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psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
September 23, 2020 - Study
Risk factors for i.v. compounding errors when using an automated workflow management system.
Citation Text:
Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…
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psnet.ahrq.gov/issue/there-evidence-july-effect-among-patients-undergoing-hysterectomy-surgery
April 24, 2018 - Study
Is there evidence of a July effect among patients undergoing hysterectomy surgery?
Citation Text:
Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.aj…
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psnet.ahrq.gov/issue/working-fixed-operating-room-team-consecutive-similar-cases-and-effect-case-duration-and
January 07, 2015 - Study
Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time.
Citation Text:
Stepaniak PS, Vrijland WW, de Quelerij M, et al. Working with a fixed operating room team on consecutive similar cases and the effect on case dura…
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psnet.ahrq.gov/issue/systematic-review-malpractice-litigation-diagnosis-and-treatment-acute-stroke
October 19, 2022 - Journal Article
Systematic review of malpractice litigation in the diagnosis and treatment of acute stroke
Citation Text:
Haslett JJ, Genadry L, Zhang X, et al. Systematic Review of Malpractice Litigation in the Diagnosis and Treatment of Acute Stroke. Stroke. 2019;50(10):2858-2864. doi:…
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psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
February 19, 2014 - Commentary
Framework for analysing risk and safety in clinical medicine.
Citation Text:
Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-1157.
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psnet.ahrq.gov/issue/periodic-resuscitation-cart-checks-and-nurse-situational-awareness-observational-study
March 18, 2020 - Study
Periodic resuscitation cart checks and nurse situational awareness: an observational study.
Citation Text:
Aljuaid J, Al-Moteri M. Periodic resuscitation cart checks and nurse situational awareness: an observational study. J Emerg Nurs. 2022;48(2):189-201. doi:10.1016/j.jen.2021.12…
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psnet.ahrq.gov/issue/patient-safety-culture-hospital-settings-across-continents-systematic-review
June 13, 2018 - Review
Patient safety culture in hospital settings across continents: a systematic review.
Citation Text:
Alabdullah H, Karwowski W. Patient safety culture in hospital settings across continents: a systematic review. Appl Sci. 2024;14(18):8496. doi:10.3390/app14188496.
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psnet.ahrq.gov/issue/identification-adverse-events-ground-transport-emergency-medical-services
August 26, 2020 - Study
Identification of adverse events in ground transport emergency medical services.
Citation Text:
Patterson PD, Weaver MD, Abebe K, et al. Identification of adverse events in ground transport emergency medical services. Am J Med Qual. 2011;27(2):139-146. doi:10.1177/106286061141551…
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psnet.ahrq.gov/issue/influence-perioperative-handoffs-complications-and-outcomes
October 14, 2020 - Commentary
Influence of perioperative handoffs on complications and outcomes.
Citation Text:
Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008.
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psnet.ahrq.gov/issue/observational-study-postoperative-handoff-standardization-failures
March 10, 2021 - Study
An observational study of postoperative handoff standardization failures.
Citation Text:
Abraham J, Meng A, Sona C, et al. An observational study of postoperative handoff standardization failures. Int J Med Inform. 2021;151:104458. doi:10.1016/j.ijmedinf.2021.104458.
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psnet.ahrq.gov/issue/incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review
May 20, 2020 - Review
Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials.
Citation Text:
Menezes MS, Doria GAA, Valença-Feitosa F, et al. Incidence of drug-related adverse events related to the use of high-alert drugs: a …
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-ethical-principles-regulatory-approach-bias-healthcare
April 21, 2021 - Commentary
Emerging Classic
Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning.
Citation Text:
McCradden MD, Joshi S, Anderson JA, et al. Patient safety and quality improvement: Ethical pri…
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psnet.ahrq.gov/issue/impact-adverse-events-clinicians-whats-name
March 25, 2020 - Review
The impact of adverse events on clinicians: what's in a name?
Citation Text:
Wu AW, Shapiro J, Harrison R, et al. The Impact of Adverse Events on Clinicians: What's in a Name? J Patient Saf. 2020;16(1):65-72. doi:10.1097/PTS.0000000000000256.
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psnet.ahrq.gov/issue/deficiencies-care-care-coordination-and-facility-response-patient-who-died-suicide-memphis-va
December 16, 2020 - Book/Report
Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee.
Citation Text:
Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center i…
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psnet.ahrq.gov/issue/first-do-no-harm-balancing-competing-priorities-surgical-practice
December 12, 2012 - Study
"First, do no harm": balancing competing priorities in surgical practice.
Citation Text:
Leung A, Luu S, Regehr G, et al. "First, do no harm": balancing competing priorities in surgical practice. Acad Med. 2012;87(10):1368-74.
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psnet.ahrq.gov/issue/social-dimensions-safety-incident-reporting-maternity-care-influence-working-relationships
September 18, 2024 - Study
The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes.
Citation Text:
Lindsay P, Sandall J, Humphrey C. The social dimensions of safety incident reporting in maternity care: the influence of working relati…
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digital.ahrq.gov/2020-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care-emerging-research
January 01, 2020 - Supporting Clinicians to Improve Decision Making and Patients’ Care - Emerging Research
Applying Digital Healthcare Solutions in Acute Settings
Emergency departments (EDs) deliver high-volume patient care in hazardous decision-making environments fraught with excessive cognitive load…
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meps.ahrq.gov/mepsweb/data_stats/nh_info.jsp
MEPS - Nursing Home Resources
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project
January 01, 2023 - Privacy and Security Project (2005-2007)
The Privacy and Security Project
RTI International has subcontracted with 33 states and 1 territory to create the Health Information Security and Privacy Collaboration (HISPC). These subcontractors have leveraged input from state leadership and a br…
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psnet.ahrq.gov/issue/medication-administration-and-interruptions-nursing-homes-qualitative-observational-study
March 15, 2023 - Study
Medication administration and interruptions in nursing homes: a qualitative observational study.
Citation Text:
Odberg KR, Hansen BS, Aase K, et al. Medication administration and interruptions in nursing homes: A qualitative observational study. J Clin Nurs. 2018;27(5-6):1113-1124.…