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psnet.ahrq.gov/issue/patient-safety-primary-allied-health-care-what-can-we-learn-incidents-dutch-exploratory
March 02, 2022 - Study
Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory cohort study?
Citation Text:
van Dulmen SA, Tacken MAJB, Staal B, et al. Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory coh…
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psnet.ahrq.gov/issue/educating-seniors-be-patient-safety-self-advocates-primary-care
December 15, 2011 - Study
Educating seniors to be patient safety self-advocates in primary care.
Citation Text:
Elder NC, Regan SL, Pallerla H, et al. Educating Seniors to Be Patient Safety Self-Advocates in Primary Care. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e318175d806.
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psnet.ahrq.gov/issue/characteristics-healthcare-organisations-struggling-improve-quality-results-systematic-review
August 14, 2019 - Review
Classic
Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies.
Citation Text:
Vaughn VM, Saint S, Krein SL, et al. Characteristics of healthcare organisations struggling to impro…
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psnet.ahrq.gov/issue/healthcare-climate-framework-measuring-and-improving-patient-safety
November 02, 2010 - Study
Healthcare climate: a framework for measuring and improving patient safety.
Citation Text:
Zohar D, Livne Y, Tenne-Gazit O, et al. Healthcare climate: a framework for measuring and improving patient safety. Crit Care Med. 2007;35(5):1312-7.
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psnet.ahrq.gov/issue/impact-national-multimodal-intervention-prevent-catheter-related-bloodstream-infection-icu
September 13, 2023 - Study
Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience.
Citation Text:
Palomar M, Álvarez-Lerma F, Riera A, et al. Impact of a national multimodal intervention to prevent catheter-related bloodstream infec…
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psnet.ahrq.gov/issue/intravenous-smart-pumps-point-care-descriptive-observational-study
February 24, 2021 - Study
Intravenous smart pumps at the point of care: a descriptive, observational study.
Citation Text:
Giuliano KK, Blake JWC, Bittner NP, et al. Intravenous smart pumps at the point of care: a descriptive, observational study. J Patient Saf. 2022;18(6):553-558. doi:10.1097/pts.000000000…
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psnet.ahrq.gov/issue/can-mindfulness-health-care-professionals-improve-patient-care-integrative-review-and
September 21, 2022 - Review
Emerging Classic
Can mindfulness in health care professionals improve patient care? An integrative review and proposed model.
Citation Text:
Braun SE, Kinser PA, Rybarczyk B. Can mindfulness in health care professionals improve patient care? An integrativ…
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psnet.ahrq.gov/issue/underdiagnosis-dementia-observational-study-patterns-diagnosis-and-awareness-us-older-adults
October 14, 2016 - Study
Classic
Underdiagnosis of dementia: an observational study of patterns in diagnosis and awareness in US older adults.
Citation Text:
Amjad H, Roth DL, Sheehan OC, et al. Underdiagnosis of Dementia: an Observational Study of Patterns in Diagnosis and Awaren…
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psnet.ahrq.gov/issue/assisting-beginners-root-cause-analysis-operations-analysis-and-recommendations-regarding
June 08, 2022 - Commentary
Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly.
Citation Text:
Tsuchiya H. Assisting beginners in root cause analysis operations: analysis and recommendations regarding …
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psnet.ahrq.gov/issue/strategies-prevent-central-line-associated-bloodstream-infections-acute-care-hospitals-2022
February 07, 2022 - Organizational Policy/Guidelines
Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update.
Citation Text:
Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: …
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psnet.ahrq.gov/issue/modifying-head-nurse-messages-during-daily-conversations-leverage-safety-climate-improvement
August 26, 2011 - Study
Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment.
Citation Text:
Zohar D, Werber YT, Marom R, et al. Modifying head nurse messages during daily conversations as leverage for safety climate improvement…
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psnet.ahrq.gov/issue/introduction-medical-emergency-team-met-system-cluster-randomised-controlled-trial
January 18, 2011 - Study
Classic
Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial.
Citation Text:
Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. L…
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psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy
June 02, 2010 - Study
Patient error: a preliminary taxonomy.
Citation Text:
Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941.
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psnet.ahrq.gov/issue/patient-outcomes-after-opioid-dose-reduction-among-patients-chronic-opioid-therapy
April 27, 2022 - Study
Patient outcomes after opioid dose reduction among patients with chronic opioid therapy.
Citation Text:
Hallvik SE, El Ibrahimi S, Johnston K, et al. Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. Pain. 2022;163(1):83-90. doi:10.1097/j.pain…
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psnet.ahrq.gov/issue/elimination-central-venous-catheter-related-bloodstream-infections-intensive-care-unit
January 11, 2017 - Study
Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit.
Citation Text:
Longmate AG, Ellis KS, Boyle L, et al. Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. BMJ Qual Saf. 2011;20(2):1…
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psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue
June 18, 2019 - Study
Interpersonal and organizational dynamics are key drivers of failure to rescue.
Citation Text:
Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.201…
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psnet.ahrq.gov/issue/balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-benzodiazepine
November 09, 2022 - Study
Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients.
Citation Text:
Bloomer A, Wally M, Bailey G, et al. Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescr…
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psnet.ahrq.gov/issue/identification-common-themes-never-events-data-published-nhs-england
April 07, 2021 - Study
Identification of common themes from never events data published by NHS England.
Citation Text:
Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7.
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psnet.ahrq.gov/issue/preventability-hospital-acquired-venous-thromboembolism
December 21, 2014 - Study
Classic
Preventability of hospital-acquired venous thromboembolism.
Citation Text:
Haut ER, Lau BD, Kraus PS, et al. Preventability of Hospital-Acquired Venous Thromboembolism. JAMA Surg. 2015;150(9):912-5. doi:10.1001/jamasurg.2015.1340.
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psnet.ahrq.gov/issue/causes-death-residents-acgme-accredited-programs-2000-through-2014-implications-learning
January 31, 2018 - Study
Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment.
Citation Text:
Yaghmour NA, Brigham T, Richter T, et al. Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014. Acad Med. 2017;92(7):976-983…