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psnet.ahrq.gov/issue/improving-patient-safety-reporting-common-formats-common-data-representation-patient-safety
October 19, 2022 - Commentary
Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations.
Citation Text:
Elkin PL, Johnson HC, Callahan MR, et al. Improving patient safety reporting with the common formats: Common data representation for Patient …
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psnet.ahrq.gov/issue/composite-measures-profiling-hospitals-bariatric-surgery-performance
January 31, 2013 - Study
Composite measures for profiling hospitals on bariatric surgery performance.
Citation Text:
Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery performance. JAMA Surg. 2014;149(1):10-6. doi:10.1001/jamasurg.2013.4109.
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psnet.ahrq.gov/issue/defining-excellence-next-steps-practicing-clinicians-seeking-prevent-diagnostic-error
March 14, 2022 - Commentary
Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error.
Citation Text:
Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):319…
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psnet.ahrq.gov/issue/question-answering-systems-health-professionals-point-care-systematic-review
August 04, 2021 - Review
Question answering systems for health professionals at the point of care - a systematic review.
Citation Text:
Kell G, Roberts A, Umansky S, et al. Question answering systems for health professionals at the point of care—a systematic review. J Am Med Inform Assoc. 2024;31(4):1009-…
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psnet.ahrq.gov/issue/quality-and-strength-patient-safety-climate-medical-surgical-units
February 15, 2011 - Study
Quality and strength of patient safety climate on medical–surgical units.
Citation Text:
Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a.
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psnet.ahrq.gov/issue/lessons-learned-use-event-reporting-nurses-improve-patient-safety-and-quality
May 19, 2013 - Study
Lessons learned: use of event reporting by nurses to improve patient safety and quality.
Citation Text:
Hession-Laband E, Mantell P. Lessons learned: use of event reporting by nurses to improve patient safety and quality. J Pediatr Nurs. 2011;26(2):149-55. doi:10.1016/j.pedn.2010…
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psnet.ahrq.gov/issue/staying-silent-about-safety-issues-conceptualizing-and-measuring-safety-silence-motives
August 28, 2019 - Study
Staying silent about safety issues: conceptualizing and measuring safety silence motives.
Citation Text:
Manapragada A, Bruk-Lee V. Staying silent about safety issues: Conceptualizing and measuring safety silence motives. Accid Anal Prev. 2016;91:144-56. doi:10.1016/j.aap.2016.02.0…
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psnet.ahrq.gov/issue/randomized-crossover-study-evaluating-effect-hand-sanitizer-dispenser-frequency-hand-hygiene
November 09, 2015 - Study
Randomized crossover study evaluating the effect of a hand sanitizer dispenser on the frequency of hand hygiene among anesthesiology staff in the operating room.
Citation Text:
Munoz-Price S, Patel Z, Banks S, et al. Randomized crossover study evaluating the effect of a hand saniti…
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psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020
March 03, 2021 - Study
Surgical fire in the United States: 2000-2020.
Citation Text:
Grauer JS, Kana LA, Alzouhayli SJ, et al. Surgical fire in the United States: 2000–2020. Surgery. 2022;173(2):357-364. doi:10.1016/j.surg.2022.10.015.
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psnet.ahrq.gov/issue/defining-and-measuring-patient-safety
June 16, 2011 - Review
Classic
Defining and measuring patient safety.
Citation Text:
Pronovost P, Thompson DA, Holzmueller CG, et al. Defining and measuring patient safety. Crit Care Clin. 2005;21(1):1-19, vii.
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psnet.ahrq.gov/issue/quality-and-health-system-becoming-high-reliability-organization
November 16, 2022 - Review
Quality and the health system: becoming a high reliability organization.
Citation Text:
Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization. Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010.
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psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care
April 11, 2011 - Study
Patient safety problems in adolescent medical care.
Citation Text:
Woods D, Holl JL, Klein JD, et al. Patient safety problems in adolescent medical care. J Adolesc Health. 2006;38(1):5-12.
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psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve-patient-outcomes-review
February 03, 2011 - Review
Multidisciplinary in-hospital teams improve patient outcomes: a review.
Citation Text:
Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int. 2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612.
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psnet.ahrq.gov/issue/risk-factors-patient-safety-minimally-invasive-surgery-versus-conventional-surgery
August 10, 2016 - Study
Risk factors in patient safety: minimally invasive surgery versus conventional surgery.
Citation Text:
Rodrigues SP, Wever AM, Dankelman J, et al. Risk factors in patient safety: minimally invasive surgery versus conventional surgery. Surg Endosc. 2012;26(2):350-6. doi:10.1007/s0…
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psnet.ahrq.gov/issue/six-year-audit-cardiac-arrests-and-medical-emergency-team-calls-australian-outer-metropolitan
October 29, 2008 - Study
Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital.
Citation Text:
Buist M, Harrison J, Abaloz E, et al. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan te…
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psnet.ahrq.gov/issue/omitted-and-unjustified-medications-discharge-summary
May 18, 2022 - Study
Omitted and unjustified medications in the discharge summary.
Citation Text:
Perren A, Previsdomini M, Cerutti B, et al. Omitted and unjustified medications in the discharge summary. Qual Saf Health Care. 2009;18(3):205-8. doi:10.1136/qshc.2007.024588.
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psnet.ahrq.gov/issue/harvey-cushings-open-and-thorough-documentation-surgical-mishaps-dawn-neurologic-surgery
November 16, 2022 - Study
Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery.
Citation Text:
Latimer K, Pendleton C, Olivi A, et al. Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. Arch Surg. 2011;1…
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psnet.ahrq.gov/issue/ascension-healths-demonstration-full-disclosure-protocol-unexpected-events-during-labor-and
January 22, 2017 - Study
Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise.
Citation Text:
Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and deliv…
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psnet.ahrq.gov/issue/infection-prevention-long-term-care-re-evaluating-system-using-human-factors-engineering
August 21, 2024 - Commentary
Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach.
Citation Text:
Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. Infect Control Hosp Epid…
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system
October 19, 2022 - Study
Impact of a computerized physician order-entry system.
Citation Text:
Stone WM, Smith BE, Shaft JD, et al. Impact of a computerized physician order-entry system. J Am Coll Surg. 2009;208(5):960-7; discussion 967-9. doi:10.1016/j.jamcollsurg.2009.01.042.
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