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psnet.ahrq.gov/issue/patient-safety-emergency-departments-problem-health-care-systems-international-survey
February 26, 2020 - Study
Patient safety in emergency departments: a problem for health care systems? An international survey.
Citation Text:
Petrino R, Tuunainen E, Bruzzone G, et al. Patient safety in emergency departments: a problem for health care systems? An international survey. Eur J Emerg Med. 2023;…
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psnet.ahrq.gov/issue/going-covid-19-gemba-using-observation-and-high-reliability-strategies-achieve-safety-time
May 12, 2021 - Commentary
Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis.
Citation Text:
Thull-Freedman J, Mondoux S, Stang A, et al. Going to the COVID-19 Gemba: Using observation and high reliability strategies to achieve safety in…
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psnet.ahrq.gov/issue/does-suggested-diagnosis-general-practitioners-referral-question-impact-diagnostic-reasoning
September 14, 2022 - Study
Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study.
Citation Text:
Staal J, Speelman M, Brand R, et al. Does a suggested diagnosis in a general practitioners’ referral question impact diagnostic reasoning: an …
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psnet.ahrq.gov/issue/fda-alerts-patients-and-health-care-professionals-epipen-auto-injector-errors-related-device
April 07, 2019 - Press Release/Announcement
FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration.
Citation Text:
FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctio…
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digital.ahrq.gov/ahrq-funded-projects/pharmaceutical-safety-tracking-phast-managing-medications-patient-safety/annual-summary/2011
January 01, 2011 - Pharmaceutical Safety Tracking (PhaST): Managing Medications for Patient Safety - 2011
Project Name
Pharmaceutical Safety Tracking (PhaST): Managing Medications for Patient Safety
Principal Investigator
Gardner, William
Organization
Research Institute at Nationwide Children’s…
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psnet.ahrq.gov/issue/computer-based-simulation-reduce-ehr-related-chemotherapy-ordering-errors
October 27, 2021 - Study
Computer-based simulation to reduce EHR-related chemotherapy ordering errors.
Citation Text:
Wyatt KD, Freedman EB, Arteaga GM, et al. Computer‐based simulation to reduce EHR‐related chemotherapy ordering errors. Cancer Med. 2020;9(23):8844-8851. doi:10.1002/cam4.3496.
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psnet.ahrq.gov/issue/electronic-triggers-identify-delays-follow-mammography-harnessing-power-big-data-health-care
September 28, 2016 - Study
Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care.
Citation Text:
Murphy DR, Meyer AND, Vaghani V, et al. Electronic Triggers to Identify Delays in Follow-Up of Mammography: Harnessing the Power of Big Data in Health…
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psnet.ahrq.gov/issue/mapping-resilience-performance-community-pharmacy-maintain-patient-safety-during-covid-19
June 29, 2022 - Study
Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic.
Citation Text:
Peat G, Olaniyan JO, Fylan B, et al. Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. Re…
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psnet.ahrq.gov/issue/introduction-surgical-safety-checklists-ontario-canada
June 21, 2016 - Study
Classic
Introduction of surgical safety checklists in Ontario, Canada.
Citation Text:
Urbach DR, Govindarajan A, Saskin R, et al. Introduction of Surgical Safety Checklists in Ontario, Canada. New Engl J Med. 2014;370(11):1029-1038. doi:10.1056/nejmsa13082…
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psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when-nurses-are-away
January 08, 2020 - Study
Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design.
Citation Text:
Demaria J, Valent F, Danielis M, et al. Do falls and other safety issues occur more often during handovers when nurses a…
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psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report-american-academy
July 14, 2010 - Study
Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN).
Citation Text:
Elder NC, Graham D, Brandt E, et al. Barriers and motivators for making error reports from f…
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psnet.ahrq.gov/issue/whats-going-well-qualitative-analysis-positive-patient-and-family-feedback-context-diagnostic
October 27, 2021 - Study
What's going well: a qualitative analysis of positive patient and family feedback in the context of the diagnostic process.
Citation Text:
Liu SK, Bourgeois FC, Dong J, et al. What’s going well: a qualitative analysis of positive patient and family feedback in the context of the d…
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psnet.ahrq.gov/issue/are-physicians-perceptions-healthcare-quality-and-practice-satisfaction-affected-errors
July 10, 2008 - Study
Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use?
Citation Text:
Love JS, Wright A, Simon SR, et al. Are physicians' perceptions of healthcare quality and practice satisfaction affected by er…
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psnet.ahrq.gov/issue/delayed-time-defibrillation-after-hospital-cardiac-arrest
June 08, 2010 - Study
Classic
Delayed time to defibrillation after in-hospital cardiac arrest.
Citation Text:
Chan PS, Krumholz HM, Nichol G, et al. Delayed time to defibrillation after in-hospital cardiac arrest. N Engl J Med. 2008;358(1):9-17. doi:10.1056/NEJMoa0706467.
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psnet.ahrq.gov/issue/incidence-and-or-team-awareness-near-miss-and-retained-surgical-sharps-national-survey-united
December 02, 2020 - Study
Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms.
Citation Text:
Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United …
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psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors
April 12, 2017 - Study
Automated detection of wrong-drug prescribing errors.
Citation Text:
Lambert BL, Galanter W, Liu KL, et al. Automated detection of wrong-drug prescribing errors. BMJ Qual Saf. 2019;28(11):908-915. doi:10.1136/bmjqs-2019-009420.
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psnet.ahrq.gov/issue/teamwork-associated-reduced-hospital-staff-burnout-military-treatment-facilities-findings
July 31, 2013 - Study
Teamwork is associated with reduced hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey.
Citation Text:
Godby Vail S, Dierst-Davies R, Kogut D, et al. Teamwork is associated with reduced hospital staff …
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psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis-first-year
February 22, 2023 - Study
NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme.
Citation Text:
Brummell Z, Vindrola-Padros C, Braun D, et al. NHS ‘Learning from Deaths’ reports: a qualitative and quantitative documen…
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psnet.ahrq.gov/issue/qualitative-analysis-physician-perspectives-missed-and-delayed-outpatient-diagnosis-focus
October 19, 2012 - Study
A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors.
Citation Text:
Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: Th…
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psnet.ahrq.gov/issue/stakeholder-perspectives-contributors-delayed-and-inaccurate-diagnosis-cardiovascular-disease
August 18, 2021 - Study
Stakeholder perspectives on contributors to delayed and inaccurate diagnosis of cardiovascular disease and their implications for digital health technologies: a UK-based qualitative study.
Citation Text:
Abdullayev K, Gorvett O, Sochiera A, et al. Stakeholder perspectives on contri…