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psnet.ahrq.gov/issue/identifying-latent-failures-underpinning-medication-administration-errors-exploratory-study
December 21, 2016 - Study
Identifying the latent failures underpinning medication administration errors: an exploratory study.
Citation Text:
Lawton R, Carruthers S, Gardner P, et al. Identifying the latent failures underpinning medication administration errors: an exploratory study. Health Serv Res. 2012…
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psnet.ahrq.gov/issue/understanding-unwarranted-variation-clinical-practice-focus-network-effects-reflective
March 31, 2021 - Commentary
Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems.
Citation Text:
Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective …
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psnet.ahrq.gov/issue/managing-near-miss-reporting-hospitals-dynamics-between-staff-members-willingness-report-and
March 30, 2016 - Study
Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report and management’s handling of near-miss events.
Citation Text:
Caspi H, Perlman Y, Westreich S. Managing near-miss reporting in hospitals: the dynamics between staff members’ willing…
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psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
October 19, 2022 - Review
Bedside shift reports: what does the evidence say?
Citation Text:
Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115.
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psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system
April 01, 2015 - Study
Retrospective analysis of medication incidents reported using an on-line reporting system.
Citation Text:
Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-…
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psnet.ahrq.gov/issue/visual-illusions-radiology-untrue-perceptions-medical-images-and-their-implications
July 06, 2022 - Commentary
Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnostic accuracy.
Citation Text:
Alexander RG, Yazdanie F, Waite S, et al. Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnosti…
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psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and-considerations
September 14, 2022 - Commentary
The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety.
Citation Text:
Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and…
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psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective-observational-study
April 15, 2009 - Study
Mix of methods is needed to identify adverse events in general practice: a prospective observational study.
Citation Text:
Wetzels R, Wolters R, van Weel C, et al. Mix of methods is needed to identify adverse events in general practice: a prospective observational study. BMC Fam P…
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psnet.ahrq.gov/issue/informing-design-new-pragmatic-registry-stimulate-near-miss-reporting-ambulatory-care
January 12, 2011 - Review
Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care.
Citation Text:
Pfoh ER, Engineer L, Singh H, et al. Informing the Design of a New Pragmatic Registry to Stimulate Near Miss Reporting in Ambulatory Care. J Patient Saf. 2021;17(3)…
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psnet.ahrq.gov/issue/identification-poor-performance-national-medical-workforce-over-11-years-observational-study
August 12, 2014 - Study
Identification of poor performance in a national medical workforce over 11 years: an observational study.
Citation Text:
Donaldson LJ, Panesar S, McAvoy PA, et al. Identification of poor performance in a national medical workforce over 11 years: an observational study. BMJ Qual Sa…
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psnet.ahrq.gov/issue/benefactor-or-burden-exploring-professional-identity-safety-professionals
October 11, 2017 - Study
Benefactor or burden: exploring the professional identity of safety professionals.
Citation Text:
Provan DJ, Dekker SWA, Rae AJ. Benefactor or burden: Exploring the professional identity of safety professionals. J Safety Res. 2018;66:21-32. doi:10.1016/j.jsr.2018.05.005.
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digital.ahrq.gov/ahrq-funded-projects/enabling-health-care-decisionmaking-through-use-health-information-technology/annual-summary/2011
January 01, 2011 - Enabling Health Care Decisionmaking through the Use of Health Information Technology - 2011
Project Name
Enabling Health Care Decisionmaking through the Use of Health Information Technology
Principal Investigator
Lobach, David
Organization
Duke University
Contract Num…
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psnet.ahrq.gov/issue/patient-safety-and-dentistry-what-do-we-need-know-fundamentals-patient-safety-safety-culture
April 01, 2020 - Review
Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice.
Citation Text:
Yamalik N, Pérez BP. Patient safety and dentistry: what do we need to know? Fundamentals of …
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psnet.ahrq.gov/issue/improving-safety-operating-room-systematic-literature-review-retained-surgical-sponges
March 05, 2025 - Review
Improving safety in the operating room: a systematic literature review of retained surgical sponges.
Citation Text:
Wan W, Le T, Riskin L, et al. Improving safety in the operating room: a systematic literature review of retained surgical sponges. Curr Opin Anaesthesiol. 2009;22(…
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psnet.ahrq.gov/issue/pediatric-medication-safety-adult-community-hospital-settings-glimpse-nationwide-practice
March 14, 2022 - Study
Pediatric medication safety in adult community hospital settings: a glimpse into nationwide practice.
Citation Text:
Alvarez F, Ismail L, Markowsky A. Pediatric Medication Safety in Adult Community Hospital Settings: A Glimpse Into Nationwide Practice. Hosp Pediatr. 2016;6(12):744-…
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psnet.ahrq.gov/issue/feasibility-determining-effectiveness-and-cost-effectiveness-medication-organisation-devices
November 14, 2011 - Book/Report
The Feasibility of Determining the Effectiveness and Cost-effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT.
Citation Text:
The Feasibility of Dete…
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psnet.ahrq.gov/issue/implementation-telepharmacy-service-provide-round-clock-medication-order-review-pharmacists
September 22, 2010 - Commentary
Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists.
Citation Text:
Wakefield DS, Ward MM, Loes JL, et al. Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. Ameri…
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psnet.ahrq.gov/issue/communication-and-patient-safety-training-programme-all-healthcare-staff-can-it-make
July 01, 2017 - Study
A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference?
Citation Text:
Lee P, Allen K, Daly M. A ‘Communication and Patient Safety’ training programme for all healthcare staff: can it make a difference? BMJ Qual Saf. 2011;21(1).…
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psnet.ahrq.gov/issue/rapid-response-systems-adult-academic-medical-centers
February 16, 2011 - Study
Rapid response systems in adult academic medical centers.
Citation Text:
Wood KA, Ranji SR, Ide B, et al. Rapid response systems in adult academic medical centers. Jt Comm J Qual Patient Saf. 2009;35(9):475-82, 437.
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psnet.ahrq.gov/issue/role-language-barriers-efficacy-rapid-response-teams
April 13, 2022 - Study
The role of language barriers on efficacy of rapid response teams.
Citation Text:
Raff L, Moore C, Raff E. The role of language barriers on efficacy of rapid response teams. Hosp Pract (1995). 2023;51(1):29-34. doi:10.1080/21548331.2022.2150416.
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