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psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events
Citation Text:
Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
May 01, 2007 - Most doctors, at least in my country, are not assessed once they've gone into autonomous practicefor
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psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
January 18, 2013 - January 18, 2013
The effect of hospital electronic health record adoption on nurse-assessed
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psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
October 01, 2016 - Health Care Data Science for Quality Improvement and Patient Safety
Alvin Rajkomar, MD | October 1, 2016
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Rajkomar A. Health Care Data Science for Quality Improvement and Patient S…
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - responders got to the scene as quickly and safely as possible; that the highest level of personnel assessed
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psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
December 22, 2021 - Newspaper/Magazine Article
The role of failure mode and effects analysis in health care.
Citation Text:
Fibuch E, Ahmed A. The role of failure mode and effects analysis in health care. Physician Exec. 2014;40(4):28-32.
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psnet.ahrq.gov/issue/effect-diagnostic-accuracy-cognitive-reasoning-tools-workplace-setting-systematic-review-and
February 02, 2022 - Review
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.
Citation Text:
Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review…
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psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting
August 31, 2011 - Study
Improving medication reconciliation in the outpatient setting.
Citation Text:
Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm J Qual Patient Saf. 2007;33(5):286-92.
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psnet.ahrq.gov/issue/efficiency-and-interpretability-text-paging-communication-medical-inpatients-mixed-methods
August 09, 2023 - Study
Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis.
Citation Text:
Mandl KD, Khoong EC. Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again. JAMA Intern Med. 2017;177(8). doi:10.1001/jamainternmed.20…
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psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error
November 30, 2012 - Study
Error codes at autopsy to study potential biases in diagnostic error.
Citation Text:
Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010.
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psnet.ahrq.gov/issue/proactive-patient-safety-focusing-what-goes-right-perioperative-environment
April 26, 2023 - Study
Proactive patient safety: focusing on what goes right in the perioperative environment.
Citation Text:
Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.000000…
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psnet.ahrq.gov/issue/nursing-crew-resource-management-follow-report-veterans-health-administration
September 27, 2016 - Commentary
Nursing crew resource management: a follow-up report from the Veterans Health Administration.
Citation Text:
Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1…
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psnet.ahrq.gov/issue/electronic-detection-delayed-test-result-follow-patients-hypothyroidism
September 27, 2017 - Study
Electronic detection of delayed test result follow-up in patients with hypothyroidism.
Citation Text:
Meyer AND, Murphy DR, Al-Mutairi A, et al. Electronic Detection of Delayed Test Result Follow-Up in Patients with Hypothyroidism. J Gen Intern Med. 2017;32(7). doi:10.1007/s11606-0…
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psnet.ahrq.gov/issue/crisis-management-surgical-wards-simulation-based-approach-enhancing-technical-teamwork-and
January 27, 2012 - Study
Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills.
Citation Text:
Arora S, Hull L, Fitzpatrick M, et al. Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork…
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psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries
February 28, 2024 - Commentary
Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance.
Citation Text:
Wiig S, Calderwood CJ, O’Hara J. Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acc…
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psnet.ahrq.gov/issue/systematic-integrative-review-specialized-nurses-role-establish-culture-patient-safety
July 10, 2024 - Review
A systematic integrative review of specialized nurses' role to establish a culture of patient safety: a modelling perspective.
Citation Text:
Glarcher M, Vaismoradi M. A systematic integrative review of specialized nurses' role to establish a culture of patient safety: a modelling…
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psnet.ahrq.gov/issue/analysis-medication-prescribing-errors-critically-ill-children
March 28, 2012 - Study
Analysis of medication prescribing errors in critically ill children.
Citation Text:
Glanzmann C, Frey B, Meier CR, et al. Analysis of medication prescribing errors in critically ill children. Eur J Pediatr. 2015;174(10):1347-1355. doi:10.1007/s00431-015-2542-4.
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psnet.ahrq.gov/issue/development-trigger-tools-surveillance-adverse-events-ambulatory-surgery
October 01, 2014 - Study
Development of trigger tools for surveillance of adverse events in ambulatory surgery.
Citation Text:
Kaafarani HMA, Rosen AK, Nebeker JR, et al. Development of trigger tools for surveillance of adverse events in ambulatory surgery. Qual Saf Health Care. 2010;19(5):425-9. doi:10.…
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psnet.ahrq.gov/issue/development-and-pilot-evaluation-preoperative-briefing-protocol-cardiovascular-surgery
September 27, 2016 - Study
Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery.
Citation Text:
Henrickson SE, Wadhera RK, Elbardissi AW, et al. Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery. J Am Coll Surg. 2009;20…
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psnet.ahrq.gov/issue/patient-safety-informatics-meeting-challenges-emerging-digital-health
June 08, 2022 - Commentary
Patient safety informatics: meeting the challenges of emerging digital health.
Citation Text:
McInerney C, Benn J, Dowding D, et al. Patient safety informatics: meeting the challenges of emerging digital health. Stud Health Technol Inform. 2022;290:364-368. doi:10.3233/shti220…