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psnet.ahrq.gov/issue/finding-dental-harm-patients-through-electronic-health-record-based-triggers
September 06, 2017 - Study
Finding dental harm to patients through electronic health record-based triggers.
Citation Text:
Walji MF, Yansane A, Hebballi NB, et al. Finding dental harm to patients through electronic health record-based triggers . JDR Clin Trans Res. 2020;5(3):271-277. doi:10.1177/238008441989…
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psnet.ahrq.gov/issue/facing-ambiguous-threats
December 24, 2008 - Commentary
Facing ambiguous threats.
Citation Text:
Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157.
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psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-and-strategies
May 01, 2024 - Study
Negative behaviours in health care: prevalence and strategies.
Citation Text:
Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660.
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psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems
January 12, 2011 - Study
Integrating the intensive care unit safety reporting system with existing incident reporting systems.
Citation Text:
Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual…
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psnet.ahrq.gov/issue/towards-framework-managing-risk-associated-technology-induced-error
May 10, 2013 - Commentary
Towards a framework for managing risk associated with technology-induced error.
Citation Text:
Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48.
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psnet.ahrq.gov/issue/using-trainee-failures-enhance-learning-qualitative-study-pediatric-hospitalists-allowing
December 14, 2022 - Study
Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure.
Citation Text:
Klasen JM, Beck J, Randall CL, et al. Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Acad Pe…
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psnet.ahrq.gov/issue/person-first-treatment-strategies-weight-bias-and-impact-mental-health-people-living-obesity
August 18, 2021 - Commentary
Person-first treatment strategies: weight bias and impact on mental health of people living with obesity.
Citation Text:
Crowley N. Person-first treatment strategies: weight bias and impact on mental health of people living with obesity. Prim Care. 2023;50(1):89-101. doi:10.10…
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psnet.ahrq.gov/issue/emotion-and-coping-aftermath-medical-error-cross-country-exploration
August 10, 2022 - Study
Emotion and coping in the aftermath of medical error: a cross-country exploration.
Citation Text:
Harrison R, Lawton R, Perlo J, et al. Emotion and coping in the aftermath of medical error: a cross-country exploration. J Patient Saf. 2015;11(1):28-35. doi:10.1097/PTS.0b013e3182979b…
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psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-hospitalized-patients
May 27, 2011 - Study
Classic
Incidence and preventability of adverse drug events in hospitalized patients.
Citation Text:
Bates DW, Leape L, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults. J Gen Intern Med. 1993;8(6):289-294.
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psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
February 24, 2011 - Study
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?
Citation Text:
Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? Arch Surg. 2006;141(9):931-9.
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psnet.ahrq.gov/issue/implementation-electronic-system-medication-reconciliation
December 02, 2020 - Study
Implementation of an electronic system for medication reconciliation.
Citation Text:
Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506.
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psnet.ahrq.gov/issue/mhealth-and-mobile-medical-apps-framework-assess-risk-and-promote-safer-use
October 01, 2014 - Commentary
mHealth and mobile medical apps: a framework to assess risk and promote safer use.
Citation Text:
Lewis TL, Wyatt JC. mHealth and mobile medical Apps: a framework to assess risk and promote safer use. J Med Internet Res. 2014;16(9):e210. doi:10.2196/jmir.3133.
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psnet.ahrq.gov/issue/does-concept-safety-culture-help-or-hinder-systems-thinking-safety
October 12, 2011 - Commentary
Does the concept of safety culture help or hinder systems thinking in safety?
Citation Text:
Reiman T, Rollenhagen C. Does the concept of safety culture help or hinder systems thinking in safety? Accid Anal Prev. 2014;68(July):5-15. doi:10.1016/j.aap.2013.10.033.
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psnet.ahrq.gov/issue/patient-safety-primary-care-conceptual-meanings-health-care-team-and-patients
September 28, 2022 - Study
Patient safety in primary care: conceptual meanings to the health care team and patients.
Citation Text:
Lai AY. Patient safety in primary care: conceptual meanings to the health care team and patients. J Am Board Fam Med. 2020;33(5):754-764. doi:10.3122/jabfm.2020.05.200042.
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psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim
June 06, 2018 - Commentary
The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better.
Citation Text:
Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths…
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psnet.ahrq.gov/issue/systems-approach-sharp-end
April 21, 2021 - Commentary
The systems approach at the sharp end.
Citation Text:
Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. doi:10.7861/futurehosp.5-3-176.
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psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era
September 16, 2020 - Commentary
Patient safety and ethical implications of healthcare sick leave policies in the pandemic era.
Citation Text:
Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Jt Comm J Qual Patient Saf. 202…
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psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
August 04, 2021 - Study
From research to practice: factors affecting implementation of prospective targeted injury-detection systems.
Citation Text:
Sorensen A, Harrison MI, Kane HL, et al. From research to practice: factors affecting implementation of prospective targeted injury-detection systems. BMJ …
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psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-high-reliability-culture
July 05, 2017 - Commentary
Decreasing surgical site infections by developing a high reliability culture.
Citation Text:
Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416.
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psnet.ahrq.gov/issue/computerised-provider-order-entry-and-residency-education-academic-medical-centre
June 09, 2015 - Study
Computerised provider order entry and residency education in an academic medical centre.
Citation Text:
Wong BM, Kuper A, Robinson N, et al. Computerised provider order entry and residency education in an academic medical centre. Med Educ. 2012;46(8):795-806. doi:10.1111/j.1365-2…