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psnet.ahrq.gov/issue/improving-patient-safety-and-optimizing-nursing-teamwork-using-crew-resource-management
March 13, 2013 - Study
Improving patient safety and optimizing nursing teamwork using crew resource management techniques.
Citation Text:
West P, Sculli GL, Fore AM, et al. Improving patient safety and optimizing nursing teamwork using crew resource management techniques. J Nurs Adm. 2012;42(1):15-20. do…
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psnet.ahrq.gov/issue/quantifying-nursing-workflow-medication-administration
January 07, 2009 - Study
Quantifying nursing workflow in medication administration.
Citation Text:
Keohane CA, Bane AD, Featherstone E, et al. Quantifying nursing workflow in medication administration. J Nurs Adm. 2007;38(1):19-26. doi:10.1097/01.nna.0000295628.87968.bc.
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psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
March 18, 2019 - Commentary
Classic
Five years after 'To Err is Human': what have we learned?
Citation Text:
Leape L, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90.
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psnet.ahrq.gov/issue/potential-collective-intelligence-emergency-medicine
June 12, 2024 - Study
The potential of collective intelligence in emergency medicine.
Citation Text:
Kämmer JE, Hautz WE, Herzog SM, et al. The Potential of Collective Intelligence in Emergency Medicine: Pooling Medical Students' Independent Decisions Improves Diagnostic Performance. Med Decis Making. 2…
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psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability
May 01, 2017 - Book/Report
Classic
Advances in Patient Safety and Medical Liability.
Citation Text:
Advances in Patient Safety and Medical Liability. Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2017. AHRQ Publication No…
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psnet.ahrq.gov/issue/risk-factors-adverse-drug-events-10-year-analysis
September 27, 2017 - Study
Risk factors for adverse drug events: a 10-year analysis.
Citation Text:
Evans S, Lloyd JF, Stoddard GJ, et al. Risk factors for adverse drug events: a 10-year analysis. Ann Pharmacother. 2005;39(7-8):1161-8.
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psnet.ahrq.gov/issue/coronavirus-can-california-prison-save-itself-covid-19
July 01, 2020 - Newspaper/Magazine Article
Coronavirus: can this California prison save itself from Covid-19?
Citation Text:
Honderich H, Popat S. Coronavirus: Can this California prison save itself from Covid-19? BBC News, Washington. 2020;Jul 27.
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psnet.ahrq.gov/issue/building-safety-net
December 21, 2009 - Newspaper/Magazine Article
Building a safety net.
Citation Text:
Rogoski RR. Building a safety net. By leveraging huge amounts of data and applying it to a wide array of projects and purposes, hospitals stay focused on patient safety and make headway. Health management technology. 2006…
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psnet.ahrq.gov/issue/experimental-study-medical-error-explanations-do-apology-empathy-corrective-action-and
October 07, 2020 - Study
An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes?
Citation Text:
Nazione S, Pace K. An Experimental Study of Medical Error Explanations: Do Apology, Empathy, Corrective Action, and Compensat…
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psnet.ahrq.gov/issue/prevalence-and-characteristics-interruptions-and-distractions-during-surgical-counts
March 09, 2016 - Study
Prevalence and characteristics of interruptions and distractions during surgical counts.
Citation Text:
Bubric KA, Biesbroek SL, Laberge JC, et al. Prevalence and characteristics of interruptions and distractions during surgical counts. Jt Comm J Qual Patient Saf. 2021;47(9):556-56…
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psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients
July 07, 2021 - Study
Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study.
Citation Text:
Masoudi FA, Magid DJ, Vinson DR, e…
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psnet.ahrq.gov/issue/structural-racism-behavioral-health-presentation-and-management
September 23, 2020 - Commentary
Structural racism in behavioral health presentation and management.
Citation Text:
Rainer T, Lim JK, He Y, et al. Structural racism in behavioral health presentation and management. Hosp Pediatr. 2023;13(5):461-470. doi:10.1542/hpeds.2023-007133.
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psnet.ahrq.gov/issue/improving-medication-management-through-redesign-hospital-code-cart-medication-drawer
October 31, 2018 - Study
Improving medication management through the redesign of the hospital code cart medication drawer.
Citation Text:
Rousek JB, Hallbeck MS. Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. Human Factors: The Journal of the Human Facto…
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psnet.ahrq.gov/issue/crowd-sourced-hospital-ratings-are-correlated-patient-satisfaction-not-surgical-safety
November 18, 2020 - Study
Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety.
Citation Text:
Synan LT, Eid MA, Lamb CR, et al. Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. Surgery. 2021;170(3):764-768. doi:10.10…
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psnet.ahrq.gov/issue/patient-safety-and-suicide-prevention-mental-health-services-time-new-paradigm
April 19, 2023 - Commentary
Patient safety and suicide prevention in mental health services: time for a new paradigm?
Citation Text:
Quinlivan L, Littlewood DL, Webb RT, et al. Patient safety and suicide prevention in mental health services: time for a new paradigm? J Mental Health. 2020;29(1):1-5. doi…
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psnet.ahrq.gov/issue/evaluation-design-and-structure-electronic-medication-labels-improve-patient-health-knowledge
October 16, 2024 - Review
Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review.
Citation Text:
Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels to improve patien…
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psnet.ahrq.gov/issue/impact-non-interruptive-medication-laboratory-monitoring-alerts-ambulatory-care
March 10, 2011 - Study
Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care.
Citation Text:
Lo HG, Matheny ME, Seger DL, et al. Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. J Am Med Inform Assoc. 2009;16(1):66-71. doi:10.1197/jami…
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psnet.ahrq.gov/issue/trial-automated-decision-support-alerts-contraindicated-medications-using-computerized
May 20, 2019 - Study
A trial of automated decision support alerts for contraindicated medications using computerized physician order entry.
Citation Text:
Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated medications using computerized physician…
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psnet.ahrq.gov/issue/what-evidence-pharmacy-team-working-acute-or-emergency-medicine-department-improves-outcomes
August 10, 2022 - Review
What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic review.
Citation Text:
Punj E, Collins A, Agravedi N, et al. What is the evidence that a pharmacy team working in an acute or emergency medic…
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psnet.ahrq.gov/issue/formal-medicine-reconciliation-within-emergency-department-reduces-medication-error-rates
May 01, 2019 - Study
Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions.
Citation Text:
Mills PR, McGuffie AC. Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admiss…