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psnet.ahrq.gov/issue/turning-medical-gaze-upon-itself-root-cause-analysis-and-investigation-clinical-error
June 14, 2011 - Study
Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error.
Citation Text:
Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Soc Sci Med. 2006;62(7):16…
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psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health
October 05, 2022 - Review
Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review.
Citation Text:
Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical E…
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psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie
February 14, 2024 - Study
Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model.
Citation Text:
Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification o…
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psnet.ahrq.gov/issue/critical-events-during-land-based-interfacility-transport
April 15, 2019 - Study
Critical events during land-based interfacility transport.
Citation Text:
Singh JM, MacDonald RD, Ahghari M. Critical events during land-based interfacility transport. Ann Emerg Med. 2014;64(1):9-15.e2. doi:10.1016/j.annemergmed.2013.12.009.
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psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach-observational-study
March 15, 2017 - Study
Classic
Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units.
Citation Text:
Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety us…
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psnet.ahrq.gov/issue/patients-perceptions-safety-emergency-medical-services-interview-study
July 29, 2020 - Study
Patients' perceptions of safety in emergency medical services: an interview study.
Citation Text:
Venesoja A, Castrén M, Tella S, et al. Patients’ perceptions of safety in emergency medical services: an interview study. BMJ Open. 2020;10(10):e037488. doi:10.1136/bmjopen-2020-037488…
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psnet.ahrq.gov/issue/exploring-sociotechnical-intersection-patient-safety-and-electronic-health-record
May 01, 2015 - Study
Classic
Exploring the sociotechnical intersection of patient safety and electronic health record implementation.
Citation Text:
Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and electronic health record i…
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psnet.ahrq.gov/issue/beating-weekend-trend-increased-mortality-older-adult-traumatic-brain-injury-tbi-patients
December 21, 2014 - Slideset
Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends.
Citation Text:
Schneider EB, Hirani SA, Hambridge HL, et al. Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) pat…
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psnet.ahrq.gov/issue/investigating-adverse-event-free-admissions-medicare-inpatients-patient-safety-indicator
May 04, 2016 - Study
Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator.
Citation Text:
King A, Bottle A, Faiz O, et al. Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. Ann Surg. 2017;265(5):910-915. doi:10.…
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psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
May 12, 2021 - Commentary
The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy.
Citation Text:
Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-43…
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digital.ahrq.gov/track-4-assessing-value-and-evaluating-project-impact
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/issue/factors-influencing-perception-feeling-safe-pre-hospital-emergency-care-mixed-methods
February 14, 2024 - Review
Factors influencing the perception of feeling safe in pre-hospital emergency care: a mixed-methods systematic review.
Citation Text:
Péculo‐Carrasco J‐A, Luque‐Hernández MJ, Rodríguez‐Ruiz H‐J, et al. Factors influencing the perception of feeling safe in pre‐hospital emergency car…
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psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-events
December 19, 2014 - Commentary
Medication event huddles: a tool for reducing adverse drug events.
Citation Text:
Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45.
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psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery
August 02, 2015 - Study
Safety culture and complications after bariatric surgery.
Citation Text:
Birkmeyer NJO, Finks JF, Greenberg CK, et al. Safety culture and complications after bariatric surgery. Ann Surg. 2013;257(2):260-5. doi:10.1097/SLA.0b013e31826c0085.
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psnet.ahrq.gov/issue/types-and-effects-feedback-emergency-ambulance-staff-systematic-mixed-studies-review-and-meta
April 06, 2022 - Study
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis.
Citation Text:
Wilson C, Janes G, Lawton R, et al. Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. BMJ…
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psnet.ahrq.gov/issue/do-eps-change-their-clinical-behaviour-hallway-or-when-companion-present-cross-sectional
June 29, 2022 - Study
Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey.
Citation Text:
Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg …
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psnet.ahrq.gov/issue/weekend-hospitalization-and-additional-risk-death-analysis-inpatient-data
September 23, 2015 - Study
Weekend hospitalization and additional risk of death: an analysis of inpatient data.
Citation Text:
Freemantle N, Richardson M, Wood J, et al. Weekend hospitalization and additional risk of death: An analysis of inpatient data. J R Soc Med. 2012;105(2). doi:10.1258/jrsm.2012.1200…
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psnet.ahrq.gov/issue/impact-pharmacists-led-medicines-reconciliation-healthcare-outcomes-secondary-care-systematic
August 07, 2024 - Review
Emerging Classic
The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: a systematic review and meta-analysis of randomized controlled trials.
Citation Text:
Cheema E, Alhomoud FK, Kinsara ASA-D, et al. The impact…
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psnet.ahrq.gov/issue/seen-through-their-eyes-residents-reflections-cognitive-and-contextual-components-diagnostic
November 18, 2013 - Study
Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine.
Citation Text:
Ogdie AR, Reilly JB, Pang WG, et al. Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic…
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psnet.ahrq.gov/issue/nicu-medication-errors-identifying-risk-profile-medication-errors-neonatal-intensive-care
September 21, 2008 - Study
NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit.
Citation Text:
Stavroudis TA, Shore AD, Morlock L, et al. NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. J Pe…