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psnet.ahrq.gov/issue/rapid-response-systems-netherlands
November 20, 2015 - Study
Rapid response systems in the Netherlands.
Citation Text:
Ludikhuize J, Hamming A, De Jonge E, et al. Rapid Response Systems in the Netherlands. Jt Comm J Qual Patient Saf. 2016;37(3):138-149. doi:10.1016/s1553-7250(11)37017-1.
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psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
May 27, 2011 - Study
Classic
An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection.
Citation Text:
Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: c…
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psnet.ahrq.gov/issue/realizing-e-prescribings-potential-reduce-outpatient-psychiatric-medication-errors
November 12, 2014 - Commentary
Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors.
Citation Text:
Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps…
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psnet.ahrq.gov/issue/you-have-face-your-mistakes-street-contextual-keys-shape-health-service-access-and-health
September 06, 2017 - Study
'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas.
Citation Text:
Allan J, Ball P, Alston M. 'You have to face your mistakes in the street': the contextual keys that shape health ser…
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psnet.ahrq.gov/issue/increasing-vigilance-medicalsurgical-floor-improve-patient-safety
January 18, 2011 - Study
Increasing vigilance on the medical/surgical floor to improve patient safety.
Citation Text:
Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x.
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psnet.ahrq.gov/issue/predictors-patient-safety-culture-hospital-setting-systematic-review
March 05, 2014 - Review
The predictors of patient safety culture in hospital setting: a systematic review.
Citation Text:
Vibe A, Rasmussen SH, Rasmussen NOP, et al. The predictors of patient safety culture in hospital setting: a systematic review. J Patient Saf. 2024;20(8):576-592. doi:10.1097/pts.00000…
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psnet.ahrq.gov/issue/do-hospital-boards-matter-better-safer-patient-care
April 21, 2015 - Study
Do hospital boards matter for better, safer, patient care?
Citation Text:
Mannion R, Davies HTO, Jacobs R, et al. Do Hospital Boards matter for better, safer, patient care? Soc Sci Med. 2017;177:278-287. doi:10.1016/j.socscimed.2017.01.045.
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psnet.ahrq.gov/issue/data-consistency-voluntary-medical-incident-reporting-system
August 21, 2024 - Study
Data consistency in a voluntary medical incident reporting system.
Citation Text:
Gong Y. Data consistency in a voluntary medical incident reporting system. J Med Syst. 2011;35(4):609-15. doi:10.1007/s10916-009-9398-y.
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psnet.ahrq.gov/issue/work-arounds-and-artifacts-during-transition-computer-physician-order-entry-what-they-are-and
January 12, 2022 - Study
Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean.
Citation Text:
Schoville RR. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. J Nurs Care Qual. 2…
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psnet.ahrq.gov/issue/engineered-solution-maladministration-spinal-injections
March 14, 2022 - Study
An engineered solution to the maladministration of spinal injections.
Citation Text:
Lawton R, Gardner P, Green B, et al. An engineered solution to the maladministration of spinal injections. Qual Saf Health Care. 2009;18(6):492-5. doi:10.1136/qshc.2007.025767.
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psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient-safety-and-quality
October 14, 2020 - Commentary
The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Imp…
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psnet.ahrq.gov/node/44644/psn-pdf
February 14, 2017 - is under pressure to
relax restrictions on marketing of drugs for off-label purposes and raises the concern
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psnet.ahrq.gov/node/46766/psn-pdf
January 17, 2018 - Through qualitative analysis, they identified a concern about loss of physicians' decision-making
autonomy
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psnet.ahrq.gov/node/35524/psn-pdf
October 06, 2016 - However, providers in intensive care settings expressed
concern about the negative impact new designs
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psnet.ahrq.gov/node/36979/psn-pdf
February 28, 2011 - research
has shown fewer errors when housestaff worked shorter shifts, many commentators have raised concern
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psnet.ahrq.gov/node/36460/psn-pdf
May 27, 2011 - While prior research has raised concern that implementation of CPOE systems may result in more
ADEs,
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psnet.ahrq.gov/node/46594/psn-pdf
November 01, 2017 - Respondents had significant concern about
affecting collegial relationships and expressed a desire for
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psnet.ahrq.gov/node/43474/psn-pdf
August 28, 2017 - ://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety
Prior studies have raised the concern
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psnet.ahrq.gov/node/47178/psn-pdf
July 10, 2018 - defining-estimating-and-communicating-overdiagnosis-cancer-screening
Overdiagnosis is a growing area of concern
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cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - Enhancements made to align with the CDC guideline
Clinical Concept Concern and Enhancement Comments … of the summary was
the best way forward.
10
Clinical Concept Concern … Enhancements made in collaboration with the pilot site
Clinical
Concept Concern and Enhancement Comments … are always empty
since encounters don’t carry those
dates.
13
Clinical
Concept Concern … Enhancements made during CDS integration
Clinical
Concept Concern and Enhancement Comments
Assessment