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psnet.ahrq.gov/issue/impact-mobile-technology-teamwork-and-communication-hospitals-systematic-review
January 29, 2020 - Review
Emerging Classic
The impact of mobile technology on teamwork and communication in hospitals: a systematic review.
Citation Text:
Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in hospitals: a systematic…
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psnet.ahrq.gov/issue/receipt-antibiotics-hospitalized-patients-and-risk-clostridium-difficile-infection-subsequent
September 29, 2017 - Study
Receipt of antibiotics in hospitalized patients and risk for Clostridium difficile infection in subsequent patients who occupy the same bed.
Citation Text:
Freedberg DE, Salmasian H, Cohen B, et al. Receipt of Antibiotics in Hospitalized Patients and Risk for Clostridium difficile …
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psnet.ahrq.gov/issue/prescription-long-acting-opioids-and-mortality-patients-chronic-noncancer-pain
August 08, 2018 - Study
Prescription of long-acting opioids and mortality in patients with chronic noncancer pain.
Citation Text:
Ray WA, Chung CP, Murray KT, et al. Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain. JAMA. 2016;315(22):2415-23. doi:10.1001/jama.2016…
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psnet.ahrq.gov/issue/less-more-project-reduce-number-pims-potentially-inappropriate-medications-elderly-care-ward
September 27, 2017 - Commentary
Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward.
Citation Text:
Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly car…
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psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety
September 02, 2016 - Congressional Testimony
More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety.
Citation Text:
More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. Hearing Before the Subcommittee on Primary Health and Aging, 113th Co…
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psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care-pediatric-nurse
March 10, 2011 - Study
Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners.
Citation Text:
Resler J, Hackworth J, Mayo E, et al. Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse pr…
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psnet.ahrq.gov/issue/errors-nurse-led-triage-observational-study
August 20, 2018 - Study
Errors in nurse-led triage: an observational study.
Citation Text:
Ausserhofer D, Zaboli A, Pfeifer N, et al. Errors in nurse-led triage: an observational study. Int J Nurs Stud. 2020;113:103788. doi:10.1016/j.ijnurstu.2020.103788.
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psnet.ahrq.gov/issue/quality-and-safety-practices-among-academic-obstetrics-and-gynecology-departments
October 19, 2022 - Study
Quality and safety practices among academic obstetrics and gynecology departments.
Citation Text:
Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.00000…
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psnet.ahrq.gov/issue/safety-ground-using-critical-incident-technique-explore-factors-influencing-medical
April 19, 2023 - Study
Safety on the ground: using critical incident technique to explore the factors influencing medical registrars' provision of safe care.
Citation Text:
Ralston K, Smith SE, Kerins J, et al. Safety on the ground: using critical incident technique to explore the factors influencing med…
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psnet.ahrq.gov/issue/drug-administration-errors-hospital-inpatients-systematic-review
September 01, 2016 - Review
Drug administration errors in hospital inpatients: a systematic review.
Citation Text:
Berdot S, Gillaizeau F, Caruba T, et al. Drug administration errors in hospital inpatients: a systematic review. PLoS One. 2013;8(6):e68856. doi:10.1371/journal.pone.0068856.
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psnet.ahrq.gov/issue/simulation-based-education-enhances-patient-safety-behaviors-during-central-venous-catheter
May 04, 2022 - Study
Simulation-based education enhances patient safety behaviors during central venous catheter placement.
Citation Text:
Jagneaux T, Caffery TS, Musso MW, et al. Simulation-based education enhances patient safety behaviors during central venous catheter placement. J Patient Saf. 2021;…
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psnet.ahrq.gov/issue/fifteen-years-after-err-human-success-story-learn
August 04, 2021 - Commentary
Fifteen years after To Err Is Human: a success story to learn from.
Citation Text:
Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720.
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psnet.ahrq.gov/issue/dispensing-errors-and-counseling-quality-100-pharmacies
December 24, 2008 - Study
Dispensing errors and counseling quality in 100 pharmacies.
Citation Text:
Flynn EA, Barker KN, Berger BA, et al. Dispensing errors and counseling quality in 100 pharmacies. J Am Pharm Assoc (2003). 2009;49(2):171-80. doi:10.1331/JAPhA.2009.08130.
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psnet.ahrq.gov/issue/improving-clinician-well-being-and-patient-safety-through-human-centered-design
April 29, 2018 - Commentary
Improving clinician well-being and patient safety through human-centered design.
Citation Text:
Benishek LE, Kachalia A, Daugherty Biddison L. Improving clinician well-being and patient safety through human-centered design. JAMA. 2023;329(14):1149-1150. doi:10.1001/jama.2023.2…
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psnet.ahrq.gov/issue/detecting-adverse-events-surgery-comparing-events-detected-veterans-health-administration
June 20, 2011 - Study
Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators.
Citation Text:
Mull HJ, Borzecki A, Loveland S, et al. Detecting adverse events in surgery: comparing events …
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psnet.ahrq.gov/issue/giving-voice-quality-and-safety-matters-board-level-qualitative-study-experiences-executive
August 12, 2014 - Study
Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales.
Citation Text:
Jones A, Lankshear A, Kelly D. Giving voice to quality and safety matters at board level: A qualitative study of the ex…
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psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability-system-and-incentives
April 13, 2011 - Study
Classic
Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement.
Citation Text:
Mello MM, Studdert DM, Thomas EJ, et al. Who Pays for Medical Errors? An Analysis of Advers…
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psnet.ahrq.gov/issue/impact-medical-errors-ninety-day-costs-and-outcomes-examination-surgical-patients
August 03, 2017 - Study
The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients.
Citation Text:
Encinosa W, Hellinger FJ. The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. Health Serv Res. 2008;43(6):2067-85. do…
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psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units
June 16, 2011 - Study
Classic
The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units.
Citation Text:
Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate attitudes: a randomiz…
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psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center
January 11, 2017 - Study
Classic
Safety of overlapping surgery at a high-volume referral center.
Citation Text:
Hyder JA, Hanson KT, Storlie CB, et al. Safety of Overlapping Surgery at a High-volume Referral Center. Ann Surg. 2017;265(4):639-644. doi:10.1097/SLA.0000000000002084. …