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psnet.ahrq.gov/issue/disruptive-behavior-operating-room-prospective-observational-study-triggers-and-effects-tense
October 29, 2014 - Study
"Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams.
Citation Text:
Keller S, Tschan F, Semmer NK, et al. “Disruptive behavior” in the operating room: A prospective observational st…
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psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events
March 21, 2017 - Study
Voluntary electronic reporting of medical errors and adverse events.
Citation Text:
Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):1…
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psnet.ahrq.gov/issue/association-electronic-health-record-use-above-meaningful-use-thresholds-hospital-quality-and
October 06, 2021 - Study
Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes.
Citation Text:
Murphy ZR, Wang J, Boland MV. Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes.…
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psnet.ahrq.gov/issue/wrong-site-surgery-california-2007-2014
July 27, 2023 - Study
Wrong-site surgery in California, 2007–2014.
Citation Text:
Moshtaghi O, Haidar YM, Sahyouni R, et al. Wrong-site surgery in California, 2007-2014. Otolaryngol Head Neck Surg. 2017;157(1):48-52. doi:10.1177/0194599817693226.
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psnet.ahrq.gov/issue/application-theoretical-framework-behavior-change-hospital-workers-real-time-explanations
October 12, 2022 - Study
Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines.
Citation Text:
Fuller C, Besser S, Savage J, et al. Application of a theoretical framework for behavior change to hospital worker…
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psnet.ahrq.gov/issue/physician-behaviors-associated-increased-physician-and-nurse-communication-during-bedside
December 14, 2011 - Study
Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds.
Citation Text:
Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and nurse communication during bedside interdisc…
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psnet.ahrq.gov/issue/quality-australian-health-care-study
February 02, 2022 - Study
Classic
The Quality in Australian Health Care Study.
Citation Text:
Wilson RML, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust. 2019;163(9):458-471. doi:10.5694/j.1326-5377.1995.tb124691.x.
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psnet.ahrq.gov/issue/estimating-hospital-deaths-due-medical-errors-preventability-eye-reviewer
February 24, 2011 - Study
Classic
Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer.
Citation Text:
Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA. 2001;286(4)…
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psnet.ahrq.gov/issue/mobilising-or-standing-still-narrative-review-surgical-safety-checklist-knowledge-developed
August 21, 2019 - Review
Mobilising or standing still? A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016.
Citation Text:
Mitchell B, Cristancho S, Nyhof BB, et al. Mobilising or standing still?A narrative review of Surgical Safety Checklist …
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psnet.ahrq.gov/issue/false-dawns-and-new-horizons-patient-safety-research-and-practice
July 24, 2024 - Commentary
False dawns and new horizons in patient safety research and practice.
Citation Text:
Mannion R, Braithwaite J. False Dawns and New Horizons in Patient Safety Research and Practice. Int J Health Policy Manag. 2017;6(12). doi:10.15171/ijhpm.2017.115.
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psnet.ahrq.gov/issue/it-depends-complexity-allowing-residents-fail-perspective-clinical-supervisors
December 14, 2022 - Study
'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors.
Citation Text:
Klasen JM, Teunissen PW, Driessen EW, et al. ‘It depends’: the complexity of allowing residents to fail from the perspective of clinical supervisors. Med Teach. 2…
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psnet.ahrq.gov/issue/safety-warfarin-therapy-nursing-home-setting
March 11, 2011 - Study
The safety of warfarin therapy in the nursing home setting.
Citation Text:
Gurwitz JH, Field T, Radford MJ, et al. The safety of warfarin therapy in the nursing home setting. Am J Med. 2007;120(6):539-44.
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psnet.ahrq.gov/issue/safety-ground-using-critical-incident-technique-explore-factors-influencing-medical
April 19, 2023 - Study
Safety on the ground: using critical incident technique to explore the factors influencing medical registrars' provision of safe care.
Citation Text:
Ralston K, Smith SE, Kerins J, et al. Safety on the ground: using critical incident technique to explore the factors influencing med…
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psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled
January 12, 2022 - Study
The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis.
Citation Text:
Castro-Avila A, Bloor K, Thompson C. The effect of external inspections on safety in acute hospitals in the Natio…
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psnet.ahrq.gov/issue/relation-between-malpractice-claims-and-adverse-events-due-negligence-results-harvard-medical
February 18, 2011 - Study
Classic
Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III.
Citation Text:
Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events Due to …
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psnet.ahrq.gov/issue/medication-errors-among-acutely-ill-and-injured-children-treated-rural-emergency-departments
December 13, 2013 - Study
Medication errors among acutely ill and injured children treated in rural emergency departments.
Citation Text:
Marcin JP, Dharmar M, Cho M, et al. Medication errors among acutely ill and injured children treated in rural emergency departments. Ann Emerg Med. 2007;50(4):361-7, 36…
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psnet.ahrq.gov/issue/change-shift-nursing-handoff-interruptions-implications-evidence-based-practice
July 19, 2023 - Study
Change‐of‐shift nursing handoff interruptions: implications for evidence‐based practice.
Citation Text:
Rhudy LM, Johnson MR, Krecke CA, et al. Change-of-Shift Nursing Handoff Interruptions: Implications for Evidence-Based Practice. Worldviews Evid Based Nurs. 2019;16(5):362-370. d…
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psnet.ahrq.gov/issue/learning-through-experience-influence-formal-and-informal-training-medical-error-disclosure
March 16, 2022 - Study
Learning through experience: influence of formal and informal training on medical error disclosure skills in residents.
Citation Text:
Wong BM, Coffey M, Nousiainen MT, et al. Learning through experience: influence of formal and informal training on medical error disclosure skills …
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psnet.ahrq.gov/issue/it-depends-who-you-ask-divergences-staff-and-external-stakeholder-narratives-about-causes
August 05, 2020 - Study
It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure.
Citation Text:
Hald EJ, Gillespie A, Reader TW. It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthca…
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psnet.ahrq.gov/issue/exploratory-study-knowledge-brokering-hospital-settings-facilitating-knowledge-sharing-and
July 02, 2008 - Study
An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety?
Citation Text:
Waring J, Currie G, Crompton A, et al. An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing …