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psnet.ahrq.gov/issue/situ-simulated-cardiac-arrest-exercises-detect-system-vulnerabilities
June 27, 2012 - Study
In situ simulated cardiac arrest exercises to detect system vulnerabilities.
Citation Text:
Barbeito A, Bonifacio AS, Holtschneider M, et al. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc. 2015;10(3):154-62. doi:10.1097/SIH.0000000000000…
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psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients
September 27, 2023 - Study
Learning from no-fault treatment injury claims to improve the safety of older patients.
Citation Text:
Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam Med. 2015;13(5):472-4. doi:10.1370/afm.1810.
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psnet.ahrq.gov/issue/flow-disruptions-trauma-care-handoffs
August 02, 2015 - Study
Flow disruptions in trauma care handoffs.
Citation Text:
Catchpole K, Gangi A, Blocker RC, et al. Flow disruptions in trauma care handoffs. J Surg Res. 2013;184(1):586-91. doi:10.1016/j.jss.2013.02.038.
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psnet.ahrq.gov/issue/time-accelerate-integration-human-factors-and-ergonomics-patient-safety
October 03, 2013 - Commentary
Time to accelerate integration of human factors and ergonomics in patient safety.
Citation Text:
Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421.
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psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees
October 08, 2016 - Study
Improving incident reporting among physician trainees.
Citation Text:
Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325.
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psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting
November 21, 2021 - Study
Elucidating reasons for resident underutilization of electronic adverse event reporting.
Citation Text:
Hatoun J, Suen W, Liu C, et al. Elucidating Reasons for Resident Underutilization of Electronic Adverse Event Reporting. Am J Med Qual. 2016;31(4):308-314. doi:10.1177/1062860615…
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psnet.ahrq.gov/issue/exploring-and-evaluating-patient-safety-culture-community-based-primary-care-setting
March 19, 2018 - Study
Exploring and evaluating patient safety culture in a community-based primary care setting.
Citation Text:
Desmedt M, Bergs J, Willaert B, et al. Exploring and Evaluating Patient Safety Culture in a Community-Based Primary Care Setting. J Patient Saf. 2021;17(8):e1216-e1222. doi:10.…
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psnet.ahrq.gov/issue/safety-academic-medical-center-transforming-challenges-ingredients-improvement
February 17, 2011 - Review
Safety in the academic medical center: transforming challenges into ingredients for improvement.
Citation Text:
Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for improvement. Acad Med. 2006;81(9):817-22.
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psnet.ahrq.gov/issue/errors-prevented-and-associated-bar-code-medication-administration-systems
October 16, 2019 - Study
Errors prevented by and associated with bar-code medication administration systems.
Citation Text:
Cochran GL, Jones KJ, Brockman J, et al. Errors prevented by and associated with bar-code medication administration systems. Jt Comm J Qual Patient Saf. 2007;33(5):293-301, 245.
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psnet.ahrq.gov/issue/teaching-medical-students-about-medical-errors-and-patient-safety-evaluation-required
June 08, 2022 - Study
Teaching medical students about medical errors and patient safety: evaluation of a required curriculum.
Citation Text:
Halbach JL, Sullivan LL. Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Acad Med. 2005;80(6):600-6.
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psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-frequency-and-seriousness-medication-errors
June 14, 2011 - Study
Preventing medication errors in community pharmacy: frequency and seriousness of medication errors.
Citation Text:
Knudsen P, Herborg H, Mortensen AR, et al. Preventing medication errors in community pharmacy: frequency and seriousness of medication errors. Qual Saf Health Care. …
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psnet.ahrq.gov/issue/interpretability-doctor-identification-badges-uk-hospitals-survey-nurses-and-patients
October 07, 2013 - Study
The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients.
Citation Text:
Hickerton BC, Fitzgerald DJ, Perry E, et al. The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients. BMJ Qual Saf. 20…
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psnet.ahrq.gov/issue/how-residents-think-and-make-medical-decisions-implications-education-and-patient-safety
June 07, 2023 - Study
How residents think and make medical decisions: implications for education and patient safety.
Citation Text:
Young JS, Smith RL, Guerlain S, et al. How residents think and make medical decisions: implications for education and patient safety. Am Surg. 2007;73(6):548-553; discuss…
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psnet.ahrq.gov/issue/harm-hope-and-purposeful-action-what-could-we-do-after-francis
August 01, 2016 - Commentary
From harm to hope and purposeful action: what could we do after Francis?
Citation Text:
Woodhead T, Lachman P, Mountford J, et al. From harm to hope and purposeful action: what could we do after Francis? BMJ Qual Saf. 2014;23(8):619-23. doi:10.1136/bmjqs-2013-002581.
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psnet.ahrq.gov/issue/do-drug-interaction-alerts-between-chemotherapy-order-entry-system-and-electronic-medical
March 21, 2017 - Study
Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior?
Citation Text:
Weingart SN, Zhu J, Young-Hong J, et al. Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical re…
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psnet.ahrq.gov/issue/patient-safety-climate-primary-care-age-matters
June 11, 2010 - Study
Patient safety climate in primary care: age matters.
Citation Text:
Holden LM, Watts DD, Walker PH. Patient safety climate in primary care: age matters. J Patient Saf. 2009;5(1):23-28. doi:10.1097/PTS.0b013e318199d4bf.
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psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment
December 30, 2014 - Commentary
What 'just culture' doesn't understand about just punishment.
Citation Text:
Reis-Dennis S. What 'Just Culture' doesn't understand about just punishment. J Med Ethics. 2018;44(11):739-742. doi:10.1136/medethics-2018-104911.
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psnet.ahrq.gov/issue/using-internet-deliver-education-drug-safety
March 23, 2011 - Study
Using the internet to deliver education on drug safety.
Citation Text:
Franklin B, O'Grady K, Parr J, et al. Using the internet to deliver education on drug safety. Qual Saf Health Care. 2006;15(5):329-33.
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psnet.ahrq.gov/issue/improving-adverse-drug-event-reporting-healthcare-professionals
April 12, 2019 - Review
Improving adverse drug event reporting by healthcare professionals.
Citation Text:
Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594. doi:10.1002/14651858.cd012594.pub2.
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psnet.ahrq.gov/issue/identifying-latent-failures-underpinning-medication-administration-errors-exploratory-study
December 21, 2016 - Study
Identifying the latent failures underpinning medication administration errors: an exploratory study.
Citation Text:
Lawton R, Carruthers S, Gardner P, et al. Identifying the latent failures underpinning medication administration errors: an exploratory study. Health Serv Res. 2012…