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psnet.ahrq.gov/issue/healthcare-complaints-analysis-tool-development-and-reliability-testing-method-service
November 29, 2023 - Study
The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service monitoring and organisational learning.
Citation Text:
Gillespie A, Reader TW. The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service m…
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psnet.ahrq.gov/issue/frequency-and-clinical-importance-pages-sent-wrong-physician
October 31, 2011 - Study
Frequency and clinical importance of pages sent to the wrong physician.
Citation Text:
Wong BM, Quan S, Cheung M, et al. Frequency and clinical importance of pages sent to the wrong physician. Arch Intern Med. 2009;169(11):1072-3. doi:10.1001/archinternmed.2009.117.
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psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient
December 01, 2011 - Study
Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes.
Citation Text:
DiCuccio MH, Colbert AM, Triolo PK, et al. Cracking the Code for Quality. J Nurs Admin. 2020;50(3):152-158. doi:10.1097/nna.0000000000000859.
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psnet.ahrq.gov/issue/challenges-nurses-efforts-retrieving-documenting-and-communicating-patient-care-information
November 18, 2016 - Study
Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information.
Citation Text:
Keenan G, Yakel E, Lopez KD, et al. Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. J Am Med Inform Assoc. 2013…
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psnet.ahrq.gov/issue/perceptual-gaps-between-clinicians-and-technologists-health-information-technology-related
March 11, 2020 - Study
Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study.
Citation Text:
Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related…
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psnet.ahrq.gov/issue/revealing-and-resolving-patient-safety-defects-impact-leadership-walkrounds-frontline
June 16, 2011 - Study
Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety.
Citation Text:
Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on …
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psnet.ahrq.gov/issue/exploring-organizational-context-and-structure-predictors-medication-errors-and-patient-falls
January 22, 2020 - Study
Exploring organizational context and structure as predictors of medication errors and patient falls.
Citation Text:
Mark BA, Hughes LC, Belyea M, et al. Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls. J Patient Saf. 2008;4(2). …
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psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-transitions
November 20, 2024 - Commentary
A call to bridge across silos during care transitions.
Citation Text:
Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006.
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psnet.ahrq.gov/issue/how-well-do-incident-reporting-systems-work-inpatient-psychiatric-units
September 05, 2018 - Study
How well do incident reporting systems work on inpatient psychiatric units?
Citation Text:
Reilly CA, Cullen SW, Watts B, et al. How Well Do Incident Reporting Systems Work on Inpatient Psychiatric Units? Jt Comm J Qual Patient Saf. 2019;45(1):63-69. doi:10.1016/j.jcjq.2018.05.002.…
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psnet.ahrq.gov/issue/shape-matters-neglected-feature-medication-safety-why-regulating-shape-medication-containers
December 09, 2020 - Commentary
Shape matters: a neglected feature of medication safety: why regulating the shape of medication containers can improve medication safety.
Citation Text:
Bitan Y, Nunnally M. Shape matters: a neglected feature of medication safety: why regulating the shape of medication contain…
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psnet.ahrq.gov/issue/impact-out-hours-admission-patient-mortality-longitudinal-analysis-tertiary-acute-hospital
July 21, 2017 - Study
Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital.
Citation Text:
Han L, Sutton M, Clough S, et al. Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. BMJ Qual Saf. 2018;…
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psnet.ahrq.gov/issue/how-do-stakeholders-experience-adoption-electronic-prescribing-systems-hospitals-systematic
December 16, 2020 - Review
How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies.
Citation Text:
Farre A, Heath G, Shaw K, et al. How do stakeholders experience the adoption of electronic prescribing syst…
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psnet.ahrq.gov/issue/work-hours-work-stress-and-collaboration-among-ward-staff-relation-risk-hospital-associated
December 14, 2022 - Study
Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-associated infection among patients.
Citation Text:
Virtanen M, Kurvinen T, Terho K, et al. Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-asso…
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psnet.ahrq.gov/issue/surgeon-agreement-time-handover-prospective-cohort-study
July 19, 2010 - Study
Surgeon agreement at the time of handover, a prospective cohort study.
Citation Text:
Hilsden R, Moffat B, Knowles S, et al. Surgeon agreement at the time of handover, a prospective cohort study. World J Emerg Surg. 2016;11:11. doi:10.1186/s13017-016-0065-6.
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psnet.ahrq.gov/issue/prevalence-error-prone-abbreviations-used-medication-prescribing-hospitalised-patients-multi
July 06, 2011 - Study
Prevalence of error-prone abbreviations used in medication prescribing for hospitalised patients: multi-hospital evaluation.
Citation Text:
Dooley MJ, Wiseman M, Gu G. Prevalence of error-prone abbreviations used in medication prescribing for hospitalised patients: multi-hospital …
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psnet.ahrq.gov/issue/host-hospital-24-hour-underreferral-rate-automated-measure-call-center-safety
September 23, 2020 - Study
The host hospital 24-hour underreferral rate: an automated measure of call-center safety.
Citation Text:
Hirsh DA, Simon HK, Massey R, et al. The host hospital 24-hour underreferral rate: an automated measure of call-center safety. Pediatrics. 2007;119(6):1139-1144.
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psnet.ahrq.gov/issue/systematic-review-prevalence-and-types-adverse-events-interfacility-critical-care-transfers
November 25, 2020 - Review
A systematic review of the prevalence and types of adverse events in interfacility critical care transfers by paramedics.
Citation Text:
Alabdali A, Fisher JD, Trivedy C, et al. A Systematic Review of the Prevalence and Types of Adverse Events in Interfacility Critical Care Transf…
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psnet.ahrq.gov/issue/medication-reconciliation-oncological-patients-randomized-clinical-trial
March 09, 2022 - Study
Medication reconciliation in oncological patients: a randomized clinical trial.
Citation Text:
Vega TG-C, Sierra-Sánchez JF, Martínez-Bautista MJ, et al. Medication Reconciliation in Oncological Patients: A Randomized Clinical Trial. J Manag Care Spec Pharm. 2016;22(6):734-40. doi:…
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psnet.ahrq.gov/issue/measurement-harms-community-care-qualitative-study-use-nhs-safety-thermometer
January 23, 2019 - Study
Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer.
Citation Text:
Brewster L, Tarrant C, Willars J, et al. Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. BMJ Qual Saf. 2018;27(8):625-6…
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psnet.ahrq.gov/issue/using-patient-safety-indicators-detect-potential-safety-events-among-us-veterans-psychotic
November 16, 2022 - Study
Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications.
Citation Text:
Smith EG, Zhao S, Rosen AK. Using the patient safety indicators to detect potential safety events among US veterans w…