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psnet.ahrq.gov/issue/improving-feedback-junior-doctors-prescribing-errors-mixed-methods-evaluation-quality
July 11, 2018 - Review
Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project.
Citation Text:
Reynolds M, Jheeta S, Benn J, et al. Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement proj…
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psnet.ahrq.gov/issue/developing-and-implementing-new-safe-practices-voluntary-adoption-through-statewide
June 13, 2011 - Commentary
Developing and implementing new safe practices: voluntary adoption through statewide collaboratives.
Citation Text:
Leape L, Rogers G, Hanna D, et al. Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. Qual Saf Health Care. 2…
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psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
July 07, 2021 - Review
Root cause analysis for hospital-acquired pressure injury.
Citation Text:
Black JM. Root cause analysis for hospital-acquired pressure injury. J Wound Ostomy Continence Nurs. 2019;46(4):298-304. doi:10.1097/WON.0000000000000546.
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psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes
February 01, 2023 - Study
The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned,
Citation Text:
Duzyj CM, Boyle C, Mahoney K, et al. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, f…
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psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-balance-medical-education
October 12, 2012 - Commentary
Systems errors versus physicians' errors: finding the balance in medical education.
Citation Text:
Casarett D, Helms C. Systems errors versus physicians' errors: finding the balance in medical education. Acad Med. 1999;74(1):19-22.
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psnet.ahrq.gov/issue/benefits-and-harms-open-notes-mental-health-delphi-survey-international-experts
July 07, 2021 - Study
The benefits and harms of open notes in mental health: a Delphi survey of international experts.
Citation Text:
Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi survey of international experts. PLoS ONE. 2021;16(10):e0258056. d…
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psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation
January 04, 2017 - Study
Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation.
Citation Text:
Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37…
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psnet.ahrq.gov/issue/maternal-sleepiness-and-risk-infant-drops-postpartum-period
October 19, 2022 - Study
Maternal sleepiness and risk of infant drops in the postpartum period.
Citation Text:
Bittle MD, Knapp H, Polomano RC, et al. Maternal Sleepiness and Risk of Infant Drops in the Postpartum Period. Jt Comm J Qual Patient Saf. 2019;45(5):337-347. doi:10.1016/j.jcjq.2018.12.001.
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psnet.ahrq.gov/issue/automated-adverse-event-detection-collaborative-electronic-adverse-event-identification
July 03, 2016 - Study
Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions.
Citation Text:
Stockwell DC, Kirkendall E, Muething S, et al. Automated adverse event detection collaborative: e…
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psnet.ahrq.gov/issue/whatever-you-cut-i-can-fix-it-clinical-supervisors-interview-accounts-allowing-trainee
November 24, 2021 - Study
'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety.
Citation Text:
Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview accounts of allowing t…
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psnet.ahrq.gov/issue/safety-warfarin-therapy-nursing-home-setting
March 11, 2011 - Study
The safety of warfarin therapy in the nursing home setting.
Citation Text:
Gurwitz JH, Field T, Radford MJ, et al. The safety of warfarin therapy in the nursing home setting. Am J Med. 2007;120(6):539-44.
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psnet.ahrq.gov/issue/effects-mid-day-nap-neurocognitive-performance-first-year-medical-residents-controlled
November 16, 2022 - Study
The effects of a mid-day nap on the neurocognitive performance of first-year medical residents: a controlled interventional pilot study.
Citation Text:
Amin MM, Graber ML, Ahmad K, et al. The effects of a mid-day nap on the neurocognitive performance of first-year medical resident…
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psnet.ahrq.gov/issue/management-deteriorating-adult-patient-does-simulation-based-education-improve-patient-safety
June 08, 2022 - Review
Management of the deteriorating adult patient: does simulation-based education improve patient safety?
Citation Text:
Bennion J, Mansell SK. Management of the deteriorating adult patient: does simulation-based education improve patient safety? Br J Hosp Med (Lond). 2021;82(8):1-8.…
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psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events
January 22, 2017 - Commentary
The disclosure dilemma—large-scale adverse events.
Citation Text:
Dudzinski DM, Hébert PC, Foglia MB, et al. The disclosure dilemma--large-scale adverse events. New Engl J Med. 2010;363(10):978-986. doi:10.1056/NEJMhle1003134.
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psnet.ahrq.gov/issue/national-mixed-methods-evaluation-preparedness-general-surgery-residency-and-association
September 02, 2020 - Study
A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout.
Citation Text:
Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for general surgery residency and the asso…
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psnet.ahrq.gov/issue/change-shift-nursing-handoff-interruptions-implications-evidence-based-practice
July 19, 2023 - Study
Change‐of‐shift nursing handoff interruptions: implications for evidence‐based practice.
Citation Text:
Rhudy LM, Johnson MR, Krecke CA, et al. Change-of-Shift Nursing Handoff Interruptions: Implications for Evidence-Based Practice. Worldviews Evid Based Nurs. 2019;16(5):362-370. d…
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psnet.ahrq.gov/issue/advancing-perinatal-patient-safety-through-application-safety-science-principles-using-health
April 27, 2019 - Study
Advancing perinatal patient safety through application of safety science principles using health IT.
Citation Text:
Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Ma…
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psnet.ahrq.gov/issue/drug-administration-errors-hospital-inpatients-systematic-review
September 01, 2016 - Review
Drug administration errors in hospital inpatients: a systematic review.
Citation Text:
Berdot S, Gillaizeau F, Caruba T, et al. Drug administration errors in hospital inpatients: a systematic review. PLoS One. 2013;8(6):e68856. doi:10.1371/journal.pone.0068856.
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psnet.ahrq.gov/issue/economic-consequences-medical-injuries-implications-no-fault-insurance-plan
February 18, 2011 - Study
Classic
The economic consequences of medical injuries: implications for a no-fault insurance plan.
Citation Text:
Johnson WG, Brennan TA, Newhouse JP, et al. The economic consequences of medical injuries. Implications for a no-fault insurance plan. JAMA.…
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psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system-chiropractors-and
December 23, 2020 - Study
What's the harm? Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists.
Citation Text:
Pohlman KA, Funabashi M, O’Beirne M, et al. What’s the harm? Results of an active surveillance adverse event reporting system for chiropractors a…