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psnet.ahrq.gov/issue/prevalence-nature-and-predictors-omitted-medication-doses-mental-health-hospitals-multi
August 11, 2021 - Study
Prevalence, nature and predictors of omitted medication doses in mental health hospitals: a multi-centre study.
Citation Text:
Keers RN, Hann M, Alshehri GH, et al. Prevalence, nature and predictors of omitted medication doses in mental health hospitals: A multi-centre study. PLoS …
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psnet.ahrq.gov/issue/toward-zero-harm-mackenzie-healths-journey-toward-becoming-high-reliability-organization-and
September 14, 2022 - Study
Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm.
Citation Text:
Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and e…
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psnet.ahrq.gov/issue/association-between-end-rotation-resident-transition-care-and-mortality-among-hospitalized
August 15, 2018 - Study
Association between end-of-rotation resident transition in care and mortality among hospitalized patients.
Citation Text:
Denson JL, Jensen A, Saag HS, et al. Association Between End-of-Rotation Resident Transition in Care and Mortality Among Hospitalized Patients. JAMA. 2016;316(2…
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psnet.ahrq.gov/issue/simulation-based-assessment-management-critical-events-board-certified-anesthesiologists
February 19, 2010 - Study
Simulation-based assessment of the management of critical events by board-certified anesthesiologists.
Citation Text:
Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical events by board-certified anesthesiologists. Anesthesiology. 201…
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psnet.ahrq.gov/issue/perception-safety-surgical-practice-among-operating-room-personnel-survey-data-associated-all
February 07, 2018 - Study
Perception of safety of surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death rate in South Carolina.
Citation Text:
Molina G, Berry WR, Lipsitz S, et al. Perception of Safety of Surgical Practice Among Operating R…
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psnet.ahrq.gov/issue/patient-safety-incidents-involving-sick-children-primary-care-england-and-wales-mixed-methods
October 12, 2016 - Study
Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis.
Citation Text:
Rees P, Edwards A, Powell C, et al. Patient Safety Incidents Involving Sick Children in Primary Care in England and Wales: A Mixed Methods Analysis. PLoS …
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psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre
January 11, 2023 - Study
Classic
A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis.
Citation Text:
Avery A, Rodgers S, Cantrill JA, et al. A pharmacist-led info…
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psnet.ahrq.gov/issue/iatroref-study-medical-errors-are-associated-symptoms-depression-icu-staff-not-burnout-or
April 12, 2011 - Study
The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture.
Citation Text:
Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but…
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psnet.ahrq.gov/issue/prospective-controlled-trial-electronic-hand-hygiene-reminder-system
April 07, 2021 - Study
A prospective controlled trial of an electronic hand hygiene reminder system.
Citation Text:
Ellison RT, Barysauskas CM, Rundensteiner EA, et al. A Prospective Controlled Trial of an Electronic Hand Hygiene Reminder System. Open Forum Infect Dis. 2015;2(4):ofv121. doi:10.1093/ofid/…
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psnet.ahrq.gov/issue/health-economic-evaluation-infection-prevention-and-control-program-are-quality-and-patient
June 02, 2021 - Study
Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment?
Citation Text:
Raschka S, Dempster L, Bryce E. Health economic evaluation of an infection prevention and control program: are quality and patien…
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psnet.ahrq.gov/issue/national-cluster-randomized-trial-duty-hour-flexibility-surgical-training
September 09, 2015 - Study
Classic
National cluster-randomized trial of duty-hour flexibility in surgical training.
Citation Text:
Bilimoria KY, Chung JW, Hedges L, et al. National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. New Engl J Med. 2016;374(8):71…
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psnet.ahrq.gov/issue/situ-simulation-tool-longitudinally-identify-and-track-latent-safety-threats-structured
June 08, 2022 - Study
In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study.
Citation Text:
Jafri FN, Yang CJ, Kumar A, et al. In situ simulation as a tool to longitud…
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - February 15, 2011
System approach to prevent common bile duct injury and enhance performance
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psnet.ahrq.gov/web-mm/july-syndrome
July 01, 2011 - trainee workload (e.g., through lower admission caps or panel sizes and use of physician extenders), enhance
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - Medicine, is to guide patient or provider behavior in a way that enhances health-related actions or enhance
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - This proactive approach enables individuals and organizations to enhance patient safety by mitigating
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Assess Staffing Levels and Enhance a Culture of Teamwork
Recognizing that there are constant risks
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psnet.ahrq.gov/node/33738/psn-pdf
December 01, 2012 - The fourth principle is to change processes to focus
on safety and to enhance patient safety culture
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psnet.ahrq.gov/node/33805/psn-pdf
April 01, 2016 - over the last couple of decades
have been separated for many reasons, some of which ACGME created to enhance
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psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-improves-maternal-and
September 23, 2024 - Project Nurture Engages Pregnant People with Substance Use Disorder, Improves Maternal and Infant Outcomes.
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March 11, 2021
Innovation
…