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psnet.ahrq.gov/issue/everybody-makes-mistakes-childrens-views-medical-errors-and-disclosure
March 20, 2019 - Study
"Everybody makes mistakes": children's views on medical errors and disclosure.
Citation Text:
Koller D, Binder MJ, Alexander S, et al. "Everybody Makes Mistakes": Children's Views on Medical Errors and Disclosure. J Ped Nurs. 2019;49:1-9. doi:10.1016/j.pedn.2019.07.014.
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psnet.ahrq.gov/issue/safety-using-computerized-rounding-and-sign-out-system-reduce-resident-duty-hours
June 23, 2009 - Study
Safety of using a computerized rounding and sign-out system to reduce resident duty hours.
Citation Text:
Van Eaton EG, McDonough K, Lober WB, et al. Safety of Using a Computerized Rounding and Sign-Out System to Reduce Resident Duty Hours. Academic Medicine. 2010;85(7). doi:10.1…
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psnet.ahrq.gov/issue/allowing-failure-educational-purposes-postgraduate-clinical-training-narrative-review
February 08, 2023 - Review
Allowing failure for educational purposes in postgraduate clinical training: a narrative review.
Citation Text:
Klasen JM, Lingard LA. Allowing failure for educational purposes in postgraduate clinical training: A narrative review. Med Teach. 2019;41(11):1263-1269. doi:10.1080/014…
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psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
February 15, 2023 - Review
Surgical site infection prevention: a review.
Citation Text:
Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA. 2023;329(3):244-252. doi:10.1001/jama.2022.24075.
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psnet.ahrq.gov/issue/factors-predicting-change-hospital-safety-climate-and-capability-multi-site-patient-safety
February 01, 2011 - Study
Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study.
Citation Text:
Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a multi-site pa…
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psnet.ahrq.gov/issue/positive-deviance-different-approach-achieving-patient-safety
May 15, 2024 - Commentary
Positive deviance: a different approach to achieving patient safety.
Citation Text:
Lawton R, Taylor N, Clay-Williams R, et al. Positive deviance: a different approach to achieving patient safety. BMJ Qual Saf. 2014;23(11):880-3. doi:10.1136/bmjqs-2014-003115.
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psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthesis-literature
July 02, 2014 - Review
Team-training in healthcare: a narrative synthesis of the literature.
Citation Text:
Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf. 2014;23(5):359-72. doi:10.1136/bmjqs-2013-001848.
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psnet.ahrq.gov/issue/predictors-perceived-impact-patient-safety-collaborative-exploratory-study
February 01, 2011 - Study
Predictors of the perceived impact of a patient safety collaborative: an exploratory study.
Citation Text:
Pinto A, Benn J, Burnett S, et al. Predictors of the perceived impact of a patient safety collaborative: an exploratory study. Int J Qual Health Care. 2011;23(2):173-81. doi:1…
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psnet.ahrq.gov/issue/child-specific-risk-factors-and-patient-safety
February 02, 2022 - Study
Child-specific risk factors and patient safety.
Citation Text:
Child-specific risk factors and patient safety. Woods DM, Holl JL, Shonkoff JP, et al. J Patient Saf. 2005;1(1):17-22.
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psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance
July 29, 2020 - Study
Adverse event rates as measures of hospital performance.
Citation Text:
Hauck K, Zhao X, Jackson T. Adverse event rates as measures of hospital performance. Health Policy (New York). 2012;104(2):146-154. doi:10.1016/j.healthpol.2011.06.010.
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psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data
June 28, 2017 - Commentary
The alarming reality of medication error: a patient case and review of Pennsylvania and national data.
Citation Text:
da Silva BA, Krishnamurthy M. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. J Community Hosp Intern Me…
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psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
June 02, 2021 - Study
Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers.
Citation Text:
Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. Peard LM, Teplitsky S, Annabathula A, et al. Ca…
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psnet.ahrq.gov/issue/specialist-physicians-attitudes-and-practice-patterns-regarding-disclosure-pre-referral
November 02, 2018 - Study
Specialist physicians' attitudes and practice patterns regarding disclosure of pre-referral medical errors.
Citation Text:
Dossett LA, Kauffmann RM, Lee JS, et al. Specialist Physicians' Attitudes and Practice Patterns Regarding Disclosure of Pre-referral Medical Errors. Ann Surg. …
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psnet.ahrq.gov/issue/broken-hospital-windows-debating-theory-spreading-disorder-and-its-application-healthcare
October 26, 2022 - Commentary
'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations.
Citation Text:
Churruca K, Ellis LA, Braithwaite J. 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare orga…
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psnet.ahrq.gov/issue/surgical-safety-checklists-childrens-surgery-surgeons-attitudes-and-review-literature
October 23, 2019 - Study
Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature.
Citation Text:
Roybal J, Tsao KJ, Rangel S, et al. Surgical Safety Checklists in Children's Surgery: Surgeons' Attitudes and Review of the Literature. Pediatr Qual Saf. 2018;3(5):e10…
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psnet.ahrq.gov/issue/rating-raters-inconsistent-quality-health-care-performance-measurement
March 27, 2018 - Commentary
Rating the raters: the inconsistent quality of health care performance measurement.
Citation Text:
Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.000…
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psnet.ahrq.gov/issue/effectiveness-information-technology-intervention-improve-prophylactic-antibacterial-use
September 01, 2016 - Study
Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period.
Citation Text:
Haynes K, Linkin DR, Fishman NO, et al. Effectiveness of an information technology intervention to improve prophylactic antibacterial use …
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psnet.ahrq.gov/issue/learning-near-misses-quick-fixes-closing-swiss-cheese-holes
April 11, 2012 - Study
Learning from near misses: from quick fixes to closing off the Swiss-cheese holes.
Citation Text:
Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256…
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psnet.ahrq.gov/issue/older-peoples-experiences-medicine-changes-leaving-hospital
August 26, 2020 - Study
Older people's experiences of medicine changes on leaving hospital.
Citation Text:
Bagge M, Norris P, Heydon S, et al. Older people's experiences of medicine changes on leaving hospital. Res Social Admin Pharm. 2013;10(5):791-800. doi:10.1016/j.sapharm.2013.10.005.
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psnet.ahrq.gov/issue/patient-centered-prescription-opioid-tapering-community-outpatients-chronic-pain
May 17, 2017 - Study
Emerging Classic
Patient-centered prescription opioid tapering in community outpatients with chronic pain.
Citation Text:
Darnall BD, Ziadni MS, Stieg RL, et al. Patient-Centered Prescription Opioid Tapering in Community Outpatients With Chronic Pain. JAMA…