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psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess
March 24, 2017 - Commentary
Intolerance of error and culture of blame drive medical excess.
Citation Text:
Hoffman JR, Kanzaria HK. Intolerance of error and culture of blame drive medical excess. BMJ. 2014;349(oct14 3). doi:10.1136/bmj.g5702.
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psnet.ahrq.gov/issue/relationship-between-patients-perceptions-team-effectiveness-and-their-care-experience
June 08, 2011 - Study
The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department.
Citation Text:
Kipnis A, Rhodes K, Burchill CN, et al. The relationship between patients' perceptions of team effectiveness and their care experience in the…
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psnet.ahrq.gov/issue/framework-direct-observation-performance-and-safety-healthcare
November 15, 2023 - Commentary
Framework for direct observation of performance and safety in healthcare.
Citation Text:
Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407.
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psnet.ahrq.gov/issue/using-advanced-practice-nursing-model-rapid-response-team
August 18, 2021 - Commentary
Using an advanced practice nursing model for a rapid response team.
Citation Text:
Benson L, Mitchell C, Link M, et al. Using an advanced practice nursing model for a rapid response team. Jt Comm J Qual Patient Saf. 2008;34(12):743-7.
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psnet.ahrq.gov/issue/improving-quality-surgical-morbidity-and-mortality-conference-prospective-intervention-study
March 14, 2012 - Study
Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study.
Citation Text:
Mitchell EL, Lee DY, Arora S, et al. Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. Acad Med. 2013…
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psnet.ahrq.gov/issue/heart-health-care-parents-perspectives-patient-safety
April 24, 2018 - Commentary
The heart of health care: parents' perspectives on patient safety.
Citation Text:
Micalizzi DA, Bismark M. The heart of health care: parents' perspectives on patient safety. Pediatr Clin North Am. 2012;59(6):1233-1246. doi:10.1016/j.pcl.2012.08.004.
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psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications
March 16, 2022 - Government Resource
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications.
Citation Text:
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. Alexandria, VA: Department of Defense, Office of the Inspector General; February 21…
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psnet.ahrq.gov/issue/contribution-nurses-incident-disclosure-narrative-review
March 15, 2016 - Review
The contribution of nurses to incident disclosure: a narrative review.
Citation Text:
Harrison R, Birks Y, Hall J, et al. The contribution of nurses to incident disclosure: a narrative review. Int J Nurs Stud. 2014;51(2):334-45. doi:10.1016/j.ijnurstu.2013.07.001.
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psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
October 28, 2020 - Commentary
Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.
Citation Text:
Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005…
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psnet.ahrq.gov/issue/teamwork-inpatient-medical-units-assessing-attitudes-and-barriers
June 11, 2010 - Study
Teamwork on inpatient medical units: assessing attitudes and barriers.
Citation Text:
O'Leary KJ, Ritter CD, Wheeler H, et al. Teamwork on inpatient medical units: assessing attitudes and barriers. Qual Saf Health Care. 2010;19(2):117-21. doi:10.1136/qshc.2008.028795.
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psnet.ahrq.gov/issue/errors-during-preparation-drug-infusions-randomized-controlled-trial
March 02, 2011 - Study
Errors during the preparation of drug infusions: a randomized controlled trial.
Citation Text:
Adapa RM, Mani V, Murray LJ, et al. Errors during the preparation of drug infusions: a randomized controlled trial. Br J Anaesth. 2012;109(5):729-34. doi:10.1093/bja/aes257.
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psnet.ahrq.gov/issue/federal-governments-oversight-ct-safety-regulatory-possibilities
February 13, 2019 - Commentary
The federal government's oversight of CT safety: regulatory possibilities.
Citation Text:
Harvey B, Pandharipande P. The federal government's oversight of CT safety: regulatory possibilities. Radiology. 2012;262(2):391-8. doi:10.1148/radiol.11111032.
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psnet.ahrq.gov/issue/effects-technological-interventions-safety-medication-use-system
May 11, 2016 - Study
Effects of technological interventions on the safety of a medication-use system.
Citation Text:
Skibinski K, White BA, Lin LI-K, et al. Effects of technological interventions on the safety of a medication-use system. Am J Health Syst Pharm. 2007;64(1):90-6.
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psnet.ahrq.gov/issue/what-have-we-learnt-after-15-years-research-weekend-effect
December 02, 2020 - Commentary
What have we learnt after 15 years of research into the 'weekend effect'?
Citation Text:
Bray BD, Steventon A. What have we learnt after 15 years of research into the 'weekend effect'? BMJ Qual Saf. 2017;26(8):607-610. doi:10.1136/bmjqs-2016-005793.
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psnet.ahrq.gov/issue/balancing-risk-my-life-politics-risk-hospital-operating-theatre-department
July 20, 2010 - Commentary
'Balancing risk, that is my life': The politics of risk in a hospital operating theatre department.
Citation Text:
McDonald R, Waring J, Harrison S. ‘Balancing risk, that is my life’: The politics of risk in a hospital operating theatre department. Health Risk Soc. 2005;7(4)…
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psnet.ahrq.gov/issue/reengineering-hospital-discharge-protocol-improve-patient-safety-reduce-costs-and-boost
May 20, 2009 - Commentary
Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.
Citation Text:
Clancy CM. Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. Am J Med Qual…
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psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
June 22, 2011 - Commentary
Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes.
Citation Text:
Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Int J …
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psnet.ahrq.gov/issue/patient-safety-what-how-and-when
June 23, 2021 - Commentary
Patient safety: the what, how, and when.
Citation Text:
Albrecht RM. Patient safety: the what, how, and when. Am J Surg. 2015;210(6):978-82. doi:10.1016/j.amjsurg.2015.09.003.
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psnet.ahrq.gov/issue/primary-care-physician-communication-hospital-discharge-reduces-medication-discrepancies
May 04, 2010 - Study
Primary care physician communication at hospital discharge reduces medication discrepancies.
Citation Text:
Lindquist LA, Yamahiro A, Garrett A, et al. Primary care physician communication at hospital discharge reduces medication discrepancies. J Hosp Med. 2013;8(12):672-7. doi:10…
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psnet.ahrq.gov/issue/new-structure-attention-open-disclosure-adverse-events-patients-and-their-families
March 04, 2009 - Study
A new structure of attention? Open disclosure of adverse events to patients and their families.
Citation Text:
Iedema R, Jorm C, Wakefield JG, et al. A New Structure of Attention? J Lang Soc Psychol. 2009;28(2). doi:10.1177/0261927x08330614.
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