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psnet.ahrq.gov/issue/safety-cases-digital-health-innovations-can-they-work
April 13, 2022 - Commentary
Safety cases for digital health innovations: can they work?
Citation Text:
Sujan M, Habli I. Safety cases for digital health innovations: can they work? BMJ Qual Saf. 2021;30(12):1047-1050. doi:10.1136/bmjqs-2021-012983.
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psnet.ahrq.gov/issue/improving-safety-outcomes-through-medical-error-reduction-virtual-reality-based-clinical
July 27, 2022 - Study
Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training.
Citation Text:
Kennedy GAL, Pedram S, Sanzone S. Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Safety Sci. 2…
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psnet.ahrq.gov/issue/developing-perioperative-covid-19-testing-protocols-restore-surgical-services
February 12, 2020 - Commentary
Developing perioperative Covid-19 testing protocols to restore surgical services.
Citation Text:
Hamilton BCS, Kratz JR, Sosa JA, et al. Developing perioperative Covid-19 testing protocols to restore surgical services. NEJM Catalyst. 2020;June 19.
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psnet.ahrq.gov/issue/deep-scope-framework-safe-healthcare-design
August 18, 2021 - Commentary
DEEP SCOPE: a framework for safe healthcare design.
Citation Text:
Taylor E, Hignett S. DEEP SCOPE: a framework for safe healthcare design. Int J Environ Res Public Health. 2021;18(15):7780. doi:10.3390/ijerph18157780.
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psnet.ahrq.gov/issue/hospital-computerized-provider-order-entry-adoption-and-quality-examination-united-states
May 20, 2020 - Study
Hospital computerized provider order entry adoption and quality: an examination of the United States.
Citation Text:
Kazley AS, Diana ML. Hospital computerized provider order entry adoption and quality: an examination of the United States. Health Care Manage Rev. 2011;36(1):86-94…
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psnet.ahrq.gov/issue/pharmacist-led-educational-interventions-provided-healthcare-providers-reduce-medication
October 14, 2020 - Study
Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis.
Citation Text:
Jaam M, Naseralallah LM, Hussain TA, et al. Pharmacist-led educational interventions provided to healthcare providers to redu…
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psnet.ahrq.gov/issue/health-care-quality-and-safety-correctional-system-creating-goals-and-performance-measures
May 18, 2022 - Commentary
Health care quality and safety in a correctional system: creating goals and performance measures for improvement.
Citation Text:
Neely J, Sampath R, Kirkbride G, et al. Health care quality and safety in a correctional system: creating goals and performance measures for improve…
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psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation
September 23, 2020 - Study
A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system.
Citation Text:
Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconcili…
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psnet.ahrq.gov/issue/assessment-opioid-prescribing-practices-and-after-implementation-health-system-intervention
November 16, 2022 - Study
Emerging Classic
Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing.
Citation Text:
Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practi…
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psnet.ahrq.gov/issue/effects-brief-team-training-program-surgical-teams-nontechnical-skills-interrupted-time
December 08, 2021 - Study
Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study.
Citation Text:
Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series stu…
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psnet.ahrq.gov/issue/huddling-high-reliability-and-situation-awareness
January 29, 2014 - Study
Huddling for high reliability and situation awareness.
Citation Text:
Goldenhar LM, Brady PW, Sutcliffe K, et al. Huddling for high reliability and situation awareness. BMJ Qual Saf. 2013;22(11):899-906. doi:10.1136/bmjqs-2012-001467.
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psnet.ahrq.gov/issue/uncertain-diagnoses-childrens-hospital-patient-characteristics-and-outcomes
March 17, 2021 - Study
Uncertain diagnoses in a children's hospital: patient characteristics and outcomes.
Citation Text:
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
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psnet.ahrq.gov/issue/factors-related-serious-safety-events-childrens-hospital-patient-safety-collaborative
February 16, 2022 - Study
Factors related to serious safety events in a children's hospital patient safety collaborative.
Citation Text:
Burrus S, Hall M, Tooley E, et al. Factors related to serious safety events in a children's hospital patient safety collaborative. Pediatrics. 2021;148(3):e2020030346. doi…
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psnet.ahrq.gov/issue/confronting-safety-gaps-across-labor-and-delivery-teams
December 04, 2013 - Study
Confronting safety gaps across labor and delivery teams.
Citation Text:
Maxfield DG, Lyndon A, Kennedy HP, et al. Confronting safety gaps across labor and delivery teams. Am J Obstet Gynecol. 2013;209(5). doi:10.1016/j.ajog.2013.07.013.
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psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
August 05, 2020 - Study
Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare.
Citation Text:
Lindblad M, Schildmeijer K, Nilsson L, et al. Development of a trigger tool to identify adverse events and no-harm incidents that affect p…
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psnet.ahrq.gov/issue/responsibility-quality-improvement-and-patient-safety-hospital-board-and-medical-staff
April 27, 2010 - Review
Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.
Citation Text:
Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challeng…
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psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-quality
February 04, 2015 - Commentary
Classic
Accidental deaths, saved lives, and improved quality.
Citation Text:
Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157.
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psnet.ahrq.gov/issue/rapid-response-systems-and-collective-incompetence-exploratory-analysis-intraprofessional-and
June 19, 2012 - Study
Rapid response systems and collective (in)competence: an exploratory analysis of intraprofessional and interprofessional activation factors.
Citation Text:
Kitto S, Marshall SD, McMillan SE, et al. Rapid response systems and collective (in)competence: An exploratory analysis of int…
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psnet.ahrq.gov/issue/interventions-reduce-nurses-medication-administration-errors-inpatient-settings-systematic
October 13, 2021 - Review
Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic review and meta-analysis.
Citation Text:
Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic …
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psnet.ahrq.gov/issue/quality-traditional-surveillance-public-reporting-nosocomial-bloodstream-infection-rates
August 20, 2018 - Study
Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates.
Citation Text:
Lin MY, Hota B, Khan YM, et al. Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. JAMA. 2010;304(18):2035-41. doi:1…