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psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire-survey
December 04, 2015 - Study
Important factors for effective patient safety governance auditing: a questionnaire survey.
Citation Text:
van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. d…
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psnet.ahrq.gov/issue/deficiencies-electronic-medical-record-inpatient-list-capabilities-negatively-impact-patient
October 19, 2022 - Study
Deficiencies in electronic medical record inpatient list capabilities negatively impact patient safety, resident education, and wellness.
Citation Text:
Davalos RA, Aden J, Pluta N, et al. Deficiencies in electronic medical record inpatient list capabilities negatively impact patie…
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psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong
July 21, 2009 - Study
Patients use an internet technology to report when things go wrong.
Citation Text:
Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5.
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psnet.ahrq.gov/issue/resident-duty-hour-restrictions-and-neurosurgical-training-review-literature
September 23, 2020 - Review
On resident duty hour restrictions and neurosurgical training: review of the literature.
Citation Text:
Bina RW, Lemole M, Dumont TM. On resident duty hour restrictions and neurosurgical training: review of the literature. J Neurosurg. 2016;124(3):842-8. doi:10.3171/2015.3.JNS1427…
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psnet.ahrq.gov/issue/impact-sample-size-variation-adverse-events-and-preventable-adverse-events-systematic-review
May 15, 2024 - Review
Impact of sample size on variation of adverse events and preventable adverse events: systematic review on epidemiology and contributing factors.
Citation Text:
Lessing C, Schmitz A, Albers B, et al. Impact of sample size on variation of adverse events and preventable adverse eve…
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psnet.ahrq.gov/issue/reaching-summit-discharge-summaries-quality-improvement-project
March 17, 2021 - Study
Reaching the summit of discharge summaries: a quality improvement project.
Citation Text:
Richmond RT, McFadzean IJ, Vallabhaneni P. Reaching the summit of discharge summaries: a quality improvement project. BMJ Open Qual. 2021;10(1):e001142. doi:10.1136/bmjoq-2020-001142.
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psnet.ahrq.gov/issue/inappropriate-preinjury-warfarin-use-trauma-patients-call-safety-initiative
August 04, 2021 - Study
Inappropriate preinjury warfarin use in trauma patients: a call for a safety initiative.
Citation Text:
Hon HH, Elmously A, Stehly CD, et al. Inappropriate preinjury warfarin use in trauma patients: A call for a safety initiative. J Postgrad Med. 2016;62(2):73-9. doi:10.4103/0022-3…
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psnet.ahrq.gov/issue/using-human-factors-design-principles-and-industrial-engineering-methods-improve-accuracy-and
September 23, 2020 - Commentary
Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays.
Citation Text:
Chen D-W, Chase VJ, Burkhardt ME, et al. Using Human Factors Design Principles and Industrial Engineering Methods to I…
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psnet.ahrq.gov/issue/speaking-same-language-international-variations-safety-information-accompanying-top-selling
September 25, 2008 - Study
Speaking the same language? International variations in the safety information accompanying top-selling prescription drugs.
Citation Text:
Kesselheim AS, Franklin JM, Avorn J, et al. Speaking the same language? International variations in the safety information accompanying top-se…
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psnet.ahrq.gov/issue/enteral-nutrition-underappreciated-source-patient-safety-events
February 01, 2023 - Study
Enteral nutrition: an underappreciated source of patient safety events.
Citation Text:
Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events. Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153.
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psnet.ahrq.gov/issue/one-stop-diagnostic-breast-clinics-how-often-are-breast-cancers-missed
August 04, 2021 - Study
One-stop diagnostic breast clinics: how often are breast cancers missed?
Citation Text:
Britton P, Duffy SW, Sinnatamby R, et al. One-stop diagnostic breast clinics: how often are breast cancers missed? Br J Cancer. 2009;100(12). doi:10.1038/sj.bjc.6605082.
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psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder
October 19, 2022 - Commentary
A lethal hidden curriculum—death of a medical student from opioid use disorder.
Citation Text:
Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537.
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psnet.ahrq.gov/issue/study-deaths-associated-anesthesia-and-surgery-based-study-599-548-anesthesias-ten
August 04, 2021 - Study
Classic
Study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias in ten institutions 1948-1952, inclusive.
Citation Text:
BEECHER HK, TODD DP. A study of the deaths associated with anesthesia and surgery: based…
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psnet.ahrq.gov/issue/medical-error-reporting-patient-safety-and-physician
February 04, 2009 - Study
Medical error reporting, patient safety, and the physician.
Citation Text:
Anderson B, Stumpf PG, Schulkin J. Medical Error Reporting, Patient Safety, and the Physician. J Patient Saf. 2009;5(3):176-179. doi:10.1097/pts.0b013e3181b320b0.
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psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process
October 31, 2017 - Study
Internal reporting system to improve a pharmacy's medication distribution process.
Citation Text:
Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202.
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psnet.ahrq.gov/issue/reduction-medication-errors-related-sliding-scale-insulin-introduction-standardized-order
June 19, 2024 - Study
Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet.
Citation Text:
Harada S, Suzuki A, Nishida S, et al. Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet.…
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psnet.ahrq.gov/issue/anatomy-failure-sociotechnical-evaluation-laboratory-physician-order-entry-system
April 13, 2022 - Study
Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation.
Citation Text:
Peute LW, Aarts J, Bakker PJM, et al. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. Int J…
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psnet.ahrq.gov/issue/drug-calculation-ability-qualified-paramedics-pilot-study
June 25, 2018 - Study
Drug calculation ability of qualified paramedics: a pilot study.
Citation Text:
Boyle MJ, Eastwood K. Drug calculation ability of qualified paramedics: A pilot study. World J Emerg Med. 2018;9(1):41-45. doi:10.5847/wjem.j.1920-8642.2018.01.006.
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psnet.ahrq.gov/issue/disparities-patient-safety-voluntary-event-reporting-scoping-review
November 16, 2022 - Review
Disparities in patient safety voluntary event reporting: a scoping review.
Citation Text:
Hoops K, Pittman E, Stockwell DC. Disparities in patient safety voluntary event reporting: a scoping review. Jt Comm J Qual Patient Saf. 2024;50(1):41-48. doi:10.1016/j.jcjq.2023.10.009.
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psnet.ahrq.gov/issue/passing-baton-grounded-practical-theory-handoff-communication-between-multidisciplinary
November 16, 2022 - Study
Passing the baton: a grounded practical theory of handoff communication between multidisciplinary providers in two Department of Veterans Affairs outpatient settings.
Citation Text:
Koenig CJ, Maguen S, Daley A, et al. Passing the baton: a grounded practical theory of handoff commu…