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psnet.ahrq.gov/issue/intravenous-infusion-safety-technology-return-investment
October 29, 2017 - Study
Intravenous infusion safety technology: return on investment.
Citation Text:
Danello SH, Maddox RR, Schaack GJ. Intravenous Infusion Safety Technology: Return on Investment. Hosp Pharm. 2010;44(8):680-688. doi:10.1310/hpj4408-680.
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psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-safety-event
April 26, 2023 - Study
A natural language processing approach to categorise contributing factors from patient safety event reports.
Citation Text:
A natural language processing approach to categorise contributing factors from patient safety event reports. Tabaie A, Sengupta S, Pruitt ZM, et al. BMJ Healt…
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psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical
June 01, 2022 - Study
Health information technology-related wrong-patient errors: context is critical.
Citation Text:
Health information technology-related wrong-patient errors: context is critical. Kim T, Howe J, Franklin E, et al. Patient Safety. 2020;2(4):40–57.
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psnet.ahrq.gov/issue/drawing-boundaries-difficulty-defining-clinical-reasoning
June 26, 2019 - Commentary
Emerging Classic
Drawing boundaries: the difficulty in defining clinical reasoning.
Citation Text:
Young M, Thomas A, Lubarsky S, et al. Drawing Boundaries: The Difficulty in Defining Clinical Reasoning. Acad Med. 2018;93(7):990-995. doi:10.1097/ACM.0…
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psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting
August 14, 2017 - Commentary
Doing right by our patients when things go wrong in the ambulatory setting.
Citation Text:
Schiff G, Griswold P, Ellis BR, et al. Doing right by our patients when things go wrong in the ambulatory setting. Jt Comm J Qual Patient Saf. 2014;40(2):91-96.
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psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-programs-handle-errors
December 18, 2008 - Study
Teaching but not learning: how medical residency programs handle errors.
Citation Text:
Hoff T, Pohl H, Bartfield J. Teaching but not learning: how medical residency programs handle errors. J Organ Behav. 2006;27(7). doi:10.1002/job.395.
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psnet.ahrq.gov/issue/managing-clinical-failure-complex-adaptive-system-perspective
August 13, 2014 - Study
Managing clinical failure: a complex adaptive system perspective.
Citation Text:
Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336.
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psnet.ahrq.gov/issue/physicians-and-electronic-health-records-statewide-survey
December 31, 2014 - Study
Physicians and electronic health records: a statewide survey.
Citation Text:
Simon SR, Kaushal R, Cleary PD, et al. Physicians and electronic health records: a statewide survey. Arch Intern Med. 2007;167(5):507-12.
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psnet.ahrq.gov/issue/outcomes-classroom-based-team-training-interventions-multiprofessional-hospital-staff
April 24, 2018 - Review
Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review.
Citation Text:
Rabol LI, Ostergaard D, Mogensen T. Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review…
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psnet.ahrq.gov/issue/infection-prevention-operating-room-anesthesia-work-area
March 02, 2014 - Commentary
Infection prevention in the operating room anesthesia work area.
Citation Text:
Munoz-Price S, Bowdle A, Johnston L, et al. Infection prevention in the operating room anesthesia work area. Infect Control Hosp Epidemiol. 2018:1-17. doi:10.1017/ice.2018.303.
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psnet.ahrq.gov/issue/telediagnosis-acute-care-implications-quality-and-safety-diagnosis
January 11, 2017 - Book/Report
Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis.
Citation Text:
Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. Smith KM, Hunte HE, Graber ML. Rockville MD: Agency for Healthcare Research and Quality; Augu…
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psnet.ahrq.gov/issue/crowding-emergency-department-challenges-care-children
October 19, 2022 - Organizational Policy/Guidelines
Crowding in the Emergency Department: Challenges for the Care of Children.
Citation Text:
Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10…
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psnet.ahrq.gov/issue/deprescribing-clinical-improvement-focus
April 08, 2011 - Study
Deprescribing as a clinical improvement focus.
Citation Text:
Dharmarajan TS, Choi H, Hossain N, et al. Deprescribing as a Clinical Improvement Focus. J Am Med Dir Assoc. 2020;21(3):355-360. doi:10.1016/j.jamda.2019.08.031.
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psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2
March 22, 2017 - Special or Theme Issue
High-Performance Work Systems in Health Care Management: Parts 1-5.
Citation Text:
High-Performance Work Systems in Health Care Management: Parts 1-5. Garman AN, McAlearney AS, Harrison MI, et al. Health Care Manag Rev. 2011-2020.
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psnet.ahrq.gov/issue/social-risk-health-inequity-and-patient-safety
September 28, 2022 - Commentary
Social risk, health inequity, and patient safety.
Citation Text:
Boisvert S. Social risk, health inequity, and patient safety. J Healthc Risk Manag. 2022;42(2):18-25. doi:10.1002/jhrm.21519.
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psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
December 12, 2018 - Newspaper/Magazine Article
IV push medications survey results—part 1 and part 2.
Citation Text:
IV push medications survey results—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5.
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psnet.ahrq.gov/issue/should-audits-consider-care-pathway-model-new-approach-benchmarking-real-world-activities
July 28, 2021 - Commentary
Should audits consider the care pathway model? A new approach to benchmarking real-world activities.
Citation Text:
Kwok CS, Waters D, Phan T, et al. Should audits consider the care pathway model? A new approach to benchmarking real-world activities. Healthcare. 2022;10(9):179…
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psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety
August 07, 2019 - Commentary
Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety.
Citation Text:
Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis …
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psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortality
November 12, 2014 - Commentary
How communication among members of the health care team affects maternal morbidity and mortality.
Citation Text:
Brennan RA, Keohane CA. How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. J Obstet Gynecol Neonatal Nurs. 2016;45(6)…
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psnet.ahrq.gov/issue/disclosing-medical-errors-prioritising-needs-patients-and-families
November 11, 2020 - Commentary
Disclosing medical errors: prioritising the needs of patients and families.
Citation Text:
Gallagher TH, Hemmelgarn C, Benjamin EM. Disclosing medical errors: prioritising the needs of patients and families. BMJ Qual Saf. 2023;32(10):557-561. doi:10.1136/bmjqs-2022-015880.
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