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psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
April 13, 2011 - Study
Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.
Citation Text:
Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. BMJ Qual Saf. 20…
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psnet.ahrq.gov/issue/use-cascading-a3s-drive-systemwide-improvement
January 29, 2015 - Commentary
Use of cascading A3s to drive systemwide improvement.
Citation Text:
Winner LE, Burroughs TJ, Cady-Reh JA, et al. Use of Cascading A3s to Drive Systemwide Improvement. Jt Comm J Qual Patient Saf. 2017;43(8):422-428. doi:10.1016/j.jcjq.2017.03.011.
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psnet.ahrq.gov/issue/understanding-swiss-cheese-model-and-its-application-patient-safety
May 25, 2022 - Commentary
Classic
Understanding the "Swiss cheese model" and its application to patient safety.
Citation Text:
Wiegmann DA, J. Wood L, N. Cohen T, et al. Understanding the "Swiss cheese model" and its application to patient safety. J Patient Saf. 2022;18(2):119…
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psnet.ahrq.gov/issue/what-does-it-take-case-study-radical-change-toward-patient-safety
September 27, 2017 - Study
What does it take? A case study of radical change toward patient safety.
Citation Text:
Vicente KJ. What does it take? A case study of radical change toward patient safety. Jt Comm J Qual Patient Saf. 2003;29(11):598-609.
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psnet.ahrq.gov/issue/using-medication-error-prioritization-system-improve-patient-safety
May 01, 2020 - Commentary
Using the medication error prioritization system to improve patient safety.
Citation Text:
Polnariev A. Using the Medication Error Prioritization System To Improve Patient Safety. P T. 2016;41(1):54-9.
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psnet.ahrq.gov/issue/patient-safety-learning-aviation-industry
September 03, 2011 - Commentary
Patient safety: learning from the aviation industry.
Citation Text:
Kosnik LK, Brown J, Maund T. Patient safety: learning from the aviation industry. Nurs Manage. 2007;38(1):25-30; quiz 31.
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psnet.ahrq.gov/issue/healthcare-systems-ergonomics-and-patient-safety-triennial-conference
February 10, 2015 - Meeting/Conference
Healthcare Systems Ergonomics and Patient Safety Triennial Conference.
Citation Text:
Healthcare Systems Ergonomics and Patient Safety Triennial Conference. Delft University of Technology. Faculty Industrial Design Engineering. Delft, The Netherlands, November 2-4, 202…
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psnet.ahrq.gov/issue/momentary-interruptions-can-derail-train-thought
May 18, 2022 - Study
Momentary interruptions can derail the train of thought.
Citation Text:
Altmann EM, Trafton G, Hambrick DZ. Momentary interruptions can derail the train of thought. J Exp Psychol Gen. 2014;143(1):215-26. doi:10.1037/a0030986.
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psnet.ahrq.gov/issue/bullying-junior-doctors-prevails-irish-health-system-bitter-reality
July 15, 2020 - Study
Bullying of junior doctors prevails in Irish health system: a bitter reality.
Citation Text:
Cheema S, Ahmad K, Giri SK, et al. Bullying of junior doctors prevails in Irish health system: a bitter reality. Ir Med J. 2005;98(9):274-275.
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psnet.ahrq.gov/issue/impact-checklists-inpatient-safety-outcomes-systematic-review-randomized-controlled-trials
September 29, 2021 - Review
The impact of checklists on inpatient safety outcomes: a systematic review of randomized controlled trials.
Citation Text:
Boyd J, Wu G, Stelfox HT. The Impact of Checklists on Inpatient Safety Outcomes: A Systematic Review of Randomized Controlled Trials. J Hosp Med. 2017;12(8):6…
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psnet.ahrq.gov/issue/junior-doctors-reflections-patient-safety
July 15, 2015 - Study
Junior doctors' reflections on patient safety.
Citation Text:
Ahmed M, Arora S, Carley S, et al. Junior doctors' reflections on patient safety. Postgrad Med J. 2012;88(1037):125-9. doi:10.1136/postgradmedj-2011-130301.
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psnet.ahrq.gov/issue/why-we-need-single-definition-disruptive-behavior
November 01, 2017 - Review
Why we need a single definition of disruptive behavior.
Citation Text:
Petrovic MA, Scholl AT. Why We Need a Single Definition of Disruptive Behavior. Cureus. 2018;10(3):e2339. doi:10.7759/cureus.2339.
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psnet.ahrq.gov/issue/assessing-and-improving-safety-climate-large-cohort-intensive-care-units
September 20, 2011 - Study
Assessing and improving safety climate in a large cohort of intensive care units.
Citation Text:
Sexton B, Berenholtz SM, Goeschel CA, et al. Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med. 2011;39(5):934-9. doi:10.1097/CCM.0b013e3…
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psnet.ahrq.gov/issue/invited-article-managing-disruptive-physician-behavior-impact-staff-relationships-and-patient
February 03, 2010 - Study
Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care.
Citation Text:
Rosenstein AH, O'Daniel M. Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. Neurology. 2008;70(17):1564-…
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psnet.ahrq.gov/issue/2008-update-consumers-views-patient-safety-and-quality-information
October 02, 2013 - Book/Report
2008 Update on Consumers' Views of Patient Safety and Quality Information.
Citation Text:
2008 Update on Consumers' Views of Patient Safety and Quality Information. Kaiser Family Foundation, Agency for Healthcare Research and Quality. Menlo Park, CA: Henry J. Kaiser Famil…
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psnet.ahrq.gov/issue/negative-impact-nurse-physician-disruptive-behavior-patient-safety-review-literature
August 18, 2021 - Review
The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature.
Citation Text:
Saxton R, Hines T, Enriquez M. The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. J Patient Saf. 2009;5…
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psnet.ahrq.gov/issue/supplement-deepening-our-understanding-quality-australia-duqua
February 04, 2009 - Special or Theme Issue
Supplement on Deepening our Understanding of Quality in Australia (DUQuA).
Citation Text:
Supplement on Deepening our Understanding of Quality in Australia (DUQuA). Int J Qual Health Care. 2020;32(Supp1):1-105.
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psnet.ahrq.gov/issue/value-human-factors-medication-and-patient-safety-intensive-care-unit
December 01, 2010 - Study
Value of human factors to medication and patient safety in the intensive care unit.
Citation Text:
Scanlon M, Karsh B-T. Value of human factors to medication and patient safety in the intensive care unit. Crit Care Med. 2010;38. doi:10.1097/ccm.0b013e3181dd8de2.
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psnet.ahrq.gov/issue/multicenter-collaborative-approach-reducing-pediatric-codes-outside-icu
August 13, 2014 - Study
A multicenter collaborative approach to reducing pediatric codes outside the ICU.
Citation Text:
Hayes LW, Dobyns EL, DiGiovine B, et al. A multicenter collaborative approach to reducing pediatric codes outside the ICU. Pediatrics. 2012;129(3):e785-91. doi:10.1542/peds.2011-0227.
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psnet.ahrq.gov/issue/impact-short-notice-accreditation-assessments-hospitals-patient-safety-and-quality-culture
January 10, 2024 - Review
Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture--a scoping review.
Citation Text:
Scanlan R, Flenady T, Judd J. Impact of short‐notice accreditation assessments on hospitals' patient safety and quality culture- a scoping review. J …