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psnet.ahrq.gov/issue/interprofessionalinterdisciplinary-teamwork-during-early-covid-19-pandemic-experience
September 23, 2020 - Commentary
Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center.
Citation Text:
Natale JAE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early COVI…
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psnet.ahrq.gov/issue/development-rapid-response-capabilities-large-covid-19-alternate-care-site-using-failure
September 16, 2020 - Commentary
Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation.
Citation Text:
Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19 alternate ca…
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psnet.ahrq.gov/issue/intraoperative-deaths-who-why-and-can-we-prevent-them
November 04, 2020 - Study
Intraoperative deaths: who, why, and can we prevent them?
Citation Text:
Dorken Gallastegi A, Mikdad S, Kapoen C, et al. Intraoperative deaths: who, why, and can we prevent them? J Surg Res. 2022;274:185-195. doi:10.1016/j.jss.2022.01.007.
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psnet.ahrq.gov/issue/scoping-review-real-time-automated-clinical-deterioration-alerts-and-evidence-impacts
February 16, 2022 - Review
A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes.
Citation Text:
Blythe R, Parsons R, White NM, et al. A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hos…
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psnet.ahrq.gov/issue/identifying-health-information-technology-usability-issues-contributing-medication-errors
November 03, 2021 - Study
Identifying health information technology usability issues contributing to medication errors across medication process stages.
Citation Text:
Adams KT, Pruitt Z, Kazi S, et al. Identifying health information technology usability issues contributing to medication errors across medic…
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digital.ahrq.gov/sites/default/files/docs/page/Workshop%20Agenda.pdf
June 16, 2021 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Workshop Agenda
1
AGENDA
DAY ONE: WHAT ENGINEERING KNOWLEDGE IS NEEDED TO CREATE A DESIRED
FUTURE FOR HEALTH CARE?
8:00 am
Registration and Continental Breakfast
8:30 am Welcome
Patricia Flatley Br…
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psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and
February 15, 2023 - Study
Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement.
Citation Text:
Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement…
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psnet.ahrq.gov/issue/classification-medication-incidents-associated-information-technology
November 23, 2012 - Study
Classification of medication incidents associated with information technology.
Citation Text:
Cheung K-C, van der Veen W, Bouvy ML, et al. Classification of medication incidents associated with information technology. J Am Med Inform Assoc. 2014;21(e1):e63-70. doi:10.1136/amiajnl-2…
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psnet.ahrq.gov/issue/errors-associated-outpatient-computerized-prescribing-systems
June 28, 2010 - Study
Classic
Errors associated with outpatient computerized prescribing systems.
Citation Text:
Nanji KC, Rothschild JM, Salzberg C, et al. Errors associated with outpatient computerized prescribing systems. J Am Med Inform Assoc. 2011;18(6):767-73. doi:10.1136…
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psnet.ahrq.gov/issue/did-organization-primary-care-practices-during-covid-19-pandemic-influence-quality-and-safety
January 08, 2025 - Study
Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey.
Citation Text:
Eriksson M, Blomberg K, Arvidsson E, et al. Did the organization of primary care practices during the COVID-19 pandemic influence qual…
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psnet.ahrq.gov/issue/potential-unintended-consequences-due-medicares-no-pay-errors-rule-randomized-controlled
July 02, 2014 - Study
Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.
Citation Text:
Mookherjee S, Vidyarthi AR, Ranji SR, et al. Potential Unintended Consequences Due to Medica…
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psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team
December 21, 2014 - Study
Clinical triggers: an alternative to a rapid response team.
Citation Text:
Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm J Qual Patient Saf. 2009;35(3):164-74.
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psnet.ahrq.gov/issue/does-one-size-fit-all-developing-evaluation-strategy-assess-large-language-models-patient
December 07, 2022 - Study
Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis.
Citation Text:
Fong A, Adams KT, Boxley C, et al. Does one size fit all? Developing an evaluation strategy to assess large language models for patient …
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psnet.ahrq.gov/issue/occupational-therapy-utilization-veterans-dementia-retrospective-review-root-cause-analyses
March 25, 2020 - Study
Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events.
Citation Text:
Rhodus EK, Lancaster EA, Hunter EG, et al. Occupational therapy utilization in veterans with dementia: a retrospective review…
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psnet.ahrq.gov/issue/identifying-and-classifying-diagnostic-errors-acute-care-across-hospitals-early-lessons
April 12, 2023 - Study
Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study.
Citation Text:
Dalal AK, Schnipper JL, Raffel K, et al. Identifying and classifying diagnostic errors in acute car…
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psnet.ahrq.gov/issue/design-and-impact-novel-surgery-specific-second-victim-peer-support-program
March 09, 2022 - Study
Emerging Classic
Design and impact of a novel surgery-specific second victim peer support program.
Citation Text:
El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2…
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psnet.ahrq.gov/issue/quality-management-and-perceptions-teamwork-and-safety-climate-european-hospitals
May 26, 2014 - Study
Quality management and perceptions of teamwork and safety climate in European hospitals.
Citation Text:
Kristensen S, Hammer A, Bartels P, et al. Quality management and perceptions of teamwork and safety climate in European hospitals. Int J Qual Health Care. 2015;27(6):499-506. doi…
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psnet.ahrq.gov/issue/multi-facetted-patient-safety-resource-qualitative-interview-study-hospital-managers
September 20, 2023 - Study
A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team.
Citation Text:
Axelsen MS, Baumgarten M, Egholm CL, et al. A multi‐facetted patient safety resource—a qualitative interview study on hospit…
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psnet.ahrq.gov/issue/impact-surgical-complications-obstetricians-and-gynecologists-wellbeing-and-coping-mechanisms
February 28, 2024 - Study
The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims.
Citation Text:
Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechani…
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psnet.ahrq.gov/issue/effect-work-hours-regulations-intensive-care-unit-mortality-united-states-teaching-hospitals
August 20, 2018 - Study
Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals.
Citation Text:
Prasad M, Iwashyna TJ, Christie JD, et al. Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals. Crit Care Med. 2…