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psnet.ahrq.gov/issue/career-impact-chief-resident-quality-and-safety-training-program-alumni-evaluation
June 19, 2019 - Study
Career impact of the chief resident in quality and safety training program: an alumni evaluation
Citation Text:
Aboumrad M, Carluzzo KL, Lypson ML, et al. Career impact of the chief resident in quality and safety training program: an alumni evaluation. Acad Med. 2020;95(2). doi:10.…
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psnet.ahrq.gov/issue/periodic-resuscitation-cart-checks-and-nurse-situational-awareness-observational-study
March 18, 2020 - Study
Periodic resuscitation cart checks and nurse situational awareness: an observational study.
Citation Text:
Aljuaid J, Al-Moteri M. Periodic resuscitation cart checks and nurse situational awareness: an observational study. J Emerg Nurs. 2022;48(2):189-201. doi:10.1016/j.jen.2021.12…
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psnet.ahrq.gov/issue/long-term-reduction-adverse-drug-events-evidence-based-improvement-model
August 28, 2024 - Study
Long-term reduction in adverse drug events: an evidence-based improvement model.
Citation Text:
Gazarian M, Graudins LV. Long-term reduction in adverse drug events: an evidence-based improvement model. Pediatrics. 2012;129(5):e1334-42. doi:10.1542/peds.2011-1902.
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psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports
March 30, 2011 - Study
Inter-rater reliability of a classification system for hospital adverse drug event reports.
Citation Text:
Haynes K, Hennessy S, Morales KH, et al. Inter-rater reliability of a classification system for hospital adverse drug event reports. Clin Pharmacol Ther. 2008;83(3):485-8.
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psnet.ahrq.gov/issue/problems-medical-devices-may-be-severely-under-reported
November 16, 2022 - Study
Problems with medical devices may be severely under-reported.
Citation Text:
Vicente KJ, Kern S. Problems with medical devices may be severely under-reported. Nurs Leadersh (Tor Ont). 2005;18(1):82-8.
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psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution
March 01, 2023 - Review
The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution?
Citation Text:
Hyman DA, Silver C. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Co…
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psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-safe-administration-chemotherapy-hospitalized
August 08, 2018 - Study
Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer.
Citation Text:
Robinson DL, Heigham M, Clark J. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer…
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psnet.ahrq.gov/issue/anybody-list-youre-more-worried-about-qualitative-analysis-exploring-functions-questions
January 22, 2016 - Study
"Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs.
Citation Text:
O'Brien CM, Flanagan ME, Bergman AA, et al. "Anybody on this list that you're more worried about?" Qualitative analysis expl…
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psnet.ahrq.gov/issue/emergency-department-discharge-prescription-interventions-emergency-medicine-pharmacists
September 22, 2021 - Study
Emergency department discharge prescription interventions by emergency medicine pharmacists.
Citation Text:
Cesarz JL, Steffenhagen AL, Svenson J, et al. Emergency department discharge prescription interventions by emergency medicine pharmacists. Ann Emerg Med. 2013;61(2):209-214…
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psnet.ahrq.gov/issue/peer-support-healthcare-professionals-supporting-each-other-after-adverse-medical-events
July 24, 2024 - Study
Peer support: healthcare professionals supporting each other after adverse medical events.
Citation Text:
van Pelt F. Peer support: healthcare professionals supporting each other after adverse medical events. Qual Saf Health Care. 2008;17(4):249-52. doi:10.1136/qshc.2007.025536. …
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psnet.ahrq.gov/issue/video-registration-trauma-team-performance-emergency-department-results-2-year-analysis-level
November 16, 2022 - Study
Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center.
Citation Text:
Lubbert PHW, Kaasschieter EG, Hoorntje LE, et al. Video registration of trauma team performance in the emergency department: the …
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psnet.ahrq.gov/issue/reducing-falls-and-fall-related-injuries-mental-health-1-year-multihospital-falls
January 25, 2023 - Commentary
Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative.
Citation Text:
Quigley PA, Barnett SD, Bulat T, et al. Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. J Nurs Care Qual…
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psnet.ahrq.gov/issue/dna-damage-response-and-patient-safety-engaging-our-molecular-biology-oriented-colleagues
March 11, 2020 - Commentary
The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues.
Citation Text:
Pukk K, Aron DC. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. International Journal for Quality in Health Care. 2…
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psnet.ahrq.gov/issue/patient-involvement-patient-safety-health-care-professionals-perspective
July 06, 2012 - Study
Patient involvement in patient safety: the health-care professional's perspective.
Citation Text:
Davis R, Sevdalis N, Vincent CA. Patient involvement in patient safety: the health-care professional's perspective. J Patient Saf. 2012;8(4):182-8. doi:10.1097/PTS.0b013e318267c4aa. …
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psnet.ahrq.gov/issue/increasing-vigilance-medicalsurgical-floor-improve-patient-safety
January 18, 2011 - Study
Increasing vigilance on the medical/surgical floor to improve patient safety.
Citation Text:
Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x.
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psnet.ahrq.gov/issue/physicians-beliefs-about-using-emr-and-cpoe-pursuit-contextualized-understanding-health-it
May 16, 2012 - Study
Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior.
Citation Text:
Holden RJ. Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. Int J Med Inform. …
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psnet.ahrq.gov/issue/experiences-lean-six-sigma-improvement-strategy-reduce-parenteral-medication-administration
October 13, 2021 - Commentary
Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm.
Citation Text:
van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to reduce pa…
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psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors
December 26, 2014 - Study
Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors.
Citation Text:
Meyer E, Underwood S, Padmanabhan V. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Arch Pathol Lab Med. 2009;133(8):1297-30…
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psnet.ahrq.gov/issue/towards-common-framework-support-decision-making-high-risk-low-time-environments
November 16, 2022 - Commentary
Towards a common framework to support decision-making in high-risk, low-time environments.
Citation Text:
Launder D, Penney G. Towards a common framework to support decision‐making in high‐risk, low‐time environments. J Contin Crisis Manag. 2023;31(4):862-876. doi:10.1111/1468…
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psnet.ahrq.gov/issue/diagnosing-fast-and-slow-cognitive-bias-obstetrics
February 22, 2019 - Commentary
Diagnosing fast and slow: cognitive bias in obstetrics.
Citation Text:
Atallah F, Gomes C, Minkoff H. Diagnosing fast and slow: cognitive bias in obstetrics. Obstet Gynecol. 2023;142(3):727-732. doi:10.1097/aog.0000000000005303.
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