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psnet.ahrq.gov/issue/transferring-aviation-practices-clinical-medicine-promotion-high-reliability
September 12, 2018 - Review
Transferring aviation practices into clinical medicine for the promotion of high reliability.
Citation Text:
Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…
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psnet.ahrq.gov/issue/impact-and-culture-change-after-implementation-preprocedural-checklist-interventional
May 05, 2021 - Study
Impact and culture change after the implementation of a preprocedural checklist in an interventional radiology department.
Citation Text:
Wong SSN, Cleverly S, Tan KT, et al. Impact and Culture Change After the Implementation of a Preprocedural Checklist in an Interventional Radiol…
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psnet.ahrq.gov/issue/making-residents-part-safety-culture-improving-error-reporting-and-reducing-harms
April 24, 2018 - Commentary
Making residents part of the safety culture: improving error reporting and reducing harms.
Citation Text:
Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1…
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psnet.ahrq.gov/issue/challenging-authority-during-emergency-effect-teaching-intervention
December 13, 2017 - Study
Challenging authority during an emergency—the effect of a teaching intervention.
Citation Text:
Friedman Z, Perelman V, McLuckie D, et al. Challenging Authority During an Emergency-the Effect of a Teaching Intervention. Crit Care Med. 2017;45(8):e814-e820. doi:10.1097/CCM.000000000…
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psnet.ahrq.gov/issue/international-perspectives-modifications-surgical-safety-checklist
November 17, 2021 - Study
International perspectives on modifications to the surgical safety checklist.
Citation Text:
Turley N, Elam M, Brindle ME. International perspectives on modifications to the surgical safety checklist. JAMA Netw Open. 2023;6(6):e2317183. doi:10.1001/jamanetworkopen.2023.17183.
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psnet.ahrq.gov/issue/safety-evaluation-impact-maternity-orientated-human-factors-training-safety-culture-tertiary
October 19, 2022 - Study
A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit.
Citation Text:
Ansari SP, Rayfield ME, Wallis VA, et al. A Safety Evaluation of the Impact of Maternity-Orientated Human Factors Training on Safety Cultu…
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psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients
January 19, 2011 - Study
Classic
Medication errors and adverse drug events in pediatric inpatients.
Citation Text:
Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285(16):2114-20.
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psnet.ahrq.gov/issue/fostering-patient-safety-competencies-using-multiple-patient-simulation-experiences
January 12, 2022 - Study
Fostering patient safety competencies using multiple-patient simulation experiences.
Citation Text:
Ironside PM, Jeffries PR, Martin A. Fostering patient safety competencies using multiple-patient simulation experiences. Nurs Outlook. 2009;57(6):332-7. doi:10.1016/j.outlook.2009.0…
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psnet.ahrq.gov/issue/preliminary-assessment-pediatric-health-care-quality-and-patient-safety-united-states-using
December 23, 2008 - Study
Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data.
Citation Text:
McDonald KM, Davies SM, Haberland CA, et al. Preliminary assessment of pediatric health care quality and patient safety in t…
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psnet.ahrq.gov/issue/fixed-dose-combination-antihypertensives-and-risk-medication-errors
September 28, 2016 - Study
Fixed-dose combination antihypertensives and risk of medication errors.
Citation Text:
Moriarty F, Bennett K, Fahey T. Fixed-dose combination antihypertensives and risk of medication errors. Heart. 2019;105(3):204-209. doi:10.1136/heartjnl-2018-313492.
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psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes
June 26, 2015 - Study
Classic
How house officers cope with their mistakes.
Citation Text:
Wu AW, Folkman S, McPhee SJ, et al. How house officers cope with their mistakes. West J Med. 1993;159(5):565-569.
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psnet.ahrq.gov/issue/surgical-site-infections-colon-surgery-patient-procedure-hospital-and-surgeon
February 19, 2020 - Study
Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon.
Citation Text:
Hübner M, Diana M, Zanetti G, et al. Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. Arch Surg. 2011;146(11):…
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psnet.ahrq.gov/issue/criminalisation-unintentional-error-healthcare-uk-perspective-new-zealand
June 14, 2023 - Commentary
Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand.
Citation Text:
Ameratunga R, Klonin H, Vaughan J, et al. Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. BMJ. 2019;364:l706. doi:10.1…
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psnet.ahrq.gov/issue/reducing-retained-foreign-objects-operating-room-quality-improvement-initiative
April 19, 2023 - Study
Reducing retained foreign objects in the operating room: a quality improvement initiative.
Citation Text:
Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.10…
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psnet.ahrq.gov/issue/disclosure-nonharmful-medical-errors-and-other-events-duty-disclose
January 23, 2017 - Commentary
Disclosure of "nonharmful" medical errors and other events: duty to disclose.
Citation Text:
Chamberlain CJ, Koniaris LG, Wu AW, et al. Disclosure of "nonharmful" medical errors and other events: duty to disclose. Arch Surg. 2012;147(3):282-6. doi:10.1001/archsurg.2011.1005.
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psnet.ahrq.gov/issue/effect-opioid-prescribing-guidelines-prescriptions-emergency-physicians-ohio
April 24, 2018 - Study
The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio.
Citation Text:
Weiner SG, Baker O, Poon SJ, et al. The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio. Ann Emerg Med. 2017;70(6):799-808.e1. doi:1…
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psnet.ahrq.gov/issue/testing-classification-model-emergency-department-errors
March 02, 2010 - October 26, 2010
EMS helicopter crashes: what influences fatal outcome?
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psnet.ahrq.gov/issue/leadership-challenge-staff-nurse-perceptions-after-organizational-teamstepps-initiative
May 11, 2016 - May 11, 2016
A human factors intervention in a hospital--evaluating the outcome of a
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psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care
July 18, 2016 - surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome
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psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
April 06, 2016 - June 28, 2017
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome