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psnet.ahrq.gov/issue/frequency-and-nature-potentially-harmful-preventable-problems-primary-care-patients
June 30, 2021 - Study
Frequency and nature of potentially harmful preventable problems in primary care from the patient's perspective with clinician review: a population-level survey in Great Britain.
Citation Text:
Stocks SJ, Donnelly A, Esmail A, et al. Frequency and nature of potentially harmful prev…
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psnet.ahrq.gov/issue/hospital-nurses-and-physicians-experiences-practicing-patient-safety-work-recognize
October 20, 2021 - Study
Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study.
Citation Text:
Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deterio…
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psnet.ahrq.gov/issue/patient-handoffs-and-multi-specialty-trainee-perspectives-across-institution-informing
February 23, 2022 - Study
Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs.
Citation Text:
Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty t…
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psnet.ahrq.gov/issue/improving-communication-and-response-clinical-deterioration-increase-patient-safety-intensive
December 09, 2020 - Study
Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.
Citation Text:
Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase patient safety in the intensive care uni…
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digital.ahrq.gov/ahrq-funded-projects/use-electronic-referral-system-improve-outpatient-primary-care-specialty-care
January 01, 2023 - Use of Electronic Referral System to Improve the Outpatient Primary Care-Specialty Care Interface
Project Final Report ( PDF , 9.7 MB)
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psnet.ahrq.gov/issue/program-director-perceptions-surgical-resident-training-and-patient-care-under-flexible-duty
November 18, 2016 - Study
Program director perceptions of surgical resident training and patient care under flexible duty hour requirements.
Citation Text:
Saadat L, Dahlke AR, Rajaram R, et al. Program Director Perceptions of Surgical Resident Training and Patient Care under Flexible Duty Hour Requirements…
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psnet.ahrq.gov/issue/what-counts-voiceable-concern-decisions-about-speaking-out-hospitals-qualitative-study
June 16, 2021 - Study
What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study.
Citation Text:
Dixon-Woods M, Aveling EL, Campbell A, et al. What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. J Health Serv Res…
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psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide
June 22, 2022 - Study
Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data.
Citation Text:
Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standar…
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psnet.ahrq.gov/issue/multi-team-shared-expectations-tool-mt-set-exercise-improve-teamwork-across-health-care-teams
May 22, 2019 - Commentary
Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams.
Citation Text:
Marsteller JA, Rosen MA, Wyskiel R, et al. Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. Jt Comm J Q…
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psnet.ahrq.gov/issue/improving-communication-and-teamwork-during-labor-feasibility-acceptability-and-safety-study
July 20, 2022 - Study
Improving communication and teamwork during labor: a feasibility, acceptability, and safety study.
Citation Text:
Weiseth A, Plough A, Aggarwal R, et al. Improving communication and teamwork during labor: A feasibility, acceptability, and safety study. Birth. 2022;49(4):637-647. do…
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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/simulation-based-event-analysis-improves-error-discovery-and-generates-improved-strategies
July 07, 2021 - Study
Simulation-based event analysis improves error discovery and generates improved strategies for error prevention.
Citation Text:
Lobos A-T, Ward N, Farion KJ, et al. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Simu…
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psnet.ahrq.gov/issue/effectiveness-and-safety-pulse-oximetry-remote-patient-monitoring-patients-covid-19
October 05, 2022 - Review
Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review.
Citation Text:
Alboksmaty A, Beaney T, Elkin S, et al. Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a syste…
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psnet.ahrq.gov/issue/international-recommendations-national-patient-safety-incident-reporting-systems-expert
February 14, 2018 - Study
International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process.
Citation Text:
Howell A-M, Burns EM, Hull L, et al. International recommendations for national patient safety incident reporting systems: an expert Del…
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psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest
April 12, 2023 - Study
Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival.
Citation Text:
McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qua…
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psnet.ahrq.gov/issue/patient-safety-and-covid-19-pandemic-qualitative-study-perspectives-front-line-clinicians
May 15, 2024 - Study
Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians.
Citation Text:
Schulson L, Bandini J, Bialas A, et al. Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. BMJ Open Qual. 2024…
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-among-older-persons-meta-analysis-observational-studies
May 27, 2020 - Review
Emerging Classic
Potentially inappropriate prescribing among older persons: a meta-analysis of observational studies.
Citation Text:
Liew TM, Lee CS, Shawn KLG, et al. Potentially Inappropriate Prescribing Among Older Persons: A Meta-Analysis of Observati…
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psnet.ahrq.gov/issue/using-community-detection-techniques-identify-themes-covid-19-related-patient-safety-event
July 29, 2020 - Study
Using community detection techniques to identify themes in COVID-19-related patient safety event reports.
Citation Text:
Boxley C, Krevat SA, Sengupta S, et al. Using community detection techniques to identify themes in COVID-19-related patient safety event reports. J Patient Saf. …
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psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative
July 31, 2019 - Review
The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis.
Citation Text:
Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic rev…
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psnet.ahrq.gov/issue/varying-rates-patient-identity-verification-when-using-computerized-provider-order-entry
July 07, 2021 - Study
Varying rates of patient identity verification when using computerized provider order entry.
Citation Text:
Fortman E, Hettinger AZ, Howe JL, et al. Varying rates of patient identity verification when using computerized provider order entry. J Am Med Info Assoc. 2020;27(6):924-928…