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psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
October 16, 2019 - Study
Emerging Classic
First-year analysis of the Operating Room Black Box study.
Citation Text:
Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863.
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psnet.ahrq.gov/issue/how-useful-are-medication-patient-information-leaflets-older-adults-content-readability-and
November 11, 2020 - Study
How useful are medication patient information leaflets to older adults? A content, readability and layout analysis.
Citation Text:
Liu F, Abdul-Hussain S, Mahboob S, et al. How useful are medication patient information leaflets to older adults? A content, readability and layout ana…
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psnet.ahrq.gov/issue/do-physicians-clean-their-hands-insights-covert-observational-study
July 02, 2019 - Study
Do physicians clean their hands? Insights from a covert observational study.
Citation Text:
Kovacs-Litman A, Wong K, Shojania KG, et al. Do physicians clean their hands? Insights from a covert observational study. J Hosp Med. 2016;11(12):862-864. doi:10.1002/jhm.2632.
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psnet.ahrq.gov/issue/understanding-diagnostic-safety-emergency-medicine-case-case-review-closed-ed-malpractice
May 11, 2019 - Study
Understanding diagnostic safety in emergency medicine: a case‐by‐case review of closed ED malpractice claims.
Citation Text:
Lemoine N, Dajer A, Konwinski J, et al. Understanding diagnostic safety in emergency medicine: A case-by-case review of closed ED malpractice claims. J Healt…
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www.ahrq.gov/research/findings/evidence-based-reports/er207-abstract.html
October 01, 2014 - Allocation of Scarce Resources During MCEs
Full Title: Allocation of Scarce Resources During Mass Casualty Events
Topic page summarizing evidence report on allocation of scarce resources during mass casualty events (MCEs).
June 2012
This report reviews the evidence regarding allocation of scarce medical r…
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psnet.ahrq.gov/issue/advancing-perinatal-patient-safety-through-application-safety-science-principles-using-health
April 27, 2019 - Study
Advancing perinatal patient safety through application of safety science principles using health IT.
Citation Text:
Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Ma…
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psnet.ahrq.gov/issue/long-term-effects-teamwork-training-communication-and-teamwork-climate-ambulatory
May 01, 2019 - Study
Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care.
Citation Text:
Dodge LE, Nippita S, Hacker MR, et al. Long‐term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health …
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psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability
May 21, 2014 - Special or Theme Issue
Special Issue: Progress at the Intersection of Patient Safety and Medical Liability.
Citation Text:
Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395…
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psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled
January 12, 2022 - Study
The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis.
Citation Text:
Castro-Avila A, Bloor K, Thompson C. The effect of external inspections on safety in acute hospitals in the Natio…
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psnet.ahrq.gov/issue/patient-and-hospital-characteristics-associated-delayed-diagnosis-appendicitis
January 12, 2022 - Study
Patient and hospital characteristics associated with delayed diagnosis of appendicitis.
Citation Text:
Reyes AM, Royan R, Feinglass J, et al. Patient and hospital characteristics associated with delayed diagnosis of appendicitis. JAMA Surg. 2023;158(3):e227055. doi:10.1001/jamasurg…
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psnet.ahrq.gov/issue/machine-learning-enhance-electronic-detection-diagnostic-errors
December 18, 2024 - Commentary
Machine learning to enhance electronic detection of diagnostic errors.
Citation Text:
Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors. JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982.
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psnet.ahrq.gov/issue/nurse-sensemaking-responding-patient-and-family-safety-concerns
November 02, 2022 - Study
Nurse sensemaking for responding to patient and family safety concerns.
Citation Text:
Groves PS, Bunch JL, Cannava KE, et al. Nurse sensemaking for responding to patient and family safety concerns. Nurs Res. 2021;70(2):106-113. doi:10.1097/nnr.0000000000000487.
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psnet.ahrq.gov/issue/information-transfer-and-communication-surgery-systematic-review
September 26, 2012 - Review
Information transfer and communication in surgery: a systematic review.
Citation Text:
Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review. Ann Surg. 2010;252(2):225-39. doi:10.1097/SLA.0b013e3181e495c2.
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psnet.ahrq.gov/issue/reducing-ambulatory-central-line-associated-bloodstream-infections-family-centered-approach
February 15, 2023 - Study
Reducing ambulatory central line-associated bloodstream infections: a family-centered approach.
Citation Text:
Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line‐associated bloodstream infections: a family‐centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. …
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psnet.ahrq.gov/issue/where-are-my-instruments-hazards-delivery-surgical-instruments
September 25, 2008 - Study
Where are my instruments? Hazards in delivery of surgical instruments.
Citation Text:
Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Where are my instruments? Hazards in delivery of surgical instruments. Surg Endosc. 2016;30(7):2728-35. doi:10.1007/s00464-015-4537-7.
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psnet.ahrq.gov/issue/use-appreciative-inquiry-approach-improve-resident-sign-out-era-multiple-shift-changes
December 27, 2014 - Study
Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes.
Citation Text:
Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. J Gen Intern Med. 2…
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psnet.ahrq.gov/issue/we-need-talk-observational-study-impact-electronic-medical-record-implementation-hospital
February 22, 2017 - Study
We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication.
Citation Text:
Taylor SP, Ledford R, Palmer V, et al. We need to talk: an observational study of the impact of electronic medical record implementation on ho…
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psnet.ahrq.gov/issue/measuring-harm-and-informing-quality-improvement-welsh-nhs-longitudinal-welsh-national
October 12, 2016 - Book/Report
Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study.
Citation Text:
Mayor S, Baines E, Vincent CA, et al. Measuring Harm And Informing Quality Improvement In The Welsh Nhs: The Longitudinal Welsh National Adv…
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psnet.ahrq.gov/issue/adverse-diagnostic-events-hospitalised-patients-single-centre-retrospective-cohort-study
December 07, 2022 - Study
Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study.
Citation Text:
Dalal AK, Plombon S, Konieczny K, et al. Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study. BMJ Qual Saf. 2024;Epub Oct 1. d…
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psnet.ahrq.gov/issue/contextual-factors-influencing-implementation-multifaceted-intervention-improve-teamwork-and
November 15, 2023 - Study
Contextual factors influencing the implementation of a multifaceted intervention to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative case study.
Citation Text:
Terwilliger IA, Johnson JK, Manojlovich M, et al. Contextual Factors Influenci…