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psnet.ahrq.gov/issue/association-measured-quality-and-future-financial-performance-among-hospitals-performing
May 04, 2022 - Study
Association of measured quality and future financial performance among hospitals performing cardiac surgery.
Citation Text:
Enumah SJ, Sundt TM, Chang DC. Association of measured quality and future financial performance among hospitals performing cardiac surgery. J Healthc Manag. 2…
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psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric
March 07, 2018 - Study
National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths.
Citation Text:
Hickey EJ, Nosikova Y, Pham-Hung E, et al. National Aeronautics and Space Administration "threat and error" model…
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psnet.ahrq.gov/issue/teamwork-matters-team-situation-awareness-build-high-performing-healthcare-teams-narrative
August 23, 2023 - Review
Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review.
Citation Text:
Weller JM, Mahajan R, Fahey-Williams K, et al. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Br J An…
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psnet.ahrq.gov/issue/design-evidence-based-second-victim-curriculum-nurse-anesthetists
February 15, 2023 - Commentary
Design of an evidence-based "second victim" curriculum for nurse anesthetists.
Citation Text:
Daniels RG, McCorkle R. Design of an Evidence-Based "Second Victim" Curriculum for Nurse Anesthetists. AANA J. 2016;84(2):107-113.
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psnet.ahrq.gov/issue/drug-errors-and-related-interventions-reported-united-states-clinical-pharmacists-american
May 29, 2014 - Study
Drug errors and related interventions reported by United States clinical pharmacists: The American College of Clinical Pharmacy Practice-Based Research Network medication error detection, amelioration and prevention study.
Citation Text:
Kuo GM, Touchette DR, Marinac JS. Drug erro…
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psnet.ahrq.gov/issue/leapfrog-safety-grades-california-hospitals-data-analysis
November 16, 2022 - Study
Leapfrog safety grades in California hospitals: a data analysis.
Citation Text:
Razick D, Amani N, Ali L, et al. Leapfrog safety grades in California hospitals: a data analysis. Am J Med Qual. 2024;39(5):251-255. doi:10.1097/jmq.0000000000000200.
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psnet.ahrq.gov/issue/field-test-world-health-organization-multi-professional-patient-safety-curriculum-guide
June 04, 2014 - Study
Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide.
Citation Text:
Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1…
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psnet.ahrq.gov/issue/improving-resident-morning-sign-out-use-daily-events-reports
March 04, 2020 - Study
Improving resident morning sign-out by use of daily events reports.
Citation Text:
Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56.
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psnet.ahrq.gov/issue/association-electronic-health-record-use-above-meaningful-use-thresholds-hospital-quality-and
October 06, 2021 - Study
Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes.
Citation Text:
Murphy ZR, Wang J, Boland MV. Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes.…
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psnet.ahrq.gov/issue/making-move-using-simulation-identify-latent-safety-threats-care-injured-patients-new
December 30, 2014 - Commentary
Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space.
Citation Text:
Kotagal M, Falcone RA, Daugherty M, et al. Making a move: Using simulation to identify latent safety threats before the care of injured…
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psnet.ahrq.gov/issue/patient-safety-rounds-pediatric-tertiary-care-center
September 09, 2008 - Study
Patient safety rounds in a pediatric tertiary care center.
Citation Text:
Rinke ML, Zimmer KP, Lehmann CU, et al. Patient safety rounds in a pediatric tertiary care center. Jt Comm J Qual Patient Saf. 2008;34(1):5-12.
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psnet.ahrq.gov/issue/effect-bar-code-assisted-medication-administration-medication-administration-errors-and
October 26, 2022 - Study
Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas.
Citation Text:
Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication administration errors and a…
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psnet.ahrq.gov/issue/duty-hours-emergency-medicine-balancing-patient-safety-resident-wellness-and-resident
August 04, 2021 - Commentary
Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations.
Citation Text:
Wagner MJ, Wolf S, Promes S, et al. Duty hours in e…
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psnet.ahrq.gov/issue/tallman-lettering-strategy-differentiation-look-alike-sound-alike-drug-names-role-familiarity
May 27, 2020 - Study
Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers.
Citation Text:
DeHenau C, Becker MW, Bello NM, et al. Tallman lettering as a strategy for differentiation in look-alike, sound-a…
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psnet.ahrq.gov/issue/rural-emergency-medical-services-clinicians-perceptions-and-preferences-receiving-clinical
June 02, 2021 - Study
Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment.
Citation Text:
Schneider K, Williams M, Mohr NM, et al. Rural emergency medical services clinicians' perceptions and preferences i…
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psnet.ahrq.gov/issue/polypharmacy-hospitalized-older-adult-cancer-patients-experience-prospective-observational
July 19, 2023 - Study
Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.
Citation Text:
Flood KL, Carroll MB, Le C, et al. Polypharmacy in hospitalized older adult cancer patients: experience from a …
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psnet.ahrq.gov/issue/computerized-physician-order-entry-cardiac-intensive-care-unit-effects-prescription-errors
August 15, 2013 - Study
Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions.
Citation Text:
Armada ER, Villamañán E, López-de-Sá E, et al. Computerized physician order entry in the cardiac intensive care unit: effects on prescriptio…
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psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
March 03, 2011 - Study
Fatal flaws in clinical decision making.
Citation Text:
Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955.
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psnet.ahrq.gov/issue/alterations-spanish-language-interpretation-during-pediatric-critical-care-family-meetings
April 24, 2018 - Study
Alterations in Spanish language interpretation during pediatric critical care family meetings.
Citation Text:
Sinow CS, Corso I, Lorenzo J, et al. Alterations in Spanish Language Interpretation During Pediatric Critical Care Family Meetings. Crit Care Med. 2017;45(11):1915-1921. do…
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psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department
November 16, 2022 - Study
Unanticipated death after discharge home from the emergency department.
Citation Text:
Sklar DP, Crandall CS, Loeliger E, et al. Unanticipated Death After Discharge Home From the Emergency Department. Ann Emerg Med. 2007;49(6). doi:10.1016/j.annemergmed.2006.11.018.
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