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psnet.ahrq.gov/issue/when-lights-go-down-delivery-room-lessons-ransomware-attack
September 02, 2020 - Commentary
When the lights go down in the delivery room: lessons from a ransomware attack.
Citation Text:
Gabbay‐Benziv R, Ben‐Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002…
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psnet.ahrq.gov/issue/development-and-implementation-suicide-prevention-checklist-create-safe-environment
August 04, 2021 - Study
Development and implementation of a suicide prevention checklist to create a safe environment.
Citation Text:
Frost DA, Snydeman CK, Lantieri MJ, et al. Development and Implementation of a Suicide Prevention Checklist to Create a Safe Environment. Psychosomatics. 2019;61(2):154-160…
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psnet.ahrq.gov/issue/improving-resident-morning-sign-out-use-daily-events-reports
March 04, 2020 - Study
Improving resident morning sign-out by use of daily events reports.
Citation Text:
Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56.
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psnet.ahrq.gov/issue/associations-between-hospital-characteristics-measure-reporting-and-centers-medicare-medicaid
February 14, 2017 - Study
Associations between hospital characteristics, measure reporting, and the Centers for Medicare & Medicaid Services overall hospital quality star ratings.
Citation Text:
DeLancey JO, Softcheck J, Chung JW, et al. Associations Between Hospital Characteristics, Measure Reporting, and …
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psnet.ahrq.gov/issue/effect-comprehensive-surgical-safety-system-patient-outcomes
May 17, 2012 - Study
Classic
Effect of a comprehensive surgical safety system on patient outcomes.
Citation Text:
de Vries EN, Prins HA, Crolla RMPH, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010;363(20):1928-37. doi:10.1056/…
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psnet.ahrq.gov/issue/association-between-physician-depressive-symptoms-and-medical-errors-systematic-review-and
January 12, 2022 - Review
Emerging Classic
Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis
Citation Text:
Pereira-Lima K, Mata DA, Loureiro SR, et al. Association Between Physician Depressive Symptoms and Medical Errors: …
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psnet.ahrq.gov/issue/laboratory-session-improve-first-year-pharmacy-students-knowledge-and-confidence-concerning
September 08, 2021 - Study
Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors.
Citation Text:
Kiersma ME, Darbishire PL, Plake KS, et al. Laboratory session to improve first-year pharmacy students' knowledge and confidence conce…
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psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic-conditions
November 04, 2014 - Study
Medical errors in US pediatric inpatients with chronic conditions.
Citation Text:
Ahuja N, Zhao W, Xiang H. Medical errors in US pediatric inpatients with chronic conditions. Pediatrics. 2012;130(4):e786-e793. doi:10.1542/peds.2011-2555.
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psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers
June 05, 2019 - Review
Wound-care teams for preventing and treating pressure ulcers.
Citation Text:
Moore ZEH, Webster J, Samuriwo R. Wound-care teams for preventing and treating pressure ulcers. Cochrane Database Syst Rev. 2015;9:CD011011. doi:10.1002/14651858.CD011011.pub2.
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psnet.ahrq.gov/issue/computerized-physician-order-entry-cardiac-intensive-care-unit-effects-prescription-errors
August 15, 2013 - Study
Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions.
Citation Text:
Armada ER, Villamañán E, López-de-Sá E, et al. Computerized physician order entry in the cardiac intensive care unit: effects on prescriptio…
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psnet.ahrq.gov/issue/patient-perceptions-hospital-experiences-implications-innovations-patient-safety
May 04, 2022 - Study
Patient perceptions of hospital experiences: implications for innovations in patient safety.
Citation Text:
Butler JM, Gibson B, Schnock KO, et al. Patient perceptions of hospital experiences: implications for innovations in patient safety. J Patient Saf. 2022;18(2):e563-e567. doi:…
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psnet.ahrq.gov/issue/engaging-pediatric-resident-physicians-quality-improvement-through-resident-led-morbidity-and
November 16, 2022 - Study
Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences.
Citation Text:
Destino LA, Kahana M, Patel SJ. Engaging Pediatric Resident Physicians in Quality Improvement Through Resident-Led Morbidity and Mortality Conferen…
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psnet.ahrq.gov/issue/patient-safety-factors-and-perceived-consequences-nursing-errors-nursing-staff-home-care
May 18, 2022 - Study
Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services.
Citation Text:
Jachan DE, Müller‐Werdan U, Lahmann NA. Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. N…
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psnet.ahrq.gov/issue/prospective-study-evaluate-awareness-about-medication-errors-amongst-health-care-personnel
May 17, 2018 - Study
A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India.
Citation Text:
Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors amongst health-c…
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psnet.ahrq.gov/issue/development-and-validation-surgical-patient-safety-system-surpass-checklist
March 23, 2011 - Study
Development and validation of the SURgical PAtient Safety System (SURPASS) checklist.
Citation Text:
de Vries EN, Hollmann MW, Smorenburg SM, et al. Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Qual Saf Health Care. 2009;18(2):121-6. doi:1…
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psnet.ahrq.gov/issue/nurses-perspectives-medication-errors-and-prevention-strategies-residential-aged-care
July 13, 2010 - Study
Nurses' perspectives on medication errors and prevention strategies in residential aged care facilities through a national survey.
Citation Text:
Kuppadakkath SC, Bhowmik J, Olasoji M, et al. Nurses' perspectives on medication errors and prevention strategies in residential aged ca…
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psnet.ahrq.gov/issue/case-not-closed-prescription-errors-12-years-after-computerized-physician-order-entry
April 08, 2011 - Study
Case not closed: prescription errors 12 years after computerized physician order entry implementation.
Citation Text:
Kadmon G, Pinchover M, Weissbach A, et al. Case Not Closed: Prescription Errors 12 Years after Computerized Physician Order Entry Implementation. J Pediatr. 2017;19…
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psnet.ahrq.gov/issue/observational-study-adult-admissions-medical-icu-due-adverse-drug-events
January 28, 2015 - Study
An observational study of adult admissions to a medical ICU due to adverse drug events.
Citation Text:
Jolivot P-A, Pichereau C, Hindlet P, et al. An observational study of adult admissions to a medical ICU due to adverse drug events. Ann Intensive Care. 2016;6(1):9. doi:10.1186/s1…
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psnet.ahrq.gov/issue/high-nursing-staff-turnover-nursing-homes-offers-important-quality-information
September 16, 2020 - Study
Classic
High nursing staff turnover in nursing homes offers important quality information.
Citation Text:
Gandhi A, Yu H, Grabowski DC. High nursing staff turnover in nursing homes offers important quality information. Health Aff (Millwood). 2021;40(3):384…
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psnet.ahrq.gov/issue/accuracy-global-trigger-tool-higher-identification-adverse-events-greater-harm-diagnostic
November 17, 2021 - Study
The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study.
Citation Text:
Moraes SM, Ferrari TCA, Beleigoli A. The accuracy of the Global Trigger Tool is higher for the identification of adverse events of gre…