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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…
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psnet.ahrq.gov/issue/patient-handoffs-standardized-and-reliable-measurement-tools-remain-elusive
July 13, 2010 - Review
Patient handoffs: standardized and reliable measurement tools remain elusive.
Citation Text:
Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt Comm J Qual Patient Saf. 2010;36(2):52-61.
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psnet.ahrq.gov/issue/frailty-and-potentially-inappropriate-prescribing-older-people-polypharmacy-bi-directional
November 16, 2022 - Review
Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship?
Citation Text:
Randles MA. Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? Drugs Aging. 2022;39(8…
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psnet.ahrq.gov/issue/mindful-path-nursing-accuracy-quasi-experimental-study-minimizing-medication-administration
March 03, 2019 - Study
The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors.
Citation Text:
Ekkens CL, Gordon PA. The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors. Holist Nurs Pract. …
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psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health
October 26, 2022 - Study
Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization.
Citation Text:
Lurvey LD, Fassett MJ, Kanter MH. Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organiz…
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psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural-significant-harm
January 29, 2020 - Study
Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS).
Citation Text:
Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors anal…
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psnet.ahrq.gov/issue/costs-adverse-events-intensive-care-units
July 23, 2008 - Study
Classic
Costs of adverse events in intensive care units.
Citation Text:
Kaushal R, Bates DW, Franz C, et al. Costs of adverse events in intensive care units. Crit Care Med. 2007;35(11):2479-83.
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psnet.ahrq.gov/issue/medication-administration-errors-nursing-homes-using-automated-medication-dispensing-system
January 23, 2019 - Study
Medication administration errors in nursing homes using an automated medication dispensing system.
Citation Text:
van den Bemt PMLA, Idzinga JC, Robertz H, et al. Medication administration errors in nursing homes using an automated medication dispensing system. J Am Med Inform As…
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psnet.ahrq.gov/issue/exploratory-analysis-association-between-hospital-quality-measures-and-financial-performance
September 11, 2024 - Study
An exploratory analysis of the association between hospital quality measures and financial performance.
Citation Text:
Beauvais B, Dolezel D, Ramamonjiarivelo Z. An exploratory analysis of the association between hospital quality measures and financial performance. Healthcare (Base…
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psnet.ahrq.gov/issue/incivility-and-clinical-performance-teamwork-and-emotions-randomized-controlled-trial
May 22, 2013 - Study
Incivility and clinical performance, teamwork, and emotions: a randomized controlled trial.
Citation Text:
Johnson SL, Haerling KA, Yuwen W, et al. Incivility and Clinical Performance, Teamwork, and Emotions: A Randomized Controlled Trial. J Nurs Care Qual. 2020;35(1):70-76. doi:10…
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psnet.ahrq.gov/issue/residents-feel-unprepared-and-unsupervised-leaders-cardiac-arrest-teams-teaching-hospitals
February 07, 2024 - Study
Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents.
Citation Text:
Hayes CW, Rhee A, Detsky ME, et al. Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teachi…
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psnet.ahrq.gov/issue/medication-errors-paediatric-outpatients
December 15, 2011 - Study
Medication errors in paediatric outpatients.
Citation Text:
Kaushal R, Goldmann DA, Keohane CA, et al. Medication errors in paediatric outpatients. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2008.031179.
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