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psnet.ahrq.gov/issue/effect-facility-characteristics-patient-safety-patient-experience-and-service-availability
April 12, 2023 - Review
The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non–hospital-affiliated outpatient settings: a systematic review.
Citation Text:
Berglas NF, Battistelli MF, Nicholson WK, et al. The effect of facility charact…
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psnet.ahrq.gov/issue/cpoe-iran-viable-prospect-physicians-opinions-using-cpoe-iranian-teaching-hospital
June 30, 2011 - Study
CPOE in Iran—a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital.
Citation Text:
Kazemi A, Ellenius J, Tofighi S, et al. CPOE in Iran--a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital. Int J Med Inform. 2009;7…
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psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative
December 16, 2015 - Study
Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis.
Citation Text:
Mossburg SE, Weaver SJ, Pillari MS, et al. Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles: A Qualitativ…
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psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent
April 10, 2024 - Study
Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center.
Citation Text:
Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality Impr…
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psnet.ahrq.gov/issue/interprofessional-model-speaking-behaviour-healthcare-professionals-qualitative-study
December 21, 2017 - Study
Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study.
Citation Text:
Umoren R, Kim S, Gray MM, et al. Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. BMJ Lead. 2022;6(1):15-19. doi:10.11…
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psnet.ahrq.gov/issue/improvement-patient-safety-may-precede-policy-changes-trends-patient-safety-indicators-united
November 01, 2017 - Study
Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013.
Citation Text:
Tedesco D, Moghavem N, Weng Y, et al. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the U…
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psnet.ahrq.gov/issue/putting-action-rca2-analysis-intervention-strength-after-adverse-events
April 17, 2024 - Study
Putting the "action" in RCA(2): an analysis of intervention strength after adverse events.
Citation Text:
Zerillo JA, Tardiff SA, Flood D, et al. Putting the "action" in RCA(2): an analysis of intervention strength after adverse events. Jt Comm J Qual Patient Saf. 2024;50(7):492-49…
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psnet.ahrq.gov/issue/reliability-verbal-handoff-assessment-and-handoff-quality-and-after-implementation-resident
November 16, 2022 - Study
Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle.
Citation Text:
Feraco AM, Starmer AJ, Sectish TC, et al. Reliability of Verbal Handoff Assessment and Handoff Quality Before and After Implementation of a Resi…
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psnet.ahrq.gov/issue/failure-rescue-female-patients-undergoing-high-risk-surgery
October 25, 2017 - Study
Failure to rescue female patients undergoing high-risk surgery.
Citation Text:
Wagner CM, Joynt Maddox KE, Ailawadi G, et al. Failure to rescue female patients undergoing high-risk surgery. JAMA Surg. 2024;160(1):29-36. doi:10.1001/jamasurg.2024.4574.
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psnet.ahrq.gov/issue/what-and-when-debrief-scoping-review-examining-interprofessional-clinical-debriefing
September 09, 2015 - Review
What and when to debrief: a scoping review examining interprofessional clinical debriefing.
Citation Text:
Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1…
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psnet.ahrq.gov/issue/moving-after-critical-incidents-health-care-qualitative-study-perspectives-and-experiences
February 10, 2021 - Study
Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims
Citation Text:
Buhlmann M, Ewens B, Rashidi A. Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of …
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psnet.ahrq.gov/issue/stakeholder-safety-communication-patient-and-family-reports-safety-risks-hospitals
July 28, 2021 - Study
Stakeholder safety communication: patient and family reports on safety risks in hospitals.
Citation Text:
Reader TW. Stakeholder safety communication: patient and family reports on safety risks in hospitals. J Risk Res. 2022;25(7):807-824. doi:10.1080/13669877.2022.2061036.
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psnet.ahrq.gov/issue/shift-change-handovers-and-subsequent-interruptions-potential-impacts-quality-care
February 04, 2009 - Study
Shift change handovers and subsequent interruptions: potential impacts on quality of care.
Citation Text:
Estryn-Behar MR, Milanini-Magny G, Chaumon E, et al. Shift change handovers and subsequent interruptions: potential impacts on quality of care. J Patient Saf. 2014;10(1):29-44.…
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psnet.ahrq.gov/issue/systematic-review-and-evaluation-physiological-track-and-trigger-warning-systems-identifying
July 20, 2022 - Review
Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward.
Citation Text:
Gao H, McDonnell A, Harrison DA, et al. Systematic review and evaluation of physiological track and trigger warning systems for identif…
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psnet.ahrq.gov/issue/impact-laws-aimed-healthcare-associated-infection-reduction-qualitative-study
December 23, 2020 - Study
Impact of laws aimed at healthcare-associated infection reduction: a qualitative study.
Citation Text:
Stone PW, Pogorzelska-Maziarz M, Reagan J, et al. Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. BMJ Qual Saf. 2015;24(10):637-44. doi:10.…
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psnet.ahrq.gov/issue/serious-hazards-transfusion-evaluating-dangers-wrong-patient-autologous-salvaged-blood
May 11, 2022 - Commentary
Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery.
Citation Text:
Uramatsu M, Maeda H, Mishima S, et al. Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in …
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psnet.ahrq.gov/issue/failure-administer-recommended-chemotherapy-acceptable-variation-or-cancer-care-quality-blind
September 02, 2020 - Study
Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot?
Citation Text:
Ellis RJ, Schlick CJR, Feinglass J, et al. Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? BMJ Qual Saf. 20…
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psnet.ahrq.gov/issue/society-critical-care-medicine-guidelines-recognizing-and-responding-clinical-deterioration
April 24, 2018 - Organizational Policy/Guidelines
Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023.
Citation Text:
Honarmand K, Wax RS, Penoyer D, et al. Society of Critical Care Medicine Guidelines on Recognizing and Responding to…
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psnet.ahrq.gov/issue/toward-responsible-future-recommendations-ai-enabled-clinical-decision-support
April 03, 2024 - Commentary
Toward a responsible future: recommendations for AI-enabled clinical decision support.
Citation Text:
Labkoff S, Oladimeji B, Kannry J, et al. Toward a responsible future: recommendations for AI-enabled clinical decision support. J Am Med Inform Assoc. 2024;31(11):2730-2739. d…
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psnet.ahrq.gov/issue/transitions-care-consensus-policy-statement-american-college-physicians-society-general
July 27, 2022 - Commentary
Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.
Citation Text:
Snow V,…