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psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safety-randomized-controlled-trial
March 02, 2011 - Study
Classic
Bar-coding surgical sponges to improve safety: a randomized controlled trial.
Citation Text:
Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5.…
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psnet.ahrq.gov/issue/effects-three-consecutive-12-hour-shifts-cognition-sleepiness-and-domains-nursing-performance
December 01, 2021 - Study
The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: a quasi-experimental study.
Citation Text:
James L, Elkins-Brown N, Wilson M, et al. The effects of three consecutive 12-hour shifts on cognit…
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psnet.ahrq.gov/issue/association-between-sleep-health-and-rates-self-reported-medical-errors-intern-physicians
February 07, 2024 - Study
Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study.
Citation Text:
Hassinger AB, Velez C, Wang J, et al. Association between sleep health and rates of self-reported medical errors in inte…
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psnet.ahrq.gov/issue/risk-factors-associated-medication-administration-errors-children-prospective-direct
August 28, 2024 - Study
Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients.
Citation Text:
Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective…
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psnet.ahrq.gov/issue/developing-process-measure-actual-harm-medication-errors-paediatric-inpatients-design
January 18, 2023 - Study
Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation.
Citation Text:
Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to i…
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psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-interventions-operating-room-intensive-care-unit-handoffs
July 08, 2020 - Review
Emerging Classic
Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs.
Citation Text:
Abraham J, Meng A, Tripathy S, et al. Systematic review and meta-analysis of interventions for operating room to inten…
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psnet.ahrq.gov/issue/coping-medical-error-systematic-review-papers-assess-effects-involvement-medical-errors
March 04, 2015 - Review
Coping with medical error: a systematic review of papers to assess the effects of involvement in medical errors on healthcare professionals' psychological well-being.
Citation Text:
Sirriyeh R, Lawton R, Gardner P, et al. Coping with medical error: a systematic review of papers …
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psnet.ahrq.gov/issue/prevalence-and-characterisation-diagnostic-error-among-7-day-all-cause-hospital-medicine
April 12, 2023 - Study
Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study.
Citation Text:
Raffel KE, Kantor MA, Barish P, et al. Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine …
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psnet.ahrq.gov/issue/board-bedside-how-application-financial-structures-safety-and-quality-can-drive
January 29, 2015 - Study
From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system.
Citation Text:
Austin M, Demski R, Callender T, et al. From Board to Bedside: How the Application of Financial Structures to Safety and Q…
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psnet.ahrq.gov/issue/potential-harms-resulting-patient-clinician-real-time-clinical-encounters-using-video-based
February 14, 2017 - Review
Potential harms resulting from patient–clinician real-time clinical encounters using video-based telehealth: a making healthcare safer rapid evidence review.
Citation Text:
Rosen MA, Stewart CM, Kharrazi H, et al. Potential harms resulting from patient–clinician real-time clinical…
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psnet.ahrq.gov/issue/covid-19-pandemic-patient-safety-new-spring-telemedicine-or-boomerang-effect
April 13, 2022 - Commentary
From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect?
Citation Text:
De Micco F, Fineschi V, Banfi G, et al. From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Front Med (Lausanne). 2022;9…
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psnet.ahrq.gov/issue/alert-burden-pediatric-hospitals-cross-sectional-analysis-six-academic-pediatric-health
September 29, 2021 - Study
Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics.
Citation Text:
Orenstein EW, Kandaswamy S, Muthu N, et al. Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health …
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psnet.ahrq.gov/issue/targeted-versus-universal-decolonization-prevent-icu-infection
November 16, 2022 - Study
Classic
Targeted versus universal decolonization to prevent ICU infection.
Citation Text:
Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa12…
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psnet.ahrq.gov/issue/identifying-electronic-health-record-usability-and-safety-challenges-pediatric-settings
December 21, 2018 - Study
Emerging Classic
Identifying electronic health record usability and safety challenges in pediatric settings.
Citation Text:
Ratwani RM, Savage E, Will A, et al. Identifying Electronic Health Record Usability And Safety Challenges In Pediatric Settings. Hea…
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psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-barcode-medication-administration-nursing-staff-using
August 28, 2024 - Study
Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioural science frameworks. A mixed methods study.
Citation Text:
Grailey K, Hussain R, Wylleman E, et al. Understanding the facilitators and barriers to barcode medication a…
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psnet.ahrq.gov/issue/how-does-who-surgical-safety-checklist-fit-existing-perioperative-risk-management-strategies
March 18, 2020 - Study
How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties.
Citation Text:
Wæhle HV, Haugen AS, Wiig S, et al. How does the WHO Surgical Safety Checklist fit with existing perioperative ri…
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psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation
May 29, 2019 - Study
Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module.
Citation Text:
Le RD, Melanson SEF, Petrides AK, et al. Significant Reduction in Preanalytical Errors for Nonphlebotomy Blood Draws Aft…
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psnet.ahrq.gov/issue/impact-providing-patients-access-electronic-health-records-quality-and-safety-care-systematic
July 27, 2022 - Review
Emerging Classic
Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis.
Citation Text:
Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic …
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psnet.ahrq.gov/issue/disclosing-adverse-events-clinical-practice-delicate-act-being-open
April 14, 2021 - Review
Disclosing adverse events in clinical practice: the delicate act of being open.
Citation Text:
Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.18…
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psnet.ahrq.gov/issue/effect-patient-safety-education-interventions-patient-safety-culture-health-care
January 26, 2022 - Review
Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis.
Citation Text:
Agbar F, Zhang S, Wu Y, et al. Effect of patient safety education interventions on patient safety culture of health care pro…