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psnet.ahrq.gov/issue/safety-culture-across-cultures
February 12, 2020 - Commentary
Emerging Classic
Safety culture across cultures.
Citation Text:
Yorio PL, Edwards J, Hoeneveld D. Safety culture across cultures. Safety Sci. 2019;120:402-410. doi:10.1016/j.ssci.2019.07.021.
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psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient
November 09, 2022 - Commentary
A call for a systems-thinking approach to medication adherence: stop blaming the patient.
Citation Text:
Lauffenburger JC, Choudhry NK. A Call for a Systems-Thinking Approach to Medication Adherence: Stop Blaming the Patient. JAMA Intern Med. 2018;178(7):950-951. doi:10.1001/j…
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psnet.ahrq.gov/issue/improving-patient-safety-comparative-views-patient-safety-specialists-workforce-staff-and
March 23, 2011 - Study
Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.
Citation Text:
Braithwaite J, Westbrook MT, Robinson M, et al. Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.…
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psnet.ahrq.gov/issue/complications-surgery-root-cause-analysis-and-preventive-measures
November 24, 2021 - Commentary
Complications in surgery: root cause analysis and preventive measures.
Citation Text:
Chung KC, Kotsis S. Complications in surgery: root cause analysis and preventive measures. Plast Reconstr Surg. 2012;129(6):1421-1427. doi:10.1097/PRS.0b013e31824ecda0.
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psnet.ahrq.gov/issue/pediatric-medical-emergency-team-manages-complex-child-hypoxia-and-worried-parent
September 09, 2008 - Commentary
A pediatric medical emergency team manages a complex child with hypoxia and a worried parent.
Citation Text:
Shilkofski NA, Hunt EA. A pediatric medical emergency team manages a complex child with hypoxia and worried parent. Jt Comm J Qual Patient Saf. 2007;33(4):236-41, 185. …
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psnet.ahrq.gov/issue/reduction-chemotherapy-order-errors-computerised-physician-order-entry-and-clinical-decision
October 22, 2014 - Study
Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems.
Citation Text:
Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. HIM J. 2015;44.
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psnet.ahrq.gov/issue/support-medical-apology-nonlegal-arguments
June 30, 2021 - Commentary
In support of the medical apology: the nonlegal arguments.
Citation Text:
Heaton HA, Campbell RL, Thompson KM, et al. In Support of the Medical Apology: The Nonlegal Arguments. J Emerg Med. 2016;51(5):605-609. doi:10.1016/j.jemermed.2016.06.048.
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psnet.ahrq.gov/issue/prosecution-radonda-vaught-ethical-and-legal-mistake
November 16, 2022 - Commentary
The prosecution of RaDonda Vaught: an ethical and legal mistake.
Citation Text:
Vogelstein E. The prosecution of RaDonda Vaught: An ethical and legal mistake. Nurs Forum. 2022;57(6):1571-1574. doi:10.1111/nuf.12838.
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psnet.ahrq.gov/issue/investigating-prevalence-and-causes-prescribing-errors-general-practice-practice-study
May 24, 2015 - Book/Report
Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study.
Citation Text:
Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. Avery T, Barber N, Ghaleb M, et al. London, UK: Gener…
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psnet.ahrq.gov/issue/how-one-hospital-improved-patient-safety-10-minutes-day
April 11, 2018 - Newspaper/Magazine Article
How one hospital improved patient safety in 10 minutes a day.
Citation Text:
How one hospital improved patient safety in 10 minutes a day. van der Heijde R, Deichmann D. Harv Bus Rev. October 30, 2018.
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psnet.ahrq.gov/issue/addressing-delays-medication-administration-patients-transferred-hospital-nursing-home-pilot
November 16, 2022 - Study
Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project.
Citation Text:
Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients transferred …
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psnet.ahrq.gov/issue/latency-ecg-displays-hospital-telemetry-systems-science-advisory-american-heart-association
March 14, 2018 - Commentary
Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.
Citation Text:
Turakhia MP, Estes NAM, Drew BJ, et al. Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.…
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psnet.ahrq.gov/issue/electronic-prescribing-reduced-prescribing-errors-pediatric-renal-outpatient-clinic
July 08, 2008 - Study
Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic.
Citation Text:
Jani Y, Ghaleb M, Marks SD, et al. Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. J Pediatr. 2008;152(2):214-8. doi:10.1016/j.jpeds.…
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psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care
July 05, 2008 - Book/Report
Classic
Escape Fire: Lessons for the Future of Health Care.
Citation Text:
Escape Fire: Lessons for the Future of Health Care. Berwick DM. Washington DC: Commonwealth Fund; 2002.
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psnet.ahrq.gov/issue/inpatient-fall-prevention-initiative-tertiary-care-hospital
October 19, 2022 - Study
An inpatient fall prevention initiative in a tertiary care hospital.
Citation Text:
Weinberg J, Proske D, Szerszen A, et al. An inpatient fall prevention initiative in a tertiary care hospital. Jt Comm J Qual Patient Saf. 2011;37(7):317-325.
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psnet.ahrq.gov/issue/incidence-and-impact-physician-and-nurse-disruptive-behaviors-emergency-department
February 03, 2010 - Study
Incidence and impact of physician and nurse disruptive behaviors in the emergency department.
Citation Text:
Rosenstein AH, Naylor B. Incidence and impact of physician and nurse disruptive behaviors in the emergency department. J Emerg Med. 2012;43(1):139-48. doi:10.1016/j.jemerm…
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psnet.ahrq.gov/issue/case-studies-patient-safety-research-classics-build-research-capacity-low-and-middle-income
September 29, 2017 - Study
Case studies of patient safety research classics to build research capacity in low- and middle-income countries.
Citation Text:
Andermann A, Wu AW, Lashoher A, et al. Case studies of patient safety research classics to build research capacity in low- and middle-income countries. …
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psnet.ahrq.gov/issue/advancing-more-health-literate-approach-patient-safety
May 31, 2017 - Journal Article
Advancing a More Health-Literate Approach to Patient Safety
Citation Text:
Sanders LM. Advancing a More Health-Literate Approach to Patient Safety. J Pediatr. 2019;214:10-11. doi:10.1016/j.jpeds.2019.07.003.
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psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting
November 21, 2012 - Commentary
Preventing patient positioning injuries in the nonoperating room setting.
Citation Text:
Moody A, Chacin B, Chang C. Preventing patient positioning injuries in the nonoperating room setting. Curr Opin Anaesthesiol. 2022;35(4):465-471. doi:10.1097/aco.0000000000001153.
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psnet.ahrq.gov/issue/development-and-validation-tool-improve-paediatric-referralconsultation-communication
May 25, 2011 - Study
Development and validation of a tool to improve paediatric referral/consultation communication.
Citation Text:
Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. do…