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psnet.ahrq.gov/issue/medical-improv-novel-approach-teaching-communication-and-professionalism-skills
November 25, 2020 - Commentary
Medical improv: a novel approach to teaching communication and professionalism skills.
Citation Text:
Watson K, Fu B. Medical Improv: A Novel Approach to Teaching Communication and Professionalism Skills. Ann Intern Med. 2016;165(8):591-592. doi:10.7326/M15-2239.
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psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice
April 06, 2011 - Commentary
Classic
Errors, incidents and accidents in anaesthetic practice.
Citation Text:
Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5…
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psnet.ahrq.gov/issue/influence-formulation-and-medicine-delivery-system-medication-administration-errors-care
March 23, 2011 - Study
The influence of formulation and medicine delivery system on medication administration errors in care homes for older people.
Citation Text:
Alldred DP, Standage C, Fletcher O, et al. The influence of formulation and medicine delivery system on medication administration errors in…
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psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery
August 02, 2015 - Study
Classic
Variation in hospital mortality associated with inpatient surgery.
Citation Text:
Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa090304…
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psnet.ahrq.gov/issue/learning-litigation-role-claims-analysis-patient-safety
November 21, 2018 - Study
Learning from litigation. The role of claims analysis in patient safety.
Citation Text:
Vincent CA, Davy C, Esmail A, et al. Learning from litigation. The role of claims analysis in patient safety. J Eval Clin Pract. 2006;12(6):665-74.
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psnet.ahrq.gov/issue/organisational-conditions-safety-management-practice-homecare-and-nursing-homes-pre-pandemic
August 03, 2022 - Study
Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic.
Citation Text:
Dellve L, Skagert K. Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic. Safety Sci…
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psnet.ahrq.gov/issue/longitudinal-trends-us-drug-shortages-medications-used-emergency-departments-2001-2014
July 19, 2023 - Study
Longitudinal trends in U.S. drug shortages for medications used in emergency departments (2001–2014).
Citation Text:
Hawley KL, Mazer-Amirshahi M, Zocchi MS, et al. Longitudinal Trends in U.S. Drug Shortages for Medications Used in Emergency Departments (2001-2014). Acad Emerg Med.…
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psnet.ahrq.gov/issue/iatrogenic-disease-management-moderating-medication-errors-and-risks-pharmacy-benefit
February 13, 2019 - Commentary
Iatrogenic disease management: moderating medication errors and risks in a pharmacy benefit management environment.
Citation Text:
Nair V, Salmon JW, Kaul AF. Iatrogenic Disease Management: Moderating Medication Errors and Risks in a Pharmacy Benefit Management Environment…
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psnet.ahrq.gov/issue/use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-patient-falls
September 23, 2020 - Study
Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls.
Citation Text:
Bursiek AA, Hopkins MR, Breitkopf DM, et al. Use of High-Fidelity Simulation to Enhance Interdisciplinary Collaboration and Reduce Patient Falls. J Patient Saf. 2020;…
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psnet.ahrq.gov/issue/application-engineering-problem-solving-methodology-address-persistent-problems-patient
March 18, 2020 - Study
Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery.
Citation Text:
Anderson DE, Watts B. Application of an engineering problem-solving methodology to address persistent…
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psnet.ahrq.gov/issue/initial-clinical-evaluation-handheld-device-detecting-retained-surgical-gauze-sponges-using
August 18, 2010 - Study
Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology.
Citation Text:
Macario A, Morris D, Morris S. Initial clinical evaluation of a handheld device for detecting retained surgical gauze spon…
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psnet.ahrq.gov/issue/equipment-related-incidents-operating-room-analysis-occurrence-underlying-causes-and
February 14, 2024 - Study
Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process.
Citation Text:
Wubben I, van Manen JG, van den Akker BJ, et al. Equipment-related incidents in the operating room: an analysis of occurrence,…
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psnet.ahrq.gov/issue/effectiveness-radiofrequency-detection-system-adjunct-manual-counting-protocols-tracking
October 19, 2022 - Study
Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients.
Citation Text:
Rupp CC, Kagarise MJ, Nelson SM, et al. Effectiveness of a radiofrequency detection system as an adju…
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psnet.ahrq.gov/issue/process-changes-increase-compliance-universal-protocol-bedside-procedures
December 01, 2014 - Study
Process changes to increase compliance with the Universal Protocol for bedside procedures.
Citation Text:
Barsuk JH, Brake H, Caprio T, et al. Process changes to increase compliance with the universal protocol for bedside procedures. Arch Intern Med. 2011;171(10):947-9. doi:10.10…
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psnet.ahrq.gov/issue/error-traps-pediatric-patient-blood-management-perioperative-period
January 12, 2022 - Commentary
Error traps in pediatric patient blood management in the perioperative period.
Citation Text:
Tan GM, Murto K, Downey LA, et al. Error traps in pediatric patient blood management in the perioperative period. Paediatr Anaesth. 2023;33(8):609-619. doi:10.1111/pan.14683.
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psnet.ahrq.gov/issue/ashp-guidelines-minimum-standard-ambulatory-care-pharmacy-practice
September 23, 2020 - Commentary
ASHP guidelines: minimum standard for ambulatory care pharmacy practice.
Citation Text:
Buxton JA, Babbitt RM, Clegg CA, et al. ASHP guidelines: Minimum standard for ambulatory care pharmacy practice. Am J Health-Syst Pharm. 2015;72(14):1221-1236. doi:10.2146/sp150005.
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psnet.ahrq.gov/issue/comparison-medication-safety-systems-critical-access-hospitals-combined-analysis-two-studies
September 28, 2016 - Study
Comparison of medication safety systems in critical access hospitals: combined analysis of two studies.
Citation Text:
Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies. Am J Health Syst Pharm. 20…
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psnet.ahrq.gov/issue/safety-culture-transformation-its-effects-childrens-hospital
November 04, 2014 - Study
A safety culture transformation: its effects at a children's hospital.
Citation Text:
Peterson TH, Teman SF, Connors RH. A safety culture transformation: its effects at a children's hospital. J Patient Saf. 2012;8(3):125-30. doi:10.1097/PTS.0b013e31824bd744.
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psnet.ahrq.gov/issue/inpatient-notes-human-factors-engineering-and-inpatient-care-new-ways-solve-old-problems
December 27, 2018 - Commentary
Inpatient Notes: human factors engineering and inpatient care—new ways to solve old problems.
Citation Text:
Clack L, Sax H. Web Exclusives. Annals for Hospitalists Inpatient Notes - Human Factors Engineering and Inpatient Care-New Ways to Solve Old Problems. Ann Intern Med. 2…
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psnet.ahrq.gov/issue/perception-patient-safety-culture-pediatric-long-term-care-settings
May 10, 2023 - Study
Perception of patient safety culture in pediatric long-term care settings.
Citation Text:
Hessels AJ, Murray MT, Cohen B, et al. Perception of Patient Safety Culture in Pediatric Long-Term Care Settings. J Healthc Qual. 2018;40(6):384-391. doi:10.1097/JHQ.0000000000000134.
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