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psnet.ahrq.gov/issue/are-physician-assistants-able-correctly-identify-prescribing-errors-cross-sectional-study
May 29, 2019 - Study
Are physician assistants able to correctly identify prescribing errors? A cross-sectional study.
Citation Text:
Gillette C, Perry CJ, Ferreri SP, et al. Are physician assistants able to correctly identify prescribing errors? A cross-sectional study. J Physician Assist Educ. 2023;34…
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psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning-and-safety-culture
August 01, 2018 - Study
Leveraging a safety event management system to improve organizational learning and safety culture.
Citation Text:
Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407…
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psnet.ahrq.gov/issue/implementation-online-reporting-system-identify-unprofessional-behaviors-and-mistreatment
July 13, 2022 - Study
Implementation of an online reporting system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center.
Citation Text:
Leitman IM, Muller D, Miller S, et al. Implementation of an online reporting system to identify unprofessional behav…
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psnet.ahrq.gov/issue/moving-toward-improved-teamwork-cancer-care-role-psychological-safety-team-communication
October 19, 2012 - Review
Moving toward improved teamwork in cancer care: the role of psychological safety in team communication.
Citation Text:
Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of Psychological Safety in Team Communication. J Oncol Pract. 201…
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psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during
April 24, 2018 - Study
Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission.
Citation Text:
Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home a…
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psnet.ahrq.gov/issue/opportunities-improve-diagnosis-emergency-transfers-pediatric-intensive-care-unit
June 28, 2023 - Study
Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit.
Citation Text:
Mehta SD, Congdon M, Phillips CA, et al. Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. J Hosp Med. 2023;18(6):509-518. do…
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psnet.ahrq.gov/issue/identifying-potential-medication-discrepancies-during-medication-reconciliation-post-acute
June 17, 2020 - Study
Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting.
Citation Text:
Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Sett…
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psnet.ahrq.gov/issue/high-5s-initiative-implementation-medication-reconciliation-france-5-years-experimentation
August 04, 2021 - Commentary
High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation.
Citation Text:
Dufay É, Doerper S, Michel B, et al. High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation. Safety in Health. 2017;…
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psnet.ahrq.gov/issue/burden-difficult-encounters-primary-care-data-minimizing-error-maximizing-outcomes-study
May 18, 2019 - Study
Burden of difficult encounters in primary care: data from the Minimizing Error, Maximizing Outcomes Study.
Citation Text:
An PG, Rabatin JS, Manwell LB, et al. Burden of difficult encounters in primary care: data from the minimizing error, maximizing outcomes study. Arch Intern Med…
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psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how-can-informal
March 14, 2012 - Review
Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review.
Citation Text:
de Feijter JM, de Grave WS, Koopmans RP, et al. Informal learning from error in hospitals: what do we learn, how do we learn…
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psnet.ahrq.gov/issue/effect-pharmacist-led-multicomponent-intervention-focusing-medication-monitoring-phase
June 29, 2011 - Study
Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.
Citation Text:
Lapane KL, Hughes C, Daiello LA, et al. Effect of a pharmacist-led multicomponent intervention focusing on …
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psnet.ahrq.gov/issue/interprofessional-staff-perspectives-adoption-or-black-box-technology-and-simulations-improve
May 21, 2009 - Study
Interprofessional staff perspectives on the adoption of OR black box technology and simulations to improve patient safety: a multi-methods survey.
Citation Text:
Campbell K, Gardner A, Scott DJ, et al. Interprofessional staff perspectives on the adoption of or black box technology …
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psnet.ahrq.gov/issue/validating-decision-tree-serious-infection-diagnostic-accuracy-acutely-ill-children
December 02, 2020 - Study
Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care.
Citation Text:
Verbakel JY, Lemiengre MB, De Burghgraeve T, et al. Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambu…
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psnet.ahrq.gov/issue/does-applying-technology-throughout-medication-use-process-improve-patient-safety
October 30, 2024 - Review
Does applying technology throughout the medication use process improve patient safety with antineoplastics?
Citation Text:
Bubalo J, Warden BA, Wiegel JJ, et al. Does applying technology throughout the medication use process improve patient safety with antineoplastics? J Oncol Pha…
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psnet.ahrq.gov/issue/opioid-related-critical-care-resource-use-us-childrens-hospitals
June 10, 2020 - Study
Emerging Classic
Opioid-related critical care resource use in US children's hospitals.
Citation Text:
Kane JM, Colvin JD, Bartlett AH, et al. Opioid-Related Critical Care Resource Use in US Children's Hospitals. Pediatrics. 2018;141(4):e20173335. doi:10.15…
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psnet.ahrq.gov/issue/admission-conference-call-novel-approach-optimizing-pediatric-emergency-department-admitting
December 21, 2022 - Study
The admission conference call: a novel approach to optimizing pediatric emergency department to admitting floor communication.
Citation Text:
Hendrickson MA, Schempf EN, Furnival RA, et al. The Admission Conference Call: A Novel Approach to Optimizing Pediatric Emergency Department…
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psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection
June 01, 1989 - Study
Classic
Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes.
Citation Text:
Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical Errors and Advers…
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psnet.ahrq.gov/issue/effects-brief-team-training-program-surgical-teams-nontechnical-skills-interrupted-time
December 08, 2021 - Study
Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study.
Citation Text:
Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series stu…
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psnet.ahrq.gov/issue/clinic-design-safety-during-pandemic-safety-or-teamwork-can-we-only-pick-one
November 11, 2015 - Commentary
Clinic design for safety during the pandemic: safety or teamwork, can we only pick one?
Citation Text:
Lim L, Zimring CM, DuBose JR, et al. Clinic design for safety during the pandemic: safety or teamwork, can we only pick one? HERD. 2022;15(3):28-41. doi:10.1177/1937586722109…
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psnet.ahrq.gov/issue/fighting-common-enemy-catalyst-close-intractable-safety-gaps
June 30, 2021 - Commentary
Fighting a common enemy: a catalyst to close intractable safety gaps.
Citation Text:
Singh H, Sittig DF, Gandhi TK. Fighting a common enemy: a catalyst to close intractable safety gaps. BMJ Qual Saf. 2021;30(2):141-145. doi:10.1136/bmjqs-2020-011390.
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