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psnet.ahrq.gov/issue/minding-gaps-assessing-communication-outcomes-electronic-preconsultation-exchange
November 30, 2016 - Study
Minding the gaps: assessing communication outcomes of electronic preconsultation exchange.
Citation Text:
Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54.
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psnet.ahrq.gov/issue/challenges-electronic-health-records-and-diabetes-electronic-prescribing-implications-safety
September 23, 2020 - Review
The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations.
Citation Text:
Ratanawongsa N, Chan LLS, Fouts MM, et al. The Challenges of Electronic Health Records and Diabetes Electronic Prescribing: Imp…
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psnet.ahrq.gov/issue/viewing-prevention-catheter-associated-urinary-tract-infection-system-using-systems
July 12, 2023 - Study
Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center.
Citation Text:
Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Ass…
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psnet.ahrq.gov/node/43286/psn-pdf
June 25, 2014 - Codifying knowledge to improve patient safety: a
qualitative study of practice-based interventions.
June 25, 2014
Turner S, Higginson J, Oborne A, et al. Codifying knowledge to improve patient safety: a qualitative study
of practice-based interventions. Soc Sci Med. 2014;113:169-76. doi:10.1016/j.socscimed.2014.05.…
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psnet.ahrq.gov/node/40163/psn-pdf
December 21, 2014 - Integration of a formalized handoff system into the
surgical curriculum: resident perspectives and early
results.
December 21, 2014
Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery.
2011;146(1). doi:10.1001/archsurg.2010.294.
https://psnet.ahrq.gov/issue/integ…
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psnet.ahrq.gov/node/40519/psn-pdf
June 08, 2011 - A public health approach to patient safety reporting
systems is urgently needed.
June 8, 2011
Noble DJ, Panesar S, Pronovost P. A public health approach to patient safety reporting systems is urgently
needed. J Patient Saf. 2011;7(2):109-12. doi:10.1097/PTS.0b013e31821b8a6c.
https://psnet.ahrq.gov/issue/public-hea…
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psnet.ahrq.gov/node/39207/psn-pdf
May 24, 2015 - An In Depth Investigation into Causes of Prescribing
Errors by Foundation Trainees in Relation to Their
Medical Education—EQUIP Study.
May 24, 2015
Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.
https://psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation…
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psnet.ahrq.gov/node/42057/psn-pdf
February 20, 2013 - Improving patient safety in the operating theatre and
perioperative care: obstacles, interventions, and priorities
for accelerating progress.
February 20, 2013
Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care:
obstacles, interventions, and priorities for acc…
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psnet.ahrq.gov/node/39439/psn-pdf
May 10, 2010 - Improving insulin distribution and administration safety
using Lean Six Sigma methodologies.
May 10, 2010
Yamamoto J, Abraham D, Malatestinic B. Improving Insulin Distribution and Administration Safety Using
Lean Six Sigma Methodologies. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-212.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/41815/psn-pdf
July 02, 2014 - Examining the diagnostic justification abilities of fourth-
year medical students.
July 2, 2014
Williams RG, Klamen DL. Examining the diagnostic justification abilities of fourth-year medical students.
Acad Med. 2012;87(8):1008-14. doi:10.1097/ACM.0b013e31825cfcff.
https://psnet.ahrq.gov/issue/examining-diagnostic…
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psnet.ahrq.gov/node/40017/psn-pdf
December 14, 2016 - Image Gently, Step Lightly: promoting radiation safety in
pediatric interventional radiology.
December 14, 2016
Sidhu M, Goske MJ, Connolly B, et al. Image Gently, Step Lightly: promoting radiation safety in pediatric
interventional radiology. AJR Am J Roentgenol. 2010;195(4):W299-301. doi:10.2214/AJR.09.3938.
htt…
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psnet.ahrq.gov/node/39989/psn-pdf
December 21, 2014 - The incidence and cost of unexpected hospital use after
scheduled outpatient endoscopy.
December 21, 2014
Leffler DA, Kheraj R, Garud S, et al. The incidence and cost of unexpected hospital use after scheduled
outpatient endoscopy. Arch Intern Med. 2010;170(19):1752-7. doi:10.1001/archinternmed.2010.373.
https://p…
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psnet.ahrq.gov/node/37881/psn-pdf
July 02, 2008 - Simulated laparoscopic operating room crisis: an
approach to enhance the surgical team performance.
July 2, 2008
Powers KA, Rehrig ST, Irias N, et al. Simulated laparoscopic operating room crisis: An approach to
enhance the surgical team performance. Surg Endosc. 2008;22(4):885-900.
https://psnet.ahrq.gov/issue/si…
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psnet.ahrq.gov/node/764408/psn-pdf
March 02, 2022 - Ensuring critical instruments and devices are appropriate
for reuse.
March 2, 2022
Quick Safety. February 14, 2022;(64):1-3.
https://psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse
Complete, appropriate reprocessing and sterilization of reusable medical instruments and devices …
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psnet.ahrq.gov/node/43457/psn-pdf
August 02, 2015 - A human factors subsystems approach to trauma care.
August 2, 2015
Catchpole K, Ley EJ, Wiegmann D, et al. A human factors subsystems approach to trauma care. JAMA
Surg. 2014;149(9):962-8.
https://psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care
Human factors analysis led to five system changes i…
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psnet.ahrq.gov/node/73098/psn-pdf
September 07, 2021 - Achieving Excellence in the Diagnosis of Acute
Cardiovascular Events: Proceedings of a Workshop–in
Brief.
September 7, 2021
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2021.
https://psnet.ahrq.gov/issue/achieving-excellence-diagnosis-acute-cardiovascula…
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psnet.ahrq.gov/node/44472/psn-pdf
January 22, 2016 - Understanding medical errors and adverse events in ICU
patients.
January 22, 2016
Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU
patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x.
https://psnet.ahrq.gov/issue/understanding-medical-errors…
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psnet.ahrq.gov/node/45229/psn-pdf
July 13, 2016 - The WakeWings journey: creating a patient safety
program.
July 13, 2016
Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9.
doi:10.1016/j.aorn.2016.04.004.
https://psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program
Successful and sustainable implementa…
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psnet.ahrq.gov/node/40542/psn-pdf
August 25, 2011 - Optimising surgical training: use of feedback to reduce
errors during a simulated surgical procedure.
August 25, 2011
Boyle E, Al-Akash M, Gallagher AG, et al. Optimising surgical training: use of feedback to reduce errors
during a simulated surgical procedure. Postgrad Med J. 2011;87(1030):524-8.
doi:10.1136/pgmj…
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psnet.ahrq.gov/node/42190/psn-pdf
July 01, 2013 - Staff perceptions of quality of care: an observational
study of the NHS Staff Survey in hospitals in England.
July 1, 2013
Pinder RJ, Greaves FE, Aylin PP, et al. Staff perceptions of quality of care: an observational study of the
NHS Staff Survey in hospitals in England. BMJ Qual Saf. 2013;22(7):563-70. doi:10.113…