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psnet.ahrq.gov/issue/effectiveness-course-designed-teach-handoffs-medical-students
April 12, 2023 - Study
Effectiveness of a course designed to teach handoffs to medical students.
Citation Text:
Chu ES, Reid M, Burden M, et al. Effectiveness of a course designed to teach handoffs to medical students. J Hosp Med. 2010;5(6):344-8. doi:10.1002/jhm.633.
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psnet.ahrq.gov/issue/institution-wide-handoff-task-force-standardise-and-improve-physician-handoffs
January 07, 2015 - Study
An institution-wide handoff task force to standardise and improve physician handoffs.
Citation Text:
Horwitz LI, Schuster KM, Thung SF, et al. An institution-wide handoff task force to standardise and improve physician handoffs. BMJ Qual Saf. 2012;21(10):863-71.
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psnet.ahrq.gov/issue/quality-performance-improvement-teamwork-information-technology-and-protocols
November 03, 2015 - Commentary
Quality: performance improvement, teamwork, information technology and protocols.
Citation Text:
Coleman NE, Pon S. Quality: performance improvement, teamwork, information technology and protocols. Crit Care Clin. 2013;29(2):129-51. doi:10.1016/j.ccc.2012.11.002.
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psnet.ahrq.gov/issue/computer-based-medication-error-reporting-insights-and-implications
August 02, 2010 - Study
Computer based medication error reporting: insights and implications.
Citation Text:
Miller MR, Clark JS, Lehmann CU. Computer based medication error reporting: insights and implications. Qual Saf Health Care. 2006;15(3):208-13.
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psnet.ahrq.gov/issue/dangers-ignoring-beers-criteria-prescribing-cascade
October 10, 2018 - Commentary
The dangers of ignoring the Beers criteria—the prescribing cascade.
Citation Text:
DeRhodes KH. The Dangers of Ignoring the Beers Criteria-The Prescribing Cascade. JAMA Intern Med. 2019;179(7):863-864. doi:10.1001/jamainternmed.2019.1288.
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psnet.ahrq.gov/issue/assessing-impact-educational-program-decreasing-prescribing-errors-university-hospital
October 19, 2011 - Study
Assessing the impact of an educational program on decreasing prescribing errors at a university hospital.
Citation Text:
Peeters MJ, Pinto SL. Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. J Hosp Med. 2009;4(2):97-101. d…
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psnet.ahrq.gov/issue/antecedents-severe-and-nonsevere-medication-errors
February 15, 2011 - Study
Antecedents of severe and nonsevere medication errors.
Citation Text:
Chang Y-K, Mark BA. Antecedents of severe and nonsevere medication errors. J Nurs Scholarsh. 2009;41(1):70-8. doi:10.1111/j.1547-5069.2009.01253.x.
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psnet.ahrq.gov/issue/building-nursing-intellectual-capital-safe-use-information-technology-systematic-review
June 23, 2009 - Review
Building nursing intellectual capital for safe use of information technology: a systematic review.
Citation Text:
Poe SS. Building nursing intellectual capital for safe use of information technology: a systematic review. J Nurs Care Qual. 2011;26(1):4-12. doi:10.1097/NCQ.0b013e31…
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psnet.ahrq.gov/issue/learning-without-borders-review-implementation-medical-error-reporting-medecins-sans
December 21, 2022 - Study
Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières.
Citation Text:
Shanks L, Bil K, Fernhout J. Learning without Borders: A Review of the Implementation of Medical Error Reporting in Médecins Sans Frontières. PLoS One. 20…
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psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be-handled
March 19, 2018 - Commentary
When there's no one to whom an error can be disclosed, how should an error be handled?
Citation Text:
Chiu RG. When There's No One to Whom an Error Can Be Disclosed, How Should an Error Be Handled? AMA J Ethics. 2019;21(7):E553-558. doi:10.1001/amajethics.2019.553.
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psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
October 02, 2024 - Special or Theme Issue
Life of the Mother. How Abortion Bans Lead to Preventable Deaths.
Citation Text:
Jaramillo C, Surana K, Presser L, et al. Life of the Mother. How Abortion Bans Lead to Preventable Deaths. ProPublica. 2024:September - November 2024.
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psnet.ahrq.gov/issue/fall-risk-and-prevention-agreement-engaging-patients-and-families-partnership-patient-safety
November 13, 2024 - Commentary
Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety.
Citation Text:
Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual. 2017;6(2):e000038…
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psnet.ahrq.gov/issue/interpretive-error-radiology
August 01, 2018 - Commentary
Interpretive error in radiology.
Citation Text:
Waite S, Scott JM, Gale B, et al. Interpretive Error in Radiology. AJR Am J Roentgenol. 2017;208(4):739-749. doi:10.2214/AJR.16.16963.
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psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
June 29, 2022 - Study
Decision-making processes used by nurses during intravenous drug preparation and administration.
Citation Text:
Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1…
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psnet.ahrq.gov/issue/teamwork-during-resuscitation
January 21, 2017 - Review
Teamwork during resuscitation.
Citation Text:
Weinstock P, Halamek LP. Teamwork during resuscitation. Pediatr Clin North Am. 2008;55(4):1011-24, xi-xii. doi:10.1016/j.pcl.2008.04.001.
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psnet.ahrq.gov/issue/supervision-autonomy-and-medical-error-teaching-clinic
November 26, 2014 - Commentary
Supervision, autonomy, and medical error in the teaching clinic.
Citation Text:
Cossman JP, Wang M, Fischer AA. Supervision, autonomy, and medical error in the teaching clinic. J Am Acad Dermatol. 2018;79(5):981-983. doi:10.1016/j.jaad.2017.12.033.
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psnet.ahrq.gov/issue/hospitalization-associated-disability-she-was-probably-able-ambulate-im-not-sure
August 04, 2015 - Study
Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure."
Citation Text:
Covinsky KE, Pierluissi E, Johnston B. Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure". JAMA. 2011;306(16):1782-93. doi:10.1001…
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psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer
June 30, 2011 - Study
Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre.
Citation Text:
Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care ce…
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psnet.ahrq.gov/issue/same-hospital-readmission-rates-measure-pediatric-quality-care
September 18, 2024 - Study
Same-hospital readmission rates as a measure of pediatric quality of care.
Citation Text:
Khan A, Nakamura MM, Zaslavsky AM, et al. Same-Hospital Readmission Rates as a Measure of Pediatric Quality of Care. JAMA Pediatr. 2015;169(10):905-12. doi:10.1001/jamapediatrics.2015.1129.
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psnet.ahrq.gov/issue/confusion-specimen-mix-dermatopathology-and-measures-prevent-and-detect-it
February 12, 2020 - Review
Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it.
Citation Text:
Weyers W. Confusion-specimen mix-up in dermatopathology and measures to prevent and detect it. Dermatol Pract Concept. 2014;4(1):27-42. doi:10.5826/dpc.0401a04.
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