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psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation
October 20, 2021 - Journal Article
Study
Catching those who fall
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psnet.ahrq.gov/issue/does-increased-schedule-flexibility-lead-change-national-survey-program-directors-2017-work
October 12, 2022 - September 9, 2020
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/clinical-and-financial-effects-smart-pump-electronic-medical-record-interoperability-hospital
November 16, 2022 - December 21, 2018
Selected medication safety risks that can easily fall off the radar
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psnet.ahrq.gov/issue/coworker-abuse-healthcare-voices-mistreated-workers
March 22, 2023 - Study
Coworker abuse in healthcare: voices of mistreated workers.
Citation Text:
Evans WR, Mullen DM, Burke-Smalley L. Coworker abuse in healthcare: voices of mistreated workers. J Health Organ Manag. 2023;37(2):236-249. doi:10.1108/jhom-05-2022-0131.
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psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name
December 04, 2016 - plan–do–study–act (PDSA) cycles were promoted as an in-depth rapid-cycle improvement mechanism, this process can fall
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psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-patient-safety-narrative-review-and-synthesis-recent
November 13, 2019 - Review
Classic
Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research.
Citation Text:
Millar R, Mannion R, Freeman T, et al. Hospital board oversight of quality and patient safety: a narrative review…
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psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care
September 09, 2020 - January 26, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/undiagnosed-cancer-cases-us-during-first-10-months-covid-19-pandemic
September 01, 2016 - September 1, 2016
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims
August 11, 2021 - Study
Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims.
Citation Text:
Chalmers K, Smith P, Garber J, et al. Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. JAMA Netw Open. 2021;4(4):e218075. doi:10.1…
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psnet.ahrq.gov/issue/effects-individual-nurse-and-hospital-characteristics-patient-adverse-events-and-quality-care
February 08, 2019 - Study
Effects of individual nurse and hospital characteristics on patient adverse events and quality of care: a multilevel analysis.
Citation Text:
Lee SE, Vincent C, Dahinten S, et al. Effects of Individual Nurse and Hospital Characteristics on Patient Adverse Events and Quality of Care…
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psnet.ahrq.gov/issue/how-many-too-many-using-cognitive-load-theory-determine-maximum-safe-number-inpatient
October 19, 2022 - March 15, 2023
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/do-written-disclosures-serious-events-increase-risk-malpractice-claims-one-health-care
October 12, 2011 - October 12, 2011
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/they-say-they-listen-do-they-really-listen-qualitative-study-hospital-doctors-experiences
November 29, 2017 - February 28, 2024
NPSD Data Spotlight: Patterns of Fall Interventions.
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psnet.ahrq.gov/issue/reducing-potential-errors-associated-insulin-administration-integrative-review
March 31, 2021 - Review
Reducing potential errors associated with insulin administration: an integrative review.
Citation Text:
Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668.
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psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health
October 26, 2022 - March 20, 2019
Potentially harmful medication dispenses after a fall or hip fracture:
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psnet.ahrq.gov/issue/unintended-patient-safety-risks-due-wireless-smart-infusion-pump-library-update-delays
September 25, 2019 - June 9, 2011
Balancing safety, comfort, and fall risk: an intervention to limit opioid
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psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-case-studies
August 04, 2021 - April 24, 2018
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/effect-distractions-operative-performance-and-ability-multitask-case-deliberate-practice
September 15, 2010 - Study
Effect of distractions on operative performance and ability to multitask—a case for deliberate practice.
Citation Text:
Ahmed A, Ahmad M, Stewart M, et al. Effect of distractions on operative performance and ability to multitask--a case for deliberate practice. Laryngoscope. 2015;1…
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psnet.ahrq.gov/issue/influence-standardisation-and-task-load-team-coordination-patterns-during-anaesthesia
November 05, 2008 - August 4, 2021
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/enteral-nutrition-underappreciated-source-patient-safety-events
February 01, 2023 - September 23, 2020
6-PACK programme to decrease fall injuries in acute hospitals: cluster