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psnet.ahrq.gov/issue/survey-evaluation-national-patient-safety-agencys-root-cause-analysis-training-programme
March 11, 2009 - Study
Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices.
Citation Text:
Wallace LM, Spurgeon P, Adams S, et al. Survey evaluation of the National Patient Safety Agency's Root …
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psnet.ahrq.gov/issue/checklists-change-communication-about-key-elements-patient-care
November 16, 2022 - Study
Checklists change communication about key elements of patient care.
Citation Text:
Newkirk M, Pamplin JC, Kuwamoto R, et al. Checklists change communication about key elements of patient care. J Trauma Acute Care Surg. 2012;73(2 Suppl 1):S75-82. doi:10.1097/TA.0b013e3182606239.
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psnet.ahrq.gov/issue/pharmacy-prevalence-second-victim-syndrome-comprehensive-cancer-center
June 03, 2020 - September 23, 2020
Evaluation of clinical practice guidelines on fall prevention and
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psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opioid-epidemic
May 27, 2020 - Commentary
When a vital sign leads a country astray—the opioid epidemic.
Citation Text:
Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic. JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104.
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psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications
May 11, 2014 - May 22, 2013
Fall prevention in hospitals: an integrative review.
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psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-work-progress
March 04, 2011 - June 16, 2011
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/nursing-home-safety-does-financial-performance-matter
November 05, 2008 - Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls
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psnet.ahrq.gov/issue/association-between-organisational-and-workplace-cultures-and-patient-outcomes-systematic
February 03, 2011 - randomized trials, there is a consistent association between safety culture and patient outcomes such as falls
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psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
March 11, 2020 - Study
Supporting a psychiatric hospital culture of safety.
Citation Text:
Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577.
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psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives-campaign-nhs-wales
August 04, 2021 - October 21, 2009
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/improving-documentation-beta-blocker-quality-measure-through-anesthesia-information
June 23, 2009 - February 18, 2011
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/developing-framework-nursing-handover-emergency-department-individualised-and-systematic
October 06, 2016 - January 25, 2023
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/medical-error-second-victim
March 23, 2011 - Commentary
Classic
Medical error: the second victim.
Citation Text:
Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320(7237):726-727.
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psnet.ahrq.gov/issue/fumbled-handoffs-one-dropped-ball-after-another
April 10, 2024 - Commentary
Fumbled handoffs: one dropped ball after another.
Citation Text:
Gandhi TK. Fumbled handoffs: one dropped ball after another. Ann Intern Med. 2005;142(5):352-358.
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psnet.ahrq.gov/issue/peer-support-nurses-second-victims-resilience-burnout-and-job-satisfaction
March 03, 2019 - Study
Emerging Classic
Peer support for nurses as second victims: resilience, burnout, and job satisfaction.
Citation Text:
Connors C, Dukhanin V, March AL, et al. Peer support for nurses as second victims: Resilience, burnout, and job satisfaction. J Patient Sa…
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psnet.ahrq.gov/issue/using-computerized-prescriber-order-entry-limit-overrides-automated-dispensing-cabinets
May 18, 2022 - May 1, 2024
The impact of adding a 2-way video monitoring system on falls and costs for
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psnet.ahrq.gov/issue/incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review
May 20, 2020 - July 27, 2011
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/inappropriate-hospital-admission-risk-factor-subsequent-development-adverse-events-cross
March 09, 2022 - March 9, 2022
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/institutional-disclosure-promise-and-problems
August 12, 2015 - January 17, 2019
Root cause analysis of reported patient falls in ORs in the Veterans
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psnet.ahrq.gov/issue/delayed-medical-emergency-team-calls-and-associated-outcomes
October 13, 2018 - April 24, 2018
Evaluation of clinical practice guidelines on fall prevention and management