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psnet.ahrq.gov/issue/temporal-clustering-critical-illness-events-medical-wards
January 31, 2024 - Study
Temporal clustering of critical illness events on medical wards.
Citation Text:
Doshi S, Shin S, Lapointe-Shaw L, et al. Temporal clustering of critical illness events on medical wards. JAMA Intern Med. 2023;183(9):924-932. doi:10.1001/jamainternmed.2023.2629.
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psnet.ahrq.gov/issue/how-does-context-affect-interventions-improve-patient-safety-assessment-evidence-studies-five
September 20, 2011 - Review
How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research.
Citation Text:
Ovretveit JC, Shekelle PG, Dy SM, et al. How does context affect interventions to improve patient s…
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psnet.ahrq.gov/issue/speaking-behaviours-safety-voices-healthcare-workers-metasynthesis-qualitative-research
June 23, 2021 - Review
Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies.
Citation Text:
Morrow KJ, Gustavson AM, Jones J. Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Int J Nurs…
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psnet.ahrq.gov/issue/impact-computerised-physician-order-entry-and-clinical-decision-support-pharmacist-physician
August 24, 2016 - Study
The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study.
Citation Text:
Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clin…
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psnet.ahrq.gov/issue/review-application-safety-attitudes-questionnaire-saq-primary-care-systematic-synthesis
November 13, 2024 - Review
Review: application of the Safety Attitudes Questionnaire (SAQ) in primary care - a systematic synthesis on validity, descriptive and comparative results, and variance across organisational units.
Citation Text:
Olesen AE, Juhl MH, Deilkås ET, et al. Review: application of the Saf…
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psnet.ahrq.gov/issue/outcomes-quality-improvement-project-educating-nurses-medication-administration-and-errors
April 24, 2018 - Study
Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes.
Citation Text:
Tenhunen ML, Tanner EK, Dahlen R. Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursin…
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psnet.ahrq.gov/issue/web-application-involve-patients-medication-reconciliation-process-user-centered-usability
August 18, 2021 - Study
A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study.
Citation Text:
Marien S, Legrand D, Ramdoyal R, et al. A web application to involve patients in the medication reconciliation process: a user-centered usa…
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psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety
September 02, 2016 - Congressional Testimony
More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety.
Citation Text:
More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. Hearing Before the Subcommittee on Primary Health and Aging, 113th Co…
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psnet.ahrq.gov/issue/randomized-trial-warfarin-communication-protocol-nursing-homes-sbar-based-approach
November 21, 2012 - Study
Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach.
Citation Text:
Field T, Tjia J, Mazor KM, et al. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. Am J Med. 2011;124(2):179.e1-7. doi:1…
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psnet.ahrq.gov/issue/adverse-events-women-giving-birth-labor-ward-retrospective-record-review-study
April 14, 2021 - Study
Adverse events in women giving birth in a labor ward: a retrospective record review study.
Citation Text:
Skoogh A, Hall-Lord ML, Bååth C, et al. Adverse events in women giving birth in a labor ward: a retrospective record review study. BMC Health Serv Res. 2021;21(1):1093. doi:10.…
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psnet.ahrq.gov/issue/family-participation-during-intensive-care-unit-rounds-goals-and-expectations-parents-and
June 12, 2019 - Study
Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit.
Citation Text:
Stickney CA, Ziniel SI, Brett MS, et al. Family participation during intensive care unit rounds: goals and…
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psnet.ahrq.gov/issue/using-inpatient-portal-engage-families-pediatric-hospital-care
September 13, 2023 - Study
Using an inpatient portal to engage families in pediatric hospital care.
Citation Text:
Kelly MM, Hoonakker P, Dean SM. Using an inpatient portal to engage families in pediatric hospital care. J Am Med Inform Assoc. 2017;24(1):153-161. doi:10.1093/jamia/ocw070.
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psnet.ahrq.gov/issue/situ-simulation-program-quantitative-and-qualitative-prospective-study-identifying-latent
March 25, 2021 - Study
An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences.
Citation Text:
Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. An in situ simulation program: a quantitative and qualitativ…
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psnet.ahrq.gov/issue/empowering-patients-and-reducing-inequities-there-potential-sharing-clinical-notes
June 05, 2019 - Commentary
Empowering patients and reducing inequities: is there potential in sharing clinical notes?
Citation Text:
Blease CR, Fernandez L, Bell SK, et al. Empowering patients and reducing inequities: is there potential in sharing clinical notes? BMJ Qual Saf. 2020;29(10):864–868. doi:1…
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psnet.ahrq.gov/issue/narrative-review-strategies-increase-patient-safety-event-reporting-residents
December 02, 2020 - Review
A narrative review of strategies to increase patient safety event reporting by residents.
Citation Text:
Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19…
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psnet.ahrq.gov/issue/decade-preventing-harm
July 10, 2008 - Commentary
A decade of preventing harm.
Citation Text:
Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf. 2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007.
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psnet.ahrq.gov/issue/supporting-nursing-midwifery-and-allied-health-professional-students-raise-concerns-quality
November 26, 2014 - Review
Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature.
Citation Text:
Milligan F, Wareing M, Preston-Shoot M, et al. "Supporting nursing, midwifery and allied health professional studen…
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psnet.ahrq.gov/issue/impact-patient-safety-bundle-and-team-based-training-obstetric-hypertensive-emergencies
July 21, 2021 - Study
Impact of patient safety bundle and team-based training on obstetric hypertensive emergencies.
Citation Text:
Grogan L, Peterson E, Flatley M, et al. Impact of patient safety bundle and team-based training on obstetric hypertensive emergencies. Am J Perinatol. 2025;42(4):452-461. d…
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psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac
June 01, 2022 - Study
Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab.
Citation Text:
Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…
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psnet.ahrq.gov/issue/improving-care-safety-characterizing-task-interruptions-during-interactions-between
March 05, 2025 - Study
Improving care safety by characterizing task interruptions during interactions between healthcare professionals: an observational study.
Citation Text:
Teigné D, Cazet L, Birgand G, et al. Improving care safety by characterizing task interruptions during interactions between health…