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psnet.ahrq.gov/issue/same-hospital-readmission-rates-measure-pediatric-quality-care
September 18, 2024 - This finding suggests that future studies should examine readmissions to outside hospitals.
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psnet.ahrq.gov/issue/contribution-sociotechnical-factors-health-information-technology-related-sentinel-events
September 18, 2024 - This study reviewed sentinel events reported to The Joint Commission between 2010 and 2013 to examine
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psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-and-strategies
May 01, 2024 - This pre–post study sought to examine whether a task force could reduce the risk of unprofessional behaviors
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psnet.ahrq.gov/node/36979/psn-pdf
February 28, 2011 - This study sought
to directly examine the effect of duty hours limitations on clinical outcomes by comparing
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psnet.ahrq.gov/node/43474/psn-pdf
August 28, 2017 - This systematic review sought to examine racial and ethnic disparities in studies of patient
safety.
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psnet.ahrq.gov/node/45238/psn-pdf
September 29, 2017 - This literature review sought to examine the incidence and types of unprofessional behaviors
among medical
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psnet.ahrq.gov/node/37546/psn-pdf
June 14, 2011 - In this article, the authors examine RCAs performed due to
medication errors.
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psnet.ahrq.gov/node/38467/psn-pdf
March 11, 2009 - This study surveyed geriatric patients to examine patients' perceptions of discontinuity in the
outpatient
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psnet.ahrq.gov/node/36460/psn-pdf
May 27, 2011 - widely used commercial computerized
provider order entry (CPOE) system, used active surveillance to examine
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psnet.ahrq.gov/node/43072/psn-pdf
November 21, 2016 - This study used
semistructured interviews to examine physicians' viewpoints on issues related to family-activated
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psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
March 14, 2023 - presence of multiple factors that align to result in patient harm, yet implementing processes to fully examine
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psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety
May 01, 2019 - The experts examine the factors causing that stagnation and recommend actions to reignite improvement
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psnet.ahrq.gov/issue/quality-and-safety-1
September 21, 2022 - issue illustrate progress made over time in the specialty, highlight areas of focused attention, and examine
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psnet.ahrq.gov/issue/solutions-professional-regulation-and-beyond
December 09, 2020 - Dedicated leadership is an important component to examine and address challenges to safety across a
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psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-redefine-just-culture
May 16, 2019 - The Canadian organization involved applied Reason’s strategies to work past blame to examine the events
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psnet.ahrq.gov/issue/managing-unnecessary-variability-patient-demand-reduce-nursing-stress-and-improve-patient
August 04, 2021 - The authors examine the variability of patient demand and its relationship to nurse staffing.
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psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles
November 11, 2020 - brief evaluated published accounts of frameworks for implementing high reliability organizations to examine
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psnet.ahrq.gov/issue/using-fault-trees-advance-understanding-diagnostic-errors
November 11, 2020 - This commentary describes how a project utilized fault-tree analysis as a method to examine elements
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psnet.ahrq.gov/issue/teamwork-healthcare
August 08, 2007 - Articles in this special issue examine the reasons for this shortcoming, including the impact of health
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psnet.ahrq.gov/issue/health-care-equity
May 16, 2018 - This special issue highlights activities in the field that examine investigative methods to better