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psnet.ahrq.gov/issue/contamination-health-care-personnel-during-removal-personal-protective-equipment
April 24, 2018 - Study
Contamination of health care personnel during removal of personal protective equipment.
Citation Text:
Tomas ME, Kundrapu S, Thota P, et al. Contamination of Health Care Personnel During Removal of Personal Protective Equipment. JAMA Intern Med. 2015;175(12):1904-10. doi:10.1001/ja…
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psnet.ahrq.gov/issue/how-avoid-catastrophic-events-ward
February 03, 2011 - Review
How to avoid catastrophic events on the ward.
Citation Text:
Bein B, Seewald S, Gräsner J-T. How to avoid catastrophic events on the ward. Best Pract Res Clin Anaesthesiol. 2016;30(2):237-45. doi:10.1016/j.bpa.2016.04.003.
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psnet.ahrq.gov/issue/blueprint-success-implementation-center-medicare-and-medicaid-services-mandated
September 09, 2020 - Commentary
A blueprint for success: implementation of the Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large health system.
Citation Text:
Abdelmalak BB, Adhami T, Simmons W, et al. A blueprint for success: implementation of the…
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psnet.ahrq.gov/issue/differences-medication-errors-between-central-and-remote-site-telepharmacies
September 21, 2011 - Study
Differences in medication errors between central and remote site telepharmacies.
Citation Text:
Scott DM, Friesner DL, Rathke AM, et al. Differences in medication errors between central and remote site telepharmacies. J Am Pharm Assoc (2003). 2012;52(5):e97-e104.
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psnet.ahrq.gov/issue/psychological-intervention-improve-communication-and-patient-safety-obstetrics-examination
April 21, 2021 - Study
Psychological intervention to improve communication and patient safety in obstetrics: examination of the health action process approach.
Citation Text:
Derksen C, Kötting L, Keller FM, et al. Psychological intervention to improve communication and patient safety in obstetrics: exam…
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psnet.ahrq.gov/issue/deviation-preoperative-surgical-and-anaesthetic-care-plan-associated-increased-risk-adverse
August 20, 2018 - Study
Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery.
Citation Text:
Gauss T, Merckx P, Brasher C, et al. Deviation from a preoperative surgical and anaesthetic care plan is …
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psnet.ahrq.gov/issue/does-lean-management-improve-patient-safety-culture-extensive-evaluation-safety-culture
December 05, 2018 - Study
Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute.
Citation Text:
Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiot…
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psnet.ahrq.gov/issue/how-does-environment-influence-consumers-perceptions-safety-acute-mental-health-units
December 16, 2020 - Study
How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study.
Citation Text:
Cutler NA, Halcomb E, Sim J, et al. How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative …
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psnet.ahrq.gov/issue/protocol-based-computer-reminders-quality-care-and-non-perfectability-man
April 24, 2018 - Study
Classic
Protocol-based computer reminders, the quality of care and the non-perfectability of man.
Citation Text:
McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976;295(24):1351-5.
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psnet.ahrq.gov/issue/drug-errors-and-related-interventions-reported-united-states-clinical-pharmacists-american
May 29, 2014 - Study
Drug errors and related interventions reported by United States clinical pharmacists: The American College of Clinical Pharmacy Practice-Based Research Network medication error detection, amelioration and prevention study.
Citation Text:
Kuo GM, Touchette DR, Marinac JS. Drug erro…
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psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
June 22, 2022 - Study
Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia.
Citation Text:
Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults…
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psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures
September 07, 2011 - Review
Interventions for reducing wrong-site surgery and invasive procedures.
Citation Text:
Algie CM, Mahar RK, Wasiak J, et al. Interventions for reducing wrong-site surgery and invasive clinical procedures. Cochrane Database Syst Rev. 2015;3)(3):CD009404. doi:10.1002/14651858.CD009404…
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psnet.ahrq.gov/issue/individual-characteristics-promote-or-prevent-psychological-safety-and-error-reporting
September 14, 2022 - Review
Individual characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic review.
Citation Text:
Wawersik DM, Boutin ER, Gore T, et al. Individual characteristics that promote or prevent psychological safety and error reporting in heal…
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psnet.ahrq.gov/issue/multidisciplinary-approaches-reducing-error-and-risk-patient-care-setting
January 05, 2017 - Study
Classic
Multidisciplinary approaches to reducing error and risk in a patient care setting.
Citation Text:
Connor M, Ponte PR, Conway JB. Multidisciplinary approaches to reducing error and risk in a patient care setting. Crit Care Nurs Clin North Am. 2002…
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psnet.ahrq.gov/issue/towards-diagnostic-excellence-academic-ward-teams-building-conceptual-model-team-dynamics
August 20, 2018 - Study
Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process.
Citation Text:
Choi JJ, Rosen MA, Shapiro MF, et al. Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in t…
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psnet.ahrq.gov/issue/contraindicated-medication-use-dialysis-patients-undergoing-percutaneous-coronary
February 03, 2011 - Study
Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention.
Citation Text:
Tsai TT, Maddox TM, Roe MT, et al. Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention. JAMA. 2009;302(22):2458-64. doi:…
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psnet.ahrq.gov/issue/medical-diagnoses-commonly-associated-pediatric-malpractice-lawsuits-united-states
November 16, 2022 - Study
Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States.
Citation Text:
McAbee GN, Donn SM, Mendelson RA, et al. Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. Pediatrics. 2008;122(6):e1282-e1…
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psnet.ahrq.gov/issue/choosing-your-words-carefully-how-physicians-would-disclose-harmful-medical-errors-patients
February 16, 2011 - Study
Classic
Choosing your words carefully: how physicians would disclose harmful medical errors to patients.
Citation Text:
Gallagher TH, Garbutt J, Waterman AD, et al. Choosing your words carefully: how physicians would disclose harmful medical errors to pa…
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psnet.ahrq.gov/issue/increasing-adoption-computerized-provider-order-entry-and-persistent-regional-disparities-us
May 16, 2012 - Study
Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments.
Citation Text:
Pallin DJ, Sullivan AF, Espinola JA, et al. Increasing adoption of computerized provider order entry, and persistent regional disparities, in…
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psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident
October 19, 2016 - Commentary
Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education.
Citation Text:
Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Educat…