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psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection
May 08, 2017 - Study
The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study.
Citation Text:
Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and pat…
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psnet.ahrq.gov/issue/automated-identification-diagnostic-labelling-errors-medicine
September 23, 2020 - Study
Automated identification of diagnostic labelling errors in medicine.
Citation Text:
Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine. Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039.
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psnet.ahrq.gov/issue/using-simulation-improve-root-cause-analysis-adverse-surgical-outcomes
May 19, 2021 - Study
Using simulation to improve root cause analysis of adverse surgical outcomes.
Citation Text:
Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011.
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psnet.ahrq.gov/issue/learning-incidents-healthcare-journey-not-arrival-matters
June 12, 2024 - Commentary
Learning from incidents in healthcare: the journey, not the arrival, matters.
Citation Text:
Leistikow I, Mulder S, Vesseur J, et al. Learning from incidents in healthcare: the journey, not the arrival, matters. BMJ Qual Saf. 2017;26(3):252-256. doi:10.1136/bmjqs-2015-004853. …
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psnet.ahrq.gov/issue/making-residents-part-safety-culture-improving-error-reporting-and-reducing-harms
April 24, 2018 - Commentary
Making residents part of the safety culture: improving error reporting and reducing harms.
Citation Text:
Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1…
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psnet.ahrq.gov/issue/problem-making-safety-ii-work-healthcare
April 28, 2021 - Commentary
The problem with making Safety-II work in healthcare.
Citation Text:
Verhagen MJ, de Vos MS, Sujan M, et al. The problem with making Safety-II work in healthcare. BMJ Qual Saf. 2022;31(5):402-408. doi:10.1136/bmjqs-2021-014396.
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psnet.ahrq.gov/issue/exploring-impact-employee-engagement-and-patient-safety
July 27, 2022 - Review
Exploring the impact of employee engagement and patient safety.
Citation Text:
Scott G, Hogden A, Taylor R, et al. Exploring the impact of employee engagement and patient safety. Int J Qual Health Care. 2022;34(3):mzac059. doi:10.1093/intqhc/mzac059.
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psnet.ahrq.gov/issue/improving-code-team-performance-and-survival-outcomes-implementation-pediatric-resuscitation
February 03, 2011 - Study
Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training.
Citation Text:
Knight LJ, Gabhart JM, Earnest KS, et al. Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. C…
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psnet.ahrq.gov/issue/no-go-considerations-situ-simulation-safety
April 14, 2021 - Commentary
Emerging Classic
"No-go considerations" for in situ simulation safety.
Citation Text:
Bajaj K, Minors A, Walker K, et al. "No-Go Considerations" for In Situ Simulation Safety. Simul Healthc. 2018;13(3):221-224. doi:10.1097/SIH.0000000000000301.
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psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-review-audit
March 04, 2011 - Study
Mapping changes in surgical mortality over 9 years by peer review audit.
Citation Text:
Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52.
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psnet.ahrq.gov/issue/intersection-traumatic-childbirth-and-obstetric-racism-qualitative-study
June 14, 2023 - Study
The intersection of traumatic childbirth and obstetric racism: a qualitative study.
Citation Text:
Dmowska A, Fielding‐Singh P, Halpern J, et al. The intersection of traumatic childbirth and obstetric racism: a qualitative study. Birth. 2024;51(1):209-217. doi:10.1111/birt.12774.
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psnet.ahrq.gov/issue/patient-whiteboards-communication-tool-hospital-setting-survey-practices-and-recommendations
February 18, 2011 - Study
Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.
Citation Text:
Sehgal NL, Green A, Vidyarthi A, et al. Patient whiteboards as a communication tool in the hospital setting: a survey of practices and recommendations. J …
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psnet.ahrq.gov/issue/perceptions-rounding-checklists-intensive-care-unit-qualitative-study
July 21, 2021 - Study
Perceptions of rounding checklists in the intensive care unit: a qualitative study.
Citation Text:
Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218.…
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-and-healthcare-expenditures-us-community-dwelling
April 08, 2020 - Study
Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly.
Citation Text:
Fu AZ, Jiang JZ, Reeves JH, et al. Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly. Med Care. 2007;4…
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psnet.ahrq.gov/issue/interventions-improving-teamwork-intrapartem-care-systematic-review-randomised-controlled
November 04, 2020 - Review
Interventions for improving teamwork in intrapartem care: a systematic review of randomised controlled trials.
Citation Text:
Wu M, Tang J, Etherington N, et al. Interventions for improving teamwork in intrapartem care: a systematic review of randomised controlled trials. BMJ Qual…
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psnet.ahrq.gov/issue/safety-measurement-and-monitoring-healthcare-framework-guide-clinical-teams-and-healthcare
September 24, 2018 - Review
Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety.
Citation Text:
Vincent CA, Burnett S, Carthey J. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and health…
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psnet.ahrq.gov/issue/improving-end-life-care-information-systems-approach-reducing-medical-errors
November 04, 2015 - Study
Improving end of life care: an information systems approach to reducing medical errors.
Citation Text:
Tamang S, Kopec D, Shagas G, et al. Improving end of life care: an information systems approach to reducing medical errors. Stud Health Technol Inform. 2005;114:93-104.
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psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-obtaining-himss-stage-7
July 17, 2019 - Commentary
Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report.
Citation Text:
Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. Sulkers H, Tajirian T, Paterson …
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psnet.ahrq.gov/issue/comparing-safety-climate-naval-aviation-and-hospitals-implications-improving-patient-safety
October 14, 2009 - Study
Comparing safety climate in naval aviation and hospitals: implications for improving patient safety.
Citation Text:
Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010…
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psnet.ahrq.gov/issue/trial-automated-decision-support-alerts-contraindicated-medications-using-computerized
May 20, 2019 - Study
A trial of automated decision support alerts for contraindicated medications using computerized physician order entry.
Citation Text:
Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated medications using computerized physician…