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psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
June 29, 2011 - Study
People are more error-prone after committing an error.
Citation Text:
Adkins TJ, Zhang H, Lee TG. People are more error-prone after committing an error. Nat Commun. 2024;15(1):6422. doi:10.1038/s41467-024-50547-y.
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psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician-order-entry-systems
May 27, 2011 - Review
Evaluation and certification of computerized physician order entry systems.
Citation Text:
Classen D, Avery A, Bates DW. Evaluation and certification of computerized provider order entry systems. J Am Med Inform Assoc. 2007;14(1):48-55.
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psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross
February 04, 2015 - Study
Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study.
Citation Text:
Farup PG. Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. BMC Health Serv R…
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psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
October 12, 2022 - Review
The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety.
Citation Text:
Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patien…
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psnet.ahrq.gov/issue/developing-patient-measure-safety-pmos
June 25, 2014 - Study
Developing a patient measure of safety (PMOS).
Citation Text:
Giles SJ, Lawton R, Din I, et al. Developing a patient measure of safety (PMOS). BMJ Qual Saf. 2013;22(7):554-62. doi:10.1136/bmjqs-2012-000843.
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psnet.ahrq.gov/issue/do-first-opinions-affect-second-opinions
October 07, 2020 - Study
Do first opinions affect second opinions?
Citation Text:
Vashitz G, Pliskin JS, Parmet Y, et al. Do First Opinions Affect Second Opinions? J Gen Intern Med. 2012;27(10). doi:10.1007/s11606-012-2056-y.
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psnet.ahrq.gov/issue/implementation-pediatric-rapid-response-team-experience-hospital-sick-children-toronto
September 10, 2014 - Commentary
Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto.
Citation Text:
Kukreti V, Gaiteiro R, Mohseni-Bod H. Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Indian …
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psnet.ahrq.gov/issue/clinical-handovers-between-prehospital-and-hospital-staff-literature-review
March 23, 2022 - Review
Clinical handovers between prehospital and hospital staff: literature review.
Citation Text:
Wood K, Crouch R, Rowland E, et al. Clinical handovers between prehospital and hospital staff: literature review. Emerg Med J. 2015;32(7):577-581. doi:10.1136/emermed-2013-203165.
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psnet.ahrq.gov/issue/high-reliability-pediatric-heart-centers-always-working-toward-getting-better
September 18, 2024 - Commentary
High reliability pediatric heart centers: always working toward getting better.
Citation Text:
Torzone A, Birely A. High reliability pediatric heart centers: always working toward getting better. Curr Opin Cardiol. 2024;39(4):356-363. doi:10.1097/hco.0000000000001143.
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psnet.ahrq.gov/issue/detection-potential-look-alikesound-alike-medication-errors-using-veterans-affairs
October 04, 2011 - Study
Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases.
Citation Text:
Zacher JM, Cunningham FE, Zhao X, et al. Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases. …
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psnet.ahrq.gov/issue/computerized-physician-order-entry-critical-care-environment-review-current-literature
September 19, 2012 - Review
Computerized physician order entry in the critical care environment: a review of current literature.
Citation Text:
Maslove DM, Rizk NW, Lowe HJ. Computerized Physician Order Entry in the Critical Care Environment: A Review of Current Literature. J Intensive Care Med. 2011;26(3)…
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psnet.ahrq.gov/issue/national-pediatric-anesthesia-safety-quality-improvement-program-united-states
March 03, 2011 - Study
National pediatric anesthesia safety quality improvement program in the United States.
Citation Text:
Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.000…
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psnet.ahrq.gov/issue/hhs-seeks-input-medical-office-survey-patient-safety-culture-database-information-collection
March 13, 2024 - Press Release/Announcement
HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection.
Citation Text:
HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Agency for Healthcare Quality and Research. Fe…
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psnet.ahrq.gov/issue/prevalence-polypharmacy-exposure-among-hospitalized-children-united-states
August 20, 2016 - Study
Prevalence of polypharmacy exposure among hospitalized children in the United States.
Citation Text:
Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/a…
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psnet.ahrq.gov/issue/reduction-incorrect-record-accessing-and-charting-patient-electronic-medical-records
September 29, 2017 - Study
Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment.
Citation Text:
Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative…
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psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system
September 28, 2010 - Study
Classic
A classification system for incidents and accidents in the health-care system.
Citation Text:
Runciman WB, Helps SC, Sexton EJ, et al. A classification for incidents and accidents in the health-care system. J Qual Clin Pract. 1998;18(3):199-211.
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psnet.ahrq.gov/issue/mortality-related-anaesthesia-france-analysis-deaths-related-airway-complications
June 20, 2011 - Study
Mortality related to anaesthesia in France: analysis of deaths related to airway complications.
Citation Text:
Auroy Y, Benhamou D, Péquignot F, et al. Mortality related to anaesthesia in France: analysis of deaths related to airway complications. Anaesthesia. 2009;64(4):366-70. …
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psnet.ahrq.gov/issue/leader-communication-approaches-and-patient-safety-integrated-model
July 01, 2019 - Study
Leader communication approaches and patient safety: an integrated model.
Citation Text:
Mattson M, Hellgren J, Göransson S. Leader communication approaches and patient safety: An integrated model. J Safety Res. 2015;53:53-62. doi:10.1016/j.jsr.2015.03.008.
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psnet.ahrq.gov/issue/benefits-and-opportunities-engaging-patients-identifying-and-reporting-patient-safety
April 26, 2023 - Commentary
The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents.
Citation Text:
Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Healthc Manage Forum…
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psnet.ahrq.gov/issue/unconscious-bias-among-health-professionals-scoping-review
December 10, 2008 - Review
Unconscious bias among health professionals: a scoping review.
Citation Text:
Meidert U, Dönnges G, Bucher T, et al. Unconscious bias among health professionals: a scoping review. Int J Environ Res Public Health. 2023;20(16):6569. doi:10.3390/ijerph20166569.
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