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psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention
September 29, 2017 - Commentary
Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention.
Citation Text:
Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 201…
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psnet.ahrq.gov/issue/cognitive-balanced-model-conceptual-scheme-diagnostic-decision-making
July 10, 2013 - Study
Cognitive balanced model: a conceptual scheme of diagnostic decision making.
Citation Text:
Lucchiari C, Pravettoni G. Cognitive balanced model: a conceptual scheme of diagnostic decision making. J Eval Clin Pract. 2012;18(1):82-8. doi:10.1111/j.1365-2753.2011.01771.x.
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psnet.ahrq.gov/issue/compensation-chief-executive-officers-nonprofit-us-hospitals
December 18, 2018 - Study
Compensation of chief executive officers at nonprofit US hospitals.
Citation Text:
Joynt KE, Le ST, Orav J, et al. Compensation of chief executive officers at nonprofit US hospitals. JAMA Intern Med. 2014;174(1):61-7. doi:10.1001/jamainternmed.2013.11537.
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psnet.ahrq.gov/issue/inattentional-blindness-medicine
March 31, 2021 - Review
Inattentional blindness in medicine.
Citation Text:
Hults CM, Ding Y, Xie GG, et al. Inattentional blindness in medicine. Cogn Res Princ Implic. 2024;9(1):18. doi:10.1186/s41235-024-00537-x.
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psnet.ahrq.gov/issue/work-interruptions-and-their-contribution-medication-administration-errors-evidence-review
July 22, 2020 - Review
Work interruptions and their contribution to medication administration errors: an evidence review.
Citation Text:
Biron AD, Loiselle CG, Lavoie-Tremblay M. Work interruptions and their contribution to medication administration errors: an evidence review. Worldviews Evid Based Nurs…
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psnet.ahrq.gov/issue/patient-safety-culture-factors-influence-clinician-involvement-patient-safety-behaviours
April 16, 2014 - Study
Patient safety culture: factors that influence clinician involvement in patient safety behaviours.
Citation Text:
Wakefield JG, McLaws M-L, Whitby M, et al. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Qual Saf Health Care. 20…
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psnet.ahrq.gov/issue/power-collaboration-patient-safety-programs-building-safe-passage-patients-nurses-and
April 21, 2021 - Commentary
The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff.
Citation Text:
Kerfoot KM, Rapala K, Ebright PR, et al. The power of collaboration with patient safety programs: building safe passage for patients, nurse…
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psnet.ahrq.gov/issue/medication-errors-intravenous-drug-preparation-and-administration-multicentre-audit-uk
December 04, 2015 - Study
Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France.
Citation Text:
Cousins DH, Sabatier B, Begue D, et al. Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Ger…
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psnet.ahrq.gov/issue/medical-error-reduction-and-tort-reform-through-private-contractually-based-quality-medicine
October 13, 2010 - Commentary
Medical error reduction and tort reform through private contractually-based quality medicine societies.
Citation Text:
MacCourt D, Bernstein J. Medical error reduction and tort reform through private, contractually-based quality medicine societies. Am J Law Med. 2009;35(4):5…
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psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems
April 06, 2022 - Study
Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems.
Citation Text:
Balla U, Malnick S, Schattner A. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Medicine (Ba…
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psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses
November 10, 2010 - Commentary
ReCASTing the RCA: an improved model for performing root cause analyses.
Citation Text:
Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. American Journal of Medical Quality. 2010;25(3). doi:10.1177/1062860609359533…
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psnet.ahrq.gov/issue/hospital-rns-experiences-disruptive-behavior-qualitative-study
September 09, 2015 - Study
Hospital RNs' experiences with disruptive behavior: a qualitative study.
Citation Text:
Walrath JM, Dang D, Nyberg D. Hospital RNs' experiences with disruptive behavior: a qualitative study. J Nurs Care Qual. 2010;25(2):105-116. doi:10.1097/NCQ.0b013e3181c7b58e.
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psnet.ahrq.gov/issue/simulation-techniques-teaching-time-outs-controlled-trial
June 22, 2016 - Study
Simulation techniques for teaching time-outs: a controlled trial.
Citation Text:
Simulation techniques for teaching time-outs: a controlled trial. Paull DE, Williams L, Sine DM. Patient Saf Qual Healthc. March/April 2016;13:28-37.
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psnet.ahrq.gov/issue/translating-patient-safety-legislation-health-care-practice
February 15, 2011 - Commentary
Translating patient safety legislation into health care practice.
Citation Text:
Rabinowitz ABK, Clarke JR, Marella WM, et al. Translating patient safety legislation into health care practice. Jt Comm J Qual Patient Saf. 2006;32(12):676-681.
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psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse
February 28, 2024 - Commentary
Imitating incidents: how simulation can improve safety investigation and learning from adverse events.
Citation Text:
Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097…
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psnet.ahrq.gov/issue/rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems
April 06, 2022 - Study
Rating the raters: an evaluation of publicly reported hospital quality rating systems.
Citation Text:
Rating the raters: an evaluation of publicly reported hospital quality rating systems. Bilimoria KY, Birkmeyer JD, Burstin H, et al. NEJM Catalyst. August 14, 2019.
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab19.html
December 01, 2017 - Table 19. Utilization of outpatient health services by health status. All project sites. Fiscal year 2010.
ARRA Grants Initiative
Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for advancing deliver…
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psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
September 29, 2017 - Commentary
Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment.
Citation Text:
Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0…
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psnet.ahrq.gov/issue/association-between-ophthalmologist-age-and-unsolicited-patient-complaints
June 27, 2018 - Study
Association between ophthalmologist age and unsolicited patient complaints.
Citation Text:
Fathy CA, Pichert JW, Domenico HJ, et al. Association Between Ophthalmologist Age and Unsolicited Patient Complaints. JAMA Ophthalmol. 2018;136(1):61-67. doi:10.1001/jamaophthalmol.2017.5154.…
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psnet.ahrq.gov/issue/electronic-prescribing-within-electronic-health-record-reduces-ambulatory-prescribing-errors
March 21, 2017 - Study
Electronic prescribing within an electronic health record reduces ambulatory prescribing errors.
Citation Text:
Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf. 2011;37(10):447-455.
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