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psnet.ahrq.gov/issue/electronic-health-record-legal-settlements-us-2009-health-information-technology-economic-and
August 24, 2022 - Study
Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act.
Citation Text:
Apathy NC, Howe JL, Krevat S, et al. Electronic health record legal settlements in the US since the 2009 Health Information Technol…
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psnet.ahrq.gov/issue/embracing-errors-simulation-based-training-effect-error-training-retention-and-transfer
May 23, 2013 - Study
Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills.
Citation Text:
Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retent…
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psnet.ahrq.gov/issue/contamination-health-care-personnel-during-removal-personal-protective-equipment
April 24, 2018 - Study
Contamination of health care personnel during removal of personal protective equipment.
Citation Text:
Tomas ME, Kundrapu S, Thota P, et al. Contamination of Health Care Personnel During Removal of Personal Protective Equipment. JAMA Intern Med. 2015;175(12):1904-10. doi:10.1001/ja…
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psnet.ahrq.gov/issue/spinal-surgery-complications-unsolved-problem-world-health-organization-safety-surgical
March 08, 2023 - Study
Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them?
Citation Text:
Barbanti-Brodano G, Griffoni C, Halme J, et al. Spinal surgery complications: an unsolved problem-Is the World Health Organizat…
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psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system
April 19, 2023 - Book/Report
Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah.
Citation Text:
Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. Washington, DC: Department of Vet…
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psnet.ahrq.gov/issue/role-dynamic-trade-offs-creating-safety-qualitative-study-handover-across-care-boundaries
January 21, 2015 - Study
The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care.
Citation Text:
Sujan M, Spurgeon P, Cooke M. The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emerg…
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psnet.ahrq.gov/issue/variation-safety-culture-dimensions-within-and-between-us-and-swiss-hospital-units
October 08, 2013 - Study
Variation in safety culture dimensions within and between US and Swiss Hospital units: an exploratory study.
Citation Text:
Schwendimann R, Zimmermann N, Küng K, et al. Variation in safety culture dimensions within and between US and Swiss Hospital Units: an exploratory study. BM…
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psnet.ahrq.gov/issue/medication-error-prevention-survey-five-years-results
March 26, 2015 - Study
A medication error prevention survey: five years of results.
Citation Text:
Cusano FL, Chambers C, Summach L. A medication error prevention survey: five years of results. J Oncol Pharm Pract. 2009;15(2):87-93. doi:10.1177/1078155208099284.
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psnet.ahrq.gov/issue/increasing-patient-clinician-concordance-about-medical-error-disclosure-through-patient-tips
November 28, 2016 - Study
Increasing patient–clinician concordance about medical error disclosure through the patient TIPS model.
Citation Text:
Martinez W, Browning D, Varrin P, et al. Increasing Patient-Clinician Concordance About Medical Error Disclosure Through the Patient TIPS Model. J Patient Saf. 201…
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psnet.ahrq.gov/issue/impact-post-fall-huddles-repeat-fall-rates-and-perceptions-safety-culture-quasi-experimental
December 30, 2014 - Journal Article
The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project
Citation Text:
Jones KJ, Crowe J, Allen JA, et al. The impact of post-fall huddles on repeat fall rates and pe…
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psnet.ahrq.gov/issue/impact-critical-event-checklists-medical-management-and-teamwork-during-simulated-crises
November 04, 2009 - Study
The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility.
Citation Text:
Everett TC, Morgan PJ, Brydges R, et al. The impact of critical event checklists on medical management and teamwork during simulated cri…
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psnet.ahrq.gov/issue/cost-illness-patient-reported-adverse-drug-events-population-based-cross-sectional-survey
January 27, 2012 - Study
Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey.
Citation Text:
Gyllensten H, Rehnberg C, Jönsson AK, et al. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. BMJ Open. 2013;3(6).…
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psnet.ahrq.gov/issue/diagnostic-delays-among-covid-19-patients-second-concurrent-diagnosis
March 08, 2023 - Study
Diagnostic delays among COVID-19 patients with a second concurrent diagnosis.
Citation Text:
Freund O, Azolai L, Sror N, et al. Diagnostic delays among COVID‐19 patients with a second concurrent diagnosis. J Hosp Med. 2023;18(4):321-328. doi:10.1002/jhm.13063.
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psnet.ahrq.gov/issue/patient-safety-climate-us-hospitals-variation-management-level
November 18, 2009 - Study
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Patient safety climate in US hospitals: variation by management level.
Citation Text:
Singer SJ, Falwell A, Gaba DM, et al. Patient safety climate in US hospitals: variation by management level. Med Care. 2008;46(11):1149-56. doi:10.1097/MLR.0b013e…
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psnet.ahrq.gov/issue/enculturation-unsafe-attitudes-and-behaviors-student-perceptions-safety-culture
October 31, 2012 - Study
Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture.
Citation Text:
Bowman C, Neeman N, Sehgal NL. Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. Acad Med. 2013;88(6):802-10. doi:10.1097/ACM.0b013e31828fd4f…
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psnet.ahrq.gov/issue/patient-safety-during-sedation-anesthesia-professionals-during-routine-upper-endoscopy-and
August 20, 2018 - Study
Patient safety during sedation by anesthesia professionals during routine upper endoscopy and colonoscopy: an analysis of 1.38 million procedures.
Citation Text:
Vargo JJ, Niklewski PJ, Williams L, et al. Patient safety during sedation by anesthesia professionals during routine upp…
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psnet.ahrq.gov/issue/quality-care-and-quality-life-balancing-patient-safety-and-physician-burnout
September 27, 2023 - Commentary
Quality of care and quality of life: balancing patient safety and physician burnout.
Citation Text:
Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000…
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psnet.ahrq.gov/issue/improving-safety-during-transitions-care-through-use-electronic-referral-loops-receive-and
October 19, 2022 - Study
Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information.
Citation Text:
Allen G, Setzer J, Jones R, et al. Improving safety during transitions of care through the use of electronic referral loops to receiv…
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psnet.ahrq.gov/issue/association-past-and-future-paid-medical-malpractice-claims
February 01, 2023 - Study
Association of past and future paid medical malpractice claims.
Citation Text:
Hyman DA, Lerner J, Magid DJ, et al. Association of past and future paid medical malpractice claims. JAMA Health Forum. 2023;4(2):e225436. doi:10.1001/jamahealthforum.2022.5436.
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psnet.ahrq.gov/issue/impact-sample-size-variation-adverse-events-and-preventable-adverse-events-systematic-review
May 15, 2024 - Review
Impact of sample size on variation of adverse events and preventable adverse events: systematic review on epidemiology and contributing factors.
Citation Text:
Lessing C, Schmitz A, Albers B, et al. Impact of sample size on variation of adverse events and preventable adverse eve…