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psnet.ahrq.gov/issue/patient-access-electronic-health-records-during-hospitalization
October 19, 2022 - Study
Patient access to electronic health records during hospitalization.
Citation Text:
Pell JM, Mancuso M, Limon S, et al. Patient access to electronic health records during hospitalization. JAMA Intern Med. 2015;175(5):856-858. doi:10.1001/jamainternmed.2015.121.
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psnet.ahrq.gov/issue/hamilton-acute-pain-service-safety-study-using-root-cause-analysis-reduce-incidence-adverse
January 12, 2011 - Study
Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce the incidence of adverse events.
Citation Text:
Paul JE, Buckley N, McLean RF, et al. Hamilton acute pain service safety study: using root cause analysis to reduce the incidence of adverse events. Anesth…
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psnet.ahrq.gov/issue/using-met-service-manage-hemorrhage-post-percutaneous-liver-biopsy
January 05, 2017 - Study
Using an MET service to manage hemorrhage post-percutaneous liver biopsy.
Citation Text:
Jones D, Bellomo R, Leong T. Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Jt Comm J Qual Patient Saf. 2006;32(8):459-62, 417.
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psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management
October 19, 2022 - Study
Elopement: evidence-based mitigation and management.
Citation Text:
Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence‐based mitigation and management. Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683.
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psnet.ahrq.gov/issue/improving-surgical-complications-and-patient-safety-nations-largest-military-hospital
November 09, 2022 - Study
Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data.
Citation Text:
Maturo S, Hughes C, Kallingal G, et al. Improving Surgical Complications and Patient Safety at the Nation…
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psnet.ahrq.gov/issue/practising-safely-foundation-years
February 04, 2015 - Commentary
Practising safely in the foundation years.
Citation Text:
Long SJ, Neale G, Vincent CA. Practising safely in the foundation years. BMJ. 2009;338:b1046. doi:10.1136/bmj.b1046.
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psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-cpoe-clinical-pharmacy-practice-hypothesis
November 16, 2022 - Study
Impact of computerized prescriber order entry (CPOE) on clinical pharmacy practice: a hypothesis-generating study.
Citation Text:
Lai JS, Yokoyama G, Louie C, et al. Impact of Computerized Prescriber Order Entry (CPOE) on Clinical Pharmacy Practice: A Hypothesis-Generating Study. H…
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psnet.ahrq.gov/issue/evaluation-preoperative-team-briefing-new-communication-routine-results-improved-clinical
April 06, 2011 - Study
Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice.
Citation Text:
Lingard LA, Regehr G, Cartmill C, et al. Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. BM…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
November 15, 2011 - Review
Patient safety and quality improvement: reducing risk of harm.
Citation Text:
Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev. 2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448.
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psnet.ahrq.gov/issue/persistence-unsafe-practice-everyday-work-exploration-organizational-and-psychological
April 06, 2011 - Study
Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room.
Citation Text:
Espin S, Lingard L, Baker GR, et al. Persistence of unsafe practice in everyday work: an exploration of organizati…
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psnet.ahrq.gov/issue/patient-and-family-empowerment-agents-ambulatory-care-safety-and-quality
December 15, 2021 - Commentary
Patient and family empowerment as agents of ambulatory care safety and quality.
Citation Text:
Roter DL, Wolff JL, Wu AW, et al. Patient and family empowerment as agents of ambulatory care safety and quality. BMJ Qual Saf. 2017;26(6):508-512. doi:10.1136/bmjqs-2016-005489.
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psnet.ahrq.gov/issue/analysis-and-prioritization-near-miss-adverse-events-radiology-department
June 15, 2016 - Study
Analysis and prioritization of near-miss adverse events in a radiology department.
Citation Text:
Thornton RH, Miransky J, Killen A, et al. Analysis and prioritization of near-miss adverse events in a radiology department. AJR Am J Roentgenol. 2011;196(5):1120-4. doi:10.2214/AJR.10…
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psnet.ahrq.gov/issue/novel-process-audit-standardized-perioperative-handoff-protocols
June 27, 2018 - Commentary
A novel process audit for standardized perioperative handoff protocols.
Citation Text:
Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.…
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psnet.ahrq.gov/issue/systematic-review-effect-distraction-surgeon-performance-directions-operating-room-policy-and
November 14, 2011 - Review
A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training.
Citation Text:
Mentis HM, Chellali A, Manser K, et al. A systematic review of the effect of distraction on surgeon performance: directions for opera…
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psnet.ahrq.gov/issue/patient-safety-and-dentistry-what-do-we-need-know-fundamentals-patient-safety-safety-culture
April 01, 2020 - Review
Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice.
Citation Text:
Yamalik N, Pérez BP. Patient safety and dentistry: what do we need to know? Fundamentals of …
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psnet.ahrq.gov/issue/understanding-safety-culture-long-term-care-case-study
April 19, 2011 - Study
Understanding safety culture in long-term care: a case study.
Citation Text:
Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7.
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psnet.ahrq.gov/issue/prescribing-errors-hospital-practice
July 01, 2017 - Review
Prescribing errors in hospital practice.
Citation Text:
Tully MP. Prescribing errors in hospital practice. Br J Clin Pharmacol. 2012;74(4):668-75. doi:10.1111/j.1365-2125.2012.04313.x.
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psnet.ahrq.gov/issue/pediatric-medication-safety-adult-community-hospital-settings-glimpse-nationwide-practice
March 14, 2022 - Study
Pediatric medication safety in adult community hospital settings: a glimpse into nationwide practice.
Citation Text:
Alvarez F, Ismail L, Markowsky A. Pediatric Medication Safety in Adult Community Hospital Settings: A Glimpse Into Nationwide Practice. Hosp Pediatr. 2016;6(12):744-…
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psnet.ahrq.gov/issue/emergency-department-boarding-and-adverse-hospitalization-outcomes-among-patients-admitted
July 13, 2016 - Study
Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service.
Citation Text:
Lord K, Parwani V, Ulrich A, et al. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medica…
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psnet.ahrq.gov/issue/team-communication-during-patient-handover-operating-room-more-facts-and-figures
December 16, 2009 - Study
Team communication during patient handover from the operating room: more than facts and figures.
Citation Text:
Manser T, Foster S, Flin R, et al. Team communication during patient handover from the operating room: more than facts and figures. Hum Factors. 2013;55(1):138-56.
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