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psnet.ahrq.gov/issue/reducing-avoidable-readmissions-effectively-rare-campaign
January 31, 2018 - Award Recipient
Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative.
Citation Text:
McCoy KA, Bear-Pfaffendorf K, Foreman JK, et al. Reducing Avoidable Hospital Readmissions Effectively: A Statewide Campaign. Joint Comm J Qual Patient Saf. 2016;40(5):198-204,…
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psnet.ahrq.gov/issue/identifying-and-measuring-administrative-harms-experienced-hospitalists-and-administrative
April 12, 2023 - Study
Identifying and measuring administrative harms experienced by hospitalists and administrative leaders.
Citation Text:
Burden M, Astik GJ, Auerbach AD, et al. Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. JAMA Intern Med. 2024…
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psnet.ahrq.gov/issue/role-emotion-patient-safety-are-we-brave-enough-scratch-beneath-surface
January 09, 2014 - Review
The role of emotion in patient safety: are we brave enough to scratch beneath the surface?
Citation Text:
Heyhoe J, Birks Y, Harrison R, et al. The role of emotion in patient safety: Are we brave enough to scratch beneath the surface? J R Soc Med. 2016;109(2):52-8. doi:10.1177/014…
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psnet.ahrq.gov/issue/patient-participation-patient-safety-and-nursing-input-systematic-review
June 10, 2020 - Review
Patient participation in patient safety and nursing input—a systematic review.
Citation Text:
Vaismoradi M, Jordan S, Kangasniemi M. Patient participation in patient safety and nursing input - a systematic review. J Clin Nurs. 2015;24(5-6):627-39. doi:10.1111/jocn.12664.
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psnet.ahrq.gov/issue/monitoring-adverse-drug-reactions-children-using-community-pharmacies-pilot-study
July 01, 2017 - Study
Monitoring adverse drug reactions in children using community pharmacies: a pilot study.
Citation Text:
Stewart D, Helms P, McCaig D, et al. Monitoring adverse drug reactions in children using community pharmacies: a pilot study. Br J Clin Pharmacol. 2005;59(6):677-83.
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psnet.ahrq.gov/issue/nurses-communication-safety-events-nursing-home-residents-and-families
September 23, 2020 - Study
Nurses' communication of safety events to nursing home residents and families.
Citation Text:
Wagner LM, Driscoll L, Darlington JL, et al. Nurses' Communication of Safety Events to Nursing Home Residents and Families. J Gerontol Nurs. 2018;44(2):25-32. doi:10.3928/00989134-20171002…
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psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women
August 04, 2021 - Study
Applying root cause analysis to improve patient safety: decreasing falls in postpartum women.
Citation Text:
Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.113…
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psnet.ahrq.gov/issue/relationship-between-psychological-safety-and-reporting-nonadherence-safety-checklist
April 06, 2022 - Study
Relationship between psychological safety and reporting nonadherence to a safety checklist.
Citation Text:
Gilmartin HM, Langner P, Gokhale M, et al. Relationship Between Psychological Safety and Reporting Nonadherence to a Safety Checklist. J Nurs Care Qual. 2018;33(1):53-60. doi:…
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psnet.ahrq.gov/issue/extended-work-shifts-and-neurobehavioral-performance-resident-physicians
July 15, 2020 - Study
Emerging Classic
Extended work shifts and neurobehavioral performance in resident-physicians.
Citation Text:
Rahman SA, Sullivan JP, Barger LK, et al. Extended Work Shifts and Neurobehavioral Performance in Resident-Physicians. Pediatrics. 2021;147(3):e202…
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psnet.ahrq.gov/issue/safety-patients-isolated-infection-control
January 15, 2020 - Study
Classic
Safety of patients isolated for infection control.
Citation Text:
Stelfox HT, Bates DW, Redelmeier DA. Safety of patients isolated for infection control. JAMA. 2003;290(14):1899-1905.
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psnet.ahrq.gov/issue/second-victim-phenomenon-after-clinical-error-design-and-evaluation-website-reduce-caregivers
October 11, 2017 - Study
The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce caregivers' emotional responses after a clinical error.
Citation Text:
Mira JJ, Carrillo I, Guilabert M, et al. The Second Victim Phenomenon After a Clinical Error: The Design and …
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psnet.ahrq.gov/issue/measurement-performance-driver-case-national-measurement-system-improve-patient-safety
September 01, 2018 - Review
Measurement as a performance driver: the case for a national measurement system to improve patient safety.
Citation Text:
Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Sa…
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psnet.ahrq.gov/issue/identification-and-safe-storage-look-alike-sound-alike-medicines-automated-dispensing
June 23, 2009 - Study
Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets.
Citation Text:
Ruutiainen HK, Kallio MM, Kuitunen SK. Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. Eur J Hosp Pharm. 2021…
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psnet.ahrq.gov/issue/whats-name-provider-perception-injured-john-doe-patients
September 27, 2017 - Study
What's in a name? Provider perception of injured John Doe patients.
Citation Text:
Janowak CF, Agarwal SK, Zarzaur BL. What's in a Name? Provider Perception of Injured John Doe Patients. J Surg Res. 2019;238:218-223. doi:10.1016/j.jss.2019.01.027.
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psnet.ahrq.gov/issue/making-residents-part-safety-culture-improving-error-reporting-and-reducing-harms
April 24, 2018 - Commentary
Making residents part of the safety culture: improving error reporting and reducing harms.
Citation Text:
Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1…
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psnet.ahrq.gov/issue/high-alert-medication-administration-and-intravenous-smart-pumps-descriptive-analysis
December 12, 2018 - Study
High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice.
Citation Text:
Marwitz KK, Giuliano KK, Su W-T, et al. High-alert medication administration and intravenous smart pumps: A descriptive analysis of clinical practice. Res S…
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psnet.ahrq.gov/issue/development-and-early-experience-intervention-facilitate-teamwork-between-general-practices
June 29, 2011 - Study
Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study.
Citation Text:
Harris MF, Chan BC, Daniel C, et al. Development and early experience from an intervention to facilitate teamwor…
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psnet.ahrq.gov/issue/operating-room-organization-and-surgical-performance-systematic-review
March 05, 2025 - Review
Operating room organization and surgical performance: a systematic review.
Citation Text:
Pasquer A, Ducarroz S, Lifante JC, et al. Operating room organization and surgical performance: a systematic review. Patient Saf Surg. 2024;18(1):5. doi:10.1186/s13037-023-00388-3.
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psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital-transport-critically
March 15, 2016 - Study
A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients.
Citation Text:
Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of…
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psnet.ahrq.gov/issue/problems-health-information-technology-and-their-effects-care-delivery-and-patient-outcomes
February 14, 2024 - Review
Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review.
Citation Text:
Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic r…