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psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation
February 12, 2020 - Study
Lessons learned from a systems approach to engaging patients and families in patient safety transformation.
Citation Text:
Hatlie MJ, Nahum A, Leonard R, et al. Lessons Learned from a Systems Approach to Engaging Patients and Families in Patient Safety Transformation. Jt Comm J Qua…
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psnet.ahrq.gov/issue/who-research-agenda-role-institutional-safety-climate-hand-hygiene-improvement-delphi
February 01, 2011 - Study
WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study.
Citation Text:
Tartari E, Storr J, Bellare N, et al. WHO research agenda on the role of the institutional safety climate for hand hygiene improvement…
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psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project
October 19, 2022 - Study
The Research on Adverse Drug Events and Reports (RADAR) project.
Citation Text:
Bennett CL, Nebeker JR, Lyons A, et al. The Research on Adverse Drug Events and Reports (RADAR) project. JAMA. 2005;293(17):2131-40.
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psnet.ahrq.gov/issue/perception-medication-safety-related-behaviors-among-different-age-groups-web-based-cross
April 24, 2024 - Study
Perception of medication safety-related behaviors among different age groups: web-based cross-sectional study.
Citation Text:
Lang Y, Chen K-Y, Zhou Y, et al. Perception of medication safety-related behaviors among different age groups: web-based cross-sectional study. Interact J M…
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psnet.ahrq.gov/issue/effect-digital-tools-promote-hospital-quality-and-safety-adverse-events-after-discharge
October 16, 2024 - Study
Effect of digital tools to promote hospital quality and safety on adverse events after discharge.
Citation Text:
Vasudevan A, Plombon S, Piniella N, et al. Effect of digital tools to promote hospital quality and safety on adverse events after discharge. J Am Med Inform Assoc. 2024;…
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psnet.ahrq.gov/issue/missed-serious-neurologic-conditions-emergency-department-patients-discharged-nonspecific
April 08, 2018 - Study
Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain.
Citation Text:
Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecifi…
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psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
December 09, 2020 - Study
Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.
Citation Text:
Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…
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psnet.ahrq.gov/issue/application-patient-safety-indicators-internationally-pilot-study-among-seven-countries
November 15, 2017 - Study
Application of patient safety indicators internationally: a pilot study among seven countries.
Citation Text:
Drösler SE, Klazinga NS, Romano PS, et al. Application of patient safety indicators internationally: a pilot study among seven countries. Int J Qual Health Care. 2009;21(…
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psnet.ahrq.gov/issue/doing-well-doing-good-evaluating-influence-patient-safety-performance-hospital-financial
September 11, 2024 - Study
Classic
Doing well by doing good: evaluating the influence of patient safety performance on hospital financial outcomes.
Citation Text:
Beauvais B, Richter J, Kim FS. Doing well by doing good: Evaluating the influence of patient safety performance on hospi…
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psnet.ahrq.gov/issue/clinicians-insights-emergency-department-boarding-explanatory-mixed-methods-study-evaluating
October 23, 2019 - Study
Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being.
Citation Text:
Loke DE, Green KA, Wessling EG, et al. Clinicians' insights on emergency department boarding: an explanatory mixed methods stud…
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psnet.ahrq.gov/issue/human-factors-and-safety-analysis-methods-used-design-and-redesign-electronic-medication
April 10, 2024 - Review
Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systematic review.
Citation Text:
Awad S, Amon K, Baillie A, et al. Human factors and safety analysis methods used in the design and redesign of electronic medi…
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psnet.ahrq.gov/issue/impact-teamstepps-training-obstetric-team-attitudes-and-outcomes-labor-and-delivery-unit
October 27, 2021 - Study
The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center.
Citation Text:
Kwon CS, Duzyj C. The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a …
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psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery
August 02, 2015 - Study
Classic
Surgical skill and complication rates after bariatric surgery.
Citation Text:
Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625.…
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psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study-translational
March 10, 2021 - Commentary
Enhancing safety culture through improved incident reporting: a case study in translational research.
Citation Text:
Flott K, Nelson D, Moorcroft T, et al. Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. Health Aff (Millwoo…
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psnet.ahrq.gov/issue/association-between-hospital-safety-culture-and-surgical-outcomes-statewide-surgical-quality
February 14, 2017 - Study
Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative.
Citation Text:
Odell DD, Quinn CM, Matulewicz RS, et al. Association Between Hospital Safety Culture and Surgical Outcomes in a Statewide Surgical Quality Im…
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psnet.ahrq.gov/issue/near-miss-and-maternal-sepsis-mortality-qualitative-study-survivors-and-support-persons
October 11, 2023 - Study
Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons.
Citation Text:
Bauer ME, Perez SL, Main EK, et al. Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Eur J Obstet Gynecol Reprod Biol. 2024;29…
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psnet.ahrq.gov/issue/exposure-leadership-walkrounds-neonatal-intensive-care-units-associated-better-patient-safety
December 12, 2014 - Study
Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout.
Citation Text:
Sexton B, Sharek PJ, Thomas EJ, et al. Exposure to Leadership WalkRounds in neonatal intensive care units is associated w…
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psnet.ahrq.gov/issue/opioid-prescribing-after-childbirth-and-risk-serious-opioid-related-events-cohort-study
September 23, 2020 - Study
Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study.
Citation Text:
Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid-Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414.…
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psnet.ahrq.gov/issue/clinical-safety-englands-national-programme-it-retrospective-analysis-all-reported-safety
December 31, 2014 - Study
Classic
Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011.
Citation Text:
Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective …
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psnet.ahrq.gov/issue/exposure-incivility-hinders-clinical-performance-simulated-operative-crisis
June 14, 2019 - Study
Emerging Classic
Exposure to incivility hinders clinical performance in a simulated operative crisis.
Citation Text:
Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;…