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psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error
February 06, 2019 - EMERGING INNOVATIONS
Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).
Citation Text:
Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Predic…
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psnet.ahrq.gov/issue/evaluation-outpatient-computerized-physician-medication-order-entry-systems-systematic-review
February 14, 2024 - Review
Evaluation of outpatient computerized physician medication order entry systems: a systematic review.
Citation Text:
Eslami S, Abu-Hanna A, de Keizer NF. Evaluation of outpatient computerized physician medication order entry systems: a systematic review. J Am Med Inform Assoc. 20…
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psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change
March 10, 2021 - Commentary
Beyond the corrective action hierarchy: a systems approach to organizational change.
Citation Text:
Wood LJ, Wiegmann DA. Beyond the corrective action hierarchy: a systems approach to organizational change. Int J Qual Health Care. 2020;32(7):438-444. doi:10.1093/intqhc/mzaa068…
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psnet.ahrq.gov/issue/human-simulation-based-learning-prevent-medication-error-systematic-review
February 01, 2012 - Review
Human-simulation-based learning to prevent medication error: a systematic review.
Citation Text:
Sarfati L, Ranchon F, Vantard N, et al. Human-simulation-based learning to prevent medication error: A systematic review. J Eval Clin Pract. 2019;25(1):11-20. doi:10.1111/jep.12883.
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psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
August 24, 2022 - Study
Registered nurses' judgments of the classification and risk level of patient care errors.
Citation Text:
Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097…
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psnet.ahrq.gov/issue/medication-reconciliation-during-internal-hospital-transfer-and-impact-computerized
October 15, 2008 - Study
Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.
Citation Text:
Lee JY, Leblanc K, Fernandes O, et al. Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. Ann …
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psnet.ahrq.gov/issue/operating-room-teamwork-among-physicians-and-nurses-teamwork-eye-beholder
September 28, 2010 - Study
Classic
Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.
Citation Text:
Makary MA, Sexton B, Freischlag JA, et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Col…
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psnet.ahrq.gov/issue/classifying-adverse-events-dental-office
July 09, 2014 - Study
Classifying adverse events in the dental office.
Citation Text:
Kalenderian E, Obadan-Udoh E, Maramaldi P, et al. Classifying Adverse Events in the Dental Office. J Patient Saf. 2021;17(6):e540-e356. doi:10.1097/PTS.0000000000000407.
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psnet.ahrq.gov/issue/identifying-latent-failures-underpinning-medication-administration-errors-exploratory-study
December 21, 2016 - Study
Identifying the latent failures underpinning medication administration errors: an exploratory study.
Citation Text:
Lawton R, Carruthers S, Gardner P, et al. Identifying the latent failures underpinning medication administration errors: an exploratory study. Health Serv Res. 2012…
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psnet.ahrq.gov/issue/association-between-long-term-opioid-use-family-members-and-persistent-opioid-use-after
January 29, 2020 - Study
Emerging Classic
Association between long-term opioid use in family members and persistent opioid use after surgery among adolescents and young adults.
Citation Text:
Harbaugh CM, Lee JS, Chua K-P, et al. Association Between Long-term Opioid Use in Family …
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psnet.ahrq.gov/issue/perspective-culture-respect-part-1-and-part-2
October 04, 2006 - Commentary
Perspective: a culture of respect—part 1 and part 2.
Citation Text:
Perspective: a culture of respect—part 1 and part 2. Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87(7):845-858.
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psnet.ahrq.gov/issue/intimidation-practitioners-speak-about-unresolved-problem
September 26, 2017 - Study
Intimidation: practitioners speak up about this unresolved problem.
Citation Text:
Smetzer JL, Cohen MR. Intimidation: Practitioners Speak Up About This Unresolved Problem. Jt Comm J Qual Patient Saf. 2016;31(10):594-599. doi:10.1016/s1553-7250(05)31077-4.
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psnet.ahrq.gov/issue/avoiding-second-wave-medical-errors-importance-human-factors-context-pandemic
March 09, 2022 - Commentary
Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic.
Citation Text:
Tejos R, Navia A, Cuadra A, et al. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Aesthetic Plast Sur…
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psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
August 04, 2021 - Study
From research to practice: factors affecting implementation of prospective targeted injury-detection systems.
Citation Text:
Sorensen A, Harrison MI, Kane HL, et al. From research to practice: factors affecting implementation of prospective targeted injury-detection systems. BMJ …
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psnet.ahrq.gov/issue/chemotherapeutic-errors-hospitalised-cancer-patients-attributable-damage-and-extra-costs
May 04, 2012 - Study
Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs.
Citation Text:
Ranchon F, Salles G, Späth H-M, et al. Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. BMC Cancer. 2011;11:478. doi:10.1186/1…
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psnet.ahrq.gov/issue/interruptions-emergency-department-work-observational-and-interview-study
September 29, 2021 - Study
Interruptions in emergency department work: an observational and interview study.
Citation Text:
Berg LM, Källberg A-S, Göransson KE, et al. Interruptions in emergency department work: an observational and interview study. BMJ Qual Saf. 2013;22(8):656-63. doi:10.1136/bmjqs-2013-001…
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psnet.ahrq.gov/issue/influence-structure-and-culture-medical-group-practices-prescription-drug-errors
January 14, 2011 - Study
The influence of the structure and culture of medical group practices on prescription drug errors.
Citation Text:
Kralewski JE, Dowd BE, Heaton A, et al. The influence of the structure and culture of medical group practices on prescription drug errors. Med care. 2005;43(8):817-82…
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psnet.ahrq.gov/issue/experiences-risk-managers-providing-emotional-support-health-care-workers-after-adverse
September 19, 2016 - Study
The experiences of risk managers in providing emotional support for health care workers after adverse events.
Citation Text:
Edrees HH, Brock DM, Wu AW, et al. The experiences of risk managers in providing emotional support for health care workers after adverse events. J Healthc Ri…
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psnet.ahrq.gov/issue/first-curriculum-cultivating-speaking-behaviors-clinical-learning-environment
May 25, 2022 - Commentary
The FIRST curriculum: cultivating speaking up behaviors in the Clinical Learning Environment.
Citation Text:
Best JA, Kim S. The FIRST Curriculum: Cultivating Speaking Up Behaviors in the Clinical Learning Environment. J Contin Educ Nurs. 2019;50(8):355-361. doi:10.3928/002201…
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psnet.ahrq.gov/issue/communication-training-program-encourage-speaking-behavior-surgical-oncology
May 18, 2022 - Study
A communication training program to encourage speaking-up behavior in surgical oncology.
Citation Text:
D'Agostino TA, Bialer PA, Walters CB, et al. A Communication Training Program to Encourage Speaking-Up Behavior in Surgical Oncology. AORN J. 2017;106(4):295-305. doi:10.1016/j.a…