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psnet.ahrq.gov/issue/improved-operating-room-teamwork-safety-prep-rural-community-hospitals-experience
September 05, 2009 - Study
Improved operating room teamwork via SAFETY prep: a rural community hospital's experience.
Citation Text:
Paige JT, Aaron DL, Yang T, et al. Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. World J Surg. 2009;33(6):1181-7. doi:10.1007/s00…
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psnet.ahrq.gov/issue/survey-evaluation-national-patient-safety-agencys-root-cause-analysis-training-programme
March 11, 2009 - Study
Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices.
Citation Text:
Wallace LM, Spurgeon P, Adams S, et al. Survey evaluation of the National Patient Safety Agency's Root …
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psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
February 26, 2014 - Commentary
Sentinel events, serious reportable events, and root cause analysis.
Citation Text:
Chen TC, Schein OD, Miller JW. Sentinel events, serious reportable events, and root cause analysis. JAMA Ophthalmol. 2015;133(6):631-632. doi:10.1001/jamaophthalmol.2015.0672.
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psnet.ahrq.gov/issue/perioperative-safety-plastic-surgery-world-health-organization-checklist-useful-broad
September 23, 2020 - Study
Perioperative safety in plastic surgery: is the World Health Organization checklist useful in a broad practice?
Citation Text:
Biskup N, Workman AD, Kutzner E, et al. Perioperative Safety in Plastic Surgery: Is the World Health Organization Checklist Useful in a Broad Practice? Ann…
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psnet.ahrq.gov/issue/medication-reconciliation-facilitate-transitions-care-after-hospitalization
December 02, 2015 - Commentary
Medication reconciliation to facilitate transitions of care after hospitalization.
Citation Text:
Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133.
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psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient-safety-and-continuity
March 02, 2011 - Study
Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.
Citation Text:
Grimes T, Delaney T, Duggan C, et al. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.…
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psnet.ahrq.gov/issue/systematic-review-antimicrobial-urinary-catheters-prevent-catheter-associated-urinary-tract
October 19, 2022 - Review
Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients.
Citation Text:
Johnson JR, Kuskowski MA, Wilt TJ. Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract i…
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psnet.ahrq.gov/issue/increasing-vigilance-medicalsurgical-floor-improve-patient-safety
January 18, 2011 - Study
Increasing vigilance on the medical/surgical floor to improve patient safety.
Citation Text:
Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x.
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psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-case-control-study
April 12, 2011 - Study
Patient risk factors for medical injury: a case–control study.
Citation Text:
Marbella AM, Laud PW, Brasel KJ, et al. Patient risk factors for medical injury: a case-control study. BMJ Qual Saf. 2011;20(2):187-93. doi:10.1136/bmjqs.2009.032664.
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psnet.ahrq.gov/issue/frequent-diagnostic-errors-cardiac-petct-due-misregistration-ct-attenuation-and-emission-pet
December 22, 2018 - Study
Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections.
Citation Text:
Gould L, Pan T, Loghin C, et al. Frequent diagnostic errors in cardiac PET/CT due to misre…
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psnet.ahrq.gov/issue/patient-safety-rounds-pilot-program-clinics-affiliated-large-research-and-education
August 10, 2022 - Study
A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution.
Citation Text:
Savely SM, Muraca PW, Eller MF, et al. A Patient Safety Rounds Pilot Program at Clinics Affiliated With a Large Research and Education Institution. J Patient …
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psnet.ahrq.gov/issue/integrating-patient-safety-and-clinical-pharmacy-services-care-high-risk-ambulatory
April 08, 2020 - Study
Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach.
Citation Text:
Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Ris…
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psnet.ahrq.gov/issue/innovative-use-electronic-health-record-support-harm-reduction-efforts
July 31, 2013 - Study
Innovative use of the electronic health record to support harm reduction efforts.
Citation Text:
Hyman D, Neiman J, Rannie M, et al. Innovative Use of the Electronic Health Record to Support Harm Reduction Efforts. Pediatrics. 2017;139(5). doi:10.1542/peds.2015-3410.
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psnet.ahrq.gov/issue/medicaid-hospital-financial-stress-and-incidence-adverse-medical-events-children
December 21, 2022 - Study
Medicaid, hospital financial stress, and the incidence of adverse medical events for children.
Citation Text:
Smith RB, Dynan L, Fairbrother G, et al. Medicaid, hospital financial stress, and the incidence of adverse medical events for children. Health Serv Res. 2012;47(4):1621-4…
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psnet.ahrq.gov/issue/patient-safety-numerical-skills-and-drug-calculation-abilities-nursing-students-and
July 08, 2020 - Study
Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses.
Citation Text:
McMullan M, Jones R, Lea S. Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. J Adv Nurs. 2010;66(4). …
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psnet.ahrq.gov/issue/patient-safety-climate-study-southern-california-healthcare-organizations
June 26, 2019 - Study
Patient safety climate: a study of Southern California healthcare organizations.
Citation Text:
Avramchuk AS, McGuire SJJ. Patient Safety Climate: A Study of Southern California Healthcare Organizations. J Healthc Manag. 2018;63(3):175-192. doi:10.1097/JHM-D-16-00004.
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psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
May 27, 2011 - Study
Computer physician order entry: benefits, costs, and issues.
Citation Text:
Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9.
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psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events
November 04, 2020 - Study
Making hospital care safer and better: the structure-process connection leading to adverse events.
Citation Text:
El-Jardali F, Lagacé M. Making hospital care safer and better: the structure-process connection leading to adverse events. Healthc Q. 2005;8(2):40-8.
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psnet.ahrq.gov/issue/how-should-medication-errors-be-defined-development-and-test-definition
June 27, 2011 - Study
How should medication errors be defined? Development and test of a definition.
Citation Text:
Lisby M, Nielsen LP, Brock B, et al. How should medication errors be defined? Development and test of a definition. Scand J Public Health. 2012;40(2):203-10. doi:10.1177/1403494811435489.…
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psnet.ahrq.gov/issue/video-registration-trauma-team-performance-emergency-department-results-2-year-analysis-level
November 16, 2022 - Study
Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center.
Citation Text:
Lubbert PHW, Kaasschieter EG, Hoorntje LE, et al. Video registration of trauma team performance in the emergency department: the …