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psnet.ahrq.gov/issue/rapid-response-systems-adult-academic-medical-centers
February 16, 2011 - Study
Rapid response systems in adult academic medical centers.
Citation Text:
Wood KA, Ranji SR, Ide B, et al. Rapid response systems in adult academic medical centers. Jt Comm J Qual Patient Saf. 2009;35(9):475-82, 437.
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psnet.ahrq.gov/issue/perceptions-use-names-recognition-roles-and-teamwork-after-labeling-surgical-caps
March 18, 2009 - Study
Perceptions of use of names, recognition of roles, and teamwork after labeling surgical caps.
Citation Text:
Wong BJ, Nassar AK, Earley M, et al. Perceptions of use of names, recognition of roles, and teamwork after labeling surgical caps. JAMA Netw Open. 2023;6(11):e2341182. doi:1…
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psnet.ahrq.gov/issue/theory-driven-longitudinal-evaluation-impact-team-training-safety-culture-24-hospitals
October 16, 2019 - Study
A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals.
Citation Text:
Jones KJ, Skinner AM, High R, et al. A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. BMJ Qual Saf. 20…
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psnet.ahrq.gov/issue/identifying-right-patient-nurse-and-consumer-perspectives-verifying-patient-identity-during
September 03, 2011 - Study
Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration.
Citation Text:
Kelly T, Roper C, Elsom S, et al. Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during …
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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/focus-quadruple-aim-development-resiliency-center-promote-faculty-and-staff-wellness
February 10, 2015 - Commentary
Focus on the Quadruple Aim: development of a resiliency center to promote faculty and staff wellness initiatives.
Citation Text:
Morrow E, Call M, Marcus R, et al. Focus on the Quadruple Aim: Development of a Resiliency Center to Promote Faculty and Staff Wellness Initiatives.…
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psnet.ahrq.gov/issue/medical-harm-patient-perceptions-and-follow-actions
September 27, 2017 - Study
Medical harm: patient perceptions and follow-up actions.
Citation Text:
Lyu HG, Cooper M, Mayer-Blackwell B, et al. Medical Harm: Patient Perceptions and Follow-up Actions. J Patient Saf. 2017;13(4):199-201. doi:10.1097/PTS.0000000000000136.
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psnet.ahrq.gov/issue/preoperative-multidisciplinary-team-huddle-improves-communication-and-safety-unscheduled
October 19, 2022 - Study
Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science.
Citation Text:
Girnius A, Snyder C, Czarny H, et al. Preoperative multidisciplinary team huddle improves communication and …
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psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multimodal-approach
March 27, 2019 - Review
Reducing medication errors in critical care: a multimodal approach.
Citation Text:
Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530.
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psnet.ahrq.gov/issue/receptionist-input-quality-and-safety-repeat-prescribing-uk-general-practice-ethnographic
March 23, 2022 - Study
Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case study.
Citation Text:
Swinglehurst D, Greenhalgh T, Russell J, et al. Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case …
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psnet.ahrq.gov/issue/medication-safety-messages-patients-web-portal-medcheck-intervention
September 11, 2013 - Study
Medication safety messages for patients via the web portal: the MedCheck intervention.
Citation Text:
Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the MedCheck intervention. Int J Med Inform . 2008;77(3):161-168.
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psnet.ahrq.gov/issue/assessing-impact-anesthesia-medication-template-medication-errors-during-anesthesia
February 14, 2018 - Study
Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study.
Citation Text:
Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospecti…
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psnet.ahrq.gov/issue/impact-anesthetic-handover-mortality-and-morbidity-cardiac-surgery-cohort-study
August 04, 2021 - Study
Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study.
Citation Text:
Hudson CCC, McDonald B, Hudson JKC, et al. Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. J Cardiothorac Vasc Anesth. 2015;29(1)…
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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/systematic-review-team-training-health-care-ten-questions
September 11, 2016 - Review
A systematic review of team training in health care: ten questions.
Citation Text:
Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004.
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psnet.ahrq.gov/issue/call-shift-fatigue-and-use-countermeasures-and-avoidance-strategies-certified-registered
March 15, 2023 - Study
Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey.
Citation Text:
Domen R, Connelly CD, Spence D. Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse …
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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/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
June 19, 2024 - Commentary
Learning from mistakes and near mistakes: using root cause analysis as a risk management tool.
Citation Text:
Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.20…
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psnet.ahrq.gov/issue/speaking-about-dangers-hidden-curriculum
September 30, 2020 - Commentary
Speaking up about the dangers of the hidden curriculum.
Citation Text:
Liao JM, Thomas EJ, Bell SK. Speaking up about the dangers of the hidden curriculum. Health Aff (Millwood). 2014;33(1):168-171. doi:10.1377/hlthaff.2013.1073.
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psnet.ahrq.gov/issue/patients-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
September 29, 2017 - Review
Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review.
Citation Text:
Hoffmann TC, Del Mar C. Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. JAMA Intern Med. 2015;175(2)…