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psnet.ahrq.gov/issue/clinicians-perspectives-proactive-patient-safety-behaviors-perioperative-environment
May 24, 2023 - Study
Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment.
Citation Text:
Duffy C, Menon N, Horak D, et al. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. JAMA Netw Open. 2023;6(4):e237621. doi:…
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psnet.ahrq.gov/issue/simulation-safety-first-imperative
February 13, 2014 - Commentary
Simulation safety first: an imperative.
Citation Text:
Raemer D, Hannenberg A, Mullen A. Simulation Safety First: An Imperative. Simul Healthc. 2018;13(6):373-375. doi:10.1097/SIH.0000000000000341.
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psnet.ahrq.gov/issue/identifying-potential-predictors-safe-attending-physician-workload-survey-hospitalists
December 21, 2014 - Study
Identifying potential predictors of a safe attending physician workload: a survey of hospitalists.
Citation Text:
Michtalik HJ, Pronovost P, Marsteller JA, et al. Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. J Hosp Med. 2013;8…
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psnet.ahrq.gov/issue/narrative-feedback-or-personnel-about-safety-their-surgical-practice-and-after-surgical
May 09, 2018 - Study
Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention.
Citation Text:
Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their surgical practice before an…
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psnet.ahrq.gov/issue/testing-alertness-emergency-physicians-novel-quantitative-measure-alertness-and
September 01, 2016 - Study
Testing alertness of emergency physicians: a novel quantitative measure of alertness and implications for worker and patient care.
Citation Text:
Ferguson BA, Lauriski DR, Huecker M, et al. Testing Alertness of Emergency Physicians: A Novel Quantitative Measure of Alertness and Imp…
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psnet.ahrq.gov/issue/iatrogenic-events-contributing-icu-admission-prospective-study
November 29, 2023 - Study
Iatrogenic events contributing to ICU admission: a prospective study.
Citation Text:
Mercier E, Giraudeau B, Giniès G, et al. Iatrogenic events contributing to ICU admission: a prospective study. Intensive Care Med. 2010;36(6):1033-7. doi:10.1007/s00134-010-1793-9.
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psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-reports
April 22, 2016 - Study
Closing the loop with ambulatory staff on safety reports.
Citation Text:
Williams S, Fiumara K, Kachalia A, et al. Closing the Loop with Ambulatory Staff on Safety Reports. Jt Comm J Qual Saf. 2020;46(1):44-50. doi:10.1016/j.jcjq.2019.09.009.
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psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second-victim-response
July 19, 2023 - Commentary
System planning for modern-day Just Culture to mitigate worker distress and second victim response.
Citation Text:
Sells JR, Cole I, Dharmasukrit C, et al. System planning for modern-day Just Culture to mitigate worker distress and second victim response. BMJ Lead. 2024;8(2):1…
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psnet.ahrq.gov/issue/what-defines-high-performing-health-system-systematic-review
August 17, 2022 - Review
What defines a high-performing health system: a systematic review.
Citation Text:
Ahluwalia SC, Damberg CL, Silverman M, et al. What Defines a High-Performing Health Care Delivery System: A Systematic Review. Jt Comm J Qual Patient Saf. 2017;43(9):450-459. doi:10.1016/j.jcjq.2017.…
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psnet.ahrq.gov/issue/incidence-adverse-events-among-home-care-patients
December 04, 2015 - Study
The incidence of adverse events among home care patients.
Citation Text:
Sears NA, Baker R, Barnsley J, et al. The incidence of adverse events among home care patients. Int J Qual Health Care. 2013;25(1):16-28. doi:10.1093/intqhc/mzs075.
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psnet.ahrq.gov/issue/differential-perceptions-what-constitutes-medical-error-associated-electronic-medical-records
August 09, 2023 - Commentary
Differential perceptions of what constitutes a medical error associated with electronic medical records.
Citation Text:
Koppel R, Kuziemsky C, Elkin PL, et al. Differential perceptions of what constitutes a medical error associated with electronic medical records. Stud Health …
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psnet.ahrq.gov/issue/are-pathologists-self-aware-their-diagnostic-accuracy-metacognition-and-diagnostic-process
May 18, 2022 - Study
Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology.
Citation Text:
Clayton DA, Eguchi MM, Kerr KF, et al. Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. Me…
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psnet.ahrq.gov/issue/patients-perceptions-importance-self-administered-correct-site-surgery-checklist-multisite
May 25, 2022 - Study
Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study.
Citation Text:
Krenzischek DA, Card E, Mamaril M, et al. Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study. J Peria…
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psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site
March 14, 2022 - Study
Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery?
Citation Text:
Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surger…
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psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents
August 25, 2021 - Commentary
Classic
Human error and the problem of causality in analysis of accidents.
Citation Text:
Rasmussen J. Human error and the problem of causality in analysis of accidents. Philos Trans R Soc Lond B Biol Sci. 1990;327(1241):449-462.
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psnet.ahrq.gov/issue/observational-study-adult-admissions-medical-icu-due-adverse-drug-events
January 28, 2015 - Study
An observational study of adult admissions to a medical ICU due to adverse drug events.
Citation Text:
Jolivot P-A, Pichereau C, Hindlet P, et al. An observational study of adult admissions to a medical ICU due to adverse drug events. Ann Intensive Care. 2016;6(1):9. doi:10.1186/s1…
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psnet.ahrq.gov/issue/battling-alarm-fatigue-pediatric-intensive-care-unit
July 22, 2020 - Commentary
Battling alarm fatigue in the pediatric intensive care unit.
Citation Text:
Herrera H, Wood D. Battling alarm fatigue in the pediatric intensive care unit. Crit Care Nurs Clin North Am. 2023;35(3):347-355. doi:10.1016/j.cnc.2023.05.003.
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psnet.ahrq.gov/issue/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study
December 12, 2014 - June 22, 2022
Factors associated with missed nursing care and nurse-assessed quality
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psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging
June 16, 2011 - nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed
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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