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psnet.ahrq.gov/issue/preparedness-covid-19-situ-simulation-enhance-infection-control-systems-intensive-care-unit
June 29, 2011 - Commentary
Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit.
Citation Text:
Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br …
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psnet.ahrq.gov/issue/care-homes-use-medicines-study-prevalence-causes-and-potential-harm-medication-errors-care
April 22, 2011 - Study
Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.
Citation Text:
Barber ND, Alldred DP, Raynor DK, et al. Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in…
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psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats
April 14, 2021 - Study
Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats.
Citation Text:
Bentley SK, Meshel A, Boehm L, et al. Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. Adv Simul (Lond). 2022;7(1):15. doi:1…
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psnet.ahrq.gov/issue/follow-abnormal-screening-mammograms-among-low-income-ethnically-diverse-women-findings
May 12, 2021 - Study
Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study.
Citation Text:
Allen JD, Shelton RC, Harden E, et al. Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a quali…
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psnet.ahrq.gov/issue/implementation-participatory-organizational-change-long-term-care-improve-safety
February 01, 2012 - Study
Implementation of participatory organizational change in long term care to improve safety.
Citation Text:
Van Eerd D, D'Elia T, Ferron EM, et al. Implementation of participatory organizational change in long term care to improve safety. J Safety Res. 2021;78:9-18. doi:10.1016/j.jsr…
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psnet.ahrq.gov/issue/i-guess-ill-wait-hear-communication-blood-test-results-primary-care-qualitative-study
November 16, 2022 - Study
'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.
Citation Text:
Watson J, Salisbury C, Whiting PF, et al. ‘I guess I’ll wait to hear’— communication of blood test results in primary care a qualitative study. Br J Gen Pract. 2022;…
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psnet.ahrq.gov/issue/assessment-requests-medication-related-follow-after-hospital-discharge-and-relation-unplanned
November 17, 2021 - Study
Assessment of requests for medication-related follow-up after hospital discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review.
Citation Text:
Cam H, Kempen TGH, Eriksson H, et al. Assessment of requests for medication…
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psnet.ahrq.gov/issue/electronic-prescribing-and-other-forms-technology-reduce-inappropriate-medication-use-and
August 10, 2022 - Review
Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence.
Citation Text:
Clyne B, Bradley MC, Hughes C, et al. Electronic prescribing and other forms of technology to reduce inapprop…
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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/primary-care-patient-safe-setting-prevalence-severity-nature-and-causes-adverse-events
November 08, 2023 - Study
Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable.
Citation Text:
Garzón González G, Alonso Safont T, Zamarrón Fraile E, et al. Is primary care a patient-safe setting? Prevalence, severity, nature, and …
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psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal
February 15, 2023 - Study
"My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system.
Citation Text:
Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of …
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psnet.ahrq.gov/issue/quality-and-reporting-large-scale-improvement-programmes-review-maternity-initiatives-english
February 07, 2024 - Review
Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the English NHS, 2010–2023.
Citation Text:
McGowan JE, Attal B, Kuhn I, et al. Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the En…
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psnet.ahrq.gov/issue/reducing-preventable-adverse-events-obstetrics-improving-interprofessional-communication
February 16, 2022 - Study
Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study.
Citation Text:
Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by improving interprofessional commun…
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psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident
October 12, 2016 - Study
Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports.
Citation Text:
Cooper A, Edwards A, Williams H, et al. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Age Age…
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psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global-trigger-tool-systematic
December 13, 2023 - Review
Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review.
Citation Text:
Hibbert PD, Molloy CJ, Schultz TJ, et al. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic re…
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psnet.ahrq.gov/issue/interventions-reduce-adverse-drug-event-related-outcomes-older-adults-systematic-review-and
July 19, 2023 - Review
Emerging Classic
Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and meta-analysis.
Citation Text:
Tecklenborg S, Byrne C, Cahir C, et al. Interventions to Reduce Adverse Drug Event-Related Outcomes in Olde…
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psnet.ahrq.gov/issue/impact-repeated-reimbursement-penalties-hospital-total-quality-scores
November 16, 2022 - Study
Impact of repeated reimbursement penalties on hospital total quality scores.
Citation Text:
Brewer A, Hughes MC, Patel KN. Impact of repeated reimbursement penalties on hospital total quality scores. J Patient Saf. 2024;20(3):198-201. doi:10.1097/pts.0000000000001199.
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psnet.ahrq.gov/issue/involving-patients-and-carers-patient-safety-primary-care-qualitative-study-co-designed
February 22, 2023 - Study
Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide.
Citation Text:
Morris RL, Giles SJ, Campbell S. Involving patients and carers in patient safety in primary care: a qualitative study of a co‐designed patient …
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psnet.ahrq.gov/issue/conceptual-and-practical-challenges-associated-understanding-patient-safety-within-community
December 15, 2021 - Review
Conceptual and practical challenges associated with understanding patient safety within community-based mental health services.
Citation Text:
Averill P, Vincent CA, Reen G, et al. Conceptual and practical challenges associated with understanding patient safety within community‐ba…
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psnet.ahrq.gov/issue/making-safety-training-stickier-richer-model-safety-training-engagement-and-transfer
October 06, 2021 - Review
Making safety training stickier: a richer model of safety training engagement and transfer.
Citation Text:
Casey T, Turner N, Hu X, et al. Making safety training stickier: a richer model of safety training engagement and transfer. J Safety Res. 2021;78:303-313. doi:10.1016/j.jsr.2…