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psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
August 14, 2014 - Commentary
Disruptive behaviors among physicians.
Citation Text:
Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218.
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psnet.ahrq.gov/issue/doctors-views-attitudes-towards-peer-medical-error
April 04, 2012 - Study
Doctors' views of attitudes towards peer medical error.
Citation Text:
Asghari F, Fotouhi A, Jafarian A. Doctors' views of attitudes towards peer medical error. Qual Saf Health Care. 2009;18(3):209-12. doi:10.1136/qshc.2007.025015.
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psnet.ahrq.gov/issue/waking-next-morning-surgeons-emotional-reactions-adverse-events
July 02, 2014 - Study
Waking up the next morning: surgeons' emotional reactions to adverse events.
Citation Text:
Luu S, Patel P, St-Martin L, et al. Waking up the next morning: surgeons' emotional reactions to adverse events. Med Educ. 2012;46(12):1179-88. doi:10.1111/medu.12058.
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psnet.ahrq.gov/issue/creating-stronger-culture-safety-within-us-community-pharmacies
June 14, 2023 - Commentary
Creating a stronger culture of safety within US community pharmacies.
Citation Text:
Lewis NJW, Marwitz KK, Gaither CA, et al. Creating a stronger culture of safety within US community pharmacies. Jt Comm J Qual Patient Saf. 2023;49(5):280-284. doi:10.1016/j.jcjq.2023.01.012. …
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psnet.ahrq.gov/issue/resident-duty-hours-across-borders-international-perspective
February 27, 2019 - Special or Theme Issue
Resident Duty Hours Across Borders: An International Perspective.
Citation Text:
Resident Duty Hours Across Borders: An International Perspective. Imrie KR, Frank JR, Parshuram CS, eds. BMC Med Educ. 2014;14(suppl1):S1-S18.
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psnet.ahrq.gov/issue/no-interruptions-please-impact-no-interruption-zone-medication-safety-intensive-care-units
July 19, 2023 - Study
No interruptions please: impact of a no interruption zone on medication safety in intensive care units.
Citation Text:
Anthony K, Wiencek C, Bauer C, et al. No interruptions please: impact of a No Interruption Zone on medication safety in intensive care units. Crit Care Nurse. 2010…
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psnet.ahrq.gov/issue/distractions-and-anaesthetist-qualitative-study-context-and-direction-distraction
April 24, 2018 - Study
Distractions and the anaesthetist: a qualitative study of context and direction of distraction.
Citation Text:
Jothiraj H, Howland-Harris J, Evley R, et al. Distractions and the anaesthetist: a qualitative study of context and direction of distraction. Br J Anaesth. 2013;111(3):477…
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psnet.ahrq.gov/issue/use-briefings-and-debriefings-tool-improving-team-work-efficiency-and-communication-operating
September 07, 2011 - Study
Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre.
Citation Text:
Bethune R, Sasirekha G, Sahu A, et al. Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the…
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psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
June 27, 2012 - Commentary
Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults.
Citation Text:
Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…
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psnet.ahrq.gov/issue/improving-papanicolaou-test-quality-and-reducing-medical-errors-using-toyota-production
April 08, 2008 - Study
Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods.
Citation Text:
Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Am J Obst…
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psnet.ahrq.gov/issue/how-develop-second-victim-support-program-toolkit-health-care-organizations
April 03, 2019 - Commentary
How to develop a second victim support program: a toolkit for health care organizations.
Citation Text:
Pratt SD, Kenney L, Scott SD, et al. How to develop a second victim support program: a toolkit for health care organizations. Jt Comm J Qual Patient Saf. 2012;38(5):235-40, …
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psnet.ahrq.gov/issue/electronic-prescribing-within-electronic-health-record-reduces-ambulatory-prescribing-errors
March 21, 2017 - Study
Electronic prescribing within an electronic health record reduces ambulatory prescribing errors.
Citation Text:
Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf. 2011;37(10):447-455.
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psnet.ahrq.gov/issue/relationship-between-patients-perceptions-team-effectiveness-and-their-care-experience
June 08, 2011 - Study
The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department.
Citation Text:
Kipnis A, Rhodes K, Burchill CN, et al. The relationship between patients' perceptions of team effectiveness and their care experience in the…
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psnet.ahrq.gov/issue/innovative-application-bayesian-disease-mapping-methods-patient-safety-research-canadian
October 19, 2022 - Study
An innovative application of Bayesian disease mapping methods to patient safety research: a Canadian adverse medical event study.
Citation Text:
MacNab YC, Kmetic A, Gustafson P, et al. An innovative application of Bayesian disease mapping methods to patient safety research: a Ca…
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psnet.ahrq.gov/issue/use-surgical-safety-checklist-improve-team-communication
August 08, 2018 - Commentary
Use of a surgical safety checklist to improve team communication.
Citation Text:
Cabral RA, Eggenberger T, Keller K, et al. Use of a surgical safety checklist to improve team communication. AORN J. 2016;104(3):206-216. doi:10.1016/j.aorn.2016.06.019.
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psnet.ahrq.gov/issue/electronic-health-records-and-malpractice-claims-office-practice
December 31, 2014 - Study
Electronic health records and malpractice claims in office practice.
Citation Text:
Virapongse A, Bates DW, Shi P, et al. Electronic health records and malpractice claims in office practice. Arch Intern Med. 2008;168(21):2362-7. doi:10.1001/archinte.168.21.2362.
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psnet.ahrq.gov/issue/teach-back-patients-perspective
March 27, 2024 - Commentary
"Teach-back" from a patient's perspective.
Citation Text:
Miller S, Lattanzio M, Cohen S. "Teach-back" from a patient's perspective. Nursing (Brux). 2016;46(2):63-4. doi:10.1097/01.NURSE.0000476249.18503.f5.
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psnet.ahrq.gov/issue/cleaning-discharge-process-number-components-and-personnel-are-crucial-success
October 20, 2021 - Commentary
Cleaning up the discharge process: a number of components—and personnel—are crucial to success.
Citation Text:
Huber C, Blanco M. Cleaning up the discharge process: a number of components--and personnel--are crucial to success. Am J Nurs. 2010;110(9):66-69. doi:10.1097/01.NA…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/labor-dystocia_research-protocol.pdf
July 28, 2016 - labor-dystocia-protocol-amended-160728
Source: www.effectivehealthcare.ahrq.gov
Published online: July 28, 2016
Evidence-based Practice Center Systematic Review Protocol
Project Title: Labor Dystocia
Initial publication date if applicable: January 27, 2016
Amendment Date(s) if applicable: July 12, 2016
(…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
March 01, 2002 - Analysis
Individual patient care units were classified into services including medicine,
surgery, obstetrics … Surgery had a significantly higher potential adverse drug
event rate (2.35) than medicine (1.33) and obstetrics … services had much higher reporting rates than psychiatry (17.9), rehabilitation
services (1.21), and obstetrics … Four surgery units and one obstetrics unit
reported only potential adverse drug events (no preventable