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psnet.ahrq.gov/issue/role-practice-guidelines-and-evidence-based-medicine-perioperative-patient-safety
June 26, 2024 - Review
The role of practice guidelines and evidence-based medicine in perioperative patient safety.
Citation Text:
Crosby E. Review article: the role of practice guidelines and evidence-based medicine in perioperative patient safety. Can J Anaesth. 2013;60(2):143-51. doi:10.1007/s12630…
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psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery
March 02, 2011 - Review
Fatal errors in nitrous oxide delivery.
Citation Text:
Herff H, Paal P, Von Goedecke A, et al. Fatal errors in nitrous oxide delivery. Anaesthesia. 2007;62(12):1202-1206. doi:10.1111/j.1365-2044.2007.05193.x.
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psnet.ahrq.gov/issue/epidemiology-malpractice-lawsuits-paediatrics
June 16, 2021 - Review
Epidemiology of malpractice lawsuits in paediatrics.
Citation Text:
Najaf-Zadeh A, Dubos F, Aurel M, et al. Epidemiology of malpractice lawsuits in paediatrics. Acta Paediatr. 2008;97(11):1486-91. doi:10.1111/j.1651-2227.2008.00898.x.
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psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm-improve-patient
June 05, 2024 - Review
Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety.
Citation Text:
Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care. 2010;48(11):941-6. doi:10…
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psnet.ahrq.gov/issue/confusion-specimen-mix-dermatopathology-and-measures-prevent-and-detect-it
February 12, 2020 - Review
Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it.
Citation Text:
Weyers W. Confusion-specimen mix-up in dermatopathology and measures to prevent and detect it. Dermatol Pract Concept. 2014;4(1):27-42. doi:10.5826/dpc.0401a04.
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psnet.ahrq.gov/issue/safety-emergency-medicine
November 21, 2021 - Review
The safety of emergency medicine.
Citation Text:
Ramlakhan S, Qayyum H, Burke D, et al. The safety of emergency medicine. Emerg Med J. 2016;33(4):293-9. doi:10.1136/emermed-2014-204564.
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psnet.ahrq.gov/issue/model-framework-patient-safety-training-chiropractic-literature-synthesis
March 19, 2019 - Review
A model framework for patient safety training in chiropractic: a literature synthesis.
Citation Text:
Zaugg B, Wangler M. A model framework for patient safety training in chiropractic: a literature synthesis. J Manipulative Physiol Ther. 2009;32(6):493-499. doi:10.1016/j.jmpt.200…
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psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present-use-and-future
October 27, 2021 - Review
Emerging Classic
The application of system dynamics modelling to system safety improvement: present use and future potential.
Citation Text:
The application of system dynamics modelling to system safety improvement: present use and future potential. Ibrah…
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psnet.ahrq.gov/issue/obstetrics-and-gynecologic-hospitalists-and-their-focus-impact-safety-and-quality-metrics
July 19, 2023 - Commentary
Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics.
Citation Text:
Gonzalez AK, Butler JR. Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. Obstet Gynecol Clin North Am. 2024;51(3):453-461…
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psnet.ahrq.gov/issue/national-quality-forum-safe-practice-standard-computerized-physician-order-entry-updating
December 18, 2013 - Review
The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice.
Citation Text:
Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for Computerized Physician Order Entr…
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psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine
August 07, 2019 - Review
Critical incident reporting system in emergency medicine.
Citation Text:
Kram R. Critical incident reporting system in emergency medicine. Curr Opin Anaesthesiol. 2008;21(2):240-244. doi:10.1097/ACO.0b013e3282f60d82.
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psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-overview-error-causation-and-prevention
November 25, 2020 - Review
How safe is my intensive care unit? An overview of error causation and prevention.
Citation Text:
Valentin A, Bion J. How safe is my intensive care unit? An overview of error causation and prevention. Curr Opin Crit Care. 2007;13(6):697-702.
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psnet.ahrq.gov/issue/automated-dispensing-cabinets-and-their-impact-rate-omitted-and-delayed-doses-systematic
October 12, 2022 - Review
Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review.
Citation Text:
Jeffrey E, Dalby M, Walsh Á, et al. Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. Explor Res…
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psnet.ahrq.gov/issue/interruptions-wild-development-sociotechnical-systems-model-interruptions-emergency
August 31, 2016 - Review
Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review.
Citation Text:
Werner N, Holden RJ. Interruptions in the wild: Development of a sociotechnical systems model of interruptions in the e…
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psnet.ahrq.gov/issue/do-split-side-rails-present-increased-risk-patient-safety
November 02, 2010 - Study
Do split-side rails present an increased risk to patient safety?
Citation Text:
Hignett S, Griffiths P. Do split-side rails present an increased risk to patient safety? Qual Saf Health Care. 2005;14(2):113-6.
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psnet.ahrq.gov/issue/organisational-learning-hospitals-concept-analysis
August 21, 2019 - Review
Organisational learning in hospitals: a concept analysis.
Citation Text:
Lyman B, Hammond EL, Cox JR. Organisational learning in hospitals: A concept analysis. J Nurs Manag. 2019;27(3):633-646. doi:10.1111/jonm.12722.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pdf
June 02, 2025 - Improvement Methods Overview
Pediatric Toolkit for Using the AHRQ Quality Indicators
How to Improve Hospital Quality and Safety
Tool D.1 Slide 1
• Use these PowerPoint slides for any presentations
for which they may be useful.
• These slides may be useful earlier on in the process
than during implementation; fe…
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psnet.ahrq.gov/issue/medical-error-and-human-factors-engineering-where-are-we-now
August 04, 2021 - Review
Medical error and human factors engineering: where are we now?
Citation Text:
Gawron VJ, Drury CG, Fairbanks RJ, et al. Medical error and human factors engineering: where are we now? Am J Med Qual. 2006;21(1):57-67.
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psnet.ahrq.gov/issue/can-technology-improve-intershift-report-what-research-reveals
October 02, 2024 - Review
Can technology improve intershift report? What the research reveals.
Citation Text:
Strople B, Ottani P. Can Technology Improve Intershift Report? What the Research Reveals. Journal of Professional Nursing. 2006;22(3). doi:10.1016/j.profnurs.2006.03.007.
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psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area
November 13, 2024 - Review
Addressing postdischarge adverse events: a neglected area.
Citation Text:
Tsilimingras D. Addressing postdischarge adverse events: a neglected area. Jt Comm J Qual Patient Saf. 2008;34(2):85-97.
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