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psnet.ahrq.gov/issue/walking-plank-experimental-paradigm-investigate-safety-voice
January 18, 2023 - Study
Walking the plank: an experimental paradigm to investigate safety voice.
Citation Text:
Noort MC, Reader TW, Gillespie A. Walking the Plank: An Experimental Paradigm to Investigate Safety Voice. Front Psychol. 2019;10:668. doi:10.3389/fpsyg.2019.00668.
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psnet.ahrq.gov/issue/changing-cardiac-arrest-and-hospital-mortality-rates-through-medical-emergency-team-takes
March 13, 2024 - Study
Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review.
Citation Text:
Santamaria J, Tobin A, Holmes J. Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant revi…
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psnet.ahrq.gov/issue/impact-internal-service-quality-preventable-adverse-events-hospitals
September 24, 2016 - Study
The impact of internal service quality on preventable adverse events in hospitals.
Citation Text:
Zheng S, Tucker AL, Ren ZJ, et al. The Impact of Internal Service Quality on Preventable Adverse Events in Hospitals. Production Operations Manag. 2017;27(12):2201-2212. doi:10.1111/po…
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psnet.ahrq.gov/issue/effect-number-open-charts-intercepted-wrong-patient-medication-orders-emergency-department
May 29, 2019 - Study
Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department.
Citation Text:
Kannampallil TG, Manning JD, Chestek DW, et al. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. J Am …
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psnet.ahrq.gov/issue/stakeholders-safety-patient-reports-unsafe-clinical-behaviors-distinguish-hospital-mortality
November 29, 2023 - Study
Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates.
Citation Text:
Reader TW, Gillespie A. Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. J Appl Psychol. 2021;106(3):4…
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psnet.ahrq.gov/issue/staffing-matters-every-shift
January 20, 2021 - Commentary
Staffing matters—every shift.
Citation Text:
West G, Patrician PA, Loan L. Staffing matters-every shift: data from the Military Nursing Outcomes Database can be used to demonstrate that the right number and mix of nurses prevent errors. Am J Nurs. 2012;112(12):22-7; discussi…
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psnet.ahrq.gov/issue/iatrogenesis-neonatal-intensive-care-units-observational-and-interventional-prospective
June 21, 2016 - Study
Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study.
Citation Text:
Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicente…
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psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient
September 26, 2012 - Study
Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care.
Citation Text:
Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…
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psnet.ahrq.gov/issue/assigning-team-based-pager-call-physicians-reduces-paging-errors-large-academic-hospital
April 26, 2023 - Study
Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital.
Citation Text:
Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/use-daily-goals-checklist-morning-icu-rounds-mixed-methods-study
November 21, 2021 - Study
Use of a daily goals checklist for morning ICU rounds: a mixed-methods study.
Citation Text:
Centofanti JE, Duan EH, Hoad NC, et al. Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Crit Care Med. 2014;42(8):1797-803. doi:10.1097/CCM.0000000000000331.
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psnet.ahrq.gov/issue/missed-rationed-or-unfinished-nursing-care-scoping-review-patient-outcomes
May 29, 2024 - Review
Missed, rationed or unfinished nursing care: a scoping review of patient outcomes.
Citation Text:
Kalánková D, Kirwan M, Bartoníčková D, et al. Missed, rationed or unfinished nursing care: A scoping review of patient outcomes. J Nurs Manag. 2020;28(8):1783-1797. doi:10.1111/jonm.1…
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psnet.ahrq.gov/issue/human-errors-emergency-medical-services-qualitative-analysis-contributing-factors
July 07, 2021 - Study
Human errors in emergency medical services: a qualitative analysis of contributing factors.
Citation Text:
Poranen A, Kouvonen A, Nordquist H. Human errors in emergency medical services: a qualitative analysis of contributing factors. Scand J Trauma Resusc Emerg Med. 2024;32(1):78.…
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psnet.ahrq.gov/issue/national-study-frequency-types-causes-and-consequences-voluntarily-reported-emergency
April 15, 2014 - Study
National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.
Citation Text:
Pham JC, Story JL, Hicks RW, et al. National study on the frequency, types, causes, and consequences of voluntarily reported emergency d…
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psnet.ahrq.gov/issue/nurses-perceptions-error-communication-and-reporting-intensive-care-unit
February 20, 2008 - Study
Nurses' perceptions of error communication and reporting in the intensive care unit.
Citation Text:
Elder NC, Brungs SM, Nagy M, et al. Nurses' Perceptions of Error Communication and Reporting in the Intensive Care Unit. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e3181839b48.…
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psnet.ahrq.gov/issue/simulation-study-rested-versus-sleep-deprived-anesthesiologists
September 13, 2017 - Study
Classic
Simulation study of rested versus sleep-deprived anesthesiologists.
Citation Text:
Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-…
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psnet.ahrq.gov/issue/rudeness-and-medical-team-performance
June 21, 2016 - Study
Rudeness and medical team performance.
Citation Text:
Riskin A, Erez A, Foulk T, et al. Rudeness and Medical Team Performance. Pediatrics. 2017;139(2):e20162305. doi:10.1542/peds.2016-2305.
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psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automated-compounding-devices-preparation-parenteral-nutrition
October 19, 2022 - Organizational Policy/Guidelines
ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures.
Citation Text:
Iredell B, Mourad H, Nickman NA, et al. ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Prepar…
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psnet.ahrq.gov/issue/clinical-oversight-conceptualizing-relationship-between-supervision-and-safety
June 23, 2010 - Study
Clinical oversight: conceptualizing the relationship between supervision and safety.
Citation Text:
Kennedy TJT, Lingard LA, Baker R, et al. Clinical oversight: conceptualizing the relationship between supervision and safety. J Gen Intern Med. 2007;22(8):1080-5.
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psnet.ahrq.gov/issue/role-patients-and-their-relatives-speaking-about-their-own-safety-qualitative-study-acute
January 19, 2012 - Study
The role of patients and their relatives in 'speaking up' about their own safety—a qualitative study of acute illness.
Citation Text:
Rainey H, Ehrich K, Mackintosh N, et al. The role of patients and their relatives in 'speaking up' about their own safety - a qualitative study of a…
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psnet.ahrq.gov/issue/effect-hospital-follow-appointment-clinical-event-outcomes-and-mortality
April 24, 2018 - Study
Effect of hospital follow-up appointment on clinical event outcomes and mortality.
Citation Text:
Grafft CA, McDonald FS, Ruud KL, et al. Effect of hospital follow-up appointment on clinical event outcomes and mortality. Arch Intern Med. 2010;170(11):955-60. doi:10.1001/archinternm…