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psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized-controlled-trial
December 21, 2017 - Study
Understanding and preventing wrong-patient electronic orders: a randomized controlled trial.
Citation Text:
Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305…
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psnet.ahrq.gov/issue/barriers-and-facilitators-healthcare-workers-adherence-infection-prevention-and-control-ipc
March 02, 2011 - Review
Classic
Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis.
Citation Text:
Houghton C, Meskell P, Delaney H, et al. …
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psnet.ahrq.gov/issue/characteristics-initial-prescription-episodes-and-likelihood-long-term-opioid-use-united
April 24, 2018 - Study
Classic
Characteristics of initial prescription episodes and likelihood of long-term opioid use—United States, 2006–2015.
Citation Text:
Shah A, Hayes CJ, Martin BC. Characteristics of Initial Prescription Episodes and Likelihood of Long-Term Opioid Use - …
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psnet.ahrq.gov/issue/what-has-been-impact-covid-19-safety-culture-case-study-large-metropolitan-teaching-hospital
May 05, 2021 - Study
What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust.
Citation Text:
Denning M, Goh ET, Scott A, et al. What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. Int J …
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psnet.ahrq.gov/issue/national-survey-assessing-number-records-allowed-open-electronic-health-records-hospitals-and
May 29, 2019 - Study
A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites.
Citation Text:
Adelman JS, Berger MA, Rai A, et al. A national survey assessing the number of records allowed open in electronic health records at hospital…
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psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
September 23, 2020 - Study
"SWARMing" to improve patient care: a novel approach to root cause analysis.
Citation Text:
Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501.
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psnet.ahrq.gov/issue/improving-patient-safety-and-efficiency-medication-reconciliation-through-development-and
May 20, 2020 - Study
Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project.
Citation Text:
Tamblyn R, Winslade N, Lee TC, et…
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psnet.ahrq.gov/issue/enhancing-teamwork-communication-and-patient-safety-responsiveness-paediatric-intensive-care
March 10, 2021 - Study
Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool.
Citation Text:
Aldawood F, Kazzaz Y, AlShehri A, et al. Enhancing teamwork communication and patient safety responsiveness in a paediatric inte…
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psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
August 18, 2021 - Study
Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.
Citation Text:
Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale ad…
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psnet.ahrq.gov/issue/why-do-we-still-page-each-other-examining-frequency-types-and-senders-pages-academic-medical
September 11, 2019 - Study
Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services.
Citation Text:
Carlile N, Rhatigan JJ, Bates DW. Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. BMJ…
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psnet.ahrq.gov/issue/diagnosis-physical-and-mental-health-conditions-primary-care-during-covid-19-pandemic
June 30, 2021 - Study
Emerging Classic
Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective cohort study.
Citation Text:
Williams R, Jenkins DA, Ashcroft DM, et al. Diagnosis of physical and mental health conditions in…
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psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-systems-clinical-care-and-work-processes-emergency
May 25, 2011 - Review
The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature.
Citation Text:
Georgiou A, Prgomet M, Paoloni R, et al. The effect of computerized provider order entry syst…
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psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
May 01, 2015 - Book/Report
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System.
Citation Text:
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. Washington, DC: VA Office o…
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psnet.ahrq.gov/issue/impact-time-work-and-time-work-rule-compliance-case-hand-hygiene-health-care
May 18, 2022 - Study
Classic
The impact of time at work and time off from work on rule compliance: the case of hand hygiene in health care.
Citation Text:
Dai H, Milkman KL, Hofmann DA, et al. The impact of time at work and time off from work on rule compliance: the case of ha…
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psnet.ahrq.gov/issue/nosocomial-transmission-and-outbreaks-coronavirus-disease-2019-need-protect-both-patients-and
February 07, 2022 - Review
Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers.
Citation Text:
Abbas M, Robalo Nunes T, Martischang R, et al. Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both pa…
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psnet.ahrq.gov/node/47530/psn-pdf
June 19, 2019 - Two decades since To Err Is Human: an assessment of
progress and emerging priorities in patient safety.
June 19, 2019
Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging
Priorities In Patient Safety. Health Aff (Millwood). 2018;37(11):1736-1743. doi:10.1377/hlthaff.2018.0738…
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psnet.ahrq.gov/node/38744/psn-pdf
July 01, 2009 - Effects of resident duty hour reform on surgical and
procedural patient safety indicators among hospitalized
Veterans Health Administration and Medicare patients.
July 1, 2009
Rosen AK, Loveland SA, Romano PS, et al. Effects of resident duty hour reform on surgical and procedural
patient safety indicators among ho…
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psnet.ahrq.gov/issue/ihi-announces-hospitals-participating-100000-lives-campaign-have-saved-estimated-122300-lives
August 07, 2024 - Press Release/Announcement
Classic
IHI announces that hospitals participating in 100,000 Lives Campaign have saved an estimated 122,300 lives.
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psnet.ahrq.gov/issue/opioid-taskforce-playbook
May 01, 2023 - Toolkit
Opioid Taskforce Playbook.
Citation Text:
College of Healthcare Information Management Executives; 2023. Opioid Taskforce Playbook.
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psnet.ahrq.gov/node/42988/psn-pdf
March 05, 2014 - Between surveillance and subjectification: professionals
and the governance of quality and patient safety in
English hospitals.
March 5, 2014
Martin G, Leslie M, Minion J, et al. Between surveillance and subjectification: professionals and the
governance of quality and patient safety in English hospitals. Soc Sci …