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psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
October 08, 2016 - Review
Intentional rounding—an integrative literature review.
Citation Text:
Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs. 2019;75(6):1151-1161. doi:10.1111/jan.13897.
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psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice
February 21, 2015 - Study
Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice.
Citation Text:
Pakis I, Polat O, Yayci N, et al. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Am J Forensic Med Pathol. 2010;31(3):218-21. …
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psnet.ahrq.gov/issue/developing-person-centred-analysis-harm-paediatric-hospital-quality-improvement-report
September 23, 2020 - Study
Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report.
Citation Text:
Lachman P, Linkson L, Evans T, et al. Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. BMJ Qual Saf. 2015;24(5):337-44…
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psnet.ahrq.gov/issue/using-evidence-rigorous-measurement-and-collaboration-eliminate-central-catheter-associated
January 15, 2014 - Study
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.
Citation Text:
Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstr…
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psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems
January 12, 2011 - Study
Integrating the intensive care unit safety reporting system with existing incident reporting systems.
Citation Text:
Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual…
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psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality
July 19, 2023 - Commentary
Classic
A hospitalization from hell: a patient's perspective on quality.
Citation Text:
Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med. 2003;138(1):33-39.
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psnet.ahrq.gov/issue/improving-nurse-patient-staffing-ratios-cost-effective-safety-intervention
May 14, 2008 - Study
Improving nurse-to-patient staffing ratios as a cost-effective safety intervention.
Citation Text:
Rothberg MB, Abraham I, Lindenauer PK, et al. Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Med Care. 2005;43(8):785-91.
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psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and-medication
March 02, 2012 - Study
Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors.
Citation Text:
Thomas L, Donohue-Porter P, Fishbein JS. Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administratio…
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psnet.ahrq.gov/issue/measurement-performance-driver-case-national-measurement-system-improve-patient-safety
September 01, 2018 - Review
Measurement as a performance driver: the case for a national measurement system to improve patient safety.
Citation Text:
Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Sa…
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psnet.ahrq.gov/issue/defining-attributes-patient-safety-through-concept-analysis
May 08, 2013 - Review
Defining attributes of patient safety through a concept analysis.
Citation Text:
Kim L, Lyder CH, McNeese-Smith D, et al. Defining attributes of patient safety through a concept analysis. J Adv Nurs. 2015;71(11):2490-503. doi:10.1111/jan.12715.
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psnet.ahrq.gov/issue/patient-safety-adoption-framework-practical-framework-bridge-know-do-gap
May 26, 2021 - Commentary
The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap.
Citation Text:
The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap. Moyal-Smith R, Margo J, Maloney FL, et al. J Patient Saf. 2023;19(4):243-248.
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psnet.ahrq.gov/issue/model-departmental-quality-management-infrastructure-within-academic-health-system
August 08, 2018 - Commentary
A model for the departmental quality management infrastructure within an academic health system.
Citation Text:
Mathews SC, Demski R, Hooper JE, et al. A Model for the Departmental Quality Management Infrastructure Within an Academic Health System. Acad Med. 2017;92(5):608-613…
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psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance
July 05, 2013 - Commentary
Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance.
Citation Text:
Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual P…
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psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-diagnostic-excellence
October 28, 2020 - Commentary
Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan.
Citation Text:
Singh H, Upadhyay DK, Torretti D. Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Pl…
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psnet.ahrq.gov/issue/governing-quality-and-safety-healthcare-conceptual-framework
September 03, 2011 - Commentary
Governing the quality and safety of healthcare: a conceptual framework.
Citation Text:
Brown A, Dickinson H, Kelaher M. Governing the quality and safety of healthcare: A conceptual framework. Soc Sci Med. 2018;202:99-107. doi:10.1016/j.socscimed.2018.02.020.
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psnet.ahrq.gov/issue/educational-quality-improvement-report-outcomes-revised-morbidity-and-mortality-format
March 10, 2010 - Study
Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety.
Citation Text:
Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised morbidity and mortality format tha…
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psnet.ahrq.gov/issue/role-emotion-patient-safety-are-we-brave-enough-scratch-beneath-surface
January 09, 2014 - Review
The role of emotion in patient safety: are we brave enough to scratch beneath the surface?
Citation Text:
Heyhoe J, Birks Y, Harrison R, et al. The role of emotion in patient safety: Are we brave enough to scratch beneath the surface? J R Soc Med. 2016;109(2):52-8. doi:10.1177/014…
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psnet.ahrq.gov/issue/monitoring-adverse-drug-reactions-children-using-community-pharmacies-pilot-study
July 01, 2017 - Study
Monitoring adverse drug reactions in children using community pharmacies: a pilot study.
Citation Text:
Stewart D, Helms P, McCaig D, et al. Monitoring adverse drug reactions in children using community pharmacies: a pilot study. Br J Clin Pharmacol. 2005;59(6):677-83.
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psnet.ahrq.gov/issue/tale-two-stories-contrasting-views-patient-safety
March 27, 2005 - Book/Report
Classic
A Tale of Two Stories: Contrasting Views of Patient Safety.
Citation Text:
A Tale of Two Stories: Contrasting Views of Patient Safety. Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1997.
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psnet.ahrq.gov/issue/relationships-multitasking-physicians-strain-and-performance-observational-study-ward
September 24, 2016 - Study
Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians.
Citation Text:
Weigl M, Müller A, Sevdalis N, et al. Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. J Pat…