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psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
September 16, 2020 - Commentary
Medical error—the third leading cause of death in the US.
Citation Text:
Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139.
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psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures
February 02, 2011 - Study
Impact of extended-duration shifts on medical errors, adverse events, and attentional failures.
Citation Text:
Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3(12):e487.
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psnet.ahrq.gov/issue/disorganized-care-findings-iterative-depth-analysis-surgical-morbidity-and-mortality
October 19, 2022 - Study
Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality.
Citation Text:
Anderson CI, Nelson CS, Graham CF, et al. Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. J Surg Res. 201…
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psnet.ahrq.gov/issue/randomized-trial-reducing-ambulatory-malpractice-and-safety-risk-results-massachusetts
February 25, 2015 - Study
Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project.
Citation Text:
Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Proje…
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psnet.ahrq.gov/issue/changes-safety-attitude-and-relationship-decreased-postoperative-morbidity-and-mortality
May 27, 2010 - Study
Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.
Citation Text:
Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decrease…
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psnet.ahrq.gov/issue/improving-handoff-deliberate-cognitive-processing-results-randomized-controlled-experimental
March 18, 2020 - Study
Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study.
Citation Text:
van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Jt …
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psnet.ahrq.gov/issue/patient-safety-incidents-describing-patient-falls-critical-care-north-west-england-between
August 04, 2021 - Study
Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017.
Citation Text:
Thomas AN, Balmforth JE. Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. J Patient Saf. 202…
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psnet.ahrq.gov/issue/association-between-hospital-safety-culture-and-surgical-outcomes-statewide-surgical-quality
February 14, 2017 - Study
Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative.
Citation Text:
Odell DD, Quinn CM, Matulewicz RS, et al. Association Between Hospital Safety Culture and Surgical Outcomes in a Statewide Surgical Quality Im…
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psnet.ahrq.gov/issue/underlying-reasons-associated-hospital-readmission-following-surgery-united-states
May 06, 2020 - Study
Classic
Underlying reasons associated with hospital readmission following surgery in the United States.
Citation Text:
Merkow RP, Ju MH, Chung JW, et al. Underlying reasons associated with hospital readmission following surgery in the United States. JAMA. …
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psnet.ahrq.gov/issue/adverse-event-and-complication-tracking-anaesthesiology-dependence-self-reporting-despite
March 17, 2021 - Commentary
Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of electronic health records.
Citation Text:
Tewfik G, Naftalovich R, Kaushal N, et al. Adverse event and complication tracking in anaesthesiology: dependence on sel…
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psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-consumer-reports-safety
July 21, 2016 - Study
Exploring relationships between hospital patient safety culture and Consumer Reports safety scores.
Citation Text:
Smith SA, Yount N, Sorra J. Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. BMC Health Serv Res. 2017;17(1):143. do…
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psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospitalized-patients
February 14, 2017 - Study
Supratherapeutic dosing of acetaminophen among hospitalized patients.
Citation Text:
Zhou L, Maviglia SM, Mahoney LM, et al. Supratherapeutic dosing of acetaminophen among hospitalized patients. Arch Intern Med. 2012;172(22):1721-8.
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psnet.ahrq.gov/issue/gender-based-differences-surgical-residents-perceptions-patient-safety-continuity-care-and
February 14, 2017 - Study
Gender-based differences in surgical residents' perceptions of patient safety, continuity of care, and well-being: an analysis from the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial.
Citation Text:
Ban KA, Chung JW, Matulewicz RS, et al. Gender-Based Dif…
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psnet.ahrq.gov/issue/patient-and-consumer-safety-risks-when-using-conversational-assistants-medical-information
December 15, 2021 - Study
Patient and consumer safety risks when using conversational assistants for medical information: an observational study of Siri, Alexa, and Google Assistant.
Citation Text:
Bickmore TW, Trinh H, Olafsson S, et al. Patient and consumer safety risks when using conversational assistant…
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psnet.ahrq.gov/issue/large-scale-organisational-intervention-improve-patient-safety-four-uk-hospitals-mixed-method
February 23, 2011 - Study
Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation.
Citation Text:
Benning A, Ghaleb M, Suokas A, et al. Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. B…
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psnet.ahrq.gov/issue/evaluation-effectiveness-surgical-checklist-medicare-patients
January 13, 2016 - Study
Evaluation of the effectiveness of a surgical checklist in Medicare patients.
Citation Text:
Reames BN, Scally CP, Thumma JR, et al. Evaluation of the Effectiveness of a Surgical Checklist in Medicare Patients. Med Care. 2015;53(1):87-94. doi:10.1097/MLR.0000000000000277.
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psnet.ahrq.gov/issue/determining-skills-needed-frontline-nhs-staff-deliver-quality-improvement-findings-six-case
March 30, 2022 - Study
Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies.
Citation Text:
Wright DJ, Gabbay J, Le May A. Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. BM…
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psnet.ahrq.gov/issue/effect-antiseptic-handwashing-vs-alcohol-sanitizer-health-care-associated-infections-neonatal
July 30, 2014 - Study
Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units.
Citation Text:
Larson EL, Cimiotti JP, Haas JP, et al. Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonat…
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psnet.ahrq.gov/issue/development-electronic-pediatric-all-cause-harm-measurement-tool-using-modified-delphi-method
July 03, 2016 - Study
Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method.
Citation Text:
Stockwell DC, Bisarya H, Classen D, et al. Development of an Electronic Pediatric All-Cause Harm Measurement Tool Using a Modified Delphi Method. J Patient Saf. 201…
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psnet.ahrq.gov/issue/differences-hospitals-workplace-violence-incident-reporting-practices-mixed-methods-study
January 19, 2022 - Study
Differences in hospitals' workplace violence incident reporting practices: a mixed methods study.
Citation Text:
Odes R, Chapman SM, Ackerman SL, et al. Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. Policy Polit Nurs Pract. 2022;2…