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psnet.ahrq.gov/issue/teamwork-communication-and-safety-climate-systematic-review-interventions-improve-surgical
May 26, 2016 - Review
Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture.
Citation Text:
Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. BMJ Qua…
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psnet.ahrq.gov/issue/scope-drug-related-problems-home-care-setting
February 16, 2011 - Review
The scope of drug-related problems in the home care setting.
Citation Text:
Meyer-Massetti C, Meier CR, Guglielmo J. The scope of drug-related problems in the home care setting. Int J Clin Pharm. 2018;40(2):325-334. doi:10.1007/s11096-017-0581-9.
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psnet.ahrq.gov/issue/please-reconcile-not-wait-while
April 19, 2023 - Commentary
Please reconcile, not wait a while.
Citation Text:
Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356.
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psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients
January 19, 2011 - Study
Classic
Medication errors and adverse drug events in pediatric inpatients.
Citation Text:
Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285(16):2114-20.
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psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance
July 29, 2020 - Study
Adverse event rates as measures of hospital performance.
Citation Text:
Hauck K, Zhao X, Jackson T. Adverse event rates as measures of hospital performance. Health Policy (New York). 2012;104(2):146-154. doi:10.1016/j.healthpol.2011.06.010.
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psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-review-audit
March 04, 2011 - Study
Mapping changes in surgical mortality over 9 years by peer review audit.
Citation Text:
Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52.
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psnet.ahrq.gov/issue/failures-communication-and-information-transfer-across-surgical-care-pathway-interview-study
August 09, 2013 - Study
Failures in communication and information transfer across the surgical care pathway: interview study.
Citation Text:
Nagpal K, Arora S, Vats A, et al. Failures in communication and information transfer across the surgical care pathway: interview study. BMJ Qual Saf. 2012;21(10):8…
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psnet.ahrq.gov/issue/what-would-you-ideally-do-if-there-were-no-targets-ethnographic-study-unintended-consequences
July 27, 2011 - Study
What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings.
Citation Text:
Allard J, Bleakley A. What would you ideally do if there were no targets? An ethnographic study of the unintended…
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psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety
January 29, 2020 - Commentary
From patients to politicians: a cognitive engineering view of patient safety.
Citation Text:
Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health Care. 2002;11(4):302-4.
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psnet.ahrq.gov/issue/diagnostic-error-national-incident-reporting-system-uk
February 15, 2013 - Study
Diagnostic error in a national incident reporting system in the UK.
Citation Text:
Sevdalis N, Jacklin R, Arora S, et al. Diagnostic error in a national incident reporting system in the UK. J Eval Clin Pract. 2010;16(6):1276-81. doi:10.1111/j.1365-2753.2009.01328.x.
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psnet.ahrq.gov/issue/addressing-taboo-medical-error-through-igbos-i-got-burnt-once
October 31, 2014 - Study
Addressing the taboo of medical error through IGBOs: I got burnt once!
Citation Text:
Dumitrescu A, Ryan A. Addressing the taboo of medical error through IGBOs: I got burnt once!. Eur J Pediatr. 2014;173(4):503-8. doi:10.1007/s00431-013-2168-3.
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psnet.ahrq.gov/issue/unintended-consequences-electronic-health-record-and-cognitive-load-emergency-department
June 22, 2011 - Study
Unintended consequences of the electronic health record and cognitive load in emergency department nurses.
Citation Text:
Harmon CS, Adams SA, Davis JE, et al. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. …
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psnet.ahrq.gov/issue/delayed-admissions-pediatric-intensive-care-unit-progression-disease-or-errors-emergency
June 14, 2019 - Journal Article
Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency Department Management
Citation Text:
Czolgosz T, Cashen K, Farooqi A, et al. Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in…
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psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor
January 31, 2024 - Study
Double checking medicines: defence against error or contributory factor?
Citation Text:
Armitage G. Double checking medicines: defence against error or contributory factor? J Eval Clin Pract. 2008;14(4):513-9.
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psnet.ahrq.gov/issue/adequacy-information-transferred-resident-sign-out-hospital-handover-care-prospective-survey
April 30, 2008 - Study
Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey.
Citation Text:
Borowitz SM, Waggoner-Fountain LA, Bass EJ, et al. Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective …
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psnet.ahrq.gov/issue/quality-monitoring-program-bar-code-assisted-medication-administration
November 16, 2022 - Study
Quality-monitoring program for bar-code–assisted medication administration.
Citation Text:
Mims E, Tucker C, Carlson R, et al. Quality-monitoring program for bar-code-assisted medication administration. Am J Health Syst Pharm. 2009;66(12):1125-31. doi:10.2146/ajhp080172.
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psnet.ahrq.gov/issue/mitigating-errors-caused-interruptions-during-medication-verification-and-administration
September 24, 2016 - Study
Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting.
Citation Text:
Prakash V, Koczmara C, Savage P, et al. Mitigating errors caused by interruptions during medication verification…
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psnet.ahrq.gov/issue/impact-miscommunication-medical-dispute-cases-japan
September 25, 2019 - Study
Impact of miscommunication in medical dispute cases in Japan.
Citation Text:
Aoki N, Uda K, Ohta S, et al. Impact of miscommunication in medical dispute cases in Japan. Int J Qual Health Care. 2008;20(5):358-62. doi:10.1093/intqhc/mzn028.
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psnet.ahrq.gov/issue/implementation-medication-error-reporting-through-med-safe-tool-clinical-pharmacists-and
December 16, 2011 - Study
Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach.
Citation Text:
Elnour AA, Ellahham NH, Al Qassas HI. Implementation of Medication Error Reporting Through Med Safe Tool. J Patient …
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psnet.ahrq.gov/issue/time-change-injury-and-trauma-care-delivery-trauma-death-review-analysis
November 21, 2021 - Study
Time for a change in injury and trauma care delivery: a trauma death review analysis.
Citation Text:
Sugrue M, Caldwell E, D'Amours S, et al. Time for a change in injury and trauma care delivery: a trauma death review analysis. ANZ J Surg. 2008;78(11):949-954. doi:10.1111/j.1445-…