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psnet.ahrq.gov/issue/enhancing-patient-safety-and-quality-care-improving-usability-electronic-health-record
March 04, 2011 - Commentary
Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA.
Citation Text:
Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electro…
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psnet.ahrq.gov/issue/first-us-study-nurses-evidence-based-practice-competencies-indicates-major-deficits-threaten
July 14, 2021 - Study
Classic
The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes.
Citation Text:
Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nu…
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psnet.ahrq.gov/issue/exploring-medication-safety-structures-and-processes-nursing-homes-cross-sectional-study
July 25, 2018 - Study
Exploring medication safety structures and processes in nursing homes: a cross-sectional study.
Citation Text:
Favez L, Zúñiga F, Meyer-Massetti C. Exploring medication safety structures and processes in nursing homes: a cross-sectional study. Int J Clin Pharm. 2023;45(6):1464-1471…
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psnet.ahrq.gov/issue/contextual-errors-and-failures-individualizing-patient-care-multicenter-study
October 29, 2012 - Study
Classic
Contextual errors and failures in individualizing patient care: a multicenter study.
Citation Text:
Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010…
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psnet.ahrq.gov/issue/electronic-health-record-related-safety-concerns-cross-sectional-survey
August 03, 2016 - Study
Electronic health record–related safety concerns: a cross-sectional survey.
Citation Text:
Menon S, Singh H, Meyer AND, et al. Electronic health record-related safety concerns: a cross-sectional survey. J Healthc Risk Manag. 2014;34(1):14-26. doi:10.1002/jhrm.21146.
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psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning
July 08, 2015 - Study
Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline.
Citation Text:
Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the front…
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psnet.ahrq.gov/issue/managing-competing-demands-through-task-switching-and-multitasking-multi-setting
December 19, 2018 - Study
Managing competing demands through task-switching and multitasking: a multi-setting observational study of 200 clinicians over 1000 hours.
Citation Text:
Walter SR, Li L, Dunsmuir WTM, et al. Managing competing demands through task-switching and multitasking: a multi-setting obser…
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psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary-care-educators
January 23, 2017 - Study
Understanding and responding when things go wrong: key principles for primary care educators.
Citation Text:
McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080…
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psnet.ahrq.gov/issue/antimicrobial-residual-drug-error-intensive-care-unit-single-blinded-prospective
November 21, 2021 - Study
Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study.
Citation Text:
Jarrett P, Keogh S, Roberts JA, et al. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Inte…
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psnet.ahrq.gov/issue/what-known-about-adverse-events-older-medical-hospital-inpatients-systematic-review
January 12, 2012 - Review
What is known about adverse events in older medical hospital inpatients? A systematic review of the literature.
Citation Text:
Long SJ, Brown KF, Ames D, et al. What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. Int J He…
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psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family-medicine-practices
June 11, 2008 - Study
Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network.
Citation Text:
Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and conseq…
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psnet.ahrq.gov/issue/do-eps-change-their-clinical-behaviour-hallway-or-when-companion-present-cross-sectional
June 29, 2022 - Study
Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey.
Citation Text:
Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg …
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psnet.ahrq.gov/issue/prevalence-nature-severity-and-risk-factors-prescribing-errors-hospital-inpatients
October 22, 2014 - Study
Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals.
Citation Text:
Ashcroft DM, Lewis PJ, Tully MP, et al. Prevalence, Nature, Severity and Risk Factors for Prescribing Errors in Hospital Inpatients: Pro…
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psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions
November 04, 2015 - Study
Do patient safety events increase readmissions?
Citation Text:
Friedman B, Encinosa W, Jiang J, et al. Do patient safety events increase readmissions? Med Care. 2009;47(5):583-90. doi:10.1097/MLR.0b013e31819434da.
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psnet.ahrq.gov/issue/causes-their-death-appear-unto-our-shame-perpetual-why-root-cause-analysis-not-best-model
September 27, 2016 - Study
The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services.
Citation Text:
Vrklevski LP, McKechnie L, OʼConnor N. The Causes of Their Death Appear (Unto Our Shame Perpetual): Why Root …
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psnet.ahrq.gov/issue/relationship-between-organizational-culture-and-family-satisfaction-critical-care
April 25, 2012 - Study
The relationship between organizational culture and family satisfaction in critical care.
Citation Text:
Dodek P, Wong H, Heyland DK, et al. The relationship between organizational culture and family satisfaction in critical care. Crit Care Med. 2012;40(5):1506-12. doi:10.1097/CCM.…
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psnet.ahrq.gov/issue/structural-racism-60-year-old-black-woman-breast-cancer
December 17, 2020 - Commentary
Emerging Classic
Structural racism--a 60-year-old black woman with breast cancer.
Citation Text:
Pallok K, De Maio F, Ansell DA. Structural racism--a 60-year-old black woman with breast cancer. N Engl J Med. 2019;380(16):1489-1493. doi:10.1056/nejmp18…
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psnet.ahrq.gov/issue/unintended-consequences-quantifying-benefits-iatrogenic-harms-and-downstream-cascade-costs
March 17, 2021 - Study
Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care.
Citation Text:
Sajid IM, Parkunan A, Frost K. Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs…
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psnet.ahrq.gov/issue/health-professional-networks-vector-improving-healthcare-quality-and-safety-systematic-review
December 13, 2023 - Review
Health professional networks as a vector for improving healthcare quality and safety: a systematic review.
Citation Text:
Cunningham FC, Ranmuthugala G, Plumb J, et al. Health professional networks as a vector for improving healthcare quality and safety: a systematic review. BMJ…
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psnet.ahrq.gov/issue/missing-clinical-and-behavioral-health-data-large-electronic-health-record-ehr-system
July 19, 2023 - Study
Missing clinical and behavioral health data in a large electronic health record (EHR) system.
Citation Text:
Madden JM, Lakoma MD, Rusinak D, et al. Missing clinical and behavioral health data in a large electronic health record (EHR) system. J Am Med Info Asso. 2016;23(6):1143-114…