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psnet.ahrq.gov/issue/color-coded-prefilled-medication-syringes-decrease-time-delivery-and-dosing-errors-simulated
September 09, 2015 - Study
Color-coded prefilled medication syringes decrease time to delivery and dosing errors in simulated prehospital pediatric resuscitations: a randomized crossover trial.
Citation Text:
Stevens AD, Hernandez C, Jones S, et al. Color-coded prefilled medication syringes decrease time to …
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psnet.ahrq.gov/issue/multiple-meanings-resilience-health-professionals-experiences-dual-element-training
August 10, 2022 - Study
Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error.
Citation Text:
Janes G, Harrison R, Johnson J, et al. Multiple meanings of resilience: health professionals' experiences o…
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psnet.ahrq.gov/issue/streamlining-care-crisis-rapid-creation-and-implementation-digital-support-tool-covid-19
October 21, 2020 - Commentary
Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19.
Citation Text:
Stark N, Kerrissey M, Grade M, et al. Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. West J Emerg Med. …
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psnet.ahrq.gov/issue/impact-surgical-count-technology-retained-surgical-items-rates-veterans-health-administration
January 17, 2019 - Study
The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration.
Citation Text:
Gunnar W, Soncrant C, Lynn MM, et al. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. J Pat…
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psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis
December 16, 2020 - Study
Medication errors in the outpatient setting: classification and root cause analysis.
Citation Text:
Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284.
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psnet.ahrq.gov/issue/electromagnetic-interference-radio-frequency-identification-inducing-potentially-hazardous
February 14, 2024 - Study
Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment.
Citation Text:
van der Togt R, van Lieshout EJ, Hensbroek R, et al. Electromagnetic interference from radio frequency identification indu…
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psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie
February 14, 2024 - Study
Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model.
Citation Text:
Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification o…
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psnet.ahrq.gov/issue/successful-implementation-unit-based-quality-nurse-reduce-central-line-associated-bloodstream
September 23, 2020 - Study
Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections.
Citation Text:
Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Am J …
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psnet.ahrq.gov/issue/effectiveness-different-nursing-handover-styles-ensuring-continuity-information-hospitalised
May 19, 2018 - Review
Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients.
Citation Text:
Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. …
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psnet.ahrq.gov/issue/comparing-va-and-non-va-quality-care-systematic-review
May 15, 2024 - Review
Comparing VA and Non-VA quality of care: a systematic review.
Citation Text:
O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2.
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psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
October 12, 2018 - EMERGING INNOVATIONS
Let us to the TWISST; Plan, Simulate, Study and Act.
Citation Text:
Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664.
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psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-educational-interventions-designed-improve-medication
June 24, 2020 - Review
Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses.
Citation Text:
Härkänen M, Voutilainen A, Turunen E, et al. Systematic review and meta-analysis of educational interventions desig…
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psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-reports-due
June 01, 2016 - Study
SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study.
Citation Text:
Randmaa M, Mårtensson G, Swenne CL, et al. SBAR improves communication and safety climate and decreas…
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psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes
February 06, 2019 - Study
Using incident reports to assess communication failures and patient outcomes.
Citation Text:
Umberfield E, Ghaferi AA, Krein SL, et al. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019;45(6):406-413. doi:10.1016/j.jcjq.2…
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psnet.ahrq.gov/issue/influence-professional-identity-how-receiver-receives-and-responds-speaking-message-cross
August 10, 2022 - Study
The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study.
Citation Text:
Barlow M, Watson B, Jones EW, et al. The influence of professional identity on how the receiver receives and responds to a speaking up …
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psnet.ahrq.gov/issue/prevalence-patterns-and-predictors-nursing-care-left-undone-european-hospitals-results
January 04, 2015 - Study
Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study.
Citation Text:
Ausserhofer D, Zander B, Busse R, et al. Prevalence, patterns and predictors of nursing care left undone in European h…
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psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events
February 20, 2019 - Study
Using Safety-II and resilient healthcare principles to learn from Never Events.
Citation Text:
Anderson JE, Watt AJ. Using Safety-II and resilient healthcare principles to learn from Never Events. Int J Qual Health Care. 2020;32(3):196-203. doi:10.1093/intqhc/mzaa009.
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psnet.ahrq.gov/issue/large-scale-observational-study-ai-based-patient-and-surgical-material-verification-system
August 27, 2012 - Study
Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology: real-world evaluation in 37 529 cases.
Citation Text:
Tabuchi H, Ishitobi N, Deguchi H, et al. Large-scale observational study of AI-based patient and surgical material v…
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psnet.ahrq.gov/issue/impact-who-surgical-safety-checklist-relative-its-design-and-intended-use-systematic-review
March 17, 2021 - Review
Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis.
Citation Text:
Sotto KT, Burian BK, Brindle ME. Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review…
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psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record-data
June 12, 2019 - Commentary
Classic
Potential biases in machine learning algorithms using electronic health record data.
Citation Text:
Gianfrancesco MA, Tamang S, Yazdany J, et al. Potential Biases in Machine Learning Algorithms Using Electronic Health Record Data. JAMA Intern …