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psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team
February 12, 2020 - Study
Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards.
Citation Text:
Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” …
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psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
August 20, 2018 - Study
Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients.
Citation Text:
Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Development of an online morbidity, mortality, and near-miss reporting system to ide…
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psnet.ahrq.gov/issue/effect-reducing-interns-work-hours-serious-medical-errors-intensive-care-units
June 29, 2009 - Study
Classic
Effect of reducing interns' work hours on serious medical errors in intensive care units.
Citation Text:
Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical errors in intensive care units. N En…
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psnet.ahrq.gov/issue/improving-communication-and-response-clinical-deterioration-increase-patient-safety-intensive
December 09, 2020 - Study
Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.
Citation Text:
Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase patient safety in the intensive care uni…
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psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging
June 16, 2011 - Study
Classic
The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research.
Citation Text:
Sexton JB, Helmreich RL, Neilands TB, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and…
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psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and
January 15, 2014 - Study
Classic
Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system.
Citation Text:
Berry JC, Davis JT, Bartman T, et al. Improved Safety Culture and Teamwork Climate Are Associ…
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psnet.ahrq.gov/issue/engaging-hospital-patients-medication-reconciliation-process-using-tablet-computers
January 07, 2015 - Study
Engaging hospital patients in the medication reconciliation process using tablet computers.
Citation Text:
Prey JE, Polubriaginof F, Grossman L, et al. Engaging hospital patients in the medication reconciliation process using tablet computers. J Am Med Inform Assoc. 2018;25(11):146…
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psnet.ahrq.gov/issue/handoffs-and-transitions-care-systematic-review-meta-analysis-and-practice-management
September 23, 2020 - Review
Handoffs and transitions of care: a systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma.
Citation Text:
Appelbaum RD, Puzio TJ, Bauman Z, et al. Handoffs and transitions of care: a systematic review, meta-analy…
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psnet.ahrq.gov/issue/rare-adverse-medical-events-va-inpatient-care-reliability-limits-using-patient-safety
February 27, 2008 - Study
Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures.
Citation Text:
West AN, Weeks WB, Bagian JP. Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as…
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digital.ahrq.gov/funding-mechanism/ahrq-grants-health-services-research-dissertation-r36
January 01, 2023 - AHRQ Grants for Health Services Research Dissertation (R36)
Heuristics in managing complex clinical decision tasks in experts' decision making.
Citation
Islam R, Weir C, Del Fiol G. Heuristics in managing complex clinical decision tasks in experts' decision making. IEEE Int Co…
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psnet.ahrq.gov/issue/using-text-mining-techniques-identify-health-care-providers-patient-safety-problems
July 27, 2022 - Study
Using text mining techniques to identify health care providers with patient safety problems: exploratory study.
Citation Text:
Hendrickx I, Voets T, van Dyk P, et al. Using text mining techniques to identify health care providers with patient safety problems: exploratory study. J M…
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psnet.ahrq.gov/issue/evaluation-patient-centered-fall-prevention-tool-kit-reduce-falls-and-injuries-nonrandomized
February 01, 2023 - Study
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial.
Citation Text:
Dykes PC, Burns Z, Adelman JS, et al. Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized con…
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psnet.ahrq.gov/issue/effect-documenting-patient-weight-kilograms-pediatric-medication-dosing-errors-emergency
October 19, 2022 - Study
The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services.
Citation Text:
Ward CE, Taylor M, Keeney C, et al. The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency med…
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psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans-health-administration
December 11, 2024 - Study
The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities.
Citation Text:
Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facil…
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psnet.ahrq.gov/issue/adverse-drug-event-detection-pediatric-oncology-and-hematology-patients-using-medication
November 16, 2022 - Study
Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population.
Citation Text:
Call RJ, Burlison JD, Robertson JJ, et al. Adverse drug event detection in pediatric oncology…
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psnet.ahrq.gov/issue/blinded-prospective-study-error-detection-during-physician-chart-rounds-radiation-oncology
November 16, 2022 - Study
A blinded, prospective study of error detection during physician chart rounds in radiation oncology.
Citation Text:
Talcott WJ, Lincoln H, Kelly JR, et al. A blinded, prospective study of error detection during physician chart rounds in radiation oncology. Pract Radiat Oncol. 2020;…
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psnet.ahrq.gov/issue/cumulative-effect-flexible-duty-hour-policies-resident-outcomes-long-term-follow-results
July 15, 2020 - Study
Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results from the FIRST trial.
Citation Text:
Landrigan CP, Rahman SA, Sullivan JP, et al. Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results fr…
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psnet.ahrq.gov/issue/i-pass-illness-diversity-identifies-patients-risk-overnight-clinical-deterioration
November 16, 2022 - Study
I-PASS illness diversity identifies patients at risk for overnight clinical deterioration.
Citation Text:
Shah C, Sanber K, Jacobson R, et al. I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. J Grad Med Educ. 2020;12(5):578-582. doi:10.4300…
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psnet.ahrq.gov/issue/physicians-views-interventions-reduce-medical-errors-does-evidence-effectiveness-matter
February 18, 2011 - Study
Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter?
Citation Text:
Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):1…
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psnet.ahrq.gov/issue/changes-hospital-acquired-conditions-and-mortality-associated-hospital-acquired-condition
July 24, 2019 - Study
Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition reduction program.
Citation Text:
Arntson E, Dimick JB, Nuliyalu U, et al. Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition red…