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psnet.ahrq.gov/issue/family-and-hospitals-journey-and-commitment-improving-diagnostic-safety
July 06, 2022 - Commentary
A family and hospital's journey and commitment to improving diagnostic safety.
Citation Text:
Wyner D, Wyner F, Brumbaugh D, et al. A family and hospital's journey and commitment to improving diagnostic safety. Pediatrics. 2021;148(6):e2021053091. doi:10.1542/peds.2021-053091.…
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psnet.ahrq.gov/issue/effects-physical-environments-medical-wards-medication-communication-processes-affecting
November 17, 2021 - Study
The effects of physical environments in medical wards on medication communication processes affecting patient safety.
Citation Text:
Liu W, Manias E, Gerdtz M. The effects of physical environments in medical wards on medication communication processes affecting patient safety. Heal…
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psnet.ahrq.gov/issue/preventing-medication-errors-transitions-care-patient-case-approach
October 17, 2012 - Review
Preventing medication errors in transitions of care: a patient case approach.
Citation Text:
Johnson A, Guirguis E, Grace Y. Preventing medication errors in transitions of care: A patient case approach. J Am Pharm Assoc (2003). 2015;55(2):e264-276. doi:10.1331/JAPhA.2015.15509.
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psnet.ahrq.gov/issue/implementation-electronic-system-medication-reconciliation
December 02, 2020 - Study
Implementation of an electronic system for medication reconciliation.
Citation Text:
Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506.
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psnet.ahrq.gov/issue/developing-intervention-reduce-harm-hospitalized-patients-patients-and-families-research
December 21, 2018 - Study
Developing an intervention to reduce harm in hospitalized patients: patients and families in research.
Citation Text:
Schenk EC, Bryant RA, Van Son CR, et al. Developing an Intervention to Reduce Harm in Hospitalized Patients: Patients and Families in Research. J Nurs Care Qual. 20…
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psnet.ahrq.gov/issue/does-concept-safety-culture-help-or-hinder-systems-thinking-safety
October 12, 2011 - Commentary
Does the concept of safety culture help or hinder systems thinking in safety?
Citation Text:
Reiman T, Rollenhagen C. Does the concept of safety culture help or hinder systems thinking in safety? Accid Anal Prev. 2014;68(July):5-15. doi:10.1016/j.aap.2013.10.033.
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psnet.ahrq.gov/issue/improving-patient-safety-reporting-common-formats-common-data-representation-patient-safety
October 19, 2022 - Commentary
Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations.
Citation Text:
Elkin PL, Johnson HC, Callahan MR, et al. Improving patient safety reporting with the common formats: Common data representation for Patient …
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psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim
June 06, 2018 - Commentary
The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better.
Citation Text:
Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths…
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psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19
March 31, 2021 - Commentary
Leadership: an effective human factor during COVID-19.
Citation Text:
Dhahri AA, Refson J. Leadership: an effective human factor during COVID-19. BMJ Leader. 2021;5:203-205. doi:10.1136/leader-2020-000384.
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DOI Google Scholar BibTeX EndNote X…
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psnet.ahrq.gov/issue/reducing-emergency-department-charting-and-ordering-errors-room-number-watermark-electronic
November 22, 2017 - Study
Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record display.
Citation Text:
Yamamoto LG. Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record dis…
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psnet.ahrq.gov/issue/cognitive-biases-surgery-systematic-review
April 27, 2022 - Review
Cognitive biases in surgery: systematic review.
Citation Text:
Armstrong BA, Dutescu IA, Tung A, et al. Cognitive biases in surgery: systematic review. Br J Surg. 2023;110(6):645-654. doi:10.1093/bjs/znad004.
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DOI Google Scholar BibTeX EndNote X3…
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psnet.ahrq.gov/issue/retail-pharmacy-staff-perceptions-design-strengths-and-weaknesses-electronic-prescribing
January 07, 2015 - Study
Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing.
Citation Text:
Odukoya OK, Chui MA. Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. J Am Med Inform Assoc. 2012;19(6):1059-65. doi:10.1136…
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psnet.ahrq.gov/issue/comparison-military-and-civilian-methods-determining-potentially-preventable-deaths
October 19, 2022 - Review
Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review.
Citation Text:
Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JA…
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psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals
February 15, 2023 - Organizational Policy/Guidelines
Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists.
Citation Text:
Kelly FE, Frerk C, Bailey CR, et al. Implementing human factor…
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psnet.ahrq.gov/issue/exploring-concept-medication-discrepancy-within-context-patient-safety-improve-population
November 18, 2020 - Review
Exploring the concept of medication discrepancy within the context of patient safety to improve population health.
Citation Text:
Murphy CR, Corbett CL, Setter SM, et al. Exploring the concept of medication discrepancy within the context of patient safety to improve population h…
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psnet.ahrq.gov/issue/family-initiated-dialogue-about-medications-during-family-centered-rounds
July 09, 2018 - Study
Family-initiated dialogue about medications during family-centered rounds.
Citation Text:
Benjamin JM, Cox E, Trapskin PJ, et al. Family-initiated dialogue about medications during family-centered rounds. Pediatrics. 2015;135(1):94-101. doi:10.1542/peds.2013-3885.
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psnet.ahrq.gov/issue/predictors-healthcare-professionals-attitudes-towards-family-involvement-safety-relevant
November 05, 2013 - Study
Predictors of healthcare professionals' attitudes towards family involvement in safety-relevant behaviours: a cross-sectional factorial survey study.
Citation Text:
Davis R, Savvopoulou M, Shergill R, et al. Predictors of healthcare professionals' attitudes towards family involveme…
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psnet.ahrq.gov/issue/managing-after-effects-serious-patient-safety-incidents-nhs-online-survey-study
December 29, 2014 - Study
Managing the after effects of serious patient safety incidents in the NHS: an online survey study.
Citation Text:
Pinto A, Faiz O, Vincent CA. Managing the after effects of serious patient safety incidents in the NHS: an online survey study. BMJ Qual Saf. 2012;21(12):1001-8. doi:10…
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psnet.ahrq.gov/issue/engaging-patients-improve-quality-care-systematic-review
May 26, 2021 - Review
Classic
Engaging patients to improve quality of care: a systematic review.
Citation Text:
Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review. Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z.…
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psnet.ahrq.gov/issue/interventions-increase-clinical-incident-reporting-health-care
September 02, 2009 - Review
Interventions to increase clinical incident reporting in health care.
Citation Text:
Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2…