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psnet.ahrq.gov/issue/hospital-staffing-and-health-care-associated-infections-systematic-review-literature
December 23, 2020 - Review
Emerging Classic
Hospital staffing and health care–associated infections: a systematic review of the literature.
Citation Text:
Mitchell BG, Gardner A, Stone PW, et al. Hospital Staffing and Health Care-Associated Infections: A Systematic Review of the Li…
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psnet.ahrq.gov/issue/theoretical-framework-and-competency-based-approach-improving-handoffs
March 28, 2011 - Commentary
A theoretical framework and competency-based approach to improving handoffs.
Citation Text:
Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.0189…
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psnet.ahrq.gov/issue/exploring-and-evaluating-patient-safety-culture-community-based-primary-care-setting
March 19, 2018 - Study
Exploring and evaluating patient safety culture in a community-based primary care setting.
Citation Text:
Desmedt M, Bergs J, Willaert B, et al. Exploring and Evaluating Patient Safety Culture in a Community-Based Primary Care Setting. J Patient Saf. 2021;17(8):e1216-e1222. doi:10.…
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www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi2.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention
Methods
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Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention
Executive Summary
Introduction & Objectives
Methods
Data Collection and …
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www.ahrq.gov/news/blog/ahrqviews/making-patients-part-of-conversations.html
February 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
Making Patients Part of Conversations About Their Care: Integrating Patient-Generated Health Data into Electronic Health Records
FEB
15
2022
By
Chun-Ju (Janey) Hsiao, Ph.D.,
and Chris Dymek, Ed.D.
Janey Hsiao, Ph.D.
The 63-yea…
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psnet.ahrq.gov/issue/evaluation-frequency-dispensing-electronically-discontinued-medications-and-associated
March 03, 2019 - Study
Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes.
Citation Text:
Copi EJ, Kelley LR, Fisher KK. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. J Am Pharm Assoc (2003…
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psnet.ahrq.gov/issue/defining-landscape-patient-harm-after-osteopathic-manipulative-treatment-synthesis-adverse
October 19, 2022 - Review
Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model.
Citation Text:
Unger MD, Barr JN, Brower JA, et al. Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event …
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psnet.ahrq.gov/issue/communication-failures-patient-sign-out-and-suggestions-improvement-critical-incident
April 16, 2008 - Study
Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis.
Citation Text:
Arora VM, Johnson JK, Lovinger D, et al. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. Qual Saf Hea…
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psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue-improve-patient-safety
January 31, 2024 - Journal Article
IOM: shorten residents' work shifts to reduce fatigue, improve patient safety.
Citation Text:
Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA. 2009;301(3):259-61. doi:10.1001/jama.2008.940.
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psnet.ahrq.gov/issue/direct-observation-approach-detecting-medication-errors-and-adverse-drug-events-pediatric
June 28, 2010 - Study
Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit.
Citation Text:
Buckley MS, Erstad BL, Kopp BJ, et al. Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensi…
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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/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/role-error-organizing-behaviour
April 21, 2011 - Study
Classic
The role of error in organizing behaviour.
Citation Text:
Rasmussen J. The role of error in organizing behaviour. Qual Saf Health Care. 2003;12(5):377-383. doi:10.1136/qhc.12.5.377.
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psnet.ahrq.gov/issue/internal-quality-improvement-collaborative-significantly-reduces-hospital-wide-medication
March 20, 2014 - Study
An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events.
Citation Text:
McClead RE, Catt C, Davis T, et al. An internal quality improvement collaborative significantly reduces hospital-wide medication error rela…
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psnet.ahrq.gov/issue/preventing-blood-transfusion-failures-fmea-effective-assessment-method
August 25, 2021 - Study
Preventing blood transfusion failures: FMEA, an effective assessment method.
Citation Text:
Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3.
C…
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psnet.ahrq.gov/issue/resident-perceptions-impact-work-hour-limitations
August 04, 2021 - Study
Resident perceptions of the impact of work hour limitations.
Citation Text:
Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22(7):969-75.
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psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices
October 27, 2021 - Study
Integrating systemic accident analysis into patient safety incident investigation practices.
Citation Text:
Canham A, Jun GT, Waterson P, et al. Integrating systemic accident analysis into patient safety incident investigation practices. Appl Ergon. 2018;72:1-9. doi:10.1016/j.aperg…
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psnet.ahrq.gov/issue/development-conceptual-map-negative-consequences-patients-overuse-medical-tests-and
November 01, 2017 - Commentary
Emerging Classic
Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments.
Citation Text:
Korenstein D, Chimonas S, Barrow B, et al. Development of a Conceptual Map of Negative Consequences for P…
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psnet.ahrq.gov/issue/organizational-perspectives-nurse-executives-15-hospitals-impact-and-effectiveness-rapid
August 03, 2022 - Study
Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams.
Citation Text:
Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact and Effectiveness of Rapid Response Teams. Jt…
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psnet.ahrq.gov/issue/clinical-review-hospital-future-building-intelligent-environments-facilitate-safe-and
March 16, 2022 - Review
Clinical review: the hospital of the future—building intelligent environments to facilitate safe and effective acute care delivery.
Citation Text:
Pickering BW, Litell JM, Herasevich V, et al. Clinical review: the hospital of the future - building intelligent environments to faci…