-set
November 04, 2020 - Study
Performance variability in perioperative sentinel events: report on a nationwide data set.
Citation Text:
Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.109…
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psnet.ahrq.gov/issue/challenges-and-opportunities-shared-decision-making-highlighted-covid-19
June 15, 2022 - Commentary
The challenges and opportunities for shared decision making highlighted by COVID-19.
Citation Text:
Abrams EM, Shaker M, Oppenheimer J, et al. The challenges and opportunities for shared decision making highlighted by COVID-19. J Allergy Clin Immunol Pract. 2020;8(8):2474-2480…
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psnet.ahrq.gov/issue/reducing-errors-health-care-translating-research-practice
October 23, 2019 - Fact Sheet/FAQs
Reducing Errors in Health Care: Translating Research Into Practice.
Citation Text:
Reducing Errors in Health Care: Translating Research Into Practice. Rockville, MD: Agency of Healthcare Research and Quality; AHRQ Publication No. 00-PO58.
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psnet.ahrq.gov/web-mm/one-dose-fifty-pills
January 13, 2021 - his senior resident or attending when a pharmacist, whose primary role in the hospital is to reduce medication … errors, questions the medication order? … WebM&M Cases
When Looks Aren’t All They Appear to Be: A Medication … Error in an Uncommon Indication
October 28, 2020
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psnet.ahrq.gov/node/60194/psn-pdf
April 01, 2020 - Do you know what doses are being programmed in the
OR? Make it an expectation to use smart infusion pumps
with DERS.
April 1, 2020
Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion
pumps with DERS. ISMP Medication Safety Alert! Acute care edition!. 25(5):1-5.
http…
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psnet.ahrq.gov/issue/best-medicine-fixing-modern-hospital
February 06, 2008 - Newspaper/Magazine Article
The best medicine for fixing the modern hospital.
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December 12, 2012
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