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psnet.ahrq.gov/issue/educating-21st-century-health-care-system-interdependent-framework-basic-clinical-and-systems
August 28, 2024 - Commentary
Educating for the 21st-century health care system: an interdependent framework of basic, clinical, and systems sciences.
Citation Text:
Gonzalo JD, Haidet P, Papp KK, et al. Educating for the 21st-Century Health Care System: An Interdependent Framework of Basic, Clinical, and …
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psnet.ahrq.gov/issue/transferring-aviation-practices-clinical-medicine-promotion-high-reliability
September 12, 2018 - Review
Transferring aviation practices into clinical medicine for the promotion of high reliability.
Citation Text:
Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…
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psnet.ahrq.gov/issue/typology-electronic-health-record-workarounds-small-medium-size-primary-care-practices
November 30, 2016 - Study
A typology of electronic health record workarounds in small-to-medium size primary care practices.
Citation Text:
Friedman A, Crosson JC, Howard J, et al. A typology of electronic health record workarounds in small-to-medium size primary care practices. J Am Med Inform Assoc. 2014;…
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psnet.ahrq.gov/issue/barcode-medication-administration-software-technology-use-emergency-department-and-medication
November 04, 2015 - Study
Barcode medication administration software technology use in the emergency department and medication error rates.
Citation Text:
Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency department and medication error rates. Comput Inform Nurs.…
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psnet.ahrq.gov/issue/effectiveness-facilitated-introduction-standard-operating-procedure-routine-processes
February 04, 2015 - Study
Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series.
Citation Text:
Morgan L, New S, Robertson ER, et al. Effectiveness of facilitated introduction of a standard operating …
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psnet.ahrq.gov/issue/health-services-under-pressure-scoping-review-and-development-taxonomy-adaptive-strategies
January 22, 2020 - Commentary
Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies.
Citation Text:
Page B, Irving D, Amalberti R, et al. Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies. BMJ Qual Saf. 2023…
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psnet.ahrq.gov/issue/teamwork-and-team-performance-multidisciplinary-cancer-teams-development-and-evaluation
August 11, 2010 - Study
Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool.
Citation Text:
Lamb BW, Vincent CA, Green JSA, et al. Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an…
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psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative-care-after-major
August 11, 2010 - Study
An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery.
Citation Text:
Symons NRA, Almoudaris AM, Nagpal K, et al. An observational study of the frequency, severity, and etiology of failures in postop…
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psnet.ahrq.gov/issue/comparison-prototype-indications-based-prescribing-2-commercial-prescribing-systems
June 05, 2018 - Study
Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems.
Citation Text:
Garabedian PM, Wright A, Newbury I, et al. Comparison of a Prototype for Indications-Based Prescribing With 2 Commercial Prescribing Systems. JAMA Netw Open. 2019;2(3):…
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psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices
October 27, 2021 - Study
Integrating systemic accident analysis into patient safety incident investigation practices.
Citation Text:
Canham A, Jun GT, Waterson P, et al. Integrating systemic accident analysis into patient safety incident investigation practices. Appl Ergon. 2018;72:1-9. doi:10.1016/j.aperg…
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psnet.ahrq.gov/issue/patient-safety-climate-among-orthopaedic-surgery-residents
December 21, 2014 - Study
Patient safety climate among orthopaedic surgery residents.
Citation Text:
Kadzielski J, McCormick F, Zurakowski D, et al. Patient safety climate among orthopaedic surgery residents. J Bone Joint Surg Am. 2011;93(11):e62. doi:10.2106/JBJS.J.01478.
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psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural
May 13, 2009 - Commentary
Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine.
Citation Text:
Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural La…
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psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication
December 04, 2013 - Study
A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions.
Citation Text:
Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…
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psnet.ahrq.gov/issue/overview-adverse-events-related-invasive-procedures-intensive-care-unit
November 29, 2023 - Study
Overview of adverse events related to invasive procedures in the intensive care unit.
Citation Text:
Pottier V, Daubin C, Lerolle N, et al. Overview of adverse events related to invasive procedures in the intensive care unit. Am J Infect Control. 2012;40(3):241-6. doi:10.1016/j.a…
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psnet.ahrq.gov/issue/improving-medication-administration-safety-solid-organ-transplant-patients-through-barcode
October 02, 2013 - Study
Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration.
Citation Text:
Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ transplant patients through barcode-as…
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psnet.ahrq.gov/issue/conducting-efficient-proactive-risk-assessment-prior-cpoe-implementation-intensive-care-unit
December 31, 2014 - Study
Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit.
Citation Text:
Hundt AS, Adams JA, Schmid A, et al. Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. Int J Med Inform…
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psnet.ahrq.gov/issue/people-systems-and-safety-resilience-and-excellence-healthcare-practice
March 04, 2020 - Review
Emerging Classic
People, systems and safety: resilience and excellence in healthcare practice.
Citation Text:
Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/…
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psnet.ahrq.gov/issue/effect-lean-intervention-improve-safety-processes-and-outcomes-surgical-emergency-unit
January 04, 2010 - Study
Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit.
Citation Text:
McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ. 2010;341:c5469.…
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psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist
April 27, 2022 - Commentary
Time out! Rethinking surgical safety: more than just a checklist.
Citation Text:
Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf. 2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600.
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psnet.ahrq.gov/issue/office-based-physicians-are-responding-incentives-and-assistance-adopting-and-using
August 07, 2013 - Study
Office-based physicians are responding to incentives and assistance by adopting and using electronic health records.
Citation Text:
Hsiao C-J, Jha AK, King J, et al. Office-based physicians are responding to incentives and assistance by adopting and using electronic health record…