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psnet.ahrq.gov/issue/evaluation-electronic-health-record-structured-discharge-summary-provide-real-time-adverse
December 29, 2014 - Study
Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery.
Citation Text:
Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge summary to provide real ti…
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psnet.ahrq.gov/issue/pca-safety-data-review-after-clinical-decision-support-and-smart-pump-technology
October 08, 2016 - Study
PCA safety data review after clinical decision support and smart pump technology implementation.
Citation Text:
Prewitt J, Schneider S, Horvath M, et al. PCA safety data review after clinical decision support and smart pump technology implementation. J Patient Saf. 2013;9(2):103-9…
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psnet.ahrq.gov/issue/observer-based-tools-non-technical-skills-assessment-simulated-and-real-clinical-environments
September 02, 2015 - Review
Emerging Classic
Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review.
Citation Text:
Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills…
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psnet.ahrq.gov/issue/adverse-events-hospitalized-pediatric-patients
July 11, 2017 - Study
Emerging Classic
Adverse events in hospitalized pediatric patients.
Citation Text:
Stockwell DC, Landrigan CP, Toomey SL, et al. Adverse Events in Hospitalized Pediatric Patients. Pediatrics. 2018;142(2):e20173360. doi:10.1542/peds.2017-3360.
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psnet.ahrq.gov/issue/are-world-health-organizations-patient-safety-learning-objectives-still-date-group-concept
February 16, 2022 - Study
Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study.
Citation Text:
Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mappin…
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psnet.ahrq.gov/issue/physician-attitudes-toward-family-activated-medical-emergency-teams-hospitalized-children
April 06, 2012 - Study
Physician attitudes toward family-activated medical emergency teams for hospitalized children.
Citation Text:
Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;…
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psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
January 02, 2017 - Study
Rates and types of events reported to established incident reporting systems in two US hospitals.
Citation Text:
Nuckols TK, Bell D, Liu H, et al. Rates and types of events reported to established incident reporting systems in two US hospitals. Qual Saf Health Care. 2007;16(3):16…
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psnet.ahrq.gov/issue/effect-crew-resource-management-training-multidisciplinary-obstetrical-setting
March 06, 2005 - Study
Effect of crew resource management training in a multidisciplinary obstetrical setting.
Citation Text:
Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:…
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psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences
August 04, 2015 - Study
Classic
Discussion of medical errors in morbidity and mortality conferences.
Citation Text:
Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA. 2003;290(21):2838-2842.
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psnet.ahrq.gov/issue/trends-healthcare-incident-reporting-and-relationship-safety-and-quality-data-acute-hospitals
March 28, 2011 - Study
Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System.
Citation Text:
Hutchinson A, Young TA, Cooper KL, et al. Trends in healthcare incident reporting and relationship to sa…
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psnet.ahrq.gov/issue/relationship-between-call-light-use-and-response-time-and-inpatient-falls-acute-care-settings
March 13, 2008 - Study
Relationship between call light use and response time and inpatient falls in acute care settings.
Citation Text:
Tzeng H-M, Yin C-Y. Relationship between call light use and response time and inpatient falls in acute care settings. J Clin Nurs. 2009;18(23):3333-41. doi:10.1111/j.1…
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psnet.ahrq.gov/issue/avoidability-hospital-deaths-and-association-hospital-wide-mortality-ratios-retrospective
November 12, 2014 - Study
Classic
Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis.
Citation Text:
Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association wit…
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psnet.ahrq.gov/issue/non-dispensing-pharmacists-actions-and-solutions-drug-therapy-problems-among-elderly
February 03, 2021 - Study
Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care.
Citation Text:
Hazen ACM, Zwart DLM, Poldervaart JM, et al. Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polyp…
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psnet.ahrq.gov/issue/nurses-and-patients-appraisals-show-patient-safety-hospitals-remains-concern
October 16, 2012 - Study
Emerging Classic
Nurses' and patients' appraisals show patient safety in hospitals remains a concern.
Citation Text:
Aiken LH, Sloane DM, Barnes H, et al. Nurses' And Patients' Appraisals Show Patient Safety In Hospitals Remains A Concern. Health Aff (Mill…
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psnet.ahrq.gov/issue/decreasing-malpractice-claims-reducing-preventable-perinatal-harm
September 01, 2018 - Study
Decreasing malpractice claims by reducing preventable perinatal harm.
Citation Text:
Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551.
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psnet.ahrq.gov/issue/organizational-safety-climate-and-job-enjoyment-hospital-surgical-teams-and-without-crew
February 03, 2021 - Study
Organizational safety climate and job enjoyment in hospital surgical teams with and without crew resource management training,
Citation Text:
Bacon CT, McCoy TP, Henshaw DS, et al. Organizational safety climate and job enjoyment in hospital surgical teams with and without crew reso…
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psnet.ahrq.gov/issue/exploring-relationships-between-patient-safety-culture-and-patients-assessments-hospital-care
December 15, 2010 - Study
Exploring relationships between patient safety culture and patients' assessments of hospital care.
Citation Text:
Sorra J, Khanna K, Dyer N, et al. Exploring relationships between patient safety culture and patients' assessments of hospital care. J Patient Saf. 2012;8(3):131-9. d…
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psnet.ahrq.gov/issue/explaining-negative-effects-patient-participation-patient-safety-exploratory-qualitative
November 04, 2020 - Study
Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands.
Citation Text:
Van der Voorden M, Ahaus K, Franx A. Explaining the negative effects of patient participation in…
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psnet.ahrq.gov/issue/stress-ward-evidence-safety-tipping-points-hospitals
November 13, 2024 - Study
Stress on the ward: evidence of safety tipping points in hospitals.
Citation Text:
Kuntz L, Mennicken R, Scholtes S. Stress on the Ward: Evidence of Safety Tipping Points in Hospitals. Manage Sci. 2014;61(4). doi:10.1287/mnsc.2014.1917.
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psnet.ahrq.gov/issue/randomized-trial-effectiveness-demand-versus-computer-triggered-drug-decision-support-primary
March 11, 2011 - Study
A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care.
Citation Text:
Tamblyn R, Huang A, Taylor L, et al. A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primar…