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psnet.ahrq.gov/issue/putting-out-fires-qualitative-study-exploring-use-patient-complaints-drive-improvement-three
October 27, 2021 - Study
Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals.
Citation Text:
Liu JJ, Rotteau L, Bell CM, et al. Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at …
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psnet.ahrq.gov/issue/impact-opioid-administration-intensive-care-unit-and-subsequent-use-opioid-naive-patients
April 06, 2022 - Study
Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients.
Citation Text:
Krancevich NM, Belfer JJ, Draper HM, et al. Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. Ann Pharmacothe…
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psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department
November 29, 2023 - Study
Emerging Classic
Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial.
Citation Text:
Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking …
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psnet.ahrq.gov/issue/impact-contact-isolation-multidrug-resistant-organisms-occurrence-medical-errors-and-adverse
July 08, 2008 - Study
Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events.
Citation Text:
Zahar JR, Garrouste-Orgeas M, Vesin A, et al. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and…
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psnet.ahrq.gov/issue/driven-distraction-prospective-controlled-study-simulated-ward-round-experience-improve
March 14, 2022 - Study
Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students.
Citation Text:
Thomas I, Nicol L, Regan L, et al. Driven to distraction: a prospective controlled study of a simulated ward round expe…
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psnet.ahrq.gov/issue/nurse-workload-and-inexperienced-medical-staff-members-are-associated-seasonal-peaks-severe
June 28, 2013 - Study
Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit: a seven-year prospective study.
Citation Text:
Faisy C, Davagnar C, Ladiray D, et al. Nurse workload and inexperienced medica…
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psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top-20-us-news-and
May 19, 2021 - Study
Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and World Report Honor Roll Hospitals.
Citation Text:
Marr R, Goyal A, Quinn M, et al. Support opportunities for second victims lessons learned: a qualitative study of the top 20 US …
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psnet.ahrq.gov/issue/establishing-international-baseline-medication-safety-oncology-findings-2012-ismp
May 14, 2009 - Study
Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology.
Citation Text:
Greenall J, Shastay A, Vaida AJ, et al. Establishing an international baseline for medication safety in…
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psnet.ahrq.gov/issue/association-opioid-prescriptions-dental-clinicians-us-adolescents-and-young-adults-subsequent
May 18, 2022 - Study
Association of opioid prescriptions from dental clinicians for US adolescents and young adults with subsequent opioid use and abuse.
Citation Text:
Schroeder AR, Dehghan M, Newman TB, et al. Association of Opioid Prescriptions From Dental Clinicians for US Adolescents and Young Adu…
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psnet.ahrq.gov/issue/acting-between-guidelines-and-reality-interview-study-exploring-strategies-first-line
May 19, 2021 - Study
Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work.
Citation Text:
Hedsköld M, Sachs MA, Rosander T, et al. Acting between guidelines and reality- an interview study exploring the strategies of first line…
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psnet.ahrq.gov/issue/prognosis-undiagnosed-chest-pain-linked-electronic-health-record-cohort-study
March 19, 2018 - Study
Prognosis of undiagnosed chest pain: linked electronic health record cohort study.
Citation Text:
Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194.
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psnet.ahrq.gov/issue/second-victim-experiences-health-care-learners-and-influence-training-environment-postevent
January 31, 2024 - Study
Second victim experiences of health care learners and the influence of the training environment on postevent adaptation.
Citation Text:
Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the influence of the training environment on postev…
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psnet.ahrq.gov/issue/color-coded-prefilled-medication-syringes-decrease-time-delivery-and-dosing-error-simulated
September 16, 2015 - Study
Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations.
Citation Text:
Moreira ME, Hernandez C, Stevens AD, et al. Color-Coded Prefilled Medication Syringes Decrease Time to Delivery and Dosing…
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psnet.ahrq.gov/issue/impact-errors-paper-based-and-computerized-diabetes-management-decision-support-hospitalized
April 03, 2024 - Study
Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study.
Citation Text:
Donsa K, Beck P, Höll B, et al. Impact of errors in paper-based and computerize…
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psnet.ahrq.gov/issue/handling-anticipated-exceptions-clinical-care-investigating-clinician-use-exit-strategies
March 24, 2019 - Study
Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system.
Citation Text:
Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit str…
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psnet.ahrq.gov/issue/three-scans-are-better-two-follow-automatic-method-finding-missed-and-misidentified-lesions
August 17, 2022 - Study
Three scans are better than two for follow-up: an automatic method for finding missed and misidentified lesions in cross-sectional follow-up of oncology patients.
Citation Text:
Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic…
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psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology
April 05, 2013 - Study
Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons.
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psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
May 17, 2017 - Study
Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices.
Citation Text:
Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events: qualitative i…
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psnet.ahrq.gov/issue/continuing-education-patient-safety-massive-open-online-courses-new-training-tool
September 01, 2021 - Study
Continuing education in patient safety: massive open online courses as a new training tool.
Citation Text:
Sarabia-Cobo CM, Torres-Manrique B, Ortego-Mate MC, et al. Continuing Education in Patient Safety: Massive Open Online Courses as a New Training Tool. J Contin Educ Nurs. 2015…
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psnet.ahrq.gov/issue/comparison-medication-safety-effectiveness-among-nine-critical-access-hospitals
September 07, 2022 - Study
Comparison of medication safety effectiveness among nine critical access hospitals.
Citation Text:
Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067.
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