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psnet.ahrq.gov/issue/disorganized-care-findings-iterative-depth-analysis-surgical-morbidity-and-mortality
October 19, 2022 - Study
Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality.
Citation Text:
Anderson CI, Nelson CS, Graham CF, et al. Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. J Surg Res. 201…
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psnet.ahrq.gov/issue/rate-undesirable-events-beginning-academic-year-retrospective-cohort-study
June 08, 2010 - Study
Classic
Rate of undesirable events at beginning of academic year: retrospective cohort study.
Citation Text:
Haller G, Myles PS, Taffé P, et al. Rate of undesirable events at beginning of academic year: retrospective cohort study. BMJ. 2009;339:b3974. do…
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psnet.ahrq.gov/issue/evaluating-impact-pharmacist-led-prescribing-feedback-intervention-prescribing-errors
August 26, 2020 - Study
Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting.
Citation Text:
Lloyd M, Watmough SD, O'Brien SV, et al. Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a ho…
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psnet.ahrq.gov/issue/how-does-audit-and-feedback-influence-intentions-health-professionals-improve-practice
February 14, 2024 - Study
How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation.
Citation Text:
Gude WT, van Engen-Verheul MM, van der Veer SN, et al. How does audit and feedback influence intentions of…
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psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light-use-satisfaction-and-safety
September 01, 2021 - Study
Effects of nursing rounds on patients' call light use, satisfaction, and safety.
Citation Text:
Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and safety. Am J Nurs. 2006;106(9):58-71.
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psnet.ahrq.gov/issue/effect-patient-and-medication-related-factors-inpatient-medication-reconciliation-errors
May 08, 2017 - Study
Effect of patient- and medication-related factors on inpatient medication reconciliation errors.
Citation Text:
Salanitro AH, Osborn CY, Schnipper JL, et al. Effect of patient- and medication-related factors on inpatient medication reconciliation errors. J Gen Intern Med. 2012;27(8…
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psnet.ahrq.gov/issue/system-wide-approach-explaining-variation-potentially-avoidable-emergency-admissions-national
November 25, 2020 - Study
A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study.
Citation Text:
O'Cathain A, Knowles E, Maheswaran R, et al. A system-wide approach to explaining variation in potentially avoidable emergency admissions: nation…
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psnet.ahrq.gov/issue/family-input-quality-and-safety-fiqs-using-mobile-technology-hospital-reporting-families-and
November 24, 2021 - Study
Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients.
Citation Text:
Bardach NS, Stotts JR, Fiore DM, et al. Family Input for Quality and Safety (FIQS): Using mobile technology for in‐hospital reporting from famili…
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psnet.ahrq.gov/issue/using-human-factors-and-ergonomics-principles-prevent-inpatient-falls
November 09, 2022 - Study
Using human factors and ergonomics principles to prevent inpatient falls.
Citation Text:
Kwok Y-ting, Lam M-sang. Using human factors and ergonomics principles to prevent inpatient falls. BMJ Open Qual. 2022;11(1):e001696. doi:10.1136/bmjoq-2021-001696.
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psnet.ahrq.gov/issue/systematic-review-association-shift-length-protected-sleep-time-and-night-float-patient-care
November 26, 2014 - Review
Classic
Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education.
Citation Text:
Reed DA, Fletcher KE, Arora V. Systematic review: association of shift length, protected sl…
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psnet.ahrq.gov/issue/measuring-hospital-adverse-events-assessing-inter-rater-reliability-and-trigger-performance
May 07, 2014 - Study
Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool.
Citation Text:
Naessens JM, O'Byrne TJ, Johnson MG, et al. Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the …
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psnet.ahrq.gov/issue/prevalence-dose-errors-among-paediatric-patients-hospital-wards-and-without-health
November 02, 2018 - Review
The prevalence of dose errors among paediatric patients in hospital wards with and without health information technology: a systematic review and meta-analysis.
Citation Text:
Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in Hospi…
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psnet.ahrq.gov/issue/medication-management-covid-19-patients-during-transition-virtual-models-care-qualitative
October 30, 2024 - Study
Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study.
Citation Text:
Hattingh HL, Edmunds C, Gillespie BM. Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study. J Pharm Pol…
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psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
November 16, 2022 - Commentary
The next organizational challenge: finding and addressing diagnostic error.
Citation Text:
Graber ML, Trowbridge RL, Myers JS, et al. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102-10.
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psnet.ahrq.gov/issue/identifying-and-encouraging-high-quality-healthcare-analysis-content-and-aims-patient-letters
September 14, 2022 - Study
Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment.
Citation Text:
Gillespie A, Reader TW. Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of complimen…
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psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events
February 03, 2021 - Study
Suffering in silence: a qualitative study of second victims of adverse events.
Citation Text:
Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035.
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psnet.ahrq.gov/issue/impact-meaningful-use-and-electronic-health-records-hospital-patient-safety
June 29, 2022 - Study
The impact of meaningful use and electronic health records on hospital patient safety.
Citation Text:
Trout KE, Chen L-W, Wilson FA, et al. The impact of meaningful use and electronic health records on hospital patient safety. Int J Environ Res Public Health. 2022;19(19):12525. doi…
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psnet.ahrq.gov/issue/burden-opioid-related-adverse-drug-events-hospitalized-previously-opioid-free-surgical
March 24, 2021 - Study
Emerging Classic
The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.
Citation Text:
Urman RD, Seger DL, Fiskio JM, et al. The burden of opioid-related adverse drug events on hospitalized previously opi…
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psnet.ahrq.gov/issue/patient-safety-culture-care-homes-older-people-scoping-review
January 08, 2020 - Review
Patient safety culture in care homes for older people: a scoping review.
Citation Text:
Gartshore E, Waring J, Timmons S. Patient safety culture in care homes for older people: a scoping review. BMC Health Serv Res. 2017;17(1):752. doi:10.1186/s12913-017-2713-2.
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psnet.ahrq.gov/issue/national-trends-safety-performance-electronic-health-record-systems-2009-2018
July 29, 2020 - Study
National trends in the safety performance of electronic health record systems from 2009 to 2018.
Citation Text:
Classen DC, Holmgren AJ, Co Z, et al. National trends in the safety performance of electronic health record systems from 2009 to 2018. JAMA Netw Open. 2020;3(5). doi:10.1…