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psnet.ahrq.gov/issue/benefits-and-harms-open-notes-mental-health-delphi-survey-international-experts
July 07, 2021 - Study
The benefits and harms of open notes in mental health: a Delphi survey of international experts.
Citation Text:
Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi survey of international experts. PLoS ONE. 2021;16(10):e0258056. d…
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psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
July 07, 2021 - Review
Root cause analysis for hospital-acquired pressure injury.
Citation Text:
Black JM. Root cause analysis for hospital-acquired pressure injury. J Wound Ostomy Continence Nurs. 2019;46(4):298-304. doi:10.1097/WON.0000000000000546.
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psnet.ahrq.gov/issue/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety
November 26, 2014 - Study
Classic
Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.
Citation Text:
O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Arch Intern Me…
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psnet.ahrq.gov/issue/inequities-inpatient-pediatric-patient-safety-events-category
April 01, 2009 - Study
Inequities in inpatient pediatric patient safety events by category.
Citation Text:
Pantell MS, Karvonen KL, Porter P, et al. Inequities in inpatient pediatric patient safety events by category. Hosp Pediatr. 2024;14(12):953-962. doi:10.1542/hpeds.2023-007129.
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psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
April 07, 2021 - Study
Patterns of error in interpretive pathology.
Citation Text:
Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190.
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psnet.ahrq.gov/issue/new-approach-assessing-patient-safety-aspects-routine-practice-using-example-doctors
April 24, 2019 - Study
A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions."
Citation Text:
Sendlhofer G, Pregartner G, Gombotz V, et al. A new approach of assessing patient safety aspects in routine practice using the example of …
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psnet.ahrq.gov/issue/autopsy-quality-control-measure-radiology-and-vice-versa
April 24, 2018 - Study
Autopsy as a quality control measure for radiology, and vice versa.
Citation Text:
Murken DR, Ding M, Branstetter BF, et al. Autopsy as a quality control measure for radiology, and vice versa. AJR Am J Roentgenol. 2012;199(2):394-401. doi:10.2214/AJR.11.8386.
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psnet.ahrq.gov/issue/less-more-project-reduce-number-pims-potentially-inappropriate-medications-elderly-care-ward
September 27, 2017 - Commentary
Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward.
Citation Text:
Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly car…
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psnet.ahrq.gov/issue/exploring-nurses-attitudes-skills-and-beliefs-medication-safety-practices
October 21, 2020 - Study
Exploring nurses' attitudes, skills, and beliefs of medication safety practices.
Citation Text:
Arkin L, Schuermann A, Penoyer D, et al. Exploring nurses' attitudes, skills, and beliefs of medication safety practices. J Nurs Care Qual. 2022;37(4):319-326. doi:10.1097/ncq.0000000000…
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psnet.ahrq.gov/issue/effect-clinical-decision-support-systems-systematic-review
September 23, 2020 - Review
Effect of clinical decision-support systems: a systematic review.
Citation Text:
Bright TJ, Wong A, Dhurjati R, et al. Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012;157(1):29-43. doi:10.7326/0003-4819-157-1-201207030-00450.
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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/tools-establishing-sustainable-safety-culture-within-maternity-services-retrospective-case
February 28, 2024 - Study
Tools for establishing a sustainable safety culture within maternity services: a retrospective case study.
Citation Text:
Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. SAGE Open …
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psnet.ahrq.gov/issue/maternal-sleepiness-and-risk-infant-drops-postpartum-period
October 19, 2022 - Study
Maternal sleepiness and risk of infant drops in the postpartum period.
Citation Text:
Bittle MD, Knapp H, Polomano RC, et al. Maternal Sleepiness and Risk of Infant Drops in the Postpartum Period. Jt Comm J Qual Patient Saf. 2019;45(5):337-347. doi:10.1016/j.jcjq.2018.12.001.
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psnet.ahrq.gov/issue/spreading-medication-administration-intervention-organizationwide-six-hospitals
January 03, 2017 - Study
Spreading a medication administration intervention organizationwide in six hospitals.
Citation Text:
Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60.
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psnet.ahrq.gov/issue/association-between-clinic-opioid-administration-and-discharge-opioid-prescription-urgent
May 19, 2021 - Study
Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study.
Citation Text:
Calcaterra SL, Lou Y, Everhart RM, et al. Association between in-clinic opioid administration and discharge opioid prescription in urge…
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psnet.ahrq.gov/issue/fifteen-years-after-err-human-success-story-learn
August 04, 2021 - Commentary
Fifteen years after To Err Is Human: a success story to learn from.
Citation Text:
Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720.
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psnet.ahrq.gov/issue/patient-falls-operating-room-setting-analysis-reported-safety-events
November 17, 2021 - Study
Patient falls in the operating room setting: an analysis of reported safety events.
Citation Text:
Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503…
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psnet.ahrq.gov/issue/am-i-my-brothers-keeper-survey-10-healthcare-professions-netherlands-about-experiences
June 25, 2014 - Study
Am I my brother's keeper? A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent colleagues.
Citation Text:
Weenink JW, Westert GP, Schoonhoven L, et al. Am I my brother's keeper? A survey of 10 healthcare professions in the Netherl…
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psnet.ahrq.gov/issue/system-factors-affecting-intraoperative-risk-and-resilience-applying-novel-integrated
August 25, 2021 - Study
Emerging Classic
System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety.
Citation Text:
Kolodzey L, Trbovich PL, Kashfi A, et al. System Factors Affecting Intraope…
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psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability-system-and-incentives
April 13, 2011 - Study
Classic
Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement.
Citation Text:
Mello MM, Studdert DM, Thomas EJ, et al. Who Pays for Medical Errors? An Analysis of Advers…