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psnet.ahrq.gov/issue/prospective-controlled-trial-effect-multi-faceted-intervention-early-recognition-and
June 13, 2011 - Study
A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients.
Citation Text:
Mitchell IA, McKay H, Van Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted interve…
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psnet.ahrq.gov/issue/nursing-surveillance-concept-analysis
May 26, 2021 - Review
Nursing surveillance: a concept analysis
Citation Text:
Halverson CC, Scott Tilley D. Nursing surveillance: a concept analysis. Nurs Forum. 2022;57(3):454-460. doi:10.1111/nuf.12702.
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psnet.ahrq.gov/issue/effects-emergency-department-staff-rounding-patient-safety-and-satisfaction
November 16, 2022 - Study
The effects of emergency department staff rounding on patient safety and satisfaction.
Citation Text:
Meade CM, Kennedy J, Kaplan J. The effects of emergency department staff rounding on patient safety and satisfaction. J Emerg Med. 2010;38(5):666-74. doi:10.1016/j.jemermed.2008.…
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psnet.ahrq.gov/issue/use-simulation-emergency-medicine-research-agenda
December 30, 2008 - Commentary
The use of simulation in emergency medicine: a research agenda.
Citation Text:
Bond WF, Lammers RL, Spillane LL, et al. The use of simulation in emergency medicine: a research agenda. Acad Emerg Med. 2007;14(4):353-63.
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psnet.ahrq.gov/issue/transfer-accountability-transforming-shift-handover-enhance-patient-safety
April 24, 2018 - Commentary
Transfer of accountability: transforming shift handover to enhance patient safety.
Citation Text:
Alvarado K, Lee R, Christoffersen E, et al. Transfer of accountability: transforming shift handover to enhance patient safety. Healthc Q. 2006;9 Spec No:75-79.
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psnet.ahrq.gov/issue/nurses-perceived-causes-medication-administration-errors-qualitative-systematic-review
September 16, 2020 - Review
Nurses' perceived causes of medication administration errors: a qualitative systematic review.
Citation Text:
Schroers G, Ross JG, Moriarty H. Nurses' perceived causes of medication administration errors: a qualitative systematic review. Jt Comm J Qual Patient Saf. 2021;47(1):38-5…
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psnet.ahrq.gov/issue/compelled-disclosure-confidential-information-patient-safety-research
September 29, 2017 - Commentary
Compelled disclosure of confidential information in patient safety research.
Citation Text:
Du L, Murdoch B, Chiu C, et al. Compelled disclosure of confidential information in patient safety research. J Patient Saf. 2021;17(3):200-206. doi:10.1097/pts.0000000000000293.
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psnet.ahrq.gov/issue/workarounds-workplace-second-look
December 08, 2021 - Commentary
Workarounds in the workplace: a second look.
Citation Text:
Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161.
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psnet.ahrq.gov/issue/operating-room-traffic-modifiable-risk-factor-surgical-site-infection
April 24, 2018 - Study
Operating room traffic as a modifiable risk factor for surgical site infection.
Citation Text:
Wanta BT, Glasgow AE, Habermann EB, et al. Operating Room Traffic as a Modifiable Risk Factor for Surgical Site Infection. Surg Infect (Larchmt). 2016;17(6):755-760.
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psnet.ahrq.gov/issue/systems-approach-sharp-end
April 21, 2021 - Commentary
The systems approach at the sharp end.
Citation Text:
Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. doi:10.7861/futurehosp.5-3-176.
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psnet.ahrq.gov/issue/tasks-processes-case-changing-health-information-technology-improve-health-care
February 10, 2015 - Commentary
From tasks to processes: the case for changing health information technology to improve health care.
Citation Text:
Walker JM, Carayon P. From tasks to processes: the case for changing health information technology to improve health care. Health Aff (Millwood). 2009;28(2):467-…
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psnet.ahrq.gov/issue/challenges-ethics-safety-best-practices-and-oversight-regarding-hit-vendors-their-customers
July 30, 2014 - Commentary
Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force.
Citation Text:
Goodman KW, Berner ES, Dente MA, et al. Challenges in ethics, safety, best practices, and oversight regard…
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psnet.ahrq.gov/issue/how-us-teams-advanced-communication-and-resolution-program-adoption-local-state-and-national
April 24, 2018 - Study
How U.S. teams advanced communication and resolution program adoption at local, state and national levels.
Citation Text:
LeCraw FR, Stearns SC, McCoy MJ. How U.S. Teams advanced communication and resolution program adoption at local, state and national levels. J Patient Saf Risk M…
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psnet.ahrq.gov/issue/there-light-well-it-depends-grounded-theory-study-nurses-lighting-and-medication
June 29, 2011 - Study
Is there light? Well it depends—a grounded theory study of nurses, lighting, and medication administration.
Citation Text:
Graves K, Symes L, Cesario SK, et al. Is There Light? Well It Depends--A Grounded Theory Study of Nurses, Lighting, and Medication Administration. Nurs Forum. …
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psnet.ahrq.gov/issue/us-food-and-drug-administration-precertification-pilot-program-digital-health-software
September 25, 2008 - Commentary
Emerging Classic
U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks.
Citation Text:
Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for …
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psnet.ahrq.gov/issue/information-loss-emergency-medical-services-handover-trauma-patients
August 04, 2021 - Study
Information loss in emergency medical services handover of trauma patients.
Citation Text:
Carter AJE, Davis KA, Evans L, et al. Information loss in emergency medical services handover of trauma patients. Prehosp Emerg Care. 2009;13(3):280-5. doi:10.1080/10903120802706260.
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psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care
June 16, 2011 - Study
Surgical specimen identification errors: a new measure of quality in surgical care.
Citation Text:
Makary MA, Epstein J, Pronovost P, et al. Surgical specimen identification errors: a new measure of quality in surgical care. Surgery. 2007;141(4):450-5.
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psnet.ahrq.gov/issue/nurses-perspectives-regarding-disclosure-errors-patients-qualitative-study
January 28, 2015 - Study
Nurses' perspectives regarding the disclosure of errors to patients: a qualitative study.
Citation Text:
McLennan SR, Diebold M, Rich LE, et al. Nurses' perspectives regarding the disclosure of errors to patients: A qualitative study. Int J Nurs Stud. 2016;54:16-22. doi:10.1016/j.i…
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psnet.ahrq.gov/issue/errors-mri-evaluation-musculoskeletal-tumors-and-tumorlike-lesions
September 04, 2019 - Study
Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions.
Citation Text:
Heck RK, O'Malley AM, Kellum EL, et al. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Clin Orthop Relat Res. 2007;459:28-33.
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psnet.ahrq.gov/issue/how-do-patients-and-care-partners-describe-diagnostic-uncertainty-emergency-department-or
October 23, 2024 - Study
How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting?
Citation Text:
DeGennaro AP, Gonzalez N, Peterson SM, et al. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent c…