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psnet.ahrq.gov/issue/patient-safety-otolaryngology-service-role-established-rapid-response-system
October 19, 2022 - Study
Patient safety on the otolaryngology service: the role of an established rapid response system.
Citation Text:
Oliver CL, Devita MA, Dunwoody CJ, et al. Patient safety on the otolaryngology service: the role of an established rapid response system. Quality and Safety in Health Ca…
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psnet.ahrq.gov/issue/health-care-worker-perspectives-their-motivation-reduce-health-care-associated-infections
June 02, 2019 - Study
Health care worker perspectives of their motivation to reduce health care–associated infections.
Citation Text:
McClung L, Obasi C, Knobloch MJ, et al. Health care worker perspectives of their motivation to reduce health care-associated infections. Am J Infect Control. 2017;45(10):…
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psnet.ahrq.gov/issue/improving-surgical-complications-and-patient-safety-nations-largest-military-hospital
November 09, 2022 - Study
Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data.
Citation Text:
Maturo S, Hughes C, Kallingal G, et al. Improving Surgical Complications and Patient Safety at the Nation…
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psnet.ahrq.gov/issue/practising-safely-foundation-years
February 04, 2015 - Commentary
Practising safely in the foundation years.
Citation Text:
Long SJ, Neale G, Vincent CA. Practising safely in the foundation years. BMJ. 2009;338:b1046. doi:10.1136/bmj.b1046.
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psnet.ahrq.gov/issue/increasing-compliance-safe-medication-administration-pediatric-anesthesia-use-standardized
December 11, 2024 - Commentary
Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist.
Citation Text:
Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized check…
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psnet.ahrq.gov/issue/consensus-bundle-prevention-surgical-site-infections-after-major-gynecologic-surgery
January 15, 2014 - Commentary
Consensus bundle on prevention of surgical site infections after major gynecologic surgery.
Citation Text:
Pellegrini JE, Toledo P, Soper DE, et al. Consensus Bundle on Prevention of Surgical Site Infections After Major Gynecologic Surgery. Obstet Gynecol. 2017;129(1):50-61. d…
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psnet.ahrq.gov/issue/effect-evidence-crisis-learning-based-perspective-integration-framework
March 24, 2019 - Commentary
The effect of evidence in crisis learning: based on a perspective integration framework.
Citation Text:
Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1…
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psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
June 27, 2018 - Study
A multicomponent fall prevention strategy reduces falls at an academic medical center.
Citation Text:
France D, Slayton J, Moore S, et al. A Multicomponent Fall Prevention Strategy Reduces Falls at an Academic Medical Center. The Joint Commission Journal on Quality and Patient Safe…
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psnet.ahrq.gov/issue/scoping-review-hidden-curriculum-pharmacy-education
November 16, 2022 - Review
A scoping review of the hidden curriculum in pharmacy education.
Citation Text:
Park SK, Chen AMH, Daugherty KK, et al. A scoping review of the hidden curriculum in pharmacy education. Am J Pharm Educ. 2023;87(3):ajpe8999. doi:10.5688/ajpe8999.
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psnet.ahrq.gov/issue/medication-errors-resulting-computer-entry-nonprescribers
January 02, 2017 - Study
Medication errors resulting from computer entry by nonprescribers.
Citation Text:
Santell JP, Kowiatek JG, Weber RJ, et al. Medication errors resulting from computer entry by nonprescribers. Am J Health Syst Pharm. 2009;66(9):843-53. doi:10.2146/ajhp080208.
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psnet.ahrq.gov/issue/frequency-prescribing-errors-medical-residents-various-training-programs
November 05, 2014 - Study
Frequency of prescribing errors by medical residents in various training programs.
Citation Text:
Honey BL, Bray WM, Gomez MR, et al. Frequency of prescribing errors by medical residents in various training programs. J Patient Saf. 2015;11(2):100-4. doi:10.1097/PTS.0000000000000048…
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psnet.ahrq.gov/issue/improved-operating-room-teamwork-safety-prep-rural-community-hospitals-experience
September 05, 2009 - Study
Improved operating room teamwork via SAFETY prep: a rural community hospital's experience.
Citation Text:
Paige JT, Aaron DL, Yang T, et al. Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. World J Surg. 2009;33(6):1181-7. doi:10.1007/s00…
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psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective
April 24, 2018 - Commentary
From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective.
Citation Text:
Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1…
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psnet.ahrq.gov/issue/complying-acgme-resident-duty-hours-restrictions-restructuring-80-hour-workweek-enhance
August 04, 2021 - Study
Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.
Citation Text:
Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictio…
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psnet.ahrq.gov/issue/educational-intervention-increase-speaking-behaviors-nurses-and-improve-patient-safety
May 08, 2013 - Study
An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety.
Citation Text:
Sayre MM, McNeese-Smith D, Leach LS, et al. An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. J Nurs Care Qual.…
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psnet.ahrq.gov/issue/hospital-sequelae-injurious-falls-24-medicalsurgical-units-four-hospitals-united-states
December 12, 2012 - Study
In-hospital sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States.
Citation Text:
Hill A-M, Jacques A, Chandler M, et al. In-Hospital Sequelae of Injurious Falls in 24 Medical/Surgical Units in Four Hospitals in the United States. Jt Comm J…
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psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care-paediatric
June 27, 2011 - Study
Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge.
Citation Text:
Kaestli L-Z, Cingria L, Fonzo-Christe C, et al. Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital di…
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psnet.ahrq.gov/issue/quality-management-and-patient-safety-survey-results-102-hungarian-hospitals
September 16, 2015 - Study
Quality management and patient safety: survey results from 102 Hungarian hospitals.
Citation Text:
Makai P, Klazinga NS, Wagner C, et al. Quality management and patient safety: survey results from 102 Hungarian hospitals. Health Policy (New York). 2009;90(2-3):175-80. doi:10.1016/…
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psnet.ahrq.gov/issue/estimating-hospital-related-deaths-due-medical-error-perspective-patient-advocates
November 08, 2023 - Commentary
Estimating hospital-related deaths due to medical error: a perspective from patient advocates.
Citation Text:
Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. d…
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psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability
March 01, 2023 - Commentary
Using the patient safety huddle as a tool for high reliability.
Citation Text:
Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004.
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