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psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation
September 24, 2018 - Commentary
Safety analysis over time: seven major changes to adverse event investigation.
Citation Text:
Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-…
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psnet.ahrq.gov/issue/association-between-ophthalmologist-age-and-unsolicited-patient-complaints
June 27, 2018 - Study
Association between ophthalmologist age and unsolicited patient complaints.
Citation Text:
Fathy CA, Pichert JW, Domenico HJ, et al. Association Between Ophthalmologist Age and Unsolicited Patient Complaints. JAMA Ophthalmol. 2018;136(1):61-67. doi:10.1001/jamaophthalmol.2017.5154.…
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psnet.ahrq.gov/issue/do-no-harm-reaffirming-value-evidence-and-equipoise-while-minimizing-cognitive-bias-covid-19
July 14, 2021 - Commentary
Do no harm: reaffirming the value of evidence and equipoise while minimizing cognitive bias in the COVID-19 era.
Citation Text:
Ramnath VR, McSharry DG, Malhotra A. Do No Harm. Chest. 2020;158(3):873-876. doi:10.1016/j.chest.2020.05.548.
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psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care
July 18, 2016 - Commentary
Did hospital engagement networks actually improve care?
Citation Text:
Pronovost P, Jha AK. Did hospital engagement networks actually improve care? N Engl J Med. 2014;371(8):691-693. doi:10.1056/NEJMp1405800.
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psnet.ahrq.gov/issue/between-flags-implementing-rapid-response-system-scale
June 08, 2011 - Commentary
'Between the flags': implementing a rapid response system at scale.
Citation Text:
Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale. BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845.
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psnet.ahrq.gov/issue/medication-error-care-hivaids-patients-electronic-surveillance-confirmation-and-adverse
September 28, 2022 - Study
Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events.
Citation Text:
DeLorenze GN, Follansbee SF, Nguyen DP, et al. Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events…
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psnet.ahrq.gov/issue/elective-surgical-patients-narratives-hospitalization-co-construction-safety
May 29, 2012 - Study
Elective surgical patients' narratives of hospitalization: the co-construction of safety.
Citation Text:
DOHERTY CAROLE, Saunders MNK. Elective surgical patients' narratives of hospitalization: the co-construction of safety. Soc Sci Med. 2013;98:29-36. doi:10.1016/j.socscimed.2013…
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psnet.ahrq.gov/issue/using-video-recording-identify-management-errors-pediatric-trauma-resuscitation
July 01, 2020 - Study
Using video recording to identify management errors in pediatric trauma resuscitation.
Citation Text:
Oakley E, Stocker S, Staubli G, et al. Using video recording to identify management errors in pediatric trauma resuscitation. Pediatrics. 2006;117(3):658-664.
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psnet.ahrq.gov/issue/relationship-between-systems-level-factors-and-hand-hygiene-adherence
September 28, 2011 - Study
Relationship between systems-level factors and hand hygiene adherence.
Citation Text:
Dunn-Navarra A-M, Cohen B, Stone PW, et al. Relationship between systems-level factors and hand hygiene adherence. J Nurs Care Qual. 2011;26(1):30-38. doi:10.1097/NCQ.0b013e3181e15c71.
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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/2019-update-pediatric-medical-overuse-systematic-review
May 11, 2019 - Review
2019 update on pediatric medical overuse: a systematic review.
Citation Text:
Money NM, Schroeder AR, Quinonez RA, et al. 2019 Update on Pediatric Medical Overuse. JAMA Pediatr. 2020;174(4):375-382. doi:10.1001/jamapediatrics.2019.5849.
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psnet.ahrq.gov/issue/2018-update-pediatric-medical-overuse-review
March 04, 2020 - Review
2018 update on pediatric medical overuse: a review.
Citation Text:
Coon ER, Quinonez RA, Morgan DJ, et al. 2018 Update on Pediatric Medical Overuse: A Review. JAMA Pediatr. 2019;173(4):379-384. doi:10.1001/jamapediatrics.2018.5550.
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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/excuse-me-teaching-interns-speak
January 18, 2013 - Study
"Excuse me": teaching interns to speak up.
Citation Text:
O'Connor P, Byrne D, O'Dea A, et al. "Excuse me:" teaching interns to speak up. Jt Comm J Qual Patient Saf. 2013;39(9):426-431.
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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/roadmap-advance-patient-safety-ambulatory-care
June 09, 2021 - Commentary
A roadmap to advance patient safety in ambulatory care.
Citation Text:
Singh H, Carayon P. A roadmap to advance patient safety in ambulatory care. JAMA. 2020;324(24):2481-2482. doi:10.1001/jama.2020.18551.
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psnet.ahrq.gov/issue/discharge-rounds-80-hour-workweek-importance-trauma-nurse-practitioner
October 19, 2022 - Study
Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner.
Citation Text:
Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. J Trauma. 2007;63(2):339-43.
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psnet.ahrq.gov/issue/cost-benefit-analysis-hospital-pharmacy-bar-code-solution
June 28, 2010 - Study
Cost-benefit analysis of a hospital pharmacy bar code solution.
Citation Text:
Maviglia SM, Yoo JY, Franz C, et al. Cost-benefit analysis of a hospital pharmacy bar code solution. Arch Intern Med. 2007;167(8):788-94.
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psnet.ahrq.gov/issue/prospective-multicenter-study-pharmacist-activities-resulting-medication-error-interception
December 14, 2011 - Study
A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department.
Citation Text:
Patanwala AE, Sanders AB, Thomas MC, et al. A prospective, multicenter study of pharmacist activities resulting in medication error int…
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psnet.ahrq.gov/issue/time-out-patient-safety
October 26, 2022 - Commentary
Time out for patient safety.
Citation Text:
Meginniss A, Damian F, Falvo F. Time out for patient safety. J Emerg Nurs. 2012;38(1):51-53. doi:10.1016/j.jen.2011.04.007.
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