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psnet.ahrq.gov/issue/patient-handoffs-cross-cover-or-night-shift-better
December 07, 2009 - Study
Patient handoffs: is cross cover or night shift better?
Citation Text:
Higgins A, Brannen ML, Heiman HL, et al. Patient Handoffs: Is Cross Cover or Night Shift Better? J Patient Saf. 2017;13(2):88-92. doi:10.1097/PTS.0000000000000126.
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psnet.ahrq.gov/issue/quality-minute-new-brief-and-structured-technique-quality-improvement-education-during
January 09, 2019 - Commentary
The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference.
Citation Text:
Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality Improvement Educa…
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psnet.ahrq.gov/issue/operating-room-briefings-working-same-page
September 28, 2010 - Commentary
Operating room briefings: working on the same page.
Citation Text:
Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf. 2006;32(6):351-5.
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psnet.ahrq.gov/issue/seeking-high-reliability-primary-care-leadership-tools-and-organization
October 13, 2018 - Study
Seeking high reliability in primary care: leadership, tools, and organization.
Citation Text:
Weaver RR. Seeking high reliability in primary care: Leadership, tools, and organization. Health Care Manage Rev. 2015;40(3):183-92. doi:10.1097/HMR.0000000000000022.
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psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events
July 14, 2010 - Study
Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system.
Citation Text:
Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive …
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psnet.ahrq.gov/issue/health-information-technology-vehicle-not-destination-conversation-david-j-brailer
March 19, 2019 - Commentary
Health information technology is a vehicle, not a destination: a conversation with David J. Brailer.
Citation Text:
Brailer DJ. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Interview by Arnold Milstein. Health Aff (Mill…
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psnet.ahrq.gov/issue/older-adults-perceptions-feeling-safe-urban-and-rural-acute-care
October 17, 2018 - Study
Older adults' perceptions of feeling safe in urban and rural acute care.
Citation Text:
Lasiter S, Duffy J. Older adults' perceptions of feeling safe in urban and rural acute care. J Nurs Adm. 2013;43(1):30-6. doi:10.1097/NNA.0b013e3182786013.
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psnet.ahrq.gov/issue/infection-prevention-emergency-department
July 13, 2016 - Review
Infection prevention in the emergency department.
Citation Text:
Liang SY, Theodoro DL, Schuur JD, et al. Infection prevention in the emergency department. Ann Emerg Med. 2014;64(3):299-313. doi:10.1016/j.annemergmed.2014.02.024.
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psnet.ahrq.gov/issue/implementation-medication-reconciliation-process-ambulatory-internal-medicine-clinic
October 28, 2009 - Study
Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.
Citation Text:
Nassaralla CL, Naessens JM, Chaudhry R, et al. Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Qual Saf Health Care. 20…
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psnet.ahrq.gov/issue/developing-team-cognition-role-simulation
November 01, 2017 - Review
Developing team cognition: a role for simulation.
Citation Text:
Fernandez R, Shah S, Rosenman ED, et al. Developing Team Cognition. Simul Healthc. 2017;12(2):96-103. doi:10.1097/sih.0000000000000200.
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psnet.ahrq.gov/issue/patient-centred-diagnosis-sharing-diagnostic-decisions-patients-clinical-practice
March 04, 2011 - Commentary
Patient centred diagnosis: sharing diagnostic decisions with patients in clinical practice.
Citation Text:
Berger ZD, Brito JP, Ospina NS, et al. Patient centred diagnosis: sharing diagnostic decisions with patients in clinical practice. BMJ. 2017;359:j4218. doi:10.1136/bmj.j4…
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psnet.ahrq.gov/issue/undiagnosed-breast-cancer-mr-imaging-analysis-causes
August 22, 2015 - Study
Undiagnosed breast cancer at MR imaging: analysis of causes.
Citation Text:
Pages EB, Millet I, Hoa D, et al. Undiagnosed breast cancer at MR imaging: analysis of causes. Radiology. 2012;264(1):40-50. doi:10.1148/radiol.12111917.
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psnet.ahrq.gov/issue/best-practices-developing-proprietary-names-human-nonprescription-drug-products
December 23, 2020 - Press Release/Announcement
Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products.
Citation Text:
Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. Rockville, MD: US Department of Health and Human Services, Food and Dr…
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psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk
May 16, 2018 - Book/Report
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed.
Citation Text:
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Washington, DC: United States Gov…
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psnet.ahrq.gov/issue/cascades-care-after-incidental-findings-us-national-survey-physicians
April 24, 2018 - Study
Classic
Cascades of care after incidental findings in a US national survey of physicians.
Citation Text:
Ganguli I, Simpkin AL, Lupo C, et al. Cascades of Care After Incidental Findings in a US National Survey of Physicians. JAMA Netw Open. 2019;2(10):e191…
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psnet.ahrq.gov/issue/sixty-seconds-medical-gaslighting
October 19, 2022 - Commentary
Sixty seconds on . . . medical gaslighting.
Citation Text:
Wise J. Sixty seconds on . . . medical gaslighting. BMJ. 2022;378:o1974. doi:10.1136/bmj.o1974.
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psnet.ahrq.gov/issue/improving-communication-patients-limited-english-proficiency
January 06, 2018 - Commentary
Improving communication with patients with limited English proficiency.
Citation Text:
Taira BR. Improving Communication With Patients With Limited English Proficiency. JAMA Int Med. 2018;178(5):605-606. doi:10.1001/jamainternmed.2018.0373.
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psnet.ahrq.gov/issue/error-avoidance-recommendations-tubing-misconnections-when-using-luer-tip-connectors
November 21, 2018 - Commentary
Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee.
Citation Text:
Simmons D, Phillips MS, Grissinger M, et al. Error-avoidance recommendations for tubing misconnections when usi…
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psnet.ahrq.gov/issue/safety-issues-related-electronic-medical-record-emr-synthesis-literature-last-decade-2000
January 20, 2016 - Review
Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000–2009.
Citation Text:
Harrington L, Kennerly DA, Johnson C. Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last…
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psnet.ahrq.gov/issue/team-checkup-tool-evaluating-qi-team-activities-and-giving-feedback-senior-leaders
November 27, 2012 - Commentary
The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders.
Citation Text:
Lubomski LH, Marsteller JA, Hsu Y-J, et al. The team checkup tool: evaluating QI team activities and giving feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008;3…