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psnet.ahrq.gov/issue/drug-administration-errors-and-their-determinants-pediatric-patients
June 29, 2011 - Study 
 
 
 
 
 
 
 
 
 
 Drug administration errors and their determinants in pediatric in-patients.   
 
 
 
 
 Citation Text: 
 Prot S, Fontan JE, Alberti C, et al. Drug administration errors and their determinants in pediatric in-patients. International Journal for Quality in Health Care. 2005;17(5). doi:10.1093/in… 
                                     
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psnet.ahrq.gov/issue/implementation-safeguards-improve-patient-safety-chemotherapy
September 19, 2012 - Study 
 
 
 
 
 
 
 
 
 
 Implementation of safeguards to improve patient safety in chemotherapy. 
 
 
 
 
 Citation Text: 
 Huertas-Fernández MJ, Martínez-Bautista Mª J, Rodríguez-Mateos ME, et al. Implementation of safeguards to improve patient safety in chemotherapy. Clin Transl Oncol. 2017;19(9):1099-1106. doi:10.1… 
                                     
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psnet.ahrq.gov/issue/making-move-using-simulation-identify-latent-safety-threats-care-injured-patients-new
December 30, 2014 - Commentary 
 
 
 
 
 
 
 
 
 
 Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space. 
 
 
 
 
 Citation Text: 
 Kotagal M, Falcone RA, Daugherty M, et al. Making a move: Using simulation to identify latent safety threats before the care of injured… 
                                     
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psnet.ahrq.gov/issue/avoiding-handover-fumbles-controlled-trial-structured-handover-tool-versus-traditional
January 19, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods.   
 
 
 
 
 Citation Text: 
 Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. BMJ… 
                                     
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psnet.ahrq.gov/issue/knowledge-attitudes-and-expectations-medical-staff-toward-medical-error-management-policies
December 23, 2020 - Study 
 
 
 
 
 
 
 
 
 
 Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study.  
 
 
 
 
 Citation Text: 
 Biquet J-M, Schopper D, Sprumont D, et al. Knowledge, attitudes, and Expectations of Medical Staff Toward Medical Error Ma… 
                                     
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psnet.ahrq.gov/issue/teams-tribes-and-patient-safety-overcoming-barriers-effective-teamwork-healthcare
November 17, 2014 - Review 
 
 
 
 
 
 
 
 
 
 Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. 
 
 
 
 
 Citation Text: 
 Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgra… 
                                     
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psnet.ahrq.gov/issue/simulation-based-clinical-systems-testing-healthcare-spaces-intake-through-implementation
April 10, 2024 - Commentary 
 
 
 
 
 
 
 
 
 
            Emerging Classic
           
 
 Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. 
 
 
 
 
 Citation Text: 
 Colman N, Doughty C, Arnold J, et al. Simulation-based clinical systems testing for healthcare spaces: from intake thr… 
                                     
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psnet.ahrq.gov/issue/integrating-teamwork-clinician-occupational-well-being-and-patient-safety-development
February 14, 2017 - Review 
 
 
 
 
 
 
 
 
 
 Integrating teamwork, clinician occupational well-being and patient safety—development of a conceptual framework based on a systematic review. 
 
 
 
 
 Citation Text: 
 Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety - development of a conceptual … 
                                     
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psnet.ahrq.gov/issue/disruptive-behavior-inherent-surgeon-or-environment-analysis-314-events-single-academic
October 19, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center. 
 
 
 
 
 Citation Text: 
 Heslin MJ, Singletary BA, Benos KC, et al. Is Disruptive Behavior Inherent to the Surgeon or the Environment? Analysis of 314 Events at a Si… 
                                     
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psnet.ahrq.gov/issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey
May 18, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Is oral chemotherapy prescription safe for patients? A cross-sectional survey. 
 
 
 
 
 Citation Text: 
 Bourmaud A, Pacaut C, Melis A, et al. Is oral chemotherapy prescription safe for patients? A cross-sectional survey. Ann Oncol. 2014;25(2):500-504. doi:10.1093/annonc/mdt553. 
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psnet.ahrq.gov/issue/factors-influencing-family-member-perspectives-safety-intensive-care-unit-systematic-review
July 21, 2021 - Review 
 
 
 
 
 
 
 
 
 
 Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. 
 
 
 
 
 Citation Text: 
 Coombs MA, Statton S, Endacott CV, et al. Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. Int J Qual H… 
                                     
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psnet.ahrq.gov/issue/nighttime-cross-coverage-associated-decreased-intensive-care-unit-mortality-single-center
March 07, 2012 - Study 
 
 
 
 
 
 
 
 
 
 Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. 
 
 
 
 
 Citation Text: 
 Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J R… 
                                     
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psnet.ahrq.gov/issue/morbidity-and-mortality-caused-noncompliance-california-hospital-licensure-immediate
May 19, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. 
 
 
 
 
 Citation Text: 
 Zheng MY, Lui H, Patino G, et al. Morbidity and mortality caused by noncompliance with California hospital licensure: immediat… 
                                     
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psnet.ahrq.gov/issue/checklist-identify-inpatient-suicide-hazards-veterans-affairs-hospitals
April 20, 2011 - Study 
 
 
 
 
 
 
 
 
 
 A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. 
 
 
 
 
 Citation Text: 
 Mills PD, Watts V, Miller S, et al. A checklist to identify inpatient suicide hazards in veterans affairs hospitals. Jt Comm J Qual Patient Saf. 2010;36(2):87-93. 
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psnet.ahrq.gov/issue/does-patients-payer-matter-hospital-patient-safety-study-urban-hospitals
November 05, 2008 - Study 
 
 
 
 
 
 
 
 
 
 Does the patient's payer matter in hospital patient safety?: a study of urban hospitals.   
 
 
 
 
 Citation Text: 
 Clement JP, Lindrooth R, Chukmaitov AS, et al. Does the patient's payer matter in hospital patient safety?: a study of urban hospitals. Med Care. 2007;45(2):131-8. 
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psnet.ahrq.gov/issue/provider-provider-communication-during-transitions-care-outpatient-acute-care-systematic
October 29, 2017 - Review 
 
 
 
 
 
 
 
 
 
 Provider-to-provider communication during transitions of care from outpatient to acute care: a systematic review. 
 
 
 
 
 Citation Text: 
 Luu N-P, Pitts S, Petty BG, et al. Provider-to-Provider Communication during Transitions of Care from Outpatient to Acute Care: A Systematic Review. J G… 
                                     
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psnet.ahrq.gov/issue/preventability-hospital-acquired-venous-thromboembolism
December 21, 2014 - Study 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 Preventability of hospital-acquired venous thromboembolism. 
 
 
 
 
 Citation Text: 
 Haut ER, Lau BD, Kraus PS, et al. Preventability of Hospital-Acquired Venous Thromboembolism. JAMA Surg. 2015;150(9):912-5. doi:10.1001/jamasurg.2015.1340. 
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psnet.ahrq.gov/issue/evaluation-wound-photography-remote-postoperative-assessment-surgical-site-infections
July 03, 2014 - Study 
 
 
 
 
 
 
 
 
 
 Evaluation of wound photography for remote postoperative assessment of surgical site infections. 
 
 
 
 
 Citation Text: 
 Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124. do… 
                                     
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psnet.ahrq.gov/issue/meta-analysis-effect-interactive-communication-between-collaborating-primary-care-physicians
September 20, 2011 - Review 
 
 
 
 
 
 
 
 
 
 Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists.   
 
 
 
 
 Citation Text: 
 Foy R, Hempel S, Rubenstein L, et al. Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists… 
                                     
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psnet.ahrq.gov/issue/differences-medication-errors-between-central-and-remote-site-telepharmacies
September 21, 2011 - Study 
 
 
 
 
 
 
 
 
 
 Differences in medication errors between central and remote site telepharmacies.   
 
 
 
 
 Citation Text: 
 Scott DM, Friesner DL, Rathke AM, et al. Differences in medication errors between central and remote site telepharmacies. J Am Pharm Assoc (2003). 2012;52(5):e97-e104. 
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