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psnet.ahrq.gov/issue/wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation-alarming-patterns
April 17, 2013 - Study
The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery.
Citation Text:
Schmid F, Goepfert MS, Kuhnt D, et al. The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patte…
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-compliance-prescription-accuracy
May 27, 2011 - Study
Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.
Citation Text:
Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Pharm World Sc…
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psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-healthcare
October 31, 2017 - Review
Saving lives: a meta-analysis of team training in healthcare.
Citation Text:
Hughes A, Gregory ME, Joseph DL, et al. Saving lives: A meta-analysis of team training in healthcare. J Appl Psychol. 2016;101(9):1266-304. doi:10.1037/apl0000120.
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psnet.ahrq.gov/issue/animated-stories-medical-error-means-teaching-undergraduates-patient-safety-evaluation-study
June 10, 2020 - Study
Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study.
Citation Text:
Cooper K, Hatfield E, Yeomans J. Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study. Perspect Med Edu…
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psnet.ahrq.gov/issue/staffing-matters-every-shift
January 20, 2021 - Commentary
Staffing matters—every shift.
Citation Text:
West G, Patrician PA, Loan L. Staffing matters-every shift: data from the Military Nursing Outcomes Database can be used to demonstrate that the right number and mix of nurses prevent errors. Am J Nurs. 2012;112(12):22-7; discussi…
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psnet.ahrq.gov/issue/association-between-hospital-reported-leapfrog-safe-practices-scores-and-inpatient-mortality
January 23, 2020 - Study
Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality.
Citation Text:
Werner RM, McNutt RA. A New Strategy to Improve Quality. JAMA. 2009;301(13). doi:10.1001/jama.2009.423.
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psnet.ahrq.gov/issue/interdisciplinary-and-interprofessional-communication-intervention-how-psychological-safety
May 31, 2023 - Study
Interdisciplinary and interprofessional communication intervention: how psychological safety fosters communication and increases patient safety.
Citation Text:
Dietl JE, Derksen C, Keller FM, et al. Interdisciplinary and interprofessional communication intervention: how psychologic…
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psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks
February 16, 2022 - Study
Information flow during pediatric trauma care transitions: things falling through the cracks.
Citation Text:
Hoonakker PLT, Wooldridge AR, Hose B-Z, et al. Information flow during pediatric trauma care transitions: things falling through the cracks. Intern Emerg Med. 2019;14(5):797…
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psnet.ahrq.gov/issue/evaluation-patient-safety-programme-surgical-safety-checklist-compliance-prospective
March 23, 2016 - Study
Evaluation of a patient safety programme on Surgical Safety Checklist compliance: a prospective longitudinal study.
Citation Text:
Gillespie BM, Harbeck EL, Lavin J, et al. Evaluation of a patient safety programme on Surgical Safety Checklist Compliance: a prospective longitudinal …
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psnet.ahrq.gov/issue/development-and-evaluation-integrated-electronic-prescribing-and-drug-management-system
March 10, 2011 - Study
The development and evaluation of an integrated electronic prescribing and drug management system for primary care.
Citation Text:
Tamblyn R, Huang A, Kawasumi Y, et al. The development and evaluation of an integrated electronic prescribing and drug management system for primary …
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psnet.ahrq.gov/issue/swimming-against-tide-primary-care-physicians-views-deprescribing-everyday-practice
March 15, 2023 - Study
Swimming against the tide: primary care physicians' views on deprescribing in everyday practice.
Citation Text:
Wallis KA, Andrews A, Henderson M. Swimming Against the Tide: Primary Care Physicians’ Views on Deprescribing in Everyday Practice. Ann Fam Med. 2017;15(4):341-346. doi:1…
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psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned
April 20, 2022 - Commentary
Rooting an error review process in just culture: lessons learned.
Citation Text:
Neiswender K, Figueroa-Altmann A, Granahan K, et al. Rooting an error review process in just culture: lessons learned. Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5.
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psnet.ahrq.gov/issue/systems-analysis-work-related-violence-hospitals-stakeholders-contributory-factors-and
February 01, 2023 - Study
A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points.
Citation Text:
Salmon PM, Coventon L, Read GJM. A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. Safe…
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psnet.ahrq.gov/issue/does-racism-impact-healthcare-quality-perspectives-black-and-hispaniclatino-patients
October 19, 2022 - Study
Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients.
Citation Text:
Findling MG, Zephyrin L, Bleich SN, et al. Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients. Healthc (Amst). 2022;10(2):100630. doi:10.…
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psnet.ahrq.gov/issue/data-driven-quality-improvement-culture-change-and-high-reliability-journey-special-hospital
March 24, 2021 - Commentary
Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities.
Citation Text:
Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high relia…
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psnet.ahrq.gov/issue/addressing-systemic-racism-nursing-homes-time-action
November 18, 2020 - Commentary
Emerging Classic
Addressing systemic racism in nursing homes: a time for action.
Citation Text:
Sloane PD, Yearby R, Konetzka RT, et al. Addressing systemic racism in nursing homes: a time for action. J Am Med Dir Assoc. 2021;22(4):886-892. doi:10.101…
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psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription
February 02, 2022 - Book/Report
Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices.
Citation Text:
Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students …
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psnet.ahrq.gov/issue/health-care-quality-and-safety-correctional-system-creating-goals-and-performance-measures
May 18, 2022 - Commentary
Health care quality and safety in a correctional system: creating goals and performance measures for improvement.
Citation Text:
Neely J, Sampath R, Kirkbride G, et al. Health care quality and safety in a correctional system: creating goals and performance measures for improve…
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psnet.ahrq.gov/node/47875/psn-pdf
July 19, 2019 - Observer-based tools for non-technical skills assessment
in simulated and real clinical environments in healthcare:
a systematic review.
July 19, 2019
Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills assessment in
simulated and real clinical environments in healthcare: a syste…
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psnet.ahrq.gov/node/40171/psn-pdf
May 30, 2011 - Qualities and attributes of a safe practitioner:
identification of safety skills in healthcare.
May 30, 2011
Long S, Arora S, Moorthy K, et al. Qualities and attributes of a safe practitioner: identification of safety skills
in healthcare. BMJ Qual Saf. 2011;20(6):483-490. doi:10.1136/bmjqs.2010.043166.
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