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psnet.ahrq.gov/issue/impact-inpatient-electronic-prescribing-system-prescribing-error-causation-qualitative
February 16, 2022 - Study
Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital.
Citation Text:
Puaar SJ, Franklin BD. Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation …
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psnet.ahrq.gov/issue/do-eps-change-their-clinical-behaviour-hallway-or-when-companion-present-cross-sectional
June 29, 2022 - Study
Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey.
Citation Text:
Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg …
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psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement
June 07, 2023 - Study
Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project.
Citation Text:
Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement projec…
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psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
January 20, 2021 - Study
Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors.
Citation Text:
Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.…
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psnet.ahrq.gov/issue/housestaff-and-medical-student-attitudes-toward-medical-errors-and-adverse-events
March 06, 2013 - Study
Housestaff and medical student attitudes toward medical errors and adverse events.
Citation Text:
Vohra PD, Johnson J, Daugherty CK, et al. Housestaff and medical student attitudes toward medical errors and adverse events. Jt Comm J Qual Patient Saf. 2007;33(8):493-501.
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psnet.ahrq.gov/issue/suboptimal-compliance-surgical-safety-checklists-colorado-prospective-observational-study
May 23, 2018 - Study
Suboptimal compliance with surgical safety checklists in Colorado: a prospective observational study reveals differences between surgical specialties.
Citation Text:
Biffl WL, Gallagher AW, Pieracci FM, et al. Suboptimal compliance with surgical safety checklists in Colorado: A pro…
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psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-older-acutely-admitted-patients-longitudinal
June 08, 2022 - Study
The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study with 4292 patient records.
Citation Text:
Schouten B, Merten H, Spreeuwenberg PMM, et al. The incidence and preventability of adverse events in older acutely admitted patient…
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psnet.ahrq.gov/issue/neurobehavioral-performance-residents-after-heavy-night-call-vs-after-alcohol-ingestion
June 22, 2022 - Study
Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion.
Citation Text:
Arnedt JT, Owens J, Crouch M, et al. Neurobehavioral Performance of Residents After Heavy Night Call vs After Alcohol Ingestion. JAMA. 2005;294(9). doi:10.1001/jama.294.9.10…
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psnet.ahrq.gov/issue/interventions-promoting-employee-speaking-within-healthcare-workplaces-systematic-narrative
May 19, 2021 - Review
Classic
Interventions promoting employee "speaking-up" within healthcare workplaces: a systematic narrative review of the international literature.
Citation Text:
Jones A, Blake J, Adams M, et al. Interventions promoting employee “speaking-up” within heal…
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psnet.ahrq.gov/issue/recommendations-safe-effective-use-adaptive-cds-us-healthcare-system-amia-position-paper
March 24, 2021 - Commentary
Emerging Classic
Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.
Citation Text:
Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in th…
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psnet.ahrq.gov/issue/doing-detective-work-find-cancer-how-are-non-specific-symptom-pathways-cancer-investigation
April 05, 2023 - Commentary
Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach.
Citation Text:
Black GB, Nicholson BD, Moreland J-A, et al. Doing …
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psnet.ahrq.gov/issue/safety-implications-different-forms-understaffing-among-nurses-during-covid-19-pandemic
May 05, 2021 - Study
Emerging Classic
Safety implications of different forms of understaffing among nurses during the COVID-19 pandemic.
Citation Text:
Andel SA, Tedone AM, Shen W, et al. Safety implications of different forms of understaffing among nurses during the COVID‐19 …
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psnet.ahrq.gov/issue/facilitators-and-barriers-care-transitions-comparing-perspectives-hospital-and-community
July 21, 2021 - Study
Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff.
Citation Text:
Carman E-M, Fray M, Waterson P. Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staf…
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psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
July 16, 2015 - Study
Wrong-side thoracentesis: lessons learned from root cause analysis.
Citation Text:
Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146.
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psnet.ahrq.gov/issue/standardizing-patient-safety-event-reporting-between-care-delivered-or-purchased-veterans
June 26, 2024 - Study
Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA).
Citation Text:
Rosen AK, Beilstein-Wedel E, Chan J, et al. Standardizing patient safety event reporting between care delivered or purchased by the Veterans …
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psnet.ahrq.gov/issue/patient-safety-after-implementation-coproduced-family-centered-communication-programme
April 24, 2018 - Study
Emerging Classic
Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.
Citation Text:
Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a copr…
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psnet.ahrq.gov/issue/patient-safety-marginalised-groups-narrative-scoping-review
August 26, 2015 - Review
Patient safety in marginalised groups: a narrative scoping review
Citation Text:
Cheraghi-Sohi S, Panagioti M, Daker-White G, et al. Patient safety in marginalised groups: a narrative scoping review. Int J Equity Health. 2020;19(1):26. doi:10.1186/s12939-019-1103-2.
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psnet.ahrq.gov/issue/patient-safety-culture-assisted-living-staff-perceptions-and-association-state-regulations
June 30, 2021 - Study
Patient safety culture in assisted living: staff perceptions and association with state regulations.
Citation Text:
Temkin-Greener H, Mao Y, McGarry B, et al. Patient safety culture in assisted living: staff perceptions and association with state regulations. J Am Med Dir Assoc. 20…
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psnet.ahrq.gov/issue/medication-errors-during-treatment-new-oral-anticancer-agents-consequences-clinical-practice
April 21, 2021 - Study
Medication errors during treatment with new oral anticancer agents: consequences for clinical practice based on the AMBORA Study.
Citation Text:
Schlichtig K, Dürr P, Dörje F, et al. Medication errors during treatment with new oral anticancer agents: consequences for clinical pract…
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psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative
June 15, 2022 - Study
Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals.
Citation Text:
Serou N, Husband AK, Forrest SP, et al. Support for healthcare professionals after surgical patient safety incidents: a qualitative …