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psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system
June 01, 2019 - Study
An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions.
Citation Text:
Hettinger Z, Fairbanks RJ, Hegde S, et al. An evidence-based toolkit for the development of effective and sustainable root cause analysis syste…
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psnet.ahrq.gov/issue/safer-healthcare-home-detecting-correcting-and-learning-incidents-involving-infusion-devices
October 18, 2018 - Study
Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices.
Citation Text:
Lyons I, Blandford A. Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices. App Ergon. 2018;67(Feb):104-114. doi:…
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psnet.ahrq.gov/issue/does-user-centred-design-affect-efficiency-usability-and-safety-cpoe-order-sets
October 31, 2011 - Study
Does user-centred design affect the efficiency, usability and safety of CPOE order sets?
Citation Text:
Chan J, Shojania KG, Easty AC, et al. Does user-centred design affect the efficiency, usability and safety of CPOE order sets? J Am Med Inform Assoc. 2011;18(3):276-81. doi:10.…
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psnet.ahrq.gov/issue/use-computerized-forcing-function-improves-performance-ordering-restraints
September 30, 2020 - Study
Use of a computerized forcing function improves performance in ordering restraints.
Citation Text:
Griffey RT, Wittels K, Gilboy N, et al. Use of a computerized forcing function improves performance in ordering restraints. Ann Emerg Med. 2009;53(4):469-76. doi:10.1016/j.annemergm…
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psnet.ahrq.gov/issue/identification-warning-signs-during-selection-surgical-trainees
March 17, 2021 - Study
Identification of warning signs during selection of surgical trainees.
Citation Text:
Hagelsteen K, Johansson B-M, Bergenfelz A, et al. Identification of Warning Signs During Selection of Surgical Trainees. J Surg Educ. 2019;76(3):684-693. doi:10.1016/j.jsurg.2018.12.002.
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psnet.ahrq.gov/issue/provider-and-patient-perceptions-external-medication-history-function
July 16, 2015 - Study
Provider and patient perceptions of an external medication history function.
Citation Text:
Wolver SE, Stultz JS, Aggarwal A, et al. Provider and Patient Perceptions of an External Medication History Function. J Patient Saf. 2018;14(4):234-240. doi:10.1097/PTS.0000000000000197.
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psnet.ahrq.gov/issue/how-do-simulated-error-experiences-impact-attitudes-related-error-prevention
October 19, 2022 - Study
How do simulated error experiences impact attitudes related to error prevention?
Citation Text:
Breitkreuz KR, Dougal RL, Wright MC. How Do Simulated Error Experiences Impact Attitudes Related to Error Prevention? Simul Healthc. 2016;11(5):323-333.
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psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
June 27, 2018 - Study
A multicomponent fall prevention strategy reduces falls at an academic medical center.
Citation Text:
France D, Slayton J, Moore S, et al. A Multicomponent Fall Prevention Strategy Reduces Falls at an Academic Medical Center. The Joint Commission Journal on Quality and Patient Safe…
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psnet.ahrq.gov/issue/consequences-running-more-operating-theatres-anaesthetists-staff-them-stochastic-simulation
October 19, 2022 - Study
Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study.
Citation Text:
Paoletti X, Marty J. Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. Br J Anaesth. 2007…
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psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and-evaluation-community
November 01, 2016 - Study
Classic
A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital.
Citation Text:
Raschke RA, Gollihare B, Wunderlich TA, et al. A Computer Alert System to Prevent Injury From Adverse …
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psnet.ahrq.gov/issue/improving-quality-written-prescriptions-general-hospital-influence-10-years-serial-audits-and
August 24, 2022 - Study
Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions.
Citation Text:
Gommans J, McIntosh P, Bee S, et al. Improving the quality of written prescriptions in a general hospital: the influence of …
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psnet.ahrq.gov/issue/safety-overlapping-inpatient-orthopaedic-surgery-multicenter-study
April 24, 2018 - Study
Safety of overlapping inpatient orthopaedic surgery: a multicenter study.
Citation Text:
Dy CJ, Osei DA, Maak TG, et al. Safety of Overlapping Inpatient Orthopaedic Surgery: A Multicenter Study. J Bone Joint Surg Am. 2018;100(22):1902-1911. doi:10.2106/JBJS.17.01625.
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psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital
March 27, 2024 - Study
Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents.
Citation Text:
Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medi…
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psnet.ahrq.gov/issue/role-personal-health-information-management-promoting-patient-safety-home-qualitative
June 15, 2022 - Study
The role of personal health information management in promoting patient safety in the home: a qualitative analysis
Citation Text:
Demiris G, Lin S-Y, Turner AM. The role of personal health information management in promoting patient safety in the home: a qualitative analysis. Stud …
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psnet.ahrq.gov/issue/barriers-speaking-about-patient-safety-concerns
September 01, 2018 - Study
Barriers to speaking up about patient safety concerns.
Citation Text:
Etchegaray JM, Ottosen MJ, Dancsak T, et al. Barriers to speaking up about patient safety concerns. J Patient Saf. 2020;16(4):e230-e234. doi:10.1097/pts.0000000000000334.
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psnet.ahrq.gov/node/49439/psn-pdf
March 01, 2004 - troubles with
oral communication in the clinical encounter, particularly across the technical and decision-making
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psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - They’re integrated, and they’re part of the team, the decision making, and the care planning.
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - They’re integrated, and they’re part of the team, the decision making, and the care planning.
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psnet.ahrq.gov/node/49813/psn-pdf
January 01, 2018 - palliative rather than curative intent (e.g., radiation, milrinone), assistance with
complicated medical decision-making
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psnet.ahrq.gov/node/33720/psn-pdf
November 01, 2011 - They had better communication, decision-making,
accuracy, and so forth.