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psnet.ahrq.gov/issue/risk-reduction-strategy-decrease-incidence-retained-surgical-items
July 06, 2022 - Study
Risk reduction strategy to decrease incidence of retained surgical items.
Citation Text:
Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264.
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psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system
August 03, 2022 - Study
Electronic approaches to making sense of the text in the adverse event reporting system.
Citation Text:
Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhr…
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psnet.ahrq.gov/issue/prevalence-underlying-causes-and-preventability-sepsis-associated-mortality-us-acute-care
August 20, 2018 - Study
Classic
Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals.
Citation Text:
Rhee C, Jones TM, Hamad Y, et al. Prevalence, Underlying Causes, and Preventability of Sepsis-Associated Mortality in US Acu…
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psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary
December 21, 2016 - Study
Classic
A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting.
Citation Text:
Burlison JD, Quillivan RR, Kath LM, et al. A Multilevel Analysis of U.S. Hospital Patient Safety Culture Relat…
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psnet.ahrq.gov/issue/using-patient-safety-indicators-estimate-impact-potential-adverse-events-outcomes
July 14, 2009 - Study
Using patient safety indicators to estimate the impact of potential adverse events on outcomes.
Citation Text:
Rivard PE, Luther SL, Christiansen CL, et al. Using Patient Safety Indicators to Estimate the Impact of Potential Adverse Events on Outcomes. Med Care Res Rev. 2008;65(1…
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psnet.ahrq.gov/issue/disclosure-hospital-adverse-events-and-its-association-patients-ratings-quality-care
December 29, 2014 - Study
Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.
Citation Text:
López L, Weissman JS, Schneider EC, et al. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Arch Intern Me…
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psnet.ahrq.gov/issue/comprehensive-evaluation-using-computerised-provider-order-entry-system-hospital-discharge
August 24, 2015 - Study
Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders.
Citation Text:
Colombini N, Abbes M, Cherpin A, et al. Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. Int J Med Info…
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psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-emotional-exhaustion-and-job-dissatisfaction
February 09, 2011 - Study
Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction.
Citation Text:
Halm M, Peterson M, Kandels M, et al. Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. Clin Nurse Spec. 2005;19(5):241-254.
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psnet.ahrq.gov/issue/older-patients-perceptions-unnecessary-tests-and-referrals-national-survey-medicare
May 25, 2011 - Study
Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries.
Citation Text:
Herndon B, Schwartz LM, Woloshin S, et al. Older patients perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. J…
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psnet.ahrq.gov/issue/patient-mortality-during-unannounced-accreditation-surveys-us-hospitals
August 03, 2022 - Study
Patient mortality during unannounced accreditation surveys at US hospitals.
Citation Text:
Barnett ML, Olenski AR, Jena AB. Patient Mortality During Unannounced Accreditation Surveys at US Hospitals. JAMA Intern Med. 2017;177(5):693-700. doi:10.1001/jamainternmed.2016.9685.
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psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
August 24, 2022 - Review
U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned.
Citation Text:
Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf.…
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psnet.ahrq.gov/issue/nature-severity-and-causes-medication-incidents-australian-community-pharmacy-incident
May 05, 2021 - Study
The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study.
Citation Text:
Adie K, Fois RA, McLachlan AJ, et al. The nature, severity and causes of medication incidents from an Australian community pha…
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psnet.ahrq.gov/issue/intervention-study-reduction-medication-errors-elderly-trauma-patients
December 18, 2019 - Study
Intervention study for the reduction of medication errors in elderly trauma patients.
Citation Text:
Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(…
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psnet.ahrq.gov/issue/harm-prevalence-due-medication-errors-involving-high-alert-medications-systematic-review
June 19, 2024 - Study
Harm prevalence due to medication errors involving high-alert medications: a systematic review
Citation Text:
Sodré Alves BMC, de Andrade TNG, Cerqueira Santos S, et al. Harm prevalence due to medication errors involving high-alert medications: a systematic review. J Patient Saf. 2…
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psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop
September 01, 2016 - Study
Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode.
Citation Text:
Hwang Y, Yoon D, Ahn EK, et al. Provider risk factors for medication administration error alerts: analyses…
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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/impact-surgical-count-technology-retained-surgical-items-rates-veterans-health-administration
January 17, 2019 - Study
The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration.
Citation Text:
Gunnar W, Soncrant C, Lynn MM, et al. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. J Pat…
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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/interventions-improve-team-effectiveness-within-health-care-systematic-review-past-decade
March 05, 2010 - Review
Classic
Interventions to improve team effectiveness within health care: a systematic review of the past decade.
Citation Text:
Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness within health care: a systemati…
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psnet.ahrq.gov/issue/ethnographic-study-health-information-technology-use-three-intensive-care-units
January 14, 2014 - Study
An ethnographic study of health information technology use in three intensive care units.
Citation Text:
Leslie M, Paradis E, Gropper MA, et al. An Ethnographic Study of Health Information Technology Use in Three Intensive Care Units. Health Serv Res. 2017;52(4):1330-1348. doi:10.1…