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psnet.ahrq.gov/issue/enhancing-surgical-safety-using-digital-multimedia-technology
October 09, 2013 - Study
Enhancing surgical safety using digital multimedia technology.
Citation Text:
Dixon JL, Mukhopadhyay D, Hunt J, et al. Enhancing surgical safety using digital multimedia technology. Am J Surg. 2016;211(6):1095-8. doi:10.1016/j.amjsurg.2015.08.023.
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psnet.ahrq.gov/issue/preventable-harm-because-outpatient-medication-errors-among-children-leukemia-and-lymphoma
January 15, 2020 - Study
Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment.
Citation Text:
Wong CI, Vannatta K, Gilleland Marchak J, et al. Preventable harm because of outpatient medication errors among children with leuk…
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psnet.ahrq.gov/issue/pearls-systems-integration-modified-pearls-framework-debriefing-systems-focused-simulations
October 29, 2017 - Commentary
PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations.
Citation Text:
Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14…
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psnet.ahrq.gov/issue/assessment-opioid-prescribing-practices-and-after-implementation-health-system-intervention
November 16, 2022 - Study
Emerging Classic
Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing.
Citation Text:
Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practi…
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psnet.ahrq.gov/issue/retrospective-analysis-demonstrates-failure-document-key-comorbid-diseases-anesthesia
May 26, 2021 - Study
A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased length of stay and mortality.
Citation Text:
Hofer IS, Cheng D, Grogan T. A retrospective analysis demonstrates that a failure …
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digital.ahrq.gov/ahrq-funded-projects/utilizing-health-information-technology-improve-health-care-quality/annual-summary/2011
January 01, 2011 - Utilizing Health Information Technology to Improve Health Care Quality - 2011
Project Name
Utilizing Health Information Technology to Improve Health Care Quality
Principal Investigator
Storch, Eric
Organization
University of South Florida
Funding Mechanism
PAR: HS08…
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psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-events-during-implant
December 15, 2021 - Study
Communication matters when it comes to adverse events: associations of adverse events during implant treatment with patients' communication quality and trust assessments.
Citation Text:
Schrimpff C, Link E, Fisse T, et al. Communication matters when it comes to adverse events: asso…
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psnet.ahrq.gov/issue/building-simulation-based-crisis-resource-management-course-emergency-medicine-phase-1
September 26, 2016 - Study
Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey.
Citation Text:
Hicks CM, Bandiera GW, Denny CJ. Building a simulation-based crisis resource management course for emergency …
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psnet.ahrq.gov/issue/proficiency-based-virtual-reality-training-significantly-reduces-error-rate-residents-during
November 13, 2009 - Study
Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies.
Citation Text:
Ahlberg G, Enochsson L, Gallagher AG, et al. Proficiency-based virtual reality training significantly reduces the err…
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psnet.ahrq.gov/issue/development-and-performance-evaluation-medicines-optimisation-assessment-tool-moat-prognostic
March 18, 2020 - Study
Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems.
Citation Text:
Geeson C, Wei L, Franklin BD. Development and performance evaluation of the M…
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psnet.ahrq.gov/issue/surgical-team-member-assessment-safety-surgery-practice-38-south-carolina-hospitals
May 11, 2016 - Study
Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals.
Citation Text:
Singer SJ, Jiang W, Huang LC, et al. Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. Med Care Res Rev. 2015;72(3):298-3…
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psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
March 09, 2022 - Study
Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis.
Citation Text:
Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…
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psnet.ahrq.gov/issue/h-pepss-instrument-measure-health-professionals-perceptions-patient-safety-competence-entry
February 14, 2015 - Study
The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competence at entry into practice.
Citation Text:
Ginsburg LR, Castel E, Tregunno D, et al. The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competen…
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psnet.ahrq.gov/issue/using-consumer-based-kiosk-technology-improve-and-standardize-medication-reconciliation
August 23, 2023 - Study
Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting.
Citation Text:
Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty c…
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psnet.ahrq.gov/issue/disclosure-medical-error-parents-and-paediatric-patients-assessment-parents-attitudes-and
November 16, 2022 - Study
Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors.
Citation Text:
Matlow AG, Moody L, Laxer R, et al. Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influe…
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psnet.ahrq.gov/issue/improving-patient-safety-operating-theatre-and-perioperative-care-obstacles-interventions-and
April 21, 2015 - Review
Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress.
Citation Text:
Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, inter…
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psnet.ahrq.gov/issue/underreporting-quality-measures-and-associated-facility-characteristics-and-racial
August 09, 2023 - Study
Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings.
Citation Text:
Sanghavi P, Chen Z. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home rati…
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psnet.ahrq.gov/issue/simulation-executive-suite-lessons-learned-building-patient-safety-leadership
July 21, 2017 - Study
Simulation in the executive suite: lessons learned for building patient safety leadership.
Citation Text:
Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377.
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psnet.ahrq.gov/issue/achieving-national-quality-forums-never-events-prevention-wrong-site-wrong-procedure-and
September 28, 2010 - Review
Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations.
Citation Text:
Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure…
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psnet.ahrq.gov/issue/organizational-factors-associated-high-performance-quality-and-safety-academic-medical
January 03, 2017 - Study
Classic
Organizational factors associated with high performance in quality and safety in academic medical centers.
Citation Text:
Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in quality and safety in…