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psnet.ahrq.gov/issue/physicians-failed-write-flawless-prescriptions-when-computerized-physician-order-entry-system
January 21, 2015 - Study
Physicians failed to write flawless prescriptions when computerized physician order entry system crashed.
Citation Text:
Hsu C-C, Chou C-L, Chen T-J, et al. Physicians Failed to Write Flawless Prescriptions When Computerized Physician Order Entry System Crashed. Clin Ther. 2015;37(…
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psnet.ahrq.gov/issue/safety-culture-operating-room-variability-among-perioperative-healthcare-workers
November 17, 2021 - Study
Safety culture in the operating room: variability among perioperative healthcare workers.
Citation Text:
Pimentel MPT, Choi S, Fiumara K, et al. Safety culture in the operating room: variability among perioperative healthcare workers. J Patient Saf. 2021;17(6):412-416. doi:10.1097/…
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psnet.ahrq.gov/issue/ranking-hospitals-based-preventable-hospital-death-rates-systematic-review-implications-both
April 22, 2017 - Review
Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates.
Citation Text:
Manaseki-Holland S, Lilford RJ, Te AP, et al. Ranking Hospitals Based on Pre…
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psnet.ahrq.gov/issue/mixed-methods-study-challenges-experienced-clinical-teams-measuring-improvement
February 20, 2019 - Study
A mixed-methods study of challenges experienced by clinical teams in measuring improvement.
Citation Text:
Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.11…
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psnet.ahrq.gov/issue/use-revised-second-victim-experience-and-support-tool-examine-second-victim-experiences
November 03, 2021 - Study
Use of the revised second victim experience and support tool to examine second victim experiences of respiratory therapists.
Citation Text:
Allender EA, Bottema SM, Bosley CL, et al. Use of the revised second victim experience and support tool to examine second victim experiences o…
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psnet.ahrq.gov/issue/patient-safety-culture-impact-workplace-violence-and-health-worker-burnout
December 07, 2022 - Study
Patient safety culture: the impact on workplace violence and health worker burnout.
Citation Text:
Kim S, Kitzmiller R, Baernholdt MB, et al. Patient safety culture: the impact on workplace violence and health worker burnout. Workplace Health Saf. 2022;71(2):78-88. doi:10.1177/2165…
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psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident
January 15, 2020 - Journal Article
Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths
Citation Text:
Mitchell R, Faris M, Lystad R, et al. Using the WHO International Classification…
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psnet.ahrq.gov/issue/association-inappropriate-outpatient-pediatric-antibiotic-prescriptions-adverse-drug-events
March 05, 2008 - Review
Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures.
Citation Text:
Butler AM, Brown DS, Durkin MJ, et al. Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug even…
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psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-consumer-reports-safety
July 21, 2016 - Study
Exploring relationships between hospital patient safety culture and Consumer Reports safety scores.
Citation Text:
Smith SA, Yount N, Sorra J. Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. BMC Health Serv Res. 2017;17(1):143. do…
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psnet.ahrq.gov/issue/patient-safety-culture-improves-during-situ-simulation-intervention-repeated-cross-sectional
January 20, 2021 - Study
Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites.
Citation Text:
Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation intervention: a re…
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psnet.ahrq.gov/issue/underlying-reasons-associated-hospital-readmission-following-surgery-united-states
May 06, 2020 - Study
Classic
Underlying reasons associated with hospital readmission following surgery in the United States.
Citation Text:
Merkow RP, Ju MH, Chung JW, et al. Underlying reasons associated with hospital readmission following surgery in the United States. JAMA. …
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psnet.ahrq.gov/issue/associations-between-new-disruptive-behaviors-scale-and-teamwork-patient-safety-work-life
June 02, 2021 - Study
Emerging Classic
Associations between a new disruptive behaviors scale and teamwork, patient safety, work-life balance, burnout, and depression.
Citation Text:
Rehder KJ, Adair KC, Hadley A, et al. Associations Between a New Disruptive Behaviors Scale and …
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psnet.ahrq.gov/issue/combined-impact-medicares-hospital-pay-performance-programs-quality-and-safety-outcomes-mixed
December 08, 2021 - Study
Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed.
Citation Text:
Waters TM, Burns N, Kaplan CM, et al. Combined impact of Medicare’s hospital pay for performance programs on quality and safety outcomes is mixed. BMC Health …
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psnet.ahrq.gov/issue/adherence-surgical-care-improvement-project-measures-and-association-postoperative-infections
November 25, 2020 - Study
Classic
Adherence to Surgical Care Improvement Project measures and the association with postoperative infections.
Citation Text:
Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures and the association wit…
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psnet.ahrq.gov/issue/differences-donor-heart-acceptance-race-and-gender-patients-transplant-waiting-list
January 12, 2022 - Study
Differences in donor heart acceptance by race and gender of patients on the transplant waiting list.
Citation Text:
Breathett K, Knapp SM, Lewsey SC, et al. Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. JAMA. 2024;331(16):1379-…
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psnet.ahrq.gov/issue/effectiveness-communication-interventions-obstetrics-systematic-review
April 13, 2022 - Review
Effectiveness of communication interventions in obstetrics--a systematic review.
Citation Text:
Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ije…
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psnet.ahrq.gov/issue/patient-and-consumer-safety-risks-when-using-conversational-assistants-medical-information
December 15, 2021 - Study
Patient and consumer safety risks when using conversational assistants for medical information: an observational study of Siri, Alexa, and Google Assistant.
Citation Text:
Bickmore TW, Trinh H, Olafsson S, et al. Patient and consumer safety risks when using conversational assistant…
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psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-care-transitions-insights-project-achieve-site-visits
September 23, 2020 - Study
Classic
Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits.
Citation Text:
Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights from Project ACHIEV…
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psnet.ahrq.gov/issue/missed-acute-coronary-syndrome-during-telephone-triage-out-hours-primary-care-lessons-case
March 11, 2020 - Study
Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study.
Citation Text:
Erkelens DC, Rutten FH, Wouters LT, et al. Missed Acute Coronary Syndrome During Telephone Triage at Out-of-Hours Primary Care. J Patient Saf. 2022…
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psnet.ahrq.gov/issue/organizational-characteristics-and-perceptions-clinical-event-notification-services
December 02, 2020 - Study
Organizational characteristics and perceptions of clinical event notification services in healthcare settings: a study of health information exchange.
Citation Text:
Wiley KK, Hilts KE, Ancker JS, et al. Organizational characteristics and perceptions of clinical event notification …