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psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned
April 20, 2022 - Commentary
Rooting an error review process in just culture: lessons learned.
Citation Text:
Neiswender K, Figueroa-Altmann A, Granahan K, et al. Rooting an error review process in just culture: lessons learned. Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5.
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psnet.ahrq.gov/issue/deficiencies-electronic-medical-record-inpatient-list-capabilities-negatively-impact-patient
October 19, 2022 - Study
Deficiencies in electronic medical record inpatient list capabilities negatively impact patient safety, resident education, and wellness.
Citation Text:
Davalos RA, Aden J, Pluta N, et al. Deficiencies in electronic medical record inpatient list capabilities negatively impact patie…
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psnet.ahrq.gov/issue/effect-work-hours-adverse-events-and-errors-health-care
August 20, 2014 - Study
The effect of work hours on adverse events and errors in health care.
Citation Text:
Olds DM, Clarke S. The effect of work hours on adverse events and errors in health care. J Safety Res. 2010;41(2):153-62. doi:10.1016/j.jsr.2010.02.002.
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psnet.ahrq.gov/issue/improving-reconciliation-following-medical-injury-qualitative-study-responses-patient-safety
May 05, 2021 - Study
Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand.
Citation Text:
Moore J, Mello MM. Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Z…
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psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability
May 21, 2014 - Special or Theme Issue
Special Issue: Progress at the Intersection of Patient Safety and Medical Liability.
Citation Text:
Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395…
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psnet.ahrq.gov/issue/persistent-next-day-effects-excessive-alcohol-consumption-laparoscopic-surgical-performance
August 25, 2011 - Study
Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance.
Citation Text:
Gallagher AG, Boyle E, Toner P, et al. Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Arch Surg. 2011;146(4):419-26.…
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psnet.ahrq.gov/issue/quality-traditional-surveillance-public-reporting-nosocomial-bloodstream-infection-rates
August 20, 2018 - Study
Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates.
Citation Text:
Lin MY, Hota B, Khan YM, et al. Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. JAMA. 2010;304(18):2035-41. doi:1…
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psnet.ahrq.gov/issue/variation-17-obstetric-care-pathways-potential-danger-health-professionals-and-patient-safety
September 21, 2016 - Study
Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety?
Citation Text:
Sarrechia M, Van Gerven E, Hermans L, et al. Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? J Adv Nurs. 20…
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psnet.ahrq.gov/issue/should-operations-be-regionalized-empirical-relation-between-surgical-volume-and-mortality
August 04, 2021 - Study
Classic
Should operations be regionalized? The empirical relation between surgical volume and mortality.
Citation Text:
Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volume and mortality. N En…
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psnet.ahrq.gov/issue/resident-duty-hour-restrictions-and-neurosurgical-training-review-literature
September 23, 2020 - Review
On resident duty hour restrictions and neurosurgical training: review of the literature.
Citation Text:
Bina RW, Lemole M, Dumont TM. On resident duty hour restrictions and neurosurgical training: review of the literature. J Neurosurg. 2016;124(3):842-8. doi:10.3171/2015.3.JNS1427…
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psnet.ahrq.gov/issue/primary-care-providers-perspectives-errors-omission
July 30, 2014 - Study
Primary care providers' perspectives on errors of omission.
Citation Text:
Poghosyan L, Norful AA, Fleck E, et al. Primary Care Providers' Perspectives on Errors of Omission. J Am Board Fam Med. 2017;30(6):733-742. doi:10.3122/jabfm.2017.06.170161.
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psnet.ahrq.gov/issue/what-do-patients-and-relatives-know-about-problems-and-failures-care
November 28, 2016 - Study
What do patients and relatives know about problems and failures in care?
Citation Text:
Iedema R, Allen S, Britton K, et al. What do patients and relatives know about problems and failures in care? BMJ Qual Saf. 2012;21(3):198-205. doi:10.1136/bmjqs-2011-000100.
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psnet.ahrq.gov/issue/association-acute-covid-19-infection-patient-safety-indicator-12-events-multisite-healthcare
January 18, 2023 - Study
The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system.
Citation Text:
Bhakta S, Pollock BD, Erben YM, et al. The association of acute COVID‐19 infection with Patient Safety Indicator‐12 events in a multisite healthcare …
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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…
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psnet.ahrq.gov/issue/revealing-and-resolving-patient-safety-defects-impact-leadership-walkrounds-frontline
June 16, 2011 - Study
Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety.
Citation Text:
Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on …
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psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical-errors
June 07, 2023 - Study
Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors.
Citation Text:
Lederman R, Dreyfus S, Matchan J, et al. Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Nurs Outlook. 2013…
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psnet.ahrq.gov/node/73874/psn-pdf
September 29, 2021 - The generalizability of a medication administration
discrepancy detection system: quantitative comparative
analysis
September 29, 2021
Kirkendall E, Huth H, Rauenbuehler B, et al. The generalizability of a medication administration
discrepancy detection system: quantitative comparative analysis. JMIR Med Inform. 2…
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psnet.ahrq.gov/issue/stakeholder-perceptions-smart-infusion-pumps-and-drug-library-updates-multisite
March 13, 2019 - Study
Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study.
Citation Text:
DeLaurentis P, Walroth TA, Fritschle AC, et al. Stakeholder perceptions of smart infusion pumps and drug library updates: A multisite, interdisciplinary st…
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psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and-safety-their
July 31, 2008 - Study
How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study.
Citation Text:
Davis R, Koutantji M, Vincent C. How willing are patients to question healthcare staff on issues related to the quality and …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-slides.pptx
June 01, 2021 - PowerPoint Presentation
Tracking and Measuring
Antibiotic Use Data
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Tracking and Measuring
1
Objectives
Learn how to collect and track antibiotic use in the long-term care setting
Become familiar with forms for mon…