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psnet.ahrq.gov/issue/defects-value-associated-hospital-acquired-conditions-how-improving-quality-could-save-us
October 30, 2024 - Study
Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion.
Citation Text:
Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 b…
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psnet.ahrq.gov/issue/design-evidence-based-second-victim-curriculum-nurse-anesthetists
February 15, 2023 - Commentary
Design of an evidence-based "second victim" curriculum for nurse anesthetists.
Citation Text:
Daniels RG, McCorkle R. Design of an Evidence-Based "Second Victim" Curriculum for Nurse Anesthetists. AANA J. 2016;84(2):107-113.
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psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire-survey
December 04, 2015 - Study
Important factors for effective patient safety governance auditing: a questionnaire survey.
Citation Text:
van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. d…
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric-intensive-care
April 06, 2016 - Study
The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit.
Citation Text:
Cifra CL, Jones KL, Ascenzi J, et al. The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. B…
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-picus-united-states-national-survey
October 20, 2014 - Study
The morbidity and mortality conference in PICUs in the United States: a national survey.
Citation Text:
Cifra CL, Bembea MM, Fackler JC, et al. The morbidity and mortality conference in PICUs in the United States: a national survey. Crit Care Med. 2014;42(10):2252-7. doi:10.1097/CC…
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psnet.ahrq.gov/issue/higher-accuracy-complex-medication-reconciliation-through-improved-design-electronic-tools
April 05, 2017 - Study
Higher accuracy of complex medication reconciliation through improved design of electronic tools.
Citation Text:
Horsky J, Drucker EA, Ramelson HZ. Higher accuracy of complex medication reconciliation through improved design of electronic tools. J Am Med Inform Assoc. 2018;25(5):46…
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psnet.ahrq.gov/issue/can-patient-safety-be-measured-surveys-patient-experiences
March 04, 2020 - Study
Can patient safety be measured by surveys of patient experiences?
Citation Text:
Solberg LI, Asche SE, Averbeck BM, et al. Can patient safety be measured by surveys of patient experiences? Jt Comm J Qual Patient Saf. 2008;34(5):266-274.
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review
June 09, 2015 - Review
Classic
Teaching quality improvement and patient safety to trainees: a systematic review.
Citation Text:
Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010;85(9):1425-39. d…
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psnet.ahrq.gov/issue/associations-physician-burnout-career-engagement-and-quality-patient-care-systematic-review
February 02, 2022 - Review
Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis.
Citation Text:
Hodkinson A, Zhou, A, Johnson J, et al. Associations of physician burnout with career engagement and quality of patient care: systematic review…
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psnet.ahrq.gov/issue/walking-plank-experimental-paradigm-investigate-safety-voice
January 18, 2023 - Study
Walking the plank: an experimental paradigm to investigate safety voice.
Citation Text:
Noort MC, Reader TW, Gillespie A. Walking the Plank: An Experimental Paradigm to Investigate Safety Voice. Front Psychol. 2019;10:668. doi:10.3389/fpsyg.2019.00668.
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psnet.ahrq.gov/issue/interventions-and-measurements-highly-reliableresilient-organization-implementations
July 21, 2021 - Review
Interventions and measurements of highly reliable/resilient organization implementations: a literature review.
Citation Text:
Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Appl Ergon…
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psnet.ahrq.gov/issue/factors-related-serious-safety-events-childrens-hospital-patient-safety-collaborative
February 16, 2022 - Study
Factors related to serious safety events in a children's hospital patient safety collaborative.
Citation Text:
Burrus S, Hall M, Tooley E, et al. Factors related to serious safety events in a children's hospital patient safety collaborative. Pediatrics. 2021;148(3):e2020030346. doi…
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psnet.ahrq.gov/issue/systematic-review-primary-care-safety-climate-survey-instruments-their-origins-psychometric
June 14, 2017 - Review
A systematic review of primary care safety climate survey instruments: their origins, psychometric properties, quality, and usage.
Citation Text:
Curran C, Lydon S, Kelly M, et al. A Systematic Review of Primary Care Safety Climate Survey Instruments: Their Origins, Psychometric P…
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psnet.ahrq.gov/issue/wisdom-through-adversity-learning-and-growing-wake-error
October 08, 2016 - Study
Wisdom through adversity: learning and growing in the wake of an error.
Citation Text:
Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006.
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psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups-efforts
May 13, 2020 - Government Resource
Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts.
Citation Text:
Moran J, Scanlon D. Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. Health Aff (Millwood). 2013;32(1):27-35…
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psnet.ahrq.gov/issue/discrepancies-written-versus-calculated-durations-opioid-prescriptions-pre-post-study
October 19, 2022 - Study
Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study.
Citation Text:
Slovis BH, Kairys J, Babula B, et al. Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. JMIR Med Inform. 2020;8(3). doi:10.2196/1…
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psnet.ahrq.gov/issue/actions-and-implementation-strategies-reduce-suicidal-events-veterans-health-administration
January 05, 2017 - Study
Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration.
Citation Text:
Mills PD, Neily J, Luan D, et al. Actions and Implementation Strategies to Reduce Suicidal Events in the Veterans Health Administration. The Joint Commission Journa…
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psnet.ahrq.gov/issue/morbidity-and-mortality-conferences-narrative-review-strategies-prioritize-quality
January 11, 2023 - Review
Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement.
Citation Text:
Giesbrecht V, Au S. Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement. Jt Comm J Qual Patient Saf. 2016;42(…
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psnet.ahrq.gov/issue/improving-patient-safety-operating-theatre-and-perioperative-care-obstacles-interventions-and
April 21, 2015 - Review
Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress.
Citation Text:
Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, inter…
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psnet.ahrq.gov/issue/my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report
September 09, 2020 - Commentary
'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene.
Citation Text:
Sax H, Allegranzi B, Uçkay I, et al. 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and …