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psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks
May 08, 2017 - Commentary
Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level.
Citation Text:
Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a…
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psnet.ahrq.gov/issue/barcode-medication-administration-software-technology-use-emergency-department-and-medication
November 04, 2015 - Study
Barcode medication administration software technology use in the emergency department and medication error rates.
Citation Text:
Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency department and medication error rates. Comput Inform Nurs.…
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psnet.ahrq.gov/issue/mentorship-newly-appointed-physicians-strategy-enhancing-patient-safety
April 22, 2012 - Study
Mentorship for newly appointed physicians: a strategy for enhancing patient safety?
Citation Text:
Harrison R, McClean S, Lawton R, et al. Mentorship for newly appointed physicians: a strategy for enhancing patient safety? J Patient Saf. 2014;10(3):159-67. doi:10.1097/PTS.0b013e318…
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psnet.ahrq.gov/issue/second-victim-phenomenon-after-clinical-error-design-and-evaluation-website-reduce-caregivers
October 11, 2017 - Study
The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce caregivers' emotional responses after a clinical error.
Citation Text:
Mira JJ, Carrillo I, Guilabert M, et al. The Second Victim Phenomenon After a Clinical Error: The Design and …
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psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
January 08, 2020 - Commentary
Cognitive testing of older clinicians prior to recredentialing.
Citation Text:
Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665.
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psnet.ahrq.gov/issue/using-drug-knowledgebase-information-distinguish-between-look-alike-sound-alike-drugs
July 10, 2019 - Study
Using drug knowledgebase information to distinguish between look-alike-sound-alike drugs.
Citation Text:
Cheng CM, Salazar A, Amato MG, et al. Using drug knowledgebase information to distinguish between look-alike-sound-alike drugs. J Am Med Inform Assoc. 2018;25(7):872-884. doi:10…
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psnet.ahrq.gov/issue/leveraging-trainees-improve-quality-and-safety-point-care-three-models-engagement
September 20, 2017 - Commentary
Leveraging trainees to improve quality and safety at the point of care: three models for engagement.
Citation Text:
Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Acad Med. 2016;91(4):503-9. d…
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psnet.ahrq.gov/issue/nurses-communication-safety-events-nursing-home-residents-and-families
September 23, 2020 - Study
Nurses' communication of safety events to nursing home residents and families.
Citation Text:
Wagner LM, Driscoll L, Darlington JL, et al. Nurses' Communication of Safety Events to Nursing Home Residents and Families. J Gerontol Nurs. 2018;44(2):25-32. doi:10.3928/00989134-20171002…
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psnet.ahrq.gov/issue/do-first-opinions-affect-second-opinions
October 07, 2020 - Study
Do first opinions affect second opinions?
Citation Text:
Vashitz G, Pliskin JS, Parmet Y, et al. Do First Opinions Affect Second Opinions? J Gen Intern Med. 2012;27(10). doi:10.1007/s11606-012-2056-y.
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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-identification-and-tube-labelling-call-harmonisation
April 29, 2020 - Commentary
Patient identification and tube labelling—a call for harmonisation.
Citation Text:
van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.15…
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psnet.ahrq.gov/issue/computerized-clinical-decision-support-medication-prescribing-and-utilization-pediatrics
July 16, 2015 - Study
Computerized clinical decision support for medication prescribing and utilization in pediatrics.
Citation Text:
Stultz JS, Nahata MC. Computerized clinical decision support for medication prescribing and utilization in pediatrics. J Am Med Inform Assoc. 2012;19(6):942-53. doi:10.11…
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psnet.ahrq.gov/issue/patient-preferences-cases-inter-system-medical-error-discovery-imed
November 02, 2018 - Study
Patient preferences in cases of Inter-system Medical Error Discovery (IMED).
Citation Text:
Antunez AG, Saari A, Miller J, et al. Patient Preferences in Cases of Inter-system Medical Error Discovery (IMED). Ann Surg. 2021;273(3):516-522. doi:10.1097/SLA.0000000000003507.
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psnet.ahrq.gov/issue/work-arounds-and-artifacts-during-transition-computer-physician-order-entry-what-they-are-and
January 12, 2022 - Study
Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean.
Citation Text:
Schoville RR. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. J Nurs Care Qual. 2…
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psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary-health-care
February 18, 2009 - Study
Is the test result correct? A questionnaire study of blood collection practices in primary health care.
Citation Text:
Söderberg J, Wallin O, Grankvist K, et al. Is the test result correct? A questionnaire study of blood collection practices in primary health care. J Eval Clin Pr…
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psnet.ahrq.gov/issue/patient-safety-attitudes-and-behaviors-graduating-medical-students
June 01, 2016 - Study
Patient safety attitudes and behaviors of graduating medical students.
Citation Text:
Wetzel AP, Dow AW, Mazmanian PE. Patient safety attitudes and behaviors of graduating medical students. Eval Health Prof. 2012;35(2):221-38. doi:10.1177/0163278711414560.
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psnet.ahrq.gov/issue/using-medical-emergency-team-manage-anaphylactic-shock
June 26, 2024 - Commentary
Using a medical emergency team to manage anaphylactic shock.
Citation Text:
Burns B, Beckett J, Jones D, et al. Using a medical emergency team to manage anaphylactic shock. Jt Comm J Qual Patient Saf. 2008;34(6):360-3.
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psnet.ahrq.gov/issue/analysis-risk-factors-adverse-drug-events-critically-ill-patients
October 26, 2010 - Study
Analysis of risk factors for adverse drug events in critically ill patients.
Citation Text:
Kane-Gill SL, Kirisci L, Verrico MM, et al. Analysis of risk factors for adverse drug events in critically ill patients*. Crit Care Med. 2012;40(3):823-8. doi:10.1097/CCM.0b013e318236f473.…
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psnet.ahrq.gov/issue/high-reliability-pediatric-heart-centers-always-working-toward-getting-better
September 18, 2024 - Commentary
High reliability pediatric heart centers: always working toward getting better.
Citation Text:
Torzone A, Birely A. High reliability pediatric heart centers: always working toward getting better. Curr Opin Cardiol. 2024;39(4):356-363. doi:10.1097/hco.0000000000001143.
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psnet.ahrq.gov/issue/effect-evidence-crisis-learning-based-perspective-integration-framework
March 24, 2019 - Commentary
The effect of evidence in crisis learning: based on a perspective integration framework.
Citation Text:
Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1…