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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-lvhhn-patient-safety-video-patients-partners-safe-care
January 02, 2017 - Commentary
John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery.
Citation Text:
Anthony R, Miranda F, Mawji Z, et al. John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care …
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psnet.ahrq.gov/issue/we-may-remember-what-did-we-learn-dealing-errors-crimes-and-misdemeanours-around-adverse
December 29, 2014 - Commentary
We may remember but what did we learn? Dealing with errors, crimes and misdemeanours around adverse events in healthcare.
Citation Text:
Fischbacher-Smith D, Fischbacher-Smith M. WE MAY REMEMBER BUT WHAT DID WE LEARN? DEALING WITH ERRORS, CRIMES AND MISDEMEANOURS AROUND ADVE…
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psnet.ahrq.gov/issue/novel-tool-organisational-learning-and-its-impact-safety-culture-hospital-dispensary
January 21, 2015 - Study
A novel tool for organisational learning and its impact on safety culture in a hospital dispensary.
Citation Text:
Sujan MA. A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. Reliab Eng Syst Saf. 2012;101:21-34. doi:10.1016/j.ress…
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psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-events-west-virginia-hospital
March 10, 2011 - Study
Improving self-reporting of adverse drug events in a West Virginia hospital.
Citation Text:
Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia hospital. Am J Med Qual. 2006;21(5):335-41.
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psnet.ahrq.gov/issue/using-staff-perceptions-patient-safety-tool-improving-safety-culture-pediatric-hospital
October 04, 2011 - Study
Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system.
Citation Text:
Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving Safety Culture in a Pediatric Hospital Syste…
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psnet.ahrq.gov/issue/multi-tiered-approach-safety-education
January 31, 2018 - Commentary
A multi-tiered approach to safety education.
Citation Text:
Oates K, Sammut J, Kennedy P. A multi-tiered approach to safety education. Clin Teach. 2013;10(4):214-8. doi:10.1111/tct.12037.
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psnet.ahrq.gov/issue/six-steps-head-hand-simulator-based-transfer-oriented-psychological-training-improve-patient
August 20, 2018 - Commentary
Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient safety.
Citation Text:
Müller MP, Hänsel M, Stehr SN, et al. Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient …
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psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-outside-intensive-care-unit-expanding
January 18, 2023 - Commentary
Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings.
Citation Text:
Kallen AJ, Patel PR, O'Grady NP. Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention …
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psnet.ahrq.gov/issue/interns-overestimate-effectiveness-their-hand-communication
March 02, 2011 - Study
Interns overestimate the effectiveness of their hand-off communication.
Citation Text:
Chang VY, Arora V, Lev-Ari S, et al. Interns overestimate the effectiveness of their hand-off communication. Pediatrics. 2010;125(3):491-496. doi:10.1542/peds.2009-0351.
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psnet.ahrq.gov/issue/error-tracking-clinical-biochemistry-laboratory
June 10, 2020 - Study
Error tracking in a clinical biochemistry laboratory.
Citation Text:
Szecsi PB, Ødum L. Error tracking in a clinical biochemistry laboratory. Clin Chem Lab Med. 2009;47(10). doi:10.1515/cclm.2009.272.
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psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway
November 06, 2015 - Review
The role of documents and documentation in communication failure across the perioperative pathway. A literature review.
Citation Text:
Braaf S, Manias E, Riley R. The role of documents and documentation in communication failure across the perioperative pathway. A literature revi…
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psnet.ahrq.gov/issue/surgical-ward-round-quality-and-impact-variable-patient-outcomes
June 17, 2015 - Study
Surgical ward round quality and impact on variable patient outcomes.
Citation Text:
Pucher PH, Aggarwal R, Darzi A. Surgical ward round quality and impact on variable patient outcomes. Ann Surg. 2014;259(2):222-6. doi:10.1097/SLA.0000000000000376.
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psnet.ahrq.gov/issue/team-structure-and-adverse-events-home-health-care
February 03, 2011 - Study
Team structure and adverse events in home health care.
Citation Text:
Feldman PH, Bridges J, Peng T. Team structure and adverse events in home health care. Med Care. 2007;45(6):553-61.
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psnet.ahrq.gov/issue/outcomes-card-development-systems-based-practice-educational-tool
July 13, 2010 - Study
The outcomes card: development of a systems-based practice educational tool.
Citation Text:
Tomolo A, Caron A, Perz ML, et al. The outcomes card. J Gen Intern Med. 2005;20(8). doi:10.1111/j.1525-1497.2005.0168.x.
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psnet.ahrq.gov/issue/rapid-response-systems
September 30, 2010 - Commentary
Rapid response systems.
Citation Text:
Hillman KM, Chen J, Jones D. Rapid response systems. Med J Aust. 2014;201(9):519-21.
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psnet.ahrq.gov/issue/assessing-impact-teaching-patient-safety-principles-medical-students-during-surgical
November 27, 2012 - Study
Assessing the impact of teaching patient safety principles to medical students during surgical clerkships.
Citation Text:
Stahl K, Augenstein J, Schulman C, et al. Assessing the impact of teaching patient safety principles to medical students during surgical clerkships. J Surg Re…
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psnet.ahrq.gov/issue/measuring-safety-climate-elderly-homes
March 29, 2023 - Study
Measuring safety climate in elderly homes.
Citation Text:
Yeung K-C, Chan CC. Measuring safety climate in elderly homes. J Safety Res. 2012;43(1):9-20. doi:10.1016/j.jsr.2011.10.009.
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psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed
January 29, 2018 - Almost Fatal Medication Error
June 1, 2018
Clinical scenarios: enhancing the skill
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psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery
August 02, 2015 - August 2, 2015
Surgical skill and complication rates after bariatric surgery.
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psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
March 28, 2012 - February 15, 2010
Surgical skill is predicted by the ability to detect errors.