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psnet.ahrq.gov/issue/perceived-factors-associated-sustained-improvement-following-participation-multicenter
November 20, 2019 - Study
Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative.
Citation Text:
Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following Participation in a Multicenter Quality Im…
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psnet.ahrq.gov/issue/pediatric-residents-decision-making-around-disclosing-and-reporting-adverse-events-importance
January 25, 2017 - Study
Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social context.
Citation Text:
Coffey M, Thomson K, Tallett S, et al. Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social…
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psnet.ahrq.gov/issue/adverse-drug-events-and-medication-errors-psychiatry-methodological-issues-regarding
September 27, 2017 - Review
Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification.
Citation Text:
Mann K, Rothschild JM, Keohane C, et al. Adverse drug events and medication errors in psychiatry: methodological issues regarding identificati…
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psnet.ahrq.gov/issue/case-mistaken-identity-staff-input-patient-id-errors
March 27, 2024 - Study
A case of mistaken identity: staff input on patient ID errors.
Citation Text:
Ortiz J, Amatucci C. A case of mistaken identity: staff input on patient ID errors. Nurs Manag. 2009;40(4):37-41. doi:10.1097/01.NUMA.0000349689.98615.6d.
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psnet.ahrq.gov/issue/does-inappropriate-selectivity-information-use-relate-diagnostic-errors-and-patient-harm
July 02, 2014 - Study
Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea.
Citation Text:
Zwaan L, Thijs A, Wagner C, et al. Does inappropriate selectivity in information use relate to diagnostic errors and patient harm?…
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psnet.ahrq.gov/issue/beliefs-ambulatory-care-physicians-about-accuracy-patient-medication-records-and-technology
December 03, 2014 - Study
Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve accuracy.
Citation Text:
Weeks DL, Corbett CF, Stream G. Beliefs of ambulatory care physicians about accuracy of patient medication records and technolo…
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psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making
June 28, 2017 - Study
Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making.
Citation Text:
Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9.
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psnet.ahrq.gov/issue/wristbands-aids-reduce-misidentification-ethnographically-guided-task-analysis
November 25, 2009 - Study
Wristbands as aids to reduce misidentification: an ethnographically guided task analysis.
Citation Text:
Smith A, Casey K, Wilson J, et al. Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. Int J Qual Health Care. 2011;23(5):590-9. doi:10.109…
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psnet.ahrq.gov/issue/duty-hours-monitoring-revisited-self-report-may-not-be-adequate
April 24, 2018 - Study
Duty-hours monitoring revisited: self-report may not be adequate.
Citation Text:
Buum HAT, Duran-Nelson AM, Menk J, et al. Duty-hours monitoring revisited: self-report may not be adequate. Am J Med. 2013;126(4):362-5. doi:10.1016/j.amjmed.2012.12.003.
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psnet.ahrq.gov/issue/ambulance-stretcher-adverse-events
March 23, 2011 - Study
Ambulance stretcher adverse events.
Citation Text:
Wang HE, Weaver MD, Abo BN, et al. Ambulance stretcher adverse events. Qual Saf Health Care. 2009;18(3):213-216. doi:10.1136/qshc.2007.024562.
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psnet.ahrq.gov/issue/utility-adding-retrospective-medication-profiling-computerized-provider-order-entry
October 04, 2011 - Study
The utility of adding retrospective medication profiling to computerized provider order entry in an ambulatory care population.
Citation Text:
Glassman PA, Belperio P, Lanto A, et al. The utility of adding retrospective medication profiling to computerized provider order entry in…
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psnet.ahrq.gov/issue/safety-standards-implementing-fall-prevention-interventions-and-sustaining-lower-fall-rates
July 12, 2018 - Commentary
Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit.
Citation Text:
Leone RM, Adams RJ. Safety Standards: Implementing Fall Prevention Interventions and Sustaining L…
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psnet.ahrq.gov/issue/case-based-simulation-empowering-pediatric-residents-communicate-about-diagnostic-uncertainty
November 27, 2017 - Study
Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty.
Citation Text:
Olson ME, Borman-Shoap E, Mathias K, et al. Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Diagnosis (Berl). 2018;5(4)…
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psnet.ahrq.gov/issue/making-surgical-wards-safer-patients-diabetes-reducing-hypoglycaemia-and-insulin-errors
February 18, 2019 - Commentary
Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors.
Citation Text:
Singh A, Adams A, Dudley B, et al. Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors. BMJ Open Qual. 2018;7(3):e000…
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psnet.ahrq.gov/issue/impact-leadership-walkarounds-operational-cultural-and-clinical-outcomes-systematic-review
October 12, 2022 - Review
Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review.
Citation Text:
Foster M, MHA BS, Mazur L. Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. BMJ Open Qual. 2023;12(4):e002284. …
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psnet.ahrq.gov/issue/identifying-and-mapping-measures-medication-safety-during-transfer-care-digital-era-scoping
July 24, 2024 - Review
Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review.
Citation Text:
Leon C, Hogan H, Jani YH. Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literatur…
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psnet.ahrq.gov/issue/half-life-printed-handoff-document
April 24, 2018 - Study
Half-life of a printed handoff document.
Citation Text:
Rosenbluth G, Jacolbia R, Milev D, et al. Half-life of a printed handoff document. BMJ Qual Saf. 2016;25(5):324-8. doi:10.1136/bmjqs-2015-004585.
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psnet.ahrq.gov/issue/nurses-workarounds-acute-healthcare-settings-scoping-review
December 08, 2021 - Review
Nurses' workarounds in acute healthcare settings: a scoping review.
Citation Text:
Debono DS, Greenfield D, Travaglia J, et al. Nurses' workarounds in acute healthcare settings: a scoping review. BMC Health Serv Res. 2013;13:175. doi:10.1186/1472-6963-13-175.
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psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-safe-administration-chemotherapy-hospitalized
August 08, 2018 - Study
Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer.
Citation Text:
Robinson DL, Heigham M, Clark J. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer…
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psnet.ahrq.gov/issue/what-near-misses-tell-us-about-risk-and-safety-mental-health-care
October 19, 2022 - Study
What near misses tell us about risk and safety in mental health care.
Citation Text:
Jeffs L, Rose D, Macrae C, et al. What near misses tell us about risk and safety in mental health care. J Psychiatr Ment Health Nurs. 2012;19(5):430-7. doi:10.1111/j.1365-2850.2011.01812.x.
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