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psnet.ahrq.gov/issue/between-flags-implementing-rapid-response-system-scale
June 08, 2011 - Commentary
'Between the flags': implementing a rapid response system at scale.
Citation Text:
Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale. BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845.
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psnet.ahrq.gov/issue/going-solid-model-system-dynamics-and-consequences-patient-safety
August 01, 2018 - Commentary
Classic
"Going solid": a model of system dynamics and consequences for patient safety.
Citation Text:
Cook R, Rasmussen J. "Going solid": a model of system dynamics and consequences for patient safety. Qual Saf Health Care. 2005;14(2):130-4.
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psnet.ahrq.gov/issue/using-video-recording-identify-management-errors-pediatric-trauma-resuscitation
July 01, 2020 - Study
Using video recording to identify management errors in pediatric trauma resuscitation.
Citation Text:
Oakley E, Stocker S, Staubli G, et al. Using video recording to identify management errors in pediatric trauma resuscitation. Pediatrics. 2006;117(3):658-664.
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psnet.ahrq.gov/issue/2019-update-pediatric-medical-overuse-systematic-review
May 11, 2019 - Review
2019 update on pediatric medical overuse: a systematic review.
Citation Text:
Money NM, Schroeder AR, Quinonez RA, et al. 2019 Update on Pediatric Medical Overuse. JAMA Pediatr. 2020;174(4):375-382. doi:10.1001/jamapediatrics.2019.5849.
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psnet.ahrq.gov/issue/2017-update-pediatric-medical-overuse-review
March 04, 2020 - Review
2017 update on pediatric medical overuse: a review.
Citation Text:
Coon ER, Young PC, Quinonez RA, et al. 2017 Update on Pediatric Medical Overuse. JAMA Pediatr. 2018;172(5). doi:10.1001/jamapediatrics.2017.5752.
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psnet.ahrq.gov/issue/seeking-high-reliability-primary-care-leadership-tools-and-organization
October 13, 2018 - Study
Seeking high reliability in primary care: leadership, tools, and organization.
Citation Text:
Weaver RR. Seeking high reliability in primary care: Leadership, tools, and organization. Health Care Manage Rev. 2015;40(3):183-92. doi:10.1097/HMR.0000000000000022.
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psnet.ahrq.gov/issue/time-out-patient-safety
October 26, 2022 - Commentary
Time out for patient safety.
Citation Text:
Meginniss A, Damian F, Falvo F. Time out for patient safety. J Emerg Nurs. 2012;38(1):51-53. doi:10.1016/j.jen.2011.04.007.
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psnet.ahrq.gov/issue/could-emotional-intelligence-make-patients-safer
October 29, 2017 - Commentary
Could emotional intelligence make patients safer?
Citation Text:
Codier E, Codier DD. Could Emotional Intelligence Make Patients Safer? Am J Nurs. 2017;117(7):58-62. doi:10.1097/01.NAJ.0000520946.39224.db.
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psnet.ahrq.gov/issue/pharmacist-outpatient-prescription-review-emergency-department-pediatric-tertiary-hospital
March 15, 2016 - Study
Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience.
Citation Text:
Shah D, Manzi S. Pharmacist Outpatient Prescription Review in the Emergency Department: A Pediatric Tertiary Hospital Experience. Pediatr Emerg Care. 2018…
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psnet.ahrq.gov/issue/diagnostic-errors-inserted-tubes-lines-and-catheters-children
September 11, 2019 - Study
Diagnostic errors with inserted tubes, lines and catheters in children.
Citation Text:
Fuentealba I, Taylor GA. Diagnostic errors with inserted tubes, lines and catheters in children. Pediatr Radiol. 2012;42(11):1305-15. doi:10.1007/s00247-012-2462-7.
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psnet.ahrq.gov/issue/pediatric-patient-safety-prehospitalemergency-department-setting
June 21, 2010 - Review
Pediatric patient safety in the prehospital/emergency department setting.
Citation Text:
Barata IA, Benjamin LS, Mace SE, et al. Pediatric patient safety in the prehospital/emergency department setting. Pediatr Emerg Care. 2007;23(6):412-8.
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psnet.ahrq.gov/issue/developing-indicators-inpatient-adverse-drug-events-through-nonlinear-analysis-using
December 23, 2011 - Study
Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data.
Citation Text:
Nebeker JR, Yarnold PR, Soltysik RC, et al. Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data. Med…
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psnet.ahrq.gov/issue/physicians-and-cognitive-decline-challenge-state-medical-boards
July 29, 2020 - Commentary
Physicians and cognitive decline: a challenge for state medical boards.
Citation Text:
Hoffman S. Physicians and cognitive decline: a challenge for state medical boards. J Med Regulation. 2022;108(2):19-28. doi:10.30770/2572-1852-108.2.19.
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psnet.ahrq.gov/issue/leadership-and-patient-safety-review-literature
March 29, 2023 - Review
Leadership and patient safety: a review of the literature.
Citation Text:
Ring L, Fairchild RM. Leadership and Patient Safety: A Review of the Literature. J Nurs Reg. 2015;4(1):52-56. doi:10.1016/s2155-8256(15)30164-2.
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psnet.ahrq.gov/issue/contribution-diagnostic-errors-maternal-morbidity-and-mortality-during-and-immediately-after
February 17, 2021 - Book/Report
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science.
Citation Text:
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of …
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psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
April 03, 2019 - Commentary
Reclaiming the systems approach to paediatric safety.
Citation Text:
Cheung R, Roland D, Lachman P. Reclaiming the systems approach to paediatric safety. Arch Dis Child. 2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401.
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psnet.ahrq.gov/issue/impact-patient-and-public-involvement-uk-nhs-health-care-systematic-review
January 15, 2025 - Study
The impact of patient and public involvement on UK NHS health care: a systematic review.
Citation Text:
Mockford C, Staniszewska S, Griffiths F, et al. The impact of patient and public involvement on UK NHS health care: a systematic review. Int J Qual Health Care. 2012;24(1):28-38.…
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its-implementation-canada
September 24, 2018 - Commentary
Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada.
Citation Text:
Carthey J. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. BMJ Qual Saf. 2023;32(8):441-443. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/issue/role-teamwork-professional-education-physicians-current-status-and-assessment-recommendations
March 09, 2009 - Commentary
The role of teamwork in the professional education of physicians: current status and assessment recommendations.
Citation Text:
Baker DP, Salas E, King HB, et al. The Role of Teamwork in the Professional Education of Physicians: Current Status and Assessment Recommendations.…
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psnet.ahrq.gov/issue/risk-factors-preventable-adverse-drug-events-pediatric-outpatients
December 15, 2011 - Study
Risk factors in preventable adverse drug events in pediatric outpatients.
Citation Text:
Zandieh SO, Goldmann DA, Keohane C, et al. Risk factors in preventable adverse drug events in pediatric outpatients. J Pediatr. 2008;152(2):225-31. doi:10.1016/j.jpeds.2007.09.054.
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