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psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm
April 16, 2018 - Study
Remote patient monitoring improves patient falls and reduces harm.
Citation Text:
Zimbro KS, Bridges C, Bunn S, et al. Remote patient monitoring improves patient falls and reduces harm. J Nurs Care Qual. 2024;39(3):212-219. doi:10.1097/ncq.0000000000000749.
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psnet.ahrq.gov/issue/referrals-infection-control-breaches-public-health-authorities-ambulatory-care-settings
December 09, 2020 - Study
Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017.
Citation Text:
Braun B, Chitavi SO, Perkins KM, et al. Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. J…
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psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall
March 27, 2019 - Study
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit.
Citation Text:
Dykes PC, Duckworth M, Cunningham S, et al. Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a Patient-Centered Fall Prevention Tool…
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psnet.ahrq.gov/issue/patient-safety-chiropractic-teaching-programs-mixed-methods-study
November 04, 2020 - Study
Patient safety in chiropractic teaching programs: a mixed methods study.
Citation Text:
Pohlman KA, Salsbury SA, Funabashi M, et al. Patient safety in chiropractic teaching programs: a mixed methods study. Chiropr Man Therap. 2020;28(1):50. doi:10.1186/s12998-020-00339-0.
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psnet.ahrq.gov/issue/accuracy-preliminary-diagnoses-made-paramedics-cross-sectional-comparative-study
September 16, 2020 - Study
The accuracy of preliminary diagnoses made by paramedics - a cross-sectional comparative study.
Citation Text:
Koivulahti O, Tommila M, Haavisto E. The accuracy of preliminary diagnoses made by paramedics – a cross-sectional comparative study. Scand J Trauma Resusc Emerg Med. 2020;…
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psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their-successful
December 05, 2012 - Study
How to make medication error reporting systems work—factors associated with their successful development and implementation.
Citation Text:
Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work--Factors associated with their successful develo…
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psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events
December 29, 2014 - Study
Classic
Can we rely on patients' reports of adverse events?
Citation Text:
Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8.
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psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes
December 07, 2022 - Study
Systems engineering analysis of diagnostic referral closed-loop processes.
Citation Text:
Nehls N, Yap TS, Salant T, et al. Systems engineering analysis of diagnostic referral closed-loop processes. BMJ Open Qual. 2021;10(4):e001603. doi:10.1136/bmjoq-2021-001603.
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psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct-acting-oral
January 12, 2022 - Study
Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system.
Citation Text:
Rowily AA, Jalal Z, Paudyal V. Contributory factors…
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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/effective-program-reduce-malpractice-claims-and-payments-large-orthopaedic-practice
June 27, 2018 - Study
An effective program to reduce malpractice claims and payments in a large orthopaedic practice.
Citation Text:
Doub TW, Hickson GB, Casey VF, et al. An effective program to reduce malpractice claims and payments in a large orthopaedic practice. J Bone Joint Surg Am. 2024;106(14):12…
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psnet.ahrq.gov/issue/why-studying-human-behavior-critical-component-patient-safety
January 15, 2020 - Commentary
Why studying human behavior is a critical component of patient safety.
Citation Text:
Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004.
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psnet.ahrq.gov/issue/comprehensive-quality-assurance-program-personnel-and-procedures-radiation-oncology-value
November 18, 2020 - Study
A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists.
Citation Text:
Kalapurakal JA, Zafirovski A, Smith J, et al. A comprehensive quality assurance program for personnel and procedures in …
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psnet.ahrq.gov/issue/benefits-and-harms-open-notes-mental-health-delphi-survey-international-experts
July 07, 2021 - Study
The benefits and harms of open notes in mental health: a Delphi survey of international experts.
Citation Text:
Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi survey of international experts. PLoS ONE. 2021;16(10):e0258056. d…
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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/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation
January 04, 2017 - Study
Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation.
Citation Text:
Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37…
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psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action
March 21, 2017 - Study
Evaluation of the contributions of an electronic web-based reporting system: enabling action.
Citation Text:
Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15.…
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psnet.ahrq.gov/issue/multifaceted-approach-safety-synergistic-detection-adverse-drug-events-adult-inpatients
April 11, 2011 - Study
A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients.
Citation Text:
Ferranti JM, Horvath MM, Cozart H, et al. A Multifaceted Approach to Safety. J Patient Saf. 2008;4(3):184-190. doi:10.1097/pts.0b013e318184a9d5.
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psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events
January 16, 2008 - Study
Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events.
Citation Text:
Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.100…