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psnet.ahrq.gov/issue/interprofessional-education-team-communication-working-together-improve-patient-safety
April 24, 2018 - Study
Interprofessional education in team communication: working together to improve patient safety.
Citation Text:
Brock DM, Abu-Rish E, Chiu C-R, et al. Interprofessional education in team communication: working together to improve patient safety. BMJ Qual Saf. 2013;22(5):414-23. doi…
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psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy
January 04, 2017 - Study
Classic
Risk management: extreme honesty may be the best policy.
Citation Text:
Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Ann Intern Med. 1999;131(12):963-967.
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psnet.ahrq.gov/issue/patient-involvement-patient-safety-health-care-professionals-perspective
July 06, 2012 - Study
Patient involvement in patient safety: the health-care professional's perspective.
Citation Text:
Davis R, Sevdalis N, Vincent CA. Patient involvement in patient safety: the health-care professional's perspective. J Patient Saf. 2012;8(4):182-8. doi:10.1097/PTS.0b013e318267c4aa. …
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psnet.ahrq.gov/issue/how-improve-change-shift-handovers-and-collaborative-grounding-and-what-role-does-electronic
June 29, 2022 - Review
How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review.
Citation Text:
Flemming D, Hübner U. How to improve change of shift handovers and collaborative grounding …
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psnet.ahrq.gov/issue/patient-safety-curriculum-medical-residents-based-perspectives-residents-and-supervisors
April 14, 2011 - Study
A patient safety curriculum for medical residents based on the perspectives of residents and supervisors.
Citation Text:
Jansma JD, Wagner C, Bijnen AB. A patient safety curriculum for medical residents based on the perspectives of residents and supervisors. J Patient Saf. 2011;7…
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psnet.ahrq.gov/issue/implementing-perioperative-handoff-tool-improve-postprocedural-patient-transfers
February 29, 2012 - Commentary
Implementing a perioperative handoff tool to improve postprocedural patient transfers.
Citation Text:
Petrovic MA, Martinez EA, Aboumatar HJ. Implementing a perioperative handoff tool to improve postprocedural patient transfers. Jt Comm J Qual Patient Saf. 2012;38(3):135-42.
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psnet.ahrq.gov/issue/case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system
January 12, 2022 - Commentary
Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system.
Citation Text:
Schnoor J, Rogalski C, Frontini R, et al. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Patien…
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psnet.ahrq.gov/issue/predictors-patient-safety-culture-hospital-setting-systematic-review
March 05, 2014 - Review
The predictors of patient safety culture in hospital setting: a systematic review.
Citation Text:
Vibe A, Rasmussen SH, Rasmussen NOP, et al. The predictors of patient safety culture in hospital setting: a systematic review. J Patient Saf. 2024;20(8):576-592. doi:10.1097/pts.00000…
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psnet.ahrq.gov/issue/towards-common-framework-support-decision-making-high-risk-low-time-environments
November 16, 2022 - Commentary
Towards a common framework to support decision-making in high-risk, low-time environments.
Citation Text:
Launder D, Penney G. Towards a common framework to support decision‐making in high‐risk, low‐time environments. J Contin Crisis Manag. 2023;31(4):862-876. doi:10.1111/1468…
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psnet.ahrq.gov/issue/what-every-health-lawyer-should-know-about-patient-safety-and-quality-improvement-act-2005
January 23, 2017 - Commentary
What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Hanzal M. What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. J Health Life Sci Law. 2020;13(2):71-88.
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psnet.ahrq.gov/issue/resident-attitudes-regarding-impact-80-duty-hours-work-standards
August 24, 2015 - Study
Resident attitudes regarding the impact of the 80–duty-hours work standards.
Citation Text:
Zonia SC, 2nd RJLB, Stommel M, et al. Resident attitudes regarding the impact of the 80-duty-hours work standards. J Am Osteopath Assoc. 2005;105(7):307-313. https://www.degruyter.com/docu…
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psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based
October 19, 2022 - Study
Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors.
Citation Text:
Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a comprehensive computerized b…
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psnet.ahrq.gov/issue/review-best-practices-intravenous-push-medication-administration
February 21, 2018 - Review
A review of best practices for intravenous push medication administration.
Citation Text:
Lenz JR, Degnan DD, Hertig JB, et al. A Review of Best Practices for Intravenous Push Medication Administration. J Infus Nurs. 2017;40(6):354-358. doi:10.1097/NAN.0000000000000247.
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psnet.ahrq.gov/issue/shortage-perioperative-drugs-implications-anesthesia-practice-and-patient-safety
April 11, 2018 - Commentary
Shortage of perioperative drugs: implications for anesthesia practice and patient safety.
Citation Text:
De Oliveira GS, Theilken LS, McCarthy R. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Anesth Analg. 2011;113(6):1429-35. doi:10…
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psnet.ahrq.gov/issue/engineered-solution-maladministration-spinal-injections
March 14, 2022 - Study
An engineered solution to the maladministration of spinal injections.
Citation Text:
Lawton R, Gardner P, Green B, et al. An engineered solution to the maladministration of spinal injections. Qual Saf Health Care. 2009;18(6):492-5. doi:10.1136/qshc.2007.025767.
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psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single-institution
November 16, 2022 - Study
Surgical management and outcomes of 165 colonoscopic perforations from a single institution.
Citation Text:
Iqbal CW, Cullinane DC, Schiller HJ, et al. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg. 2008;143(7):701-6; discu…
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psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety-hospital-wards
February 17, 2010 - Study
Human factors–focused reporting system for improving care quality and safety in hospital wards.
Citation Text:
Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. …
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psnet.ahrq.gov/issue/secure-messaging-use-and-wrong-patient-ordering-errors-among-inpatient-clinicians
July 20, 2022 - Study
Secure messaging use and wrong-patient ordering errors among inpatient clinicians.
Citation Text:
Lou SS, Lew D, Xia L, et al. Secure messaging use and wrong-patient ordering errors among inpatient clinicians. JAMA Netw Open. 2024;7(12):e2447797. doi:10.1001/jamanetworkopen.2024.47…
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psnet.ahrq.gov/issue/proactive-risk-assessment-surgical-site-infections-ambulatory-surgery-centers
April 13, 2022 - Study
Proactive risk assessment of surgical site infections in ambulatory surgery centers.
Citation Text:
Bish EK, Azadeh-Fard N, Steighner LA, et al. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. J Patient Saf. 2014;13(2). doi:10.1097/pts.000000000…
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psnet.ahrq.gov/issue/perceived-value-ward-based-pharmacists-perspective-physicians-and-nurses
February 15, 2011 - Study
Perceived value of ward-based pharmacists from the perspective of physicians and nurses.
Citation Text:
Gillespie U, Mörlin C, Hammarlund-Udenaes M, et al. Perceived value of ward-based pharmacists from the perspective of physicians and nurses. Int J Clin Pharm. 2012;34(1):127-35…