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psnet.ahrq.gov/issue/hospital-workload-and-adverse-events
August 31, 2011 - Study
Classic
Hospital workload and adverse events.
Citation Text:
Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care. 2007;45(5):448-55.
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psnet.ahrq.gov/issue/mislabeled-units-umbilical-cord-blood-detected-quality-assurance-program-transplantation
October 19, 2022 - Study
Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center.
Citation Text:
McCullough JS, McKenna D, Kadidlo D, et al. Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation cente…
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psnet.ahrq.gov/issue/patterns-disrespectful-physician-behavior-academic-medical-center-implications-training
June 14, 2023 - Study
Patterns of disrespectful physician behavior at an academic medical center: implications for training, prevention, and remediation.
Citation Text:
Hopkins J, Hedlin H, Weinacker A, et al. Patterns of Disrespectful Physician Behavior at an Academic Medical Center: Implications for T…
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psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice
April 06, 2011 - Commentary
Classic
Errors, incidents and accidents in anaesthetic practice.
Citation Text:
Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5…
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psnet.ahrq.gov/issue/sleep-deprivation-and-starvation-hospitalised-patients-how-medical-care-can-harm-patients
September 27, 2017 - Commentary
Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients.
Citation Text:
Xu T, Wick EC, Makary MA. Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. BMJ Qual Saf. 2016;25(5):311-314. doi:10.1136/…
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psnet.ahrq.gov/issue/beyond-clinical-team-evaluating-human-factors-oriented-training-non-clinical-professionals
March 12, 2025 - Study
Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts.
Citation Text:
Lavelle M, Reedy GB, Attoe C, et al. Beyond the clinical team: evaluating the human factors-oriented training of non-clinical profes…
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psnet.ahrq.gov/issue/developing-and-deploying-patient-safety-program-large-health-care-delivery-system-you-cant
August 03, 2017 - Commentary
Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about.
Citation Text:
Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health care delivery system: you ca…
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psnet.ahrq.gov/issue/disruptive-physician-behavior-importance-recognition-and-intervention-and-its-impact-patient
January 26, 2022 - Commentary
Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety.
Citation Text:
John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13…
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psnet.ahrq.gov/issue/strategies-reduce-patient-harm-infusion-associated-medication-errors-scoping-review
August 10, 2016 - Review
Strategies to reduce patient harm from infusion-associated medication errors: a scoping review.
Citation Text:
Wolf ZR. Strategies to Reduce Patient Harm From Infusion-Associated Medication Errors: A Scoping Review. J Infus Nurs. 2018;36(1):58-65. doi:10.1097/NAN.0000000000000263.…
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psnet.ahrq.gov/issue/comprehensive-analysis-medication-dosing-error-related-cpoe
June 01, 2005 - Commentary
Comprehensive analysis of a medication dosing error related to CPOE.
Citation Text:
Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740.
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psnet.ahrq.gov/issue/design-hospital-errors-and-omissions-activities-include-patient-specific-medication-related
June 01, 2022 - Study
Design of hospital errors and omissions activities that include patient-specific medication related problems.
Citation Text:
Cooper JB, Bradley CL. Design of hospital errors and omissions activities that include patient-specific medication related problems. Curr Pharm Teach Learn. …
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psnet.ahrq.gov/issue/video-analysis-factors-associated-response-time-physiologic-monitor-alarms-childrens-hospital
November 06, 2015 - Study
Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital.
Citation Text:
Bonafide CP, Localio R, Holmes JH, et al. Video Analysis of Factors Associated With Response Time to Physiologic Monitor Alarms in a Children's Hospital. J…
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psnet.ahrq.gov/issue/family-perceptions-medication-administration-school-errors-risk-factors-and-consequences
April 24, 2018 - Study
Family perceptions of medication administration at school: errors, risk factors, and consequences.
Citation Text:
Clay D, Farris K, McCarthy AM, et al. Family perceptions of medication administration at school: errors, risk factors, and consequences. J Sch Nurs. 2008;24(2):95-102…
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psnet.ahrq.gov/issue/determination-health-care-teamwork-training-competencies-delphi-study
May 15, 2024 - Study
Determination of health-care teamwork training competencies: a Delphi study.
Citation Text:
Clay-Williams R, Braithwaite J. Determination of health-care teamwork training competencies: a Delphi study. Int J Qual Health Care. 2009;21(6):433-40. doi:10.1093/intqhc/mzp042.
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psnet.ahrq.gov/issue/understanding-whistleblowing-qualitative-insights-nurse-whistleblowers
April 24, 2018 - Study
Understanding whistleblowing: qualitative insights from nurse whistleblowers.
Citation Text:
Jackson D, Peters K, Andrew S, et al. Understanding whistleblowing: qualitative insights from nurse whistleblowers. J Adv Nurs. 2010;66(10):2194-201. doi:10.1111/j.1365-2648.2010.05365.x.…
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psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-risks-and-best
October 19, 2022 - Review
Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations.
Citation Text:
Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. …
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psnet.ahrq.gov/issue/striving-zero-error-patient-surgical-journey-through-adoption-aviation-style-challenge-and
July 10, 2017 - Study
Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project.
Citation Text:
Low DK, Reed MA, Geiduschek JM, et al. Striving for a zero-error patient surgical journey through adoption …
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psnet.ahrq.gov/issue/ethics-empowering-patients-partners-healthcare-associated-infection-prevention
January 04, 2019 - Commentary
The ethics of empowering patients as partners in healthcare-associated infection prevention.
Citation Text:
Sharp D, Palmore T, Grady C. The ethics of empowering patients as partners in healthcare-associated infection prevention. Infect Control Hosp Epidemiol. 2014;35(3):307-9…
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psnet.ahrq.gov/issue/how-long-does-it-take-train-surgeon
October 16, 2024 - Commentary
How long does it take to train a surgeon?
Citation Text:
Jackson GP, Tarpley JL. How long does it take to train a surgeon? BMJ. 2009;339:b4260. doi:10.1136/bmj.b4260.
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psnet.ahrq.gov/issue/duty-hours-restriction-and-their-effect-resident-education-and-academic-departments-american
November 16, 2022 - Review
Duty hours restriction and their effect on resident education and academic departments: the American perspective.
Citation Text:
Swide CE, Kirsch JR. Duty hours restriction and their effect on resident education and academic departments: the American perspective. Curr Opin Anaes…