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psnet.ahrq.gov/issue/relationship-between-patient-safety-climate-and-occupational-safety-climate-healthcare-multi
January 21, 2015 - Study
The relationship between patient safety climate and occupational safety climate in healthcare—a multi-level investigation.
Citation Text:
Pousette A, Larsman P, Eklöf M, et al. The relationship between patient safety climate and occupational safety climate in healthcare – A multi-l…
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psnet.ahrq.gov/issue/more-just-crushing-prospective-pre-post-intervention-study-reduce-drug-preparation-errors
November 02, 2010 - Study
More than just crushing: a prospective pre-post intervention study to reduce drug preparation errors in patients with feeding tubes.
Citation Text:
Lohmann K, Gartner D, Kurze R, et al. More than just crushing: a prospective pre-post intervention study to reduce drug preparation er…
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psnet.ahrq.gov/issue/quantitative-analysis-content-ems-handoff-critically-ill-and-injured-patients-emergency
August 04, 2021 - Study
Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department.
Citation Text:
Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically Ill and Injured Patients to the Emergen…
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psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-10-internal-medicine-departments
August 17, 2016 - Study
The nature and causes of unintended events reported at 10 internal medicine departments.
Citation Text:
Lubberding S, Zwaan L, Timmermans D, et al. The nature and causes of unintended events reported at 10 internal medicine departments. J Patient Saf. 2011;7(4):224-31. doi:10.109…
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psnet.ahrq.gov/issue/working-influenza-illness-presenteeism-among-us-health-care-personnel-during-2014-2015
July 19, 2023 - Study
Working with influenza-like illness: presenteeism among US health care personnel during the 2014–2015 influenza season.
Citation Text:
Chiu S, Black CL, Yue X, et al. Working with influenza-like illness: Presenteeism among US health care personnel during the 2014-2015 influenza sea…
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psnet.ahrq.gov/issue/are-verbal-orders-threat-patient-safety
July 31, 2008 - Review
Are verbal orders a threat to patient safety?
Citation Text:
Wakefield DS, Wakefield BJ. Are verbal orders a threat to patient safety? Qual Saf Health Care. 2009;18(3):165-168. doi:10.1136/qshc.2009.034041.
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psnet.ahrq.gov/issue/improving-quality-drug-error-reporting
December 21, 2016 - Study
Improving the quality of drug error reporting.
Citation Text:
Armitage G, Newell R, Wright J. Improving the quality of drug error reporting. J Eval Clin Pract. 2010;16(6):1189-97. doi:10.1111/j.1365-2753.2009.01293.x.
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psnet.ahrq.gov/issue/blood-bank-specimen-mislabeling-college-american-pathologists-q-probes-study-41333-blood-bank
November 16, 2022 - Study
Blood bank specimen mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions.
Citation Text:
Novis DA, Lindholm PF, Ramsey G, et al. Blood Bank Specimen Mislabeling: A College of American Pathologists Q-Probes Study of 41 333 …
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psnet.ahrq.gov/issue/impact-relocation-new-critical-care-building-pediatric-safety-events
May 27, 2020 - Study
Impact of a relocation to a new critical care building on pediatric safety events.
Citation Text:
Furthmiller A, Sahay R, Zhang B, et al. Impact of a relocation to a new critical care building on pediatric safety events. J Hosp Med. 2024;19(5):589-595. doi:10.1002/jhm.13324.
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psnet.ahrq.gov/issue/analysing-potential-harm-australian-general-practice-incident-monitoring-study
July 29, 2020 - Study
Classic
Analysing potential harm in Australian general practice: an incident-monitoring study.
Citation Text:
Bhasale AL, Miller GC, Reid SE, et al. Analysing potential harm in Australian general practice: an incident-monitoring study. Med J Aust. 1998;1…
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psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system
December 20, 2023 - Study
A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice.
Citation Text:
Pan D, Nilsson E, Rahman Jabin MS. A review of incidents related to health information technology in Sw…
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psnet.ahrq.gov/issue/reducing-cardiopulmonary-arrest-rates-three-year-regional-rapid-response-system-collaborative
March 04, 2011 - Study
Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative.
Citation Text:
Rosen MJ, Hoberman AJ, Ruiz RE, et al. Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative
June 14, 2023 - Study
Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care.
Citation Text:
Fredheim OMS, Klingenberg E, Lindahl AK. Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. J Palliat Med.…
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psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients
March 16, 2016 - Study
Root cause analyses of suicides of mental health clients.
Citation Text:
Gillies D, Chicop D, O'Halloran P. Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level Prevention Strategies. Crisis. 2015;36(5):316-324. doi:10.1027/02…
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psnet.ahrq.gov/issue/triad-xii-are-patients-aware-and-agree-dnr-or-polst-orders-their-medical-records
September 15, 2021 - Study
TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records.
Citation Text:
Mirarchi FL, Juhasz K, Cooney TE, et al. TRIAD XII: Are Patients Aware of and Agree With DNR or POLST Orders in Their Medical Records. J Patient Saf. 2019;15(3):230-237. doi…
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psnet.ahrq.gov/issue/implementation-crew-resource-management-qualitative-study-3-intensive-care-units
July 10, 2013 - Study
Implementation of crew resource management: a qualitative study in 3 intensive care units.
Citation Text:
Kemper PF, van Dyck C, Wagner C, et al. Implementation of Crew Resource Management: A Qualitative Study in 3 Intensive Care Units. J Patient Saf. 2017;13(4):223-231. doi:10.109…
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psnet.ahrq.gov/issue/innovative-approach-reconstruct-bedside-handoff-using-simple-rules-complexity-science-promote
November 16, 2022 - Commentary
Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients.
Citation Text:
Anthony MK, Kloos J, Beam P, et al. Innovative Approach to Reconstruct Bedside Handoff: Using Simple Rules of Complexity Science to…
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psnet.ahrq.gov/issue/operational-rounds-practical-administrative-process-improve-safety-and-clinical-services
May 12, 2010 - Commentary
Operational rounds: a practical administrative process to improve safety and clinical services in radiology.
Citation Text:
Donnelly LF, Dickerson JM, Lehkamp TW, et al. IRQN award paper: Operational rounds: a practical administrative process to improve safety and clinical s…
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psnet.ahrq.gov/issue/clinical-and-financial-effects-smart-pump-electronic-medical-record-interoperability-hospital
November 16, 2022 - Study
Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system.
Citation Text:
Biltoft J, Finneman L. Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a region…
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psnet.ahrq.gov/issue/comparison-internal-medicine-and-general-surgery-residents-assessments-risk-postsurgical
September 27, 2017 - Study
Comparison of internal medicine and general surgery residents' assessments of risk of postsurgical complications in surgically complex patients.
Citation Text:
Healy JM, Davis KA, Pei KY. Comparison of Internal Medicine and General Surgery Residents' Assessments of Risk of Postsurg…