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psnet.ahrq.gov/issue/duty-hour-reform-shifting-medical-landscape
June 08, 2022 - Commentary
Duty hour reform in a shifting medical landscape.
Citation Text:
Jena AB, Prasad V. Duty hour reform in a shifting medical landscape. J Gen Intern Med. 2013;28(9):1238-40. doi:10.1007/s11606-013-2439-8.
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psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
December 16, 2020 - Study
Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals.
Citation Text:
Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75.
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psnet.ahrq.gov/issue/patterns-medical-and-nursing-staff-communication-nursing-homes-implications-and-insights
December 22, 2018 - Study
Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science.
Citation Text:
Colón-Emeric CS, Ammarell N, Bailey D, et al. Patterns of medical and nursing staff communication in nursing homes: implications and insights fr…
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psnet.ahrq.gov/issue/ozis-and-politics-safety-using-ict-create-regionally-accessible-patient-medication-record
February 04, 2009 - Commentary
OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record.
Citation Text:
Stoop AP, Bal R, Berg M. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Int J Med Inform. 2007;76 S…
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psnet.ahrq.gov/issue/interprofessional-conflict-and-medical-errors-results-national-multi-specialty-survey
July 10, 2017 - Study
Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US.
Citation Text:
Baldwin DC, Daugherty SR. Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents …
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psnet.ahrq.gov/issue/human-factors-engineering-patient-safety
September 13, 2017 - Commentary
Human factors engineering in patient safety.
Citation Text:
Weinger MB, Gaba DM. Human factors engineering in patient safety. Anesthesiology. 2014;120(4):801-6. doi:10.1097/ALN.0000000000000144.
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psnet.ahrq.gov/issue/international-advocacy-education-and-safety
August 04, 2021 - Review
International advocacy for education and safety.
Citation Text:
McQueen KA, Malviya S, Gathuya ZN, et al. International advocacy for education and safety. Paediatr Anaesth. 2012;22(10):962-8. doi:10.1111/pan.12008.
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psnet.ahrq.gov/issue/computerized-provider-order-entry-strategies-successful-implementation
February 15, 2017 - Commentary
Computerized provider order entry: strategies for successful implementation.
Citation Text:
Jones S, Moss J. Computerized Provider Order Entry. J Nurs Admin. 2006;36(3):136-139. doi:10.1097/00005110-200603000-00007.
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psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
October 09, 2024 - Review
Pay-for-performance and patient safety in acute care: a systematic review.
Citation Text:
Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051.
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psnet.ahrq.gov/issue/viewpoint-patient-safety-primary-care-patients-are-not-just-beneficiary-critical-component
August 16, 2017 - Commentary
Viewpoint: Patient safety in primary care - patients are not just a beneficiary but a critical component in its achievement.
Citation Text:
Kavanagh KT, Cormier LE. Viewpoint: Patient safety in primary care – patients are not just a beneficiary but a critical component in its …
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psnet.ahrq.gov/issue/educational-and-audit-tool-reduce-prescribing-error-intensive-care
August 04, 2021 - Study
An educational and audit tool to reduce prescribing error in intensive care.
Citation Text:
Thomas AN, Boxall EM, Laha SK, et al. An educational and audit tool to reduce prescribing error in intensive care. Qual Saf Health Care. 2008;17(5):360-3. doi:10.1136/qshc.2007.023242.
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psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event
October 05, 2015 - Commentary
The health implications of apologizing after an adverse event.
Citation Text:
Allan A, McKillop D. The health implications of apologizing after an adverse event. Int J Qual Health Care. 2010;22(2):126-31. doi:10.1093/intqhc/mzq001.
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psnet.ahrq.gov/issue/postoperative-video-debriefing-reduces-technical-errors-laparoscopic-surgery
March 14, 2022 - Study
Postoperative video debriefing reduces technical errors in laparoscopic surgery.
Citation Text:
Hamad GG, Brown MT, Clavijo-Alvarez JA. Postoperative video debriefing reduces technical errors in laparoscopic surgery. Am J Surg. 2007;194(1):110-4.
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psnet.ahrq.gov/issue/overuse-medical-imaging-and-its-radiation-exposure-whos-minding-our-children
August 04, 2021 - Commentary
Overuse of medical imaging and its radiation exposure: who’s minding our children?
Citation Text:
Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our Children? JAMA Pediatr. 2016;170(11):1037-1038. doi:10.1001/jamapediatrics.2016.2…
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psnet.ahrq.gov/issue/three-simple-rules-improve-medication-safety
March 11, 2020 - Commentary
Three simple rules to improve medication safety.
Citation Text:
Barba V. Three Simple Rules to Improve Medication Safety. J Patient Saf. 2016;12(3):171-2. doi:10.1097/PTS.0000000000000095.
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psnet.ahrq.gov/issue/follow-study-medication-errors-reported-vaccine-adverse-event-reporting-system-vaers
May 27, 2011 - Study
Follow-up study of medication errors reported to the Vaccine Adverse Event Reporting System (VAERS).
Citation Text:
Varricchio F, Reed J, Group VAERSW. Follow-up study of medication errors reported to the vaccine adverse event reporting system (VAERS). South Med J. 2006;99(5):486…
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psnet.ahrq.gov/issue/safety-culture-includes-good-catches
August 21, 2024 - Commentary
Safety culture includes "good catches."
Citation Text:
Traynor K. Safety culture includes "good catches". Am J Health Syst Pharm. 2015;72(19):1597-1599. doi:10.2146/news150065.
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psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event-occurrence-closing-holes
September 25, 2024 - Commentary
The Swiss cheese model of adverse event occurrence—closing the holes.
Citation Text:
Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003.
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psnet.ahrq.gov/issue/medical-simulation-gets-real
June 14, 2023 - Newspaper/Magazine Article
Medical simulation gets real.
Citation Text:
Voelker R. Medical Simulation Gets Real. JAMA. 2009;302(20). doi:10.1001/jama.2009.1677.
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psnet.ahrq.gov/issue/health-care-professionals-views-about-safety-maternity-services-qualitative-study
June 10, 2020 - Study
Health-care professionals' views about safety in maternity services: a qualitative study.
Citation Text:
Smith AHK, Dixon AL, Page LA. Health-care professionals' views about safety in maternity services: a qualitative study. Midwifery. 2009;25(1):21-31. doi:10.1016/j.midw.2008.11…