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psnet.ahrq.gov/issue/reporting-and-classification-patient-safety-events-cardiothoracic-intensive-care-unit-and
August 02, 2011 - Study
Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit.
Citation Text:
Nast PA, Avidan M, Harris CB, et al. Reporting and classification of patient safety events in a cardiothoracic intensive care uni…
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psnet.ahrq.gov/issue/reducing-central-line-associated-bloodstream-infections-north-carolina-nicus
February 15, 2011 - Study
Reducing central line–associated bloodstream infections in North Carolina NICUs.
Citation Text:
Fisher D, Cochran KM, Provost LP, et al. Reducing central line-associated bloodstream infections in North Carolina NICUs. Pediatrics. 2013;132(6):e1664-71. doi:10.1542/peds.2013-2000. …
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psnet.ahrq.gov/issue/applying-ethnography-study-context-healthcare-quality-and-safety
August 15, 2018 - Review
Applying ethnography to the study of context in healthcare quality and safety.
Citation Text:
Leslie M, Paradis E, Gropper MA, et al. Applying ethnography to the study of context in healthcare quality and safety. BMJ Qual Saf. 2014;23(2):99-105. doi:10.1136/bmjqs-2013-002335.
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psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident
September 01, 2021 - Commentary
Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care.
Citation Text:
MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long…
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psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-medical-errors-killing-my-mom
December 19, 2012 - Commentary
As she lay dying: how I fought to stop medical errors from killing my mom.
Citation Text:
Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833.
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psnet.ahrq.gov/issue/evaluation-nurse-led-safety-program-critical-care-unit
June 03, 2013 - Study
Evaluation of a nurse-led safety program in a critical care unit.
Citation Text:
Saladino L, Pickett LC, Frush K, et al. Evaluation of a nurse-led safety program in a critical care unit. J Nurs Care Qual. 2013;28(2):139-46. doi:10.1097/NCQ.0b013e31827464c3.
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psnet.ahrq.gov/issue/integrative-review-current-evidence-relationship-between-hand-hygiene-interventions-and
February 22, 2023 - Review
An integrative review of the current evidence on the relationship between hand hygiene interventions and the incidence of health care-associated infections.
Citation Text:
Backman C, Zoutman DE, Marck PB. An integrative review of the current evidence on the relationship between h…
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psnet.ahrq.gov/issue/misunderstanding-prescription-drug-warning-labels-among-patients-low-literacy
February 28, 2011 - Study
Misunderstanding of prescription drug warning labels among patients with low literacy.
Citation Text:
Wolf MS, Davis TC, Tilson HH, et al. Misunderstanding of prescription drug warning labels among patients with low literacy. Am J Health Syst Pharm. 2006;63(11):1048-55.
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psnet.ahrq.gov/issue/outcomes-concurrent-operations-results-american-college-surgeons-national-surgical-quality
February 14, 2017 - Study
Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program.
Citation Text:
Liu JB, Berian JR, Ban KA, et al. Outcomes of Concurrent Operations: Results From the American College of Surgeons' National Surgical Qual…
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psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program
September 15, 2021 - Study
A system-wide hospital child maltreatment patient safety program.
Citation Text:
Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555.
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psnet.ahrq.gov/issue/persistent-noncompliance-work-hour-regulation
February 08, 2023 - Study
Persistent noncompliance with the work-hour regulation.
Citation Text:
Tabrizian P, Rajhbeharrysingh U, Khaitov S, et al. Persistent noncompliance with the work-hour regulation. Arch Surg. 2011;146(2):175-8. doi:10.1001/archsurg.2010.337.
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psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement
March 24, 2011 - Study
Medication error reporting in nursing homes: identifying targets for patient safety improvement.
Citation Text:
Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets for patient safety improvement. Qual Saf Health Care. 2010;19…
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psnet.ahrq.gov/issue/family-centered-multidisciplinary-rounds-enhance-team-approach-pediatrics
November 21, 2021 - Study
Family-centered multidisciplinary rounds enhance the team approach in pediatrics.
Citation Text:
Rosen P, Stenger E, Bochkoris M, et al. Family-centered multidisciplinary rounds enhance the team approach in pediatrics. Pediatrics. 2009;123(4):e603-8. doi:10.1542/peds.2008-2238.
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psnet.ahrq.gov/issue/sages-fundamental-use-surgical-energy-program-fuse-history-development-and-purpose
April 05, 2017 - Commentary
The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose.
Citation Text:
Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):…
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psnet.ahrq.gov/issue/development-and-early-experience-intervention-facilitate-teamwork-between-general-practices
June 29, 2011 - Study
Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study.
Citation Text:
Harris MF, Chan BC, Daniel C, et al. Development and early experience from an intervention to facilitate teamwor…
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psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability
May 01, 2017 - Book/Report
Classic
Advances in Patient Safety and Medical Liability.
Citation Text:
Advances in Patient Safety and Medical Liability. Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2017. AHRQ Publication No…
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psnet.ahrq.gov/issue/use-personal-electronic-devices-nurse-anesthetists-and-effects-patient-safety
June 16, 2021 - Study
Use of personal electronic devices by nurse anesthetists and the effects on patient safety.
Citation Text:
Snoots LR, Wands BA. Use of Personal Electronic Devices by Nurse Anesthetists and the Effects on Patient Safety. AANA J. 2016;84(2):114-119.
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psnet.ahrq.gov/issue/improving-medication-administration-safety-solid-organ-transplant-patients-through-barcode
October 02, 2013 - Study
Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration.
Citation Text:
Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ transplant patients through barcode-as…
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psnet.ahrq.gov/issue/understanding-unwarranted-variation-clinical-practice-focus-network-effects-reflective
March 31, 2021 - Commentary
Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems.
Citation Text:
Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective …
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psnet.ahrq.gov/issue/pharmaceutical-interventions-improve-safety-chemotherapy-treated-cancer-patients-cross
March 10, 2011 - Study
Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: a cross-sectional study.
Citation Text:
Daupin J, Perrin G, Lhermitte-Pastor C, et al. Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: A cross-sectional s…