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psnet.ahrq.gov/node/37455/psn-pdf
January 09, 2008 - Teamwork and communication in surgical teams:
implications for patient safety.
January 9, 2008
Mills P; Neily J; Dunn E.
https://psnet.ahrq.gov/issue/teamwork-and-communication-surgical-teams-implications-patient-safety
This study describes a questionnaire that was used to highlight communication problems among su…
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psnet.ahrq.gov/node/42797/psn-pdf
June 10, 2018 - Understanding and managing IV container overfill.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition. November 14, 2013;18:1-4.
https://psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill
This newsletter article reports on concerns associated with chemotherapy preparations due to varia…
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psnet.ahrq.gov/node/39632/psn-pdf
May 20, 2016 - Medical Liability Reform & Patient Safety Initiative.
May 20, 2016
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/medical-liability-reform-patient-safety-initiative
This website disseminates information regarding an AHRQ-funded initiative to implement and evaluate
medical liability …
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psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
March 10, 2021 - In addition to the metrics used by these initiatives, CMS Quality Improvement Organizations also implemented
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psnet.ahrq.gov/issue/patient-notification-bloodborne-pathogen-testing-due-unsafe-injection-practices-us-health
February 02, 2011 - Study
Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011.
Citation Text:
Guh AY, Thompson ND, Schaefer MK, et al. Patient notification for bloodborne pathogen testing due to unsafe injection practices in the …
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psnet.ahrq.gov/issue/making-safety-training-stickier-richer-model-safety-training-engagement-and-transfer
October 06, 2021 - Review
Making safety training stickier: a richer model of safety training engagement and transfer.
Citation Text:
Casey T, Turner N, Hu X, et al. Making safety training stickier: a richer model of safety training engagement and transfer. J Safety Res. 2021;78:303-313. doi:10.1016/j.jsr.2…
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-quality-care-improving-usability-electronic-health-record
March 04, 2011 - Commentary
Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA.
Citation Text:
Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electro…
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psnet.ahrq.gov/issue/paper-and-computer-based-workarounds-electronic-health-record-use-three-benchmark
June 06, 2012 - Study
Paper- and computer-based workarounds to electronic health record use at three benchmark institutions.
Citation Text:
Flanagan ME, Saleem JJ, Millitello LG, et al. Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. J Am Med Inform…
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psnet.ahrq.gov/issue/identifying-medication-errors-neonatal-intensive-care-units-two-center-study
November 11, 2020 - Study
Identifying medication errors in neonatal intensive care units: a two-center study
Citation Text:
Eslami K, Aletayeb F, Aletayeb SMH, et al. Identifying medication errors in neonatal intensive care units: a two-center study. BMC Pediatr. 2019;19(1):365. doi:10.1186/s12887-019-1748-…
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psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement
June 07, 2023 - Study
Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project.
Citation Text:
Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement projec…
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psnet.ahrq.gov/issue/reasons-bias-ambulance-clinicians-assessments-non-conveyed-patients-mixed-methods-study
January 26, 2022 - Study
Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study.
Citation Text:
Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non-conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(…
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psnet.ahrq.gov/issue/exploration-automated-approach-receiving-patient-feedback-after-outpatient-acute-care-visits
September 07, 2011 - Study
Exploration of an automated approach for receiving patient feedback after outpatient acute care visits.
Citation Text:
Berner ES, Ray MN, Panjamapirom A, et al. Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. J Gen Intern Med.…
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psnet.ahrq.gov/issue/increased-mortality-and-costs-associated-adverse-events-intensive-care-unit-patients
January 16, 2008 - Study
Increased mortality and costs associated with adverse events in intensive care unit patients.
Citation Text:
Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081…
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psnet.ahrq.gov/issue/patients-conceptualizations-responsibility-healthcare-typology-understanding-differing
January 08, 2020 - Study
Patients' conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety.
Citation Text:
Heavey E, Waring J, De Brún A, et al. Patients' Conceptualizations of Responsibility for Healthcare: A Typology for Un…
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psnet.ahrq.gov/issue/team-based-approach-reducing-cardiac-monitor-alarms
October 19, 2022 - Study
A team-based approach to reducing cardiac monitor alarms.
Citation Text:
Dandoy CE, Davies SM, Flesch L, et al. A team-based approach to reducing cardiac monitor alarms. Pediatrics. 2014;134(6):e1686-e1694. doi:10.1542/peds.2014-1162.
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psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional-study
April 14, 2021 - Study
Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study.
Citation Text:
Ballangrud R, Hedelin B, Hall-Lord ML. Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study. Intensive Crit Care Nurs. 2012;28(6…
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psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
October 31, 2011 - Study
The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals.
Citation Text:
Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communi…
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psnet.ahrq.gov/issue/using-patient-experience-surveys-identify-potential-diagnostic-safety-breakdowns-mixed
October 30, 2024 - Study
Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study.
Citation Text:
Baker KM, Brahier M, Penne M, et al. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. J Patient Saf.…
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psnet.ahrq.gov/issue/antimicrobial-residual-drug-error-intensive-care-unit-single-blinded-prospective
November 21, 2021 - Study
Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study.
Citation Text:
Jarrett P, Keogh S, Roberts JA, et al. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Inte…
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psnet.ahrq.gov/issue/impact-inpatient-electronic-prescribing-system-prescribing-error-causation-qualitative
February 16, 2022 - Study
Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital.
Citation Text:
Puaar SJ, Franklin BD. Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation …