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psnet.ahrq.gov/issue/disseminating-innovations-health-care
August 04, 2021 - Commentary
Classic
Disseminating innovations in health care.
Citation Text:
Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969.
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psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
November 29, 2009 - Book/Report
Maximizing the Use of State Adverse Event Data to Improve Patient Safety.
Citation Text:
Maximizing the Use of State Adverse Event Data to Improve Patient Safety. Rosenthal J, Booth M. National Academy for State Health Policy; 2005.
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psnet.ahrq.gov/issue/implementing-perioperative-handoff-tool-improve-postprocedural-patient-transfers
February 29, 2012 - Commentary
Implementing a perioperative handoff tool to improve postprocedural patient transfers.
Citation Text:
Petrovic MA, Martinez EA, Aboumatar HJ. Implementing a perioperative handoff tool to improve postprocedural patient transfers. Jt Comm J Qual Patient Saf. 2012;38(3):135-42.
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psnet.ahrq.gov/issue/shortage-perioperative-drugs-implications-anesthesia-practice-and-patient-safety
April 11, 2018 - Commentary
Shortage of perioperative drugs: implications for anesthesia practice and patient safety.
Citation Text:
De Oliveira GS, Theilken LS, McCarthy R. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Anesth Analg. 2011;113(6):1429-35. doi:10…
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psnet.ahrq.gov/issue/effect-ward-based-pharmacy-team-preventable-adverse-drug-events-surgical-patients-surepill
March 11, 2015 - Study
Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study).
Citation Text:
Group S and P in LS. Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). Br J Surg. 2015;102(10):…
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psnet.ahrq.gov/issue/educational-intervention-increase-speaking-behaviors-nurses-and-improve-patient-safety
May 08, 2013 - Study
An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety.
Citation Text:
Sayre MM, McNeese-Smith D, Leach LS, et al. An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. J Nurs Care Qual.…
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psnet.ahrq.gov/issue/medication-errors-associated-transition-insulin-pens-insulin-vials
May 29, 2019 - Study
Medication errors associated with transition from insulin pens to insulin vials.
Citation Text:
Trimble AN, Bishop B, Rampe N. Medication errors associated with transition from insulin pens to insulin vials. Am J Health Syst Pharm. 2017;74(2):70-75. doi:10.2146/ajhp150726.
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psnet.ahrq.gov/issue/physician-understanding-and-ability-communicate-harms-and-benefits-common-medical-treatments
September 28, 2016 - Study
Physician understanding and ability to communicate harms and benefits of common medical treatments.
Citation Text:
Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1…
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psnet.ahrq.gov/issue/patient-safety-morning-report-innovation-teaching-core-patient-safety-principles-third-year
May 07, 2014 - Commentary
Patient safety morning report: innovation in teaching core patient safety principles to third-year medical students.
Citation Text:
Beekman M, Emani VK, Wolford R, et al. Patient Safety Morning Report: Innovation in Teaching Core Patient Safety Principles to Third-Year Medical…
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psnet.ahrq.gov/issue/principles-patient-and-family-partnership-care-american-college-physicians-position-paper
March 14, 2018 - Commentary
Emerging Classic
Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper.
Citation Text:
Nickel WK, Weinberger SE, Guze PA, et al. Principles for Patient and Family Partnership in Care: An American Colle…
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psnet.ahrq.gov/issue/systematic-assessment-culture-review-tool-assess-errors-clinical-microbiology-laboratory
November 16, 2022 - Study
Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory.
Citation Text:
Goodyear N, Ulness BK, Prentice JL, et al. Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory. Arch P…
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psnet.ahrq.gov/issue/integrating-quality-and-safety-content-clinical-teaching-acute-care-setting
September 05, 2018 - Commentary
Integrating quality and safety content into clinical teaching in the acute care setting.
Citation Text:
Day L, Smith EL. Integrating quality and safety content into clinical teaching in the acute care setting. Nurs Outlook. 2007;55(3). doi:10.1016/j.outlook.2007.03.002.
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psnet.ahrq.gov/issue/disclosing-errors-and-adverse-events-intensive-care-unit
February 17, 2017 - Study
Disclosing errors and adverse events in the intensive care unit.
Citation Text:
Boyle DJ, O'Connell D, Platt FW, et al. Disclosing errors and adverse events in the intensive care unit. Crit Care Med. 2006;34(5):1532-7.
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psnet.ahrq.gov/issue/reducing-anticoagulant-medication-adverse-events-and-avoidable-patient-harm
May 19, 2021 - Study
Reducing anticoagulant medication adverse events and avoidable patient harm.
Citation Text:
Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200.
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psnet.ahrq.gov/issue/non-clinical-errors-using-voice-recognition-dictation-software-radiology-reports
December 29, 2014 - Study
Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit.
Citation Text:
Chang CA, Strahan R, Jolley D. Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. J Digit Imaging. …
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psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
June 29, 2011 - Study
People are more error-prone after committing an error.
Citation Text:
Adkins TJ, Zhang H, Lee TG. People are more error-prone after committing an error. Nat Commun. 2024;15(1):6422. doi:10.1038/s41467-024-50547-y.
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psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-work-progress
March 04, 2011 - Study
Deploying Six Sigma in a health care system as a work in progress.
Citation Text:
Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13.
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psnet.ahrq.gov/issue/reasons-persistence-adverse-events-era-safer-surgery-qualitative-approach
October 29, 2014 - Study
Reasons for the persistence of adverse events in the era of safer surgery―a qualitative approach.
Citation Text:
Kaderli R, Seelandt JC, Umer M, et al. Reasons for the persistence of adverse events in the era of safer surgery--a qualitative approach. Swiss Med Wkly. 2013;143:w13…
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psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
August 12, 2020 - Study
Diffusing aviation innovations in a hospital in the Netherlands.
Citation Text:
de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47.
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psnet.ahrq.gov/issue/minimizing-electronic-health-record-patient-note-mismatches
December 27, 2014 - Study
Minimizing electronic health record patient–note mismatches.
Citation Text:
Wilcox AB, Chen Y-H, Hripcsak G. Minimizing electronic health record patient-note mismatches. J Am Med Inform Assoc. 2011;18(4):511-4. doi:10.1136/amiajnl-2010-000068.
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