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psnet.ahrq.gov/issue/resident-faculty-overnight-discrepancy-rates-function-number-consecutive-nights-during-week
November 16, 2022 - Study
Resident-faculty overnight discrepancy rates as a function of number of consecutive nights during a week of night float.
Citation Text:
Peterson C, Moore M, Sarwani N, et al. Resident-faculty overnight discrepancy rates as a function of number of consecutive nights during a week of…
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psnet.ahrq.gov/issue/preliminary-development-and-testing-global-trigger-tool-detect-error-and-patient-harm-primary
January 19, 2011 - Study
The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records.
Citation Text:
de Wet C, Bowie P. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. …
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psnet.ahrq.gov/issue/morbidity-and-mortality-caused-noncompliance-california-hospital-licensure-immediate
May 19, 2021 - Study
Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017.
Citation Text:
Zheng MY, Lui H, Patino G, et al. Morbidity and mortality caused by noncompliance with California hospital licensure: immediat…
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psnet.ahrq.gov/issue/nurses-perceptions-electronic-patient-record-patient-safety-perspective-qualitative-study
October 09, 2013 - Study
Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study.
Citation Text:
Stevenson JE, Nilsson G. Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study. J Adv Nurs. 2012;68(3):6…
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psnet.ahrq.gov/issue/responsibility-quality-improvement-and-patient-safety-hospital-board-and-medical-staff
April 27, 2010 - Review
Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.
Citation Text:
Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challeng…
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psnet.ahrq.gov/issue/neuroradiology-diagnostic-errors-tertiary-academic-centre-effect-participation-tumour-boards
September 15, 2021 - Study
Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician experience.
Citation Text:
Ivanovic V, Assadsangabi R, Hacein-Bey L, et al. Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation…
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psnet.ahrq.gov/issue/evaluation-wound-photography-remote-postoperative-assessment-surgical-site-infections
July 03, 2014 - Study
Evaluation of wound photography for remote postoperative assessment of surgical site infections.
Citation Text:
Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124. do…
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psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical
August 05, 2020 - Study
Is detection of adverse events affected by record review methodology? An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool."
Citation Text:
Unbeck M, Schildmeijer K, Henriksson P, et al. Is detection of adverse events affected by record review …
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psnet.ahrq.gov/issue/good-people-who-try-their-best-can-have-problems-recognition-human-factors-and-how-minimise
October 29, 2017 - Review
Good people who try their best can have problems: recognition of human factors and how to minimise error.
Citation Text:
Brennan PA, Mitchell DA, Holmes S, et al. Good people who try their best can have problems: recognition of human factors and how to minimise error. Br J Oral Ma…
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psnet.ahrq.gov/issue/physician-engagement-organisational-patient-safety-through-implementation-medical-safety
February 22, 2011 - Study
Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study.
Citation Text:
Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety through the implementation o…
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psnet.ahrq.gov/issue/patient-safety-rounds-pediatric-tertiary-care-center
September 09, 2008 - Study
Patient safety rounds in a pediatric tertiary care center.
Citation Text:
Rinke ML, Zimmer KP, Lehmann CU, et al. Patient safety rounds in a pediatric tertiary care center. Jt Comm J Qual Patient Saf. 2008;34(1):5-12.
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psnet.ahrq.gov/issue/why-there-another-persons-name-my-infusion-bag-patient-safety-chemotherapy-care-review
May 01, 2024 - Review
'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care—a review of the literature.
Citation Text:
Kullberg A, Larsen J, Sharp L. 'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care - a review of the l…
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psnet.ahrq.gov/issue/effectiveness-and-cost-transitional-care-program-heart-failure-prospective-study-concurrent
April 24, 2019 - Study
Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls.
Citation Text:
Stauffer BD, Fullerton C, Fleming N, et al. Effectiveness and cost of a transitional care program for heart failure: a prospective study with conc…
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psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
November 03, 2021 - Review
Missed nursing care in emergency departments: a scoping review.
Citation Text:
Duhalde H, Bjuresäter K, Karlsson I, et al. Missed nursing care in emergency departments: a scoping review. Int Emerg Nurs. 2023;69:101296. doi:10.1016/j.ienj.2023.101296.
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psnet.ahrq.gov/issue/american-college-surgeons-and-surgical-infection-society-surgical-site-infection-guidelines
October 23, 2018 - Review
American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update.
Citation Text:
Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update. J Am Coll …
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psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals
June 15, 2011 - Study
Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals.
Citation Text:
Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review
February 23, 2011 - Review
Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature.
Citation Text:
Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care--mapping the problem, working to a solution: a systematic …
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psnet.ahrq.gov/issue/reducing-failures-daily-medical-practice-healthcare-failure-mode-and-effect-analysis-combined
August 10, 2022 - Study
Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation.
Citation Text:
Leeftink AG, Visser J, de Laat JM, et al. Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined wit…
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psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned
April 20, 2022 - Commentary
Rooting an error review process in just culture: lessons learned.
Citation Text:
Neiswender K, Figueroa-Altmann A, Granahan K, et al. Rooting an error review process in just culture: lessons learned. Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5.
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psnet.ahrq.gov/issue/comprehensive-patient-safety-program-can-significantly-reduce-preventable-harm-associated
October 27, 2010 - Study
A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality.
Citation Text:
Brilli RJ, McClead RE, Crandall W, et al. A comprehensive patient safety program can significantly reduce preventable harm, associated costs,…