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psnet.ahrq.gov/issue/distracting-communications-operating-theatre
August 18, 2017 - Study
Distracting communications in the operating theatre.
Citation Text:
Sevdalis N, Healey AN, Vincent CA. Distracting communications in the operating theatre. J Eval Clin Pract. 2007;13(3). doi:10.1111/j.1365-2753.2006.00712.x.
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psnet.ahrq.gov/issue/improving-accuracy-patient-identification-medication-use-process
May 09, 2014 - Commentary
Improving the accuracy of patient identification in the medication-use process.
Citation Text:
Trapskin PJ, White L, Armitstead JA. Improving the accuracy of patient identification in the medication-use process. Am J Health Syst Pharm. 2006;63(3):218, 220-2.
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psnet.ahrq.gov/issue/geometric-probability-distribution-modeling-error-risk-during-prescription-dispensing
December 24, 2008 - Study
Geometric probability distribution for modeling of error risk during prescription dispensing.
Citation Text:
Carnahan BJ, Maghsoodloo S, Flynn EA, et al. Geometric probability distribution for modeling of error risk during prescription dispensing. Am J Health Syst Pharm. 2006;63(…
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psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue
March 18, 2020 - Newspaper/Magazine Article
The role of racism as a core patient safety issue.
Citation Text:
Feeley D, Torres T. The role of racism as a core patient safety issue. Healthcare Executive. 2020;35(1):58-61.
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psnet.ahrq.gov/issue/textbook-rapid-response-systems-concept-and-implementation
September 30, 2010 - Book/Report
Textbook of Rapid Response Systems: Concept and Implementation.
Citation Text:
Textbook Of Rapid Response Systems: Concept And Implementation. (DeVita MA, ed.). Springer; 2025. ISBN 9783031679513.
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psnet.ahrq.gov/issue/teamwork-healthcare-key-discoveries-enabling-safer-high-quality-care
July 02, 2014 - Review
Classic
Teamwork in healthcare: key discoveries enabling safer, high-quality care.
Citation Text:
Rosen MA, DiazGranados D, Dietz AS, et al. Teamwork in healthcare: Key discoveries enabling safer, high-quality care. Am Psychol. 2018;73(4):433-450. doi:10.…
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psnet.ahrq.gov/issue/definition-quality-and-approaches-its-assessment-vol-1-explorations-quality-assessment-and
May 24, 2015 - Book/Report
Classic
The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring.
Citation Text:
The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Mon…
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psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care
September 19, 2013 - Commentary
Resilience and resilience engineering in health care.
Citation Text:
Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J Qual Patient Saf. 2014;40(8):376-383.
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psnet.ahrq.gov/issue/resident-led-institutional-patient-safety-and-quality-improvement-process
November 16, 2022 - Study
A resident-led institutional patient safety and quality improvement process.
Citation Text:
Stueven J, Sklar DP, Kaloostian P, et al. A resident-led institutional patient safety and quality improvement process. Am J Med Qual. 2012;27(5):369-76. doi:10.1177/1062860611429387.
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psnet.ahrq.gov/issue/introduction-computerized-physician-order-entry-and-change-management-tertiary-pediatric
January 22, 2016 - Review
The introduction of computerized physician order entry and change management in a tertiary pediatric hospital.
Citation Text:
Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Pe…
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psnet.ahrq.gov/issue/using-delphi-method-identify-human-factors-contributing-nursing-errors
June 10, 2015 - Study
Using a Delphi method to identify human factors contributing to nursing errors.
Citation Text:
Roth C, Brewer M, Wieck L. Using a Delphi Method to Identify Human Factors Contributing to Nursing Errors. Nurs Forum. 2017;52(3):173-179. doi:10.1111/nuf.12178.
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psnet.ahrq.gov/issue/effect-acgme-duty-hours-attending-physician-teaching-and-satisfaction
February 17, 2009 - Study
Effect of ACGME duty hours on attending physician teaching and satisfaction.
Citation Text:
Arora V, Meltzer DO. Effect of ACGME duty hours on attending physician teaching and satisfaction. Arch Intern Med. 2008;168(11):1226-8. doi:10.1001/archinte.168.11.1226.
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psnet.ahrq.gov/issue/drug-shortages-fdas-ability-respond-should-be-strengthened
April 15, 2009 - Congressional Testimony
Drug Shortages: FDA's Ability to Respond Should Be Strengthened.
Citation Text:
Drug Shortages: FDA's Ability to Respond Should Be Strengthened. Testimony before the Committee on Health, Education, Labor, and Pensions, US Senate. US Government Accountability Offic…
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psnet.ahrq.gov/issue/rate-causes-and-reporting-medication-errors-jordan-nurses-perspectives
April 15, 2020 - Study
Rate, causes and reporting of medication errors in Jordan: nurses' perspectives.
Citation Text:
MRAYYAN MAJDT, SHISHANI KAWKAB, AL-FAOURI IBRAHIM. Rate, causes and reporting of medication errors in Jordan: nurses? perspectives. J Nurs Manag. 2007;15(6). doi:10.1111/j.1365-2834.20…
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psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation-medical-record
November 09, 2022 - Study
Agreement between patient-reported symptoms and their documentation in the medical record.
Citation Text:
Pakhomov S, Jacobsen SJ, Chute CG, et al. Agreement between patient-reported symptoms and their documentation in the medical record. Am J Manag Care. 2008;14(8):530-539.
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psnet.ahrq.gov/issue/after-his-wife-died-he-joined-nurses-push-new-staffing-rules-hospitals
July 10, 2024 - Newspaper/Magazine Article
After his wife died, he joined nurses to push for new staffing rules in hospitals.
Citation Text:
After his wife died, he joined nurses to push for new staffing rules in hospitals. Wells K. Health Shots. KFF News and Michigan Public. February 22, 2024.
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psnet.ahrq.gov/issue/information-chaos-primary-care-implications-physician-performance-and-patient-safety
July 02, 2019 - Commentary
Information chaos in primary care: implications for physician performance and patient safety.
Citation Text:
Beasley JW, Wetterneck TB, Temte J, et al. Information chaos in primary care: implications for physician performance and patient safety. J Am Board Fam Med. 2011;24(6…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful
January 06, 2018 - Commentary
Classic
Computerized physician order entry: helpful or harmful?
Citation Text:
Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc. 2004;11(2):100-3.
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psnet.ahrq.gov/issue/nurse-interruptions-pre-and-post-implementation-point-care-medication-administration-system
March 11, 2015 - Study
Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.
Citation Text:
Stamp KD, Willis DG. Nurse interruptions pre- and postimplementation of a point-of-care medication administration system. J Nurs Care Qual. 2010;25(3):231-239. doi:1…
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psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and-patient-safety
September 14, 2016 - Review
Technology, governance and patient safety: systems issues in technology and patient safety.
Citation Text:
Balka E, Doyle-Waters M, Lecznarowicz D, et al. Technology, governance and patient safety: systems issues in technology and patient safety. Int J Med Inform. 2007;76 Suppl …