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  1. Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met? | PSNet

    psnet.ahrq.gov/issue/predicting-computerized-physician-order-entry-system-adoption-us-hospitals-can-federal
    October 06, 2011 - Study Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met? Citation Text: Ford EW, McAlearney AS, Phillips MT, et al. Predicting computerized physician order entry system adoption in US hospitals: Can the federal mandate be met?…

  2. Race differences in reported "near miss" patient safety events in health care system high reliability organizations. | PSNet

    psnet.ahrq.gov/issue/race-differences-reported-near-miss-patient-safety-events-health-care-system-high-reliability
    March 01, 2023 - Study Race differences in reported "near miss" patient safety events in health care system high reliability organizations. Citation Text: Thomas AD, Pandit C, Krevat S. Race differences in reported "near miss" patient safety events in health care system high reliability organizations. J …

  3. Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. | PSNet

    psnet.ahrq.gov/issue/encouraging-employees-speak-prevent-infections-opportunities-leverage-quality-improvement-and
    January 23, 2017 - Study Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. Citation Text: Robbins J, McAlearney AS. Encouraging employees to speak up to prevent infections: Opportunities to leverage quality improvement and …

  4. The dilemma of patient safety work: perceptions of hospital middle managers. | PSNet

    psnet.ahrq.gov/issue/dilemma-patient-safety-work-perceptions-hospital-middle-managers
    February 03, 2015 - Study The dilemma of patient safety work: perceptions of hospital middle managers. Citation Text: Sanner M, Halford C, Vengberg S, et al. The dilemma of patient safety work: Perceptions of hospital middle managers. J Healthc Risk Manag. 2018;38(2):47-55. doi:10.1002/jhrm.21325. Copy Ci…

  5. Association of measured quality and future financial performance among hospitals performing cardiac surgery. | PSNet

    psnet.ahrq.gov/issue/association-measured-quality-and-future-financial-performance-among-hospitals-performing
    May 04, 2022 - Study Association of measured quality and future financial performance among hospitals performing cardiac surgery. Citation Text: Enumah SJ, Sundt TM, Chang DC. Association of measured quality and future financial performance among hospitals performing cardiac surgery. J Healthc Manag. 2…

  6. The impact of errors on healthcare professionals in the critical care setting. | PSNet

    psnet.ahrq.gov/issue/impact-errors-healthcare-professionals-critical-care-setting
    October 27, 2021 - Study The impact of errors on healthcare professionals in the critical care setting. Citation Text: Kaur AP, Levinson AT, Monteiro JFG, et al. The impact of errors on healthcare professionals in the critical care setting. J Crit Care. 2019;52:16-21. doi:10.1016/j.jcrc.2019.03.001. Copy…

  7. Is oral chemotherapy prescription safe for patients? A cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey
    May 18, 2022 - Study Is oral chemotherapy prescription safe for patients? A cross-sectional survey. Citation Text: Bourmaud A, Pacaut C, Melis A, et al. Is oral chemotherapy prescription safe for patients? A cross-sectional survey. Ann Oncol. 2014;25(2):500-504. doi:10.1093/annonc/mdt553. Copy Citati…

  8. The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric-intensive-care
    April 06, 2016 - Study The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. Citation Text: Cifra CL, Jones KL, Ascenzi J, et al. The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. B…

  9. Medication-prescribing errors in a teaching hospital: a 9-year experience. | PSNet

    psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital-9-year-experience
    February 10, 2011 - Study Classic Medication-prescribing errors in a teaching hospital: a 9-year experience. Citation Text: Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year experience. Arch Intern Med. 1997;157(14):1569-76. Copy Cit…

  10. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. | PSNet

    psnet.ahrq.gov/issue/i-made-mistake-narrative-analysis-experienced-physicians-stories-preventable-error
    September 26, 2016 - Study “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. Citation Text: Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. J Eval Clin Pract. 2021;27(…

  11. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. | PSNet

    psnet.ahrq.gov/issue/sustaining-innovations-complex-health-care-environments-multiple-case-study-rapid-response
    November 03, 2015 - Study Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. Citation Text: Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 202…

  12. Leading successful rapid response teams: a multisite implementation evaluation. | PSNet

    psnet.ahrq.gov/issue/leading-successful-rapid-response-teams-multisite-implementation-evaluation
    August 04, 2010 - Image/Poster Leading successful rapid response teams: a multisite implementation evaluation. Citation Text: Donaldson N, Shapiro S, Scott M, et al. Leading successful rapid response teams: A multisite implementation evaluation. J Nurs Adm. 2009;39(4):176-81. doi:10.1097/NNA.0b013e31819…

  13. Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/knowledge-attitudes-and-expectations-medical-staff-toward-medical-error-management-policies
    December 23, 2020 - Study Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study. Citation Text: Biquet J-M, Schopper D, Sprumont D, et al. Knowledge, attitudes, and Expectations of Medical Staff Toward Medical Error Ma…

  14. Challenges in patient safety improvement research in the era of electronic health records. | PSNet

    psnet.ahrq.gov/issue/challenges-patient-safety-improvement-research-era-electronic-health-records
    November 11, 2020 - Commentary Challenges in patient safety improvement research in the era of electronic health records. Citation Text: Russo E, Sittig DF, Murphy DR, et al. Challenges in patient safety improvement research in the era of electronic health records. Healthc (Amst). 2016;4(4):285-290. doi:10.…

  15. Using snowball sampling method with nurses to understand medication administration errors. | PSNet

    psnet.ahrq.gov/issue/using-snowball-sampling-method-nurses-understand-medication-administration-errors
    August 02, 2011 - Study Using snowball sampling method with nurses to understand medication administration errors. Citation Text: Sheu S-J, Wei I-L, Chen C-H, et al. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs. 2009;18(4):559-69. doi:10.1111/j.1…

  16. Developing a hospital-wide quality and safety dashboard: a qualitative research study. | PSNet

    psnet.ahrq.gov/issue/developing-hospital-wide-quality-and-safety-dashboard-qualitative-research-study
    August 18, 2021 - Study Developing a hospital-wide quality and safety dashboard: a qualitative research study. Citation Text: Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. do…

  17. The development and psychometric evaluation of a safety climate measure for primary care. | PSNet

    psnet.ahrq.gov/issue/development-and-psychometric-evaluation-safety-climate-measure-primary-care
    February 29, 2012 - Study The development and psychometric evaluation of a safety climate measure for primary care. Citation Text: de Wet C, Spence W, Mash R, et al. The development and psychometric evaluation of a safety climate measure for primary care. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2008.03…

  18. Residency training at a crossroads: duty-hour standards 2010. | PSNet

    psnet.ahrq.gov/issue/residency-training-crossroads-duty-hour-standards-2010
    April 17, 2013 - Commentary Residency training at a crossroads: duty-hour standards 2010. Citation Text: Volpp KG, Friedman W, Romano PS, et al. Residency training at a crossroads: duty-hour standards 2010. Ann Intern Med. 2010;153(12):826-8. doi:10.7326/0003-4819-153-12-201012210-00287. Copy Citatio…

  19. The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. | PSNet

    psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
    October 14, 2015 - Study The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Citation Text: The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470. Copy Citation …

  20. Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis. | PSNet

    psnet.ahrq.gov/issue/factor-structure-and-construct-validity-hospital-survey-patient-safety-culture-using
    June 29, 2022 - Study Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis. Citation Text: Falcone ML, Tokac U, Fish AF, et al. Factor structure and construct validity of a hospital survey on patient safety culture using exploratory fac…
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