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psnet.ahrq.gov/issue/anatomy-failure-sociotechnical-evaluation-laboratory-physician-order-entry-system
April 13, 2022 - Study
Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation.
Citation Text:
Peute LW, Aarts J, Bakker PJM, et al. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. Int J…
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psnet.ahrq.gov/issue/anesthesia-risk-alert-program-proactive-safety-initiative
September 02, 2015 - Study
Anesthesia Risk Alert program: a proactive safety initiative.
Citation Text:
Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005.
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psnet.ahrq.gov/issue/improving-patient-handoffs-and-transitions-through-adaptation-and-implementation-i-pass
September 23, 2020 - Study
Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings.
Citation Text:
Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation and implementation of I-PASS acros…
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psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals
April 24, 2018 - Study
Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes.
Citation Text:
Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication safety intervention: factors commo…
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psnet.ahrq.gov/issue/disclosure-apology-and-offer-programs-stakeholders-views-barriers-and-strategies-broad
December 19, 2018 - Study
Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implementation.
Citation Text:
Bell SK, Smulowitz PB, Woodward AC, et al. Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implem…
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psnet.ahrq.gov/issue/barriers-and-facilitators-implementing-interventions-reducing-avoidable-hospital-readmission
April 25, 2018 - Review
Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies.
Citation Text:
Fu BQ, Zhong CCW, Wong CHL, et al. Barriers and facilitators to implementing interventions for reducing avoidable hospital …
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psnet.ahrq.gov/issue/evaluation-interventions-improve-inpatient-hospital-documentation-within-electronic-health
June 28, 2011 - Review
Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review.
Citation Text:
Wiebe N, Varela LO, Niven DJ, et al. Evaluation of interventions to improve inpatient hospital documentation within electronic health recor…
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psnet.ahrq.gov/issue/factors-drive-team-participation-surgical-safety-checks-prospective-study
August 15, 2018 - Study
Factors that drive team participation in surgical safety checks: a prospective study.
Citation Text:
Gillespie BM, Withers TK, Lavin J, et al. Factors that drive team participation in surgical safety checks: a prospective study. Patient Saf Surg. 2016;10:3. doi:10.1186/s13037-015-0…
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psnet.ahrq.gov/issue/exploring-relationship-between-hospital-patient-safety-culture-and-performance-measures
August 28, 2024 - Commentary
Exploring the relationship between hospital patient safety culture and performance on measures of hospital-acquired conditions.
Citation Text:
Noghrehchi P, Hefner JL, Stegall H, et al. Exploring the relationship between hospital patient safety culture and performance on measu…
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psnet.ahrq.gov/issue/clinical-profile-hospitalized-children-provided-urgent-assistance-medical-emergency-team
February 01, 2011 - Study
Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team.
Citation Text:
Kinney S, Tibballs J, Johnston L, et al. Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. Pediatrics. 20…
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psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety
November 20, 2015 - Study
Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections.
Citation Text:
Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program…
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psnet.ahrq.gov/issue/role-theory-research-develop-and-evaluate-implementation-patient-safety-practices
September 20, 2011 - Commentary
The role of theory in research to develop and evaluate the implementation of patient safety practices.
Citation Text:
Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. …
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psnet.ahrq.gov/issue/facilitators-and-barriers-implementation-surgical-safety-checklist-ssc-integrative-review
September 07, 2016 - Review
Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review.
Citation Text:
Lim PJH, Chen L, Siow S, et al. Facilitators and barriers to the implementation of surgical safety checklist: an integrative review. Int J Qual Health Care. 20…
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psnet.ahrq.gov/issue/society-critical-care-medicine-guidelines-recognizing-and-responding-clinical-deterioration
April 24, 2018 - Organizational Policy/Guidelines
Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023.
Citation Text:
Honarmand K, Wax RS, Penoyer D, et al. Society of Critical Care Medicine Guidelines on Recognizing and Responding to…
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psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort-study
April 13, 2022 - Study
Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study.
Citation Text:
Shafer GJ, Singh H, Thomas EJ, et al. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. J Perinatol. 2022;42(10):1312-131…
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psnet.ahrq.gov/node/46766/psn-pdf
January 17, 2018 - What hinders the uptake of computerized decision
support systems in hospitals? A qualitative study and
framework for implementation.
January 17, 2018
Liberati EG, Ruggiero F, Galuppo L, et al. What hinders the uptake of computerized decision support
systems in hospitals? A qualitative study and framework for imple…
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psnet.ahrq.gov/node/46435/psn-pdf
August 20, 2018 - Patients' experiences with communication-and-resolution
programs after medical injury.
August 20, 2018
Moore J, Bismark M, Mello MM. Patients' Experiences With Communication-and-Resolution Programs After
Medical Injury. JAMA Intern Med. 2017;177(11):1595-1603. doi:10.1001/jamainternmed.2017.4002.
https://psnet.ahr…
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psnet.ahrq.gov/node/38379/psn-pdf
April 30, 2014 - Clinical information technologies and inpatient outcomes:
a multiple hospital study.
April 30, 2014
Amarasingham R, Plantinga L, Diener-West M, et al. Clinical information technologies and inpatient
outcomes: a multiple hospital study. Arch Intern Med. 2009;169(2):108-14.
doi:10.1001/archinternmed.2008.520.
https…
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psnet.ahrq.gov/node/37287/psn-pdf
October 26, 2007 - Patients as Partners: Toolkit for Implementing National
Patient Safety Goal 13.
October 26, 2007
Pillow M. Oakbrook Terrace, IL: Joint Commission Resources; 2007. ISBN 9781599401614.
https://psnet.ahrq.gov/issue/patients-partners-toolkit-implementing-national-patient-safety-goal-13
This publication and accompanyin…
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psnet.ahrq.gov/issue/improving-hand-communication
April 24, 2007 - Book/Report
Classic
Improving Hand-Off Communication.
Citation Text:
Improving Hand-Off Communication. Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907.
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