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psnet.ahrq.gov/issue/perceptions-chief-clinical-information-officers-state-electronic-health-records-systems
October 05, 2022 - Study
Perceptions of chief clinical information officers on the state of electronic health records systems interoperability in NHS England: a qualitative interview study.
Citation Text:
Li E, Lounsbury O, Clarke J, et al. Perceptions of chief clinical information officers on the state of…
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psnet.ahrq.gov/issue/nursing-home-staff-turnover-and-perceived-patient-safety-culture-results-national-survey
June 30, 2021 - Study
Nursing home staff turnover and perceived patient safety culture: results from a national survey.
Citation Text:
Temkin-Greener H, Cen X, Li Y. Nursing home staff turnover and perceived patient safety culture: results from a national survey. Gerontologist. 2020;60(7):1303-1311. doi…
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psnet.ahrq.gov/issue/handoff-mnemonics-used-perioperative-handoff-intervention-studies-systematic-review
November 16, 2022 - Review
Handoff mnemonics used in perioperative handoff intervention studies: a systematic review.
Citation Text:
Patel SM, Fuller S, Michael MM, et al. Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. Anesth Analg. 2024;Epub Nov 26. doi:10.1213/a…
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psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
May 19, 2021 - Study
Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database.
Citation Text:
Kepner S, Jones RM. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest eve…
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psnet.ahrq.gov/issue/positive-approaches-safety-learning-what-we-do-well
September 15, 2021 - Commentary
Positive approaches to safety: learning from what we do well.
Citation Text:
Plunkett A, Plunkett E. Positive approaches to safety: learning from what we do well. Paediatr Anaesth. 2022;32(11):1223-1229. doi:10.1111/pan.14509.
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psnet.ahrq.gov/issue/speaking-extension-socio-cultural-dynamics-hospital-settings-study-staff-experiences-speaking
May 19, 2021 - Study
Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals.
Citation Text:
Pavithra A, Mannion R, Sunderland N, et al. Speaking up as an extension of socio-cultural dynamics in hospital settings: a…
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psnet.ahrq.gov/issue/potential-leveraging-machine-learning-filter-medication-alerts
July 22, 2020 - Study
The potential for leveraging machine learning to filter medication alerts.
Citation Text:
Liu S, Kawamoto K, Del Fiol G, et al. The potential for leveraging machine learning to filter medication alerts. J Am Med Inform Assoc. 2022;29(5):891-899. doi:10.1093/jamia/ocab292.
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psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
May 24, 2012 - Study
Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations.
Citation Text:
Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. Jt Co…
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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/inappropriate-prescribing-opioids-patients-undergoing-surgery
June 30, 2021 - Study
Inappropriate prescribing of opioids for patients undergoing surgery.
Citation Text:
Varady NH, Worsham CM, Chen AF, et al. Inappropriate prescribing of opioids for patients undergoing surgery. Proc Natl Acad Sci USA. 2022;119(49):e2210226119. doi:10.1073/pnas.2210226119.
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psnet.ahrq.gov/issue/emergency-physician-perceptions-electronic-health-record-usability-and-safety
August 24, 2022 - Study
Emergency physician perceptions of electronic health record usability and safety.
Citation Text:
Pruitt ZM, Howe JL, Hettinger AZ, et al. Emergency physician perceptions of electronic health record usability and safety. J Patient Saf. 2021;17(8):e983-e987. doi:10.1097/pts.000000000…
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psnet.ahrq.gov/issue/association-safety-culture-surgical-site-infection-outcomes
October 23, 2024 - Study
Classic
Association of safety culture with surgical site infection outcomes.
Citation Text:
Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcoll…
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psnet.ahrq.gov/issue/error-intensive-care-psychological-repercussions-and-defense-mechanisms-among-health
November 29, 2023 - Study
Error in intensive care: psychological repercussions and defense mechanisms among health professionals.
Citation Text:
Laurent A, Aubert L, Chahraoui K, et al. Error in intensive care: psychological repercussions and defense mechanisms among health professionals. Crit Care Med. 201…
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psnet.ahrq.gov/issue/educational-intervention-enhance-nurse-leaders-perceptions-patient-safety-culture
February 14, 2015 - Study
An educational intervention to enhance nurse leaders' perceptions of patient safety culture.
Citation Text:
Ginsburg LR, Norton PG, Casebeer A, et al. An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Health Serv Res. 2005;40(4):997-1020…
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psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift
January 22, 2016 - Study
"Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs.
Citation Text:
Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory management communication (…
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psnet.ahrq.gov/issue/components-hospital-perioperative-infrastructure-can-overcome-weekend-effect-urgent-general
July 05, 2017 - Study
Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures.
Citation Text:
Kothari A, Zapf MAC, Blackwell RH, et al. Components of Hospital Perioperative Infrastructure Can Overcome the Weekend Effect in Urgent General S…
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psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-evidence-based-approach
July 07, 2021 - Study
Reducing near miss medication events using an evidence-based approach.
Citation Text:
Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630.
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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/are-dental-patients-concerned-about-safety-exploratory-study
December 22, 2021 - Study
Are dental patients concerned about safety? An exploratory study.
Citation Text:
Obadan-Udoh E, Panwar S, Yansane A-I, et al. Are dental patients concerned about safety? An exploratory study. J Evid Based Dent Pract. 2020;20(3):101424. doi:10.1016/j.jebdp.2020.101424.
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psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported
June 29, 2011 - Study
Classic
What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents.
Citation Text:
Weingart SN, Pagovich O, Sands DZ, et al. What can hospitalized patients tell us about adverse events? Learning from patient-rep…