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psnet.ahrq.gov/issue/case-based-learning-patient-safety-lessons-learnt-program-uk-junior-doctors
July 15, 2015 - Commentary
Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors.
Citation Text:
Ahmed M, Arora S, Baker P, et al. Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. World J Surg. 2012;36(5):956-8. doi:10.1007/s0…
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psnet.ahrq.gov/issue/use-pharmaceuticals-dialysis-patients-how-well-do-we-know-our-patients-allergies
March 04, 2011 - Study
The use of pharmaceuticals for dialysis patients. How well do we know our patients' allergies?
Citation Text:
Bhandari S, Armitage J, Chintu M, et al. THE USE OF PHARMACEUTICALS FOR DIALYSIS PATIENTS. HOW WELL DO WE KNOW OUR PATIENTS' ALLERGIES? J Ren Care. 2008;34(4). doi:10.…
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psnet.ahrq.gov/issue/racial-and-ethnic-disparities-treatment-chronic-pain
December 16, 2020 - Review
Racial and ethnic disparities in the treatment of chronic pain.
Citation Text:
Morales ME, Yong RJ. Racial and ethnic disparities in the treatment of chronic pain. Pain Med. 2020;22(1):75-90. doi:10.1093/pm/pnaa427.
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psnet.ahrq.gov/issue/conscious-sedation-general-ward-met-and-clinical-governance
January 05, 2017 - Commentary
Conscious sedation on a general ward: the MET and clinical governance.
Citation Text:
Warrillow S, Bellomo R, Jones D. Conscious sedation on a general ward: the MET and clinical governance. Jt Comm J Qual Patient Saf. 2007;33(2):112-7, 61.
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psnet.ahrq.gov/issue/duty-hour-reform-shifting-medical-landscape
June 08, 2022 - Commentary
Duty hour reform in a shifting medical landscape.
Citation Text:
Jena AB, Prasad V. Duty hour reform in a shifting medical landscape. J Gen Intern Med. 2013;28(9):1238-40. doi:10.1007/s11606-013-2439-8.
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psnet.ahrq.gov/issue/thats-way-we-do-things-around-here-your-actions-speak-louder-words-when-it-comes-patient
December 19, 2018 - Commentary
That's the way we do things around here! Your actions speak louder than words when it comes to patient safety.
Citation Text:
Grissinger M. That's the Way We Do Things Around Here!: Your Actions Speak Louder Than Words When It Comes To Patient Safety. P T. 2014;39(5):308-44.
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psnet.ahrq.gov/issue/potential-utility-data-mining-algorithms-early-detection-potentially-fataldisabling-adverse
July 19, 2023 - Study
Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adverse drug reactions: a retrospective evaluation.
Citation Text:
Hauben M, Reich L. Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adve…
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psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present-use-and-future
October 27, 2021 - Review
Emerging Classic
The application of system dynamics modelling to system safety improvement: present use and future potential.
Citation Text:
The application of system dynamics modelling to system safety improvement: present use and future potential. Ibrah…
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psnet.ahrq.gov/issue/current-and-ideal-state-anatomic-pathology-patient-safety
February 15, 2010 - Commentary
The current and ideal state of anatomic pathology patient safety.
Citation Text:
Raab SS. The current and ideal state of anatomic pathology patient safety. MLO Med Lab Obs. 2014;46(6):8-10.
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psnet.ahrq.gov/issue/human-factors-engineering-patient-safety
September 13, 2017 - Commentary
Human factors engineering in patient safety.
Citation Text:
Weinger MB, Gaba DM. Human factors engineering in patient safety. Anesthesiology. 2014;120(4):801-6. doi:10.1097/ALN.0000000000000144.
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psnet.ahrq.gov/issue/does-training-human-patient-simulation-translate-improved-patient-safety-and-outcome
September 12, 2018 - Review
Does training with human patient simulation translate to improved patient safety and outcome?
Citation Text:
Shear TD, Greenberg SB, Tokarczyk A. Does training with human patient simulation translate to improved patient safety and outcome? Curr Opin Anaesthesiol. 2013;26(2):159-…
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psnet.ahrq.gov/issue/exploring-performance-obstacles-intensive-care-nurses
March 11, 2020 - Study
Exploring performance obstacles of intensive care nurses.
Citation Text:
Gurses AP, Carayon P. Exploring performance obstacles of intensive care nurses. Appl Ergon. 2009;40(3):509-18. doi:10.1016/j.apergo.2008.09.003.
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psnet.ahrq.gov/issue/our-other-prescription-drug-problem
May 17, 2017 - Commentary
Our other prescription drug problem.
Citation Text:
Lembke A, Papac J, Humphreys K. Our Other Prescription Drug Problem. N Engl J Med. 2018;378(8):693-695. doi:10.1056/NEJMp1715050.
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psnet.ahrq.gov/issue/apologies-pathologists-why-when-and-how-say-sorry-after-committing-medical-error
September 04, 2024 - Commentary
"Apologies" for pathologists: why, when, and how to say "sorry" after committing a medical error.
Citation Text:
Dewar R, Parkash V, Forrow L, et al. "Apologies" from pathologists: why, when, and how to say "sorry" after committing a medical error. Int J Surg Pathol. 2014;22(3…
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psnet.ahrq.gov/issue/assessing-performance-surgical-teams
July 05, 2017 - Study
Assessing the performance of surgical teams.
Citation Text:
Leach LS, Myrtle RC, Weaver FA, et al. Assessing the performance of surgical teams. Health Care Manage Rev. 2009;34(1):29-41. doi:10.1097/01.HMR.0000342977.84307.64.
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psnet.ahrq.gov/issue/intra-operative-monitoring-many-alarms-minor-impact
June 18, 2014 - Study
Intra-operative monitoring—many alarms with minor impact.
Citation Text:
de Man FR, Greuters S, Boer C, et al. Intra-operative monitoring--many alarms with minor impact. Anaesthesia. 2013;68(8):804-10. doi:10.1111/anae.12289.
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psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
October 09, 2024 - Review
Pay-for-performance and patient safety in acute care: a systematic review.
Citation Text:
Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051.
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psnet.ahrq.gov/issue/rules-and-guidelines-clinical-practice-qualitative-study-operating-theatres-doctors-and
January 06, 2018 - Study
Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views.
Citation Text:
McDonald R. Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views. Quality and Safety in…
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psnet.ahrq.gov/issue/pharmacists-and-health-information-technology-emerging-issues-patient-safety
November 13, 2013 - Review
Pharmacists and health information technology: emerging issues in patient safety.
Citation Text:
Fuji KT, Galt KA. Pharmacists and Health Information Technology: Emerging Issues in Patient Safety. HEC Forum. 2008;20(3). doi:10.1007/s10730-008-9075-4.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-material-guide.html
May 01, 2017 - Material Use Guide - Patient and Family Engagement in the Surgical Environment Module
Overview
Defining Patient and Family Engagement and its Benefits
Slides 4-7
Patient and Family Expectations in the ASC
Slides 8-10
Barriers, Facilitators, and Motivators
Slides…