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psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
February 16, 2022 - Study
Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two hand…
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psnet.ahrq.gov/issue/physicians-perspectives-regarding-prescription-drug-monitoring-program-use-within-department
February 17, 2017 - Study
Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study.
Citation Text:
Radomski TR, Bixler FR, Zickmund SL, et al. Physicians' Perspectives Regarding Prescription Drug Monitoring Program…
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psnet.ahrq.gov/issue/parents-perspective-safety-neonatal-intensive-care-mixed-methods-study
November 08, 2017 - Study
Parents' perspective on safety in neonatal intensive care: a mixed-methods study.
Citation Text:
Lyndon A, Jacobson CH, Fagan KM, et al. Parents' perspectives on safety in neonatal intensive care: a mixed-methods study. BMJ Qual Saf. 2014;23(11):902-9. doi:10.1136/bmjqs-2014-003009…
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psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
August 04, 2021 - Study
Classic
Reducing adverse drug events: lessons from a breakthrough series collaborative.
Citation Text:
Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…
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psnet.ahrq.gov/issue/barriers-implementing-reporting-and-learning-patient-safety-system-pediatric-chiropractic
October 19, 2016 - Study
Barriers to implementing a reporting and learning patient safety system: pediatric chiropractic perspective.
Citation Text:
Pohlman KA, Carroll L, Hartling L, et al. Barriers to Implementing a Reporting and Learning Patient Safety System: Pediatric Chiropractic Perspective. J Evid …
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psnet.ahrq.gov/issue/change-shift-nursing-handoff-interruptions-implications-evidence-based-practice
July 19, 2023 - Study
Change‐of‐shift nursing handoff interruptions: implications for evidence‐based practice.
Citation Text:
Rhudy LM, Johnson MR, Krecke CA, et al. Change-of-Shift Nursing Handoff Interruptions: Implications for Evidence-Based Practice. Worldviews Evid Based Nurs. 2019;16(5):362-370. d…
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psnet.ahrq.gov/issue/reduction-opioid-prescribing-through-evidence-based-prescribing-guidelines
January 27, 2019 - Study
Reduction in opioid prescribing through evidence-based prescribing guidelines.
Citation Text:
Howard R, Waljee JF, Brummett CM, et al. Reduction in Opioid Prescribing Through Evidence-Based Prescribing Guidelines. JAMA Surg. 2018;153(3):285-287. doi:10.1001/jamasurg.2017.4436.
Co…
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psnet.ahrq.gov/issue/good-bad-and-ugly-operative-staff-perspectives-surgeon-coping-intraoperative-errors
September 22, 2021 - Study
The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors.
Citation Text:
D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Surgery. …
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psnet.ahrq.gov/issue/implementing-comprehensive-unit-based-safety-program-cusp-improve-patient-safety-academic
April 21, 2016 - Study
Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice.
Citation Text:
Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Acad…
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digital.ahrq.gov/ahrq-funded-projects/value-imaging-related-information-technology/annual-summary/2008
January 01, 2008 - Value of Imaging-Related Information Technology - 2008
Project Name
Value of Imaging-Related Information Technology
Principal Investigator
Gazelle, Scott
Organization
Massachusetts General Hospital
Funding Mechanism
RFA: HS04-012: Demonstrating the Value of Health I…
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psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety
August 04, 2021 - Study
Creating champions for health care quality and safety.
Citation Text:
Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108.
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psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system-chiropractors-and
December 23, 2020 - Study
What's the harm? Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists.
Citation Text:
Pohlman KA, Funabashi M, O’Beirne M, et al. What’s the harm? Results of an active surveillance adverse event reporting system for chiropractors a…
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psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
March 09, 2022 - Study
Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis.
Citation Text:
Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…
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psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery
July 19, 2023 - Study
Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery.
Citation Text:
Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasur…
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psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery
November 28, 2018 - Study
Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery.
Citation Text:
Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-3…
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psnet.ahrq.gov/issue/we-thought-we-would-be-perfect-medication-errors-and-after-initiation-computerized-physician
September 18, 2019 - Study
We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry.
Citation Text:
Schwartzberg D, Ivanovic S, Patel S, et al. We thought we would be perfect: medication errors before and after the initiation of Computerized Phys…
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psnet.ahrq.gov/issue/assigning-team-based-pager-call-physicians-reduces-paging-errors-large-academic-hospital
April 26, 2023 - Study
Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital.
Citation Text:
Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/technological-distractions-part-1-and-part-2
April 24, 2018 - Review
Technological distractions—part 1 and part 2.
Citation Text:
Kane-Gill SL, O'Connor MF, Rothschild JM, et al. Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics. Crit Care …
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psnet.ahrq.gov/issue/systematic-review-physiologic-monitor-alarm-characteristics-and-pragmatic-interventions
August 03, 2017 - Review
Classic
Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency.
Citation Text:
Paine CW, Goel V, Ely E, et al. Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Inter…
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psnet.ahrq.gov/issue/are-evidence-based-practices-associated-effective-prevention-hospital-acquired-pressure
September 23, 2020 - Study
Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers?
Citation Text:
Padula W, Gibbons RD, Valuck RJ, et al. Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Press…