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psnet.ahrq.gov/issue/do-work-condition-interventions-affect-quality-and-errors-primary-care-results-healthy-work
September 04, 2016 - Study
Do work condition interventions affect quality and errors in primary care? Results from the Healthy Work Place Study.
Citation Text:
Linzer M, Poplau S, Brown RL, et al. Do Work Condition Interventions Affect Quality and Errors in Primary Care? Results from the Healthy Work Place S…
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psnet.ahrq.gov/issue/strengthening-open-disclosure-maternity-services-english-nhs-discern-realist-evaluation-study
April 12, 2023 - Study
Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study.
Citation Text:
Adams MA, Bevan C, Booker M, et al. Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study. Health Soc …
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psnet.ahrq.gov/issue/acute-clinical-deterioration-and-consumer-escalation-understanding-and-perceptions-hospital
May 11, 2022 - Study
Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff.
Citation Text:
Thiele L, Flabouris A, Thompson C. Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff. PLoS ONE. 2022;17(…
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psnet.ahrq.gov/issue/preoperative-surgical-briefings-do-not-delay-operating-room-start-times-and-are-popular
March 02, 2022 - Study
Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members.
Citation Text:
Ali M, Osborne A, Bethune R, et al. Preoperative surgical briefings do not delay operating room start times and are popular with surgical team member…
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psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-ahrq-patient-safety-indicator-postoperative
January 10, 2018 - Study
Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care.
Citation Text:
Nguyen MC, Moffatt-Bruce SD, Strosberg DS, et al. Agency for Healthcare Research …
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psnet.ahrq.gov/issue/adoption-factors-associated-electronic-health-record-among-long-term-care-facilities
March 17, 2021 - Review
Adoption factors associated with electronic health record among long-term care facilities: a systematic review.
Citation Text:
Kruse CS, Mileski M, Alaytsev V, et al. Adoption factors associated with electronic health record among long-term care facilities: a systematic review. BM…
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psnet.ahrq.gov/issue/communication-interdisciplinary-teams-exploring-closed-loop-communication-during-situ-trauma
July 19, 2023 - Study
Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training.
Citation Text:
Härgestam M, Lindkvist M, Brulin C, et al. Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team tra…
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psnet.ahrq.gov/issue/code-debriefing-department-veterans-affairs-va-medical-team-training-program-improves
August 18, 2010 - Study
Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process.
Citation Text:
Percarpio KB, Harris FS, Hatfield BA, et al. Code debriefing from the Department of Veterans Affairs (VA) Medical Tea…
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psnet.ahrq.gov/issue/unplanned-transfers-medical-intensive-care-unit-causes-and-relationship-preventable-errors
July 19, 2023 - Study
Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.
Citation Text:
Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. J …
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-medical-errors-antineoplastic-drugs-5-years
November 17, 2021 - Study
The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation.
Citation Text:
Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on medical errors with antineoplasti…
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psnet.ahrq.gov/issue/how-reliable-are-clinical-systems-uk-nhs-study-seven-nhs-organisations
November 26, 2008 - Study
How reliable are clinical systems in the UK NHS? A study of seven NHS organisations.
Citation Text:
Burnett S, Franklin BD, Moorthy K, et al. How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. BMJ Qual Saf. 2012;21(6):466-72. doi:10.1136/bmjqs-2011…
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digital.ahrq.gov/ahrq-funded-projects/chronic-care-technology-planning-project
January 01, 2023 - The Chronic Care Technology Planning Project
Project Final Report ( PDF , 217.74 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No state…
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psnet.ahrq.gov/issue/examining-validity-ahrqs-patient-safety-indicators-psis-variation-psi-composite-score-related
November 10, 2010 - Study
Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors?
Citation Text:
Shin MH, Sullivan JL, Rosen AK, et al. Examining the validity of AHRQ's patient safety indicators (PSIs): is variation i…
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psnet.ahrq.gov/issue/disclosing-large-scale-adverse-events-us-veterans-health-administration-lessons-media
August 18, 2021 - Study
Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses.
Citation Text:
Maguire EM, Bokhour BG, Asch SM, et al. Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. Public …
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psnet.ahrq.gov/issue/adverse-events-hospitalized-pediatric-patients
July 11, 2017 - Study
Emerging Classic
Adverse events in hospitalized pediatric patients.
Citation Text:
Stockwell DC, Landrigan CP, Toomey SL, et al. Adverse Events in Hospitalized Pediatric Patients. Pediatrics. 2018;142(2):e20173360. doi:10.1542/peds.2017-3360.
Copy Citati…
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psnet.ahrq.gov/issue/what-return-investment-implementation-crew-resource-management-program-academic-medical
April 24, 2018 - Study
What is the return on investment for implementation of a crew resource management program at an academic medical center?
Citation Text:
Moffatt-Bruce SD, Hefner JL, Mekhjian H, et al. What Is the Return on Investment for Implementation of a Crew Resource Management Program at an Ac…
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psnet.ahrq.gov/issue/improving-timely-recognition-and-treatment-sepsis-pediatric-icu
December 09, 2020 - Study
Improving timely recognition and treatment of sepsis in the pediatric ICU.
Citation Text:
Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU. Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005. …
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psnet.ahrq.gov/issue/asset-based-quality-improvement-tool-health-care-organizations-cultivating-organization-wide
September 16, 2020 - Commentary
An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement.
Citation Text:
Loving VA, Nolan C, Bessel M. An asset-based quality improvement tool for health care organizations:…
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psnet.ahrq.gov/issue/longitudinal-study-manifestations-and-mechanisms-technology-related-prescribing-errors
January 18, 2023 - Study
Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics.
Citation Text:
Raban MZ, Fitzpatrick E, Merchant A, et al. Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics.…
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psnet.ahrq.gov/issue/call-me-ishmael-addressing-white-whale-team-communication-operating-room-labelled-surgical
November 16, 2022 - Study
Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre.
Citation Text:
Goldhaber NH, Mehta S, Longhurst CA, et al. Call me Ishmael: addressing the white whale of team communication in the ope…