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psnet.ahrq.gov/issue/medication-errors-intravenous-drug-preparation-and-administration-multicentre-audit-uk
December 04, 2015 - Study
Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France.
Citation Text:
Cousins DH, Sabatier B, Begue D, et al. Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Ger…
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psnet.ahrq.gov/issue/communication-outcomes-critical-imaging-results-computerized-notification-system
April 04, 2011 - Study
Communication outcomes of critical imaging results in a computerized notification system.
Citation Text:
Singh H, Arora HS, Vij MS, et al. Communication outcomes of critical imaging results in a computerized notification system. J Am Med Inform Assoc. 2007;14(4):459-66.
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psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems
April 06, 2022 - Study
Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems.
Citation Text:
Balla U, Malnick S, Schattner A. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Medicine (Ba…
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psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses
November 10, 2010 - Commentary
ReCASTing the RCA: an improved model for performing root cause analyses.
Citation Text:
Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. American Journal of Medical Quality. 2010;25(3). doi:10.1177/1062860609359533…
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psnet.ahrq.gov/issue/hospital-rns-experiences-disruptive-behavior-qualitative-study
September 09, 2015 - Study
Hospital RNs' experiences with disruptive behavior: a qualitative study.
Citation Text:
Walrath JM, Dang D, Nyberg D. Hospital RNs' experiences with disruptive behavior: a qualitative study. J Nurs Care Qual. 2010;25(2):105-116. doi:10.1097/NCQ.0b013e3181c7b58e.
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psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications
October 31, 2023 - Audiovisual Presentation
Unprofessional Behavior Leads to Complications.
Citation Text:
Unprofessional Behavior Leads to Complications. JN Learning. 2020.
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psnet.ahrq.gov/issue/simulation-techniques-teaching-time-outs-controlled-trial
June 22, 2016 - Study
Simulation techniques for teaching time-outs: a controlled trial.
Citation Text:
Simulation techniques for teaching time-outs: a controlled trial. Paull DE, Williams L, Sine DM. Patient Saf Qual Healthc. March/April 2016;13:28-37.
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psnet.ahrq.gov/issue/underreporting-robotic-surgery-complications
November 21, 2017 - Study
Underreporting of robotic surgery complications.
Citation Text:
Cooper M, Ibrahim AM, Lyu H, et al. Underreporting of robotic surgery complications. J Healthc Qual. 2015;37(2):133-8. doi:10.1111/jhq.12036.
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psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help
July 14, 2021 - Commentary
Changing the patient safety mindset: can safety cases help?
Citation Text:
Sujan M, Habli I. Changing the patient safety mindset: can safety cases help? BMJ Qual Saf. 2024;33(3):145-148. doi:10.1136/bmjqs-2023-016652.
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psnet.ahrq.gov/issue/video-technology-advance-safety-operating-room-and-perioperative-environment
April 27, 2010 - Commentary
Video technology to advance safety in the operating room and perioperative environment.
Citation Text:
Xiao Y, Schimpff S, Mackenzie CF, et al. Video technology to advance safety in the operating room and perioperative environment. Surg Innov. 2007;14(1):52-61.
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psnet.ahrq.gov/issue/database-construction-improving-patient-safety-examining-pathology-errors
December 22, 2008 - Commentary
Database construction for improving patient safety by examining pathology errors.
Citation Text:
Grzybicki DM, Turcsany B, Becich MJ, et al. Database Construction for Improving Patient Safety by Examining Pathology Errors. Am J Clin Pathol. 2008;124(4). doi:10.1309/xn25jg7…
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psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
December 17, 2020 - Commentary
Racism as a Root Cause approach: a new framework.
Citation Text:
Malawa Z, Gaarde J, Spellen S. Racism as a Root Cause approach: a new framework. Pediatrics. 2021;147(1):e2020015602. doi:10.1542/peds.2020-015602.
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psnet.ahrq.gov/issue/comparison-potential-risk-factors-medication-errors-and-without-patient-harm
March 04, 2011 - Study
Comparison of potential risk factors for medication errors with and without patient harm.
Citation Text:
Zaal RJ, van Doormaal JE, Lenderink AW, et al. Comparison of potential risk factors for medication errors with and without patient harm. Pharmacoepidemiol Drug Saf. 2010;19(8)…
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psnet.ahrq.gov/issue/medical-emergency-teams-strategy-improving-patient-care-and-nursing-work-environments
March 24, 2011 - Study
Medical emergency teams: a strategy for improving patient care and nursing work environments.
Citation Text:
Galhotra S, Scholle CC, Dew MA, et al. Medical emergency teams: a strategy for improving patient care and nursing work environments. J Adv Nurs. 2006;55(2):180-7.
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psnet.ahrq.gov/issue/preventable-mortality-after-common-urological-surgery-failing-rescue
July 17, 2013 - Study
Preventable mortality after common urological surgery: failing to rescue?
Citation Text:
Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833.
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psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
May 12, 2010 - Study
The need for organizational change in patient safety initiatives.
Citation Text:
Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17.
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psnet.ahrq.gov/issue/influence-causes-and-contexts-medical-errors-emergency-medicine-residents-responses-their
April 11, 2011 - Study
The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration.
Citation Text:
Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors on emergency medicine resi…
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psnet.ahrq.gov/issue/anticoagulation-patient-safety-goal-compliance-university-health-system-methods-achieving
March 09, 2022 - Commentary
Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal.
Citation Text:
Franco AC, Maxwell P, Green K, et al. Anticoagulation Patient Safety Goal Compliance at a University Health System: Methods for Achieving the Goal. Hosp…
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psnet.ahrq.gov/issue/vision-patient-centered-health-information-systems
April 12, 2011 - Commentary
A vision for patient-centered health information systems.
Citation Text:
Krist AH, Woolf SH. A vision for patient-centered health information systems. JAMA. 2011;305(3):300-1. doi:10.1001/jama.2010.2011.
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psnet.ahrq.gov/issue/safety-climate-and-medical-errors-62-us-emergency-departments
June 16, 2009 - Study
Safety climate and medical errors in 62 US emergency departments.
Citation Text:
Camargo CA, Tsai C-L, Sullivan AF, et al. Safety climate and medical errors in 62 US emergency departments. Ann Emerg Med. 2012;60(5):555-563.e20. doi:10.1016/j.annemergmed.2012.02.018.
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