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psnet.ahrq.gov/issue/advancing-next-generation-handover-research-and-practice-cognitive-load-theory
November 10, 2021 - Commentary
Advancing the next generation of handover research and practice with cognitive load theory.
Citation Text:
Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.11…
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psnet.ahrq.gov/issue/residency-training-handoffs-survey-program-directors-psychiatry
January 01, 2019 - Study
Residency training in handoffs: a survey of program directors in psychiatry.
Citation Text:
Arbuckle MR, Reardon CL, Young JQ. Residency training in handoffs: a survey of program directors in psychiatry. Acad Psychiatry. 2015;39(2):132-8. doi:10.1007/s40596-014-0167-y.
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psnet.ahrq.gov/issue/relationship-between-nursing-experience-and-education-and-occurrence-reported-pediatric
October 02, 2013 - Study
The relationship between nursing experience and education and the occurrence of reported pediatric medication administration errors.
Citation Text:
Sears K, O'Brien-Pallas L, Stevens B, et al. The Relationship Between Nursing Experience and Education and the Occurrence of Reported …
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psnet.ahrq.gov/issue/relationship-between-nursing-work-environment-and-occurrence-reported-paediatric-medication
July 01, 2016 - Study
The relationship between the nursing work environment and the occurrence of reported paediatric medication administration errors: a pan Canadian study.
Citation Text:
Sears K, O'Brien-Pallas L, Stevens B, et al. The Relationship Between the Nursing Work Environment and the Occurr…
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psnet.ahrq.gov/issue/did-i-do-best-system-would-let-me-healthcare-professional-views-hospital-home-care
January 12, 2022 - Study
"Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions.
Citation Text:
Davis MM, Devoe M, Kansagara D, et al. "Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions…
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psnet.ahrq.gov/issue/perioperative-team-based-morbidity-and-mortality-conferences-systematic-review-literature
November 29, 2023 - Review
Perioperative team-based morbidity and mortality conferences: a systematic review of the literature.
Citation Text:
Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Ann Surg Open. …
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psnet.ahrq.gov/issue/national-estimates-adverse-events-during-nonpsychiatric-hospitalizations-persons
August 09, 2017 - Study
National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.
Citation Text:
Khaykin E, Ford DE, Pronovost P, et al. National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. Gen Hosp …
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psnet.ahrq.gov/issue/year-end-resident-clinic-handoffs-narrative-review-and-recommendations-improvement
March 28, 2018 - Review
Year-end resident clinic handoffs: narrative review and recommendations for improvement.
Citation Text:
Pincavage A, Donnelly MJ, Young JQ, et al. Year-End Resident Clinic Handoffs: Narrative Review and Recommendations for Improvement. Jt Comm J Qual Patient Saf. 2017;43(2):71-79.…
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psnet.ahrq.gov/issue/defining-speaking-healthcare-system-systematic-review
September 27, 2023 - Review
Defining speaking up in the healthcare system: a systematic review.
Citation Text:
Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0.
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psnet.ahrq.gov/issue/competencies-patient-safety-and-quality-improvement-synthesis-recommendations-influential
March 31, 2022 - Review
Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers.
Citation Text:
Moran KM, Harris IB, Valenta AL. Competencies for Patient Safety and Quality Improvement: A Synthesis of Recommendations in Influential Position P…
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psnet.ahrq.gov/issue/clinical-handover-critically-ill-postoperative-patient-integrative-review
March 23, 2016 - Review
Clinical handover of the critically ill postoperative patient: an integrative review.
Citation Text:
Gardiner TM, Marshall AP, Gillespie BM. Clinical handover of the critically ill postoperative patient: an integrative review. Aust Crit Care. 2015;28(4):226-34. doi:10.1016/j.aucc.…
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psnet.ahrq.gov/issue/prevention-retained-surgical-sponges-decision-analytic-model-predicting-relative-cost
January 04, 2010 - Study
Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness.
Citation Text:
Regenbogen SE, Greenberg CC, Resch SC, et al. Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. Surger…
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psnet.ahrq.gov/issue/analysis-errors-enacted-surgical-trainees-during-skills-training-courses
August 20, 2018 - Study
Analysis of errors enacted by surgical trainees during skills training courses.
Citation Text:
Tang B, Hanna GB, Cuschieri A. Analysis of errors enacted by surgical trainees during skills training courses. Surgery. 2005;138(1):14-20.
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psnet.ahrq.gov/issue/outpatient-prescribing-errors-and-impact-computerized-prescribing
February 18, 2011 - Study
Outpatient prescribing errors and the impact of computerized prescribing.
Citation Text:
Gandhi TK, Weingart SN, Seger AC, et al. Outpatient prescribing errors and the impact of computerized prescribing. J Gen Intern Med. 2005;20(9):837-841. doi:10.1111/j.1525-1497.2005.0194.x.
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psnet.ahrq.gov/issue/rescue-me-saving-vulnerable-non-icu-patient-population
June 01, 2011 - Study
Rescue me: saving the vulnerable non-ICU patient population.
Citation Text:
Bader MK, Neal B, Johnson L, et al. Rescue me: saving the vulnerable non-ICU patient population. Jt Comm J Qual Patient Saf. 2009;35(4):199-205.
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psnet.ahrq.gov/issue/health-system-wide-initiative-decrease-opioid-related-morbidity-and-mortality
November 16, 2022 - Commentary
Emerging Classic
A health system–wide initiative to decrease opioid-related morbidity and mortality.
Citation Text:
Weiner SG, Price CN, Atalay AJ, et al. A Health System-Wide Initiative to Decrease Opioid-Related Morbidity and Mortality. Jt Comm J Qu…
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psnet.ahrq.gov/issue/analysis-medication-prescribing-errors-critically-ill-children
March 28, 2012 - Study
Analysis of medication prescribing errors in critically ill children.
Citation Text:
Glanzmann C, Frey B, Meier CR, et al. Analysis of medication prescribing errors in critically ill children. Eur J Pediatr. 2015;174(10):1347-1355. doi:10.1007/s00431-015-2542-4.
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psnet.ahrq.gov/issue/effect-communication-errors-during-calls-antimicrobial-stewardship-program
June 22, 2022 - Study
Effect of communication errors during calls to an antimicrobial stewardship program.
Citation Text:
Linkin DR, Fishman NO, Landis R, et al. Effect of communication errors during calls to an antimicrobial stewardship program. Infect Control Hosp Epidemiol. 2007;28(12):1374-1381.
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psnet.ahrq.gov/issue/identifying-failure-modes-telemedicine-instructional-needs-assessment
August 23, 2023 - Study
Identifying failure modes in telemedicine: an instructional needs assessment.
Citation Text:
Monkman H, Kuziemsky C, Homco J, et al. Identifying failure modes in telemedicine: an instructional needs assessment. Stud Health Technol Inform. 2023;304:39-43. doi:10.3233/shti230365.
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psnet.ahrq.gov/issue/health-care-information-technology-vendors-hold-harmless-clause-implications-patients-and
October 13, 2018 - Commentary
Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians.
Citation Text:
Koppel R, Kreda D. Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. JAMA. 2009;301(12):12…