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psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses
March 24, 2021 - Study
Use of an audit with feedback implementation strategy to promote medication error reporting by nurses.
Citation Text:
Hutchinson A, Brotto V, Chapman A, et al. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. J Clin Nurs. 2020;2…
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psnet.ahrq.gov/issue/defining-and-studying-errors-surgical-care-systematic-review
July 20, 2022 - Review
Defining and studying errors in surgical care: a systematic review.
Citation Text:
Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351.
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psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review
December 01, 2021 - Review
Errors in adult trauma resuscitation: a systematic review.
Citation Text:
Nikouline A, Quirion A, Jung JJ, et al. Errors in adult trauma resuscitation: a systematic review. CJEM. 2021;23:537–546. doi:10.1007/s43678-021-00118-7.
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psnet.ahrq.gov/issue/team-experiences-root-cause-analysis-process-after-sentinel-event-qualitative-case-study
October 07, 2020 - Study
Team experiences of the root cause analysis process after a sentinel event: a qualitative case study.
Citation Text:
Liepelt S, Sundal H, Kirchhoff R. Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. BMC Health Serv Res. 2023;23(…
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psnet.ahrq.gov/issue/implementing-comprehensive-unit-based-safety-program-cusp-improve-patient-safety-academic
April 21, 2016 - Study
Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice.
Citation Text:
Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Acad…
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psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic
September 18, 2019 - Study
Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital.
Citation Text:
Mathukia C, Fan WQ, Vadyak K, et al. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. J Commun…
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psnet.ahrq.gov/issue/machine-learning-enhance-electronic-detection-diagnostic-errors
December 18, 2024 - Commentary
Machine learning to enhance electronic detection of diagnostic errors.
Citation Text:
Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors. JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982.
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psnet.ahrq.gov/issue/how-different-countries-respond-adverse-events-whilst-patients-rights-are-protected
December 11, 2024 - Study
How different countries respond to adverse events whilst patients' rights are protected.
Citation Text:
Gil-Hernández E, Carrillo I, Tumelty M-E, et al. How different countries respond to adverse events whilst patients’ rights are protected. Med Sci Law. 2024;64(2):96-112. doi:10.1…
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psnet.ahrq.gov/issue/hospital-reputation-and-perceptions-patient-safety
October 11, 2017 - Study
Hospital reputation and perceptions of patient safety.
Citation Text:
Mira JJ, Lorenzo S, Navarro I. Hospital reputation and perceptions of patient safety. Med Princ Pract. 2014;23(1):92-4. doi:10.1159/000353152.
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psnet.ahrq.gov/issue/applying-principles-aviation-safety-investigations-root-cause-analysis-critical-incident
July 27, 2016 - Study
Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency.
Citation Text:
Imach S, Eppich W, Zech A, et al. Applying principles from aviation safety investigations to root cause analysis of a critical incident…
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psnet.ahrq.gov/issue/reduction-opioid-prescribing-through-evidence-based-prescribing-guidelines
January 27, 2019 - Study
Reduction in opioid prescribing through evidence-based prescribing guidelines.
Citation Text:
Howard R, Waljee JF, Brummett CM, et al. Reduction in Opioid Prescribing Through Evidence-Based Prescribing Guidelines. JAMA Surg. 2018;153(3):285-287. doi:10.1001/jamasurg.2017.4436.
Co…
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psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program
November 15, 2023 - Study
Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy.
Citation Text:
Battar S, Dickerson KRW, Sedgwick C, et al. Understand…
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psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue
June 18, 2019 - Study
Interpersonal and organizational dynamics are key drivers of failure to rescue.
Citation Text:
Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.201…
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psnet.ahrq.gov/issue/electronic-health-record-legal-settlements-us-2009-health-information-technology-economic-and
August 24, 2022 - Study
Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act.
Citation Text:
Apathy NC, Howe JL, Krevat S, et al. Electronic health record legal settlements in the US since the 2009 Health Information Technol…
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psnet.ahrq.gov/issue/implementing-electronic-health-record-default-settings-reduce-opioid-overprescribing-pilot
April 24, 2018 - Study
Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study.
Citation Text:
Zivin K, White JO, Chao S, et al. Implementing Electronic Health Record Default Settings to Reduce Opioid Overprescribing: A Pilot Study. Pain Med. 2019;20(1):103-…
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psnet.ahrq.gov/issue/opportunities-improve-diagnosis-emergency-transfers-pediatric-intensive-care-unit
June 28, 2023 - Study
Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit.
Citation Text:
Mehta SD, Congdon M, Phillips CA, et al. Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. J Hosp Med. 2023;18(6):509-518. do…
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psnet.ahrq.gov/issue/observational-study-conformity-yet-another-medical-learning-environment-conformity-preceptors
June 19, 2019 - Study
Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidelity simulation.
Citation Text:
Beran T, Altabbaa G, Oddone Paolucci E. Observational study of conformity in yet another medical learning environment: conformity …
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psnet.ahrq.gov/issue/enabling-sustained-communication-patients-safe-and-effective-management-oral-chemotherapy
October 14, 2020 - Study
Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography.
Citation Text:
Mitchell G, Porter S, Manias E. Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a…
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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/exploring-perinatal-shift-shift-handover-communication-and-process-observational-study
April 04, 2018 - Study
Exploring perinatal shift-to-shift handover communication and process: an observational study.
Citation Text:
Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2014;20(2):166…