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psnet.ahrq.gov/issue/decade-preventing-harm
July 10, 2008 - Commentary
A decade of preventing harm.
Citation Text:
Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf. 2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007.
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psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers-high-reliability-hand
December 02, 2020 - Study
Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene.
Citation Text:
Vaughan-Malloy AM, Chan Yuen J, Sandora TJ. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in han…
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psnet.ahrq.gov/issue/effects-individual-nurse-and-hospital-characteristics-patient-adverse-events-and-quality-care
February 08, 2019 - Study
Effects of individual nurse and hospital characteristics on patient adverse events and quality of care: a multilevel analysis.
Citation Text:
Lee SE, Vincent C, Dahinten S, et al. Effects of Individual Nurse and Hospital Characteristics on Patient Adverse Events and Quality of Care…
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psnet.ahrq.gov/issue/observational-study-associations-between-nurse-reported-hospital-characteristics-and
January 22, 2014 - Study
An observational study: associations between nurse-reported hospital characteristics and estimated 30-day survival probabilities.
Citation Text:
Tvedt C, Sjetne IS, Helgeland J, et al. An observational study: associations between nurse-reported hospital characteristics and estimate…
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psnet.ahrq.gov/issue/adverse-events-veterans-affairs-inpatient-psychiatric-units-staff-perspectives-contributing
January 30, 2019 - Study
Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors.
Citation Text:
True G, Frasso R, Cullen SW, et al. Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and prote…
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psnet.ahrq.gov/issue/inter-and-intra-disciplinary-collaboration-and-patient-safety-outcomes-us-acute-care-hospital
August 07, 2024 - Study
Emerging Classic
Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study.
Citation Text:
Ma C, Park SH, Shang J. Inter- and intra-disciplinary collaboration and patient safety outco…
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psnet.ahrq.gov/issue/patient-safety-climate-psc-perceptions-frontline-staff-acute-care-hospitals-examining-role
March 28, 2012 - Study
Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership.
Citation Text:
Zaheer S, Ginsburg LR, Chuang Y-T, et al. Patient safety climate (PSC) perceptions of f…
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psnet.ahrq.gov/issue/data-driven-quality-improvement-culture-change-and-high-reliability-journey-special-hospital
March 24, 2021 - Commentary
Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities.
Citation Text:
Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high relia…
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psnet.ahrq.gov/issue/prevention-pediatric-medication-errors-hospital-pharmacists-and-potential-benefit
December 15, 2011 - Study
Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry.
Citation Text:
Wang JK, Herzog NS, Kaushal R, et al. Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of c…
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psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-mortality-english-national-health-service-retrospective
December 12, 2014 - Study
Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study.
Citation Text:
Zaranko B, Sanford NJ, Kelly E, et al. Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study…
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psnet.ahrq.gov/issue/hospital-board-checklist-improve-culture-and-reduce-central-line-associated-bloodstream
May 24, 2012 - Commentary
Hospital board checklist to improve culture and reduce central line–associated bloodstream infections.
Citation Text:
Goeschel CA, Holzmueller CG, Pronovost P. Hospital Board Checklist to improve culture and reduce central line-associated bloodstream infections. Jt Comm J Qual…
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psnet.ahrq.gov/issue/association-nurse-work-environment-and-patient-safety-pediatric-acute-care
July 12, 2017 - Study
The association of the nurse work environment and patient safety in pediatric acute care.
Citation Text:
Lake ET, Roberts KE, Agosto PD, et al. The Association of the Nurse Work Environment and Patient Safety in Pediatric Acute Care. J Patient Saf. 2021;17(8):e1546-e1552. doi:10.10…
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psnet.ahrq.gov/issue/link-between-clinically-validated-patient-safety-indicators-and-clinical-outcomes
November 16, 2016 - Study
The link between clinically validated patient safety indicators and clinical outcomes.
Citation Text:
Gray DM, Hefner JL, Nguyen MC, et al. The Link Between Clinically Validated Patient Safety Indicators and Clinical Outcomes. Am J Med Qual. 2017;32(6):583-590. doi:10.1177/10628606…
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psnet.ahrq.gov/issue/evolution-intravenous-medication-errors-and-preventive-systemic-defenses-hospital-settings
July 01, 2020 - Review
Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence.
Citation Text:
Kuitunen S, Airaksinen M, Holmström A-R. Evolution of intravenous medication errors and preventive systemic defenses in hospital s…
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psnet.ahrq.gov/issue/development-and-performance-evaluation-medicines-optimisation-assessment-tool-moat-prognostic
March 18, 2020 - Study
Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems.
Citation Text:
Geeson C, Wei L, Franklin BD. Development and performance evaluation of the M…
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psnet.ahrq.gov/issue/information-technology-based-approaches-reducing-repeat-drug-exposure-patients-known-drug
December 21, 2022 - Commentary
Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies.
Citation Text:
Cresswell K, Sheikh A. Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. J Allergy Cli…
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psnet.ahrq.gov/issue/medication-administration-errors-urban-mental-health-hospital-direct-observation-study
September 03, 2014 - Study
Medication-administration errors in an urban mental health hospital: a direct observation study.
Citation Text:
Cottney A, Innes J. Medication-administration errors in an urban mental health hospital: a direct observation study. Int J Ment Health Nurs. 2015;24(1):65-74. doi:10.1111…
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psnet.ahrq.gov/issue/rural-va-multi-center-medication-reconciliation-quality-improvement-study-r-va-marquis
September 30, 2020 - Study
The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS).
Citation Text:
Presley CA, Wooldridge KT, Byerly SH, et al. The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). Am J Health Syst Pharm. 2020;77(2)…
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psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-incidents
August 19, 2020 - Study
An analysis of electronic health record–related patient safety incidents.
Citation Text:
Palojoki S, Mäkelä M, Lehtonen L, et al. An analysis of electronic health record-related patient safety incidents. Health Informatics J. 2017;23(2):134-145. doi:10.1177/1460458216631072.
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psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands
June 16, 2021 - Commentary
Patient safety and the problem of many hands.
Citation Text:
Dixon-Woods M, Pronovost P. Patient safety and the problem of many hands. BMJ Qual Saf. 2016;25(7):485-488. doi:10.1136/bmjqs-2016-005232.
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