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psnet.ahrq.gov/issue/reducing-risk-delayed-colorectal-cancer-diagnoses-through-ambulatory-safety-net-collaborative
February 28, 2011 - Study
Reducing the risk of delayed colorectal cancer diagnoses through an ambulatory safety net collaborative.
Citation Text:
Moyal-Smith R, Elam M, Boulanger J, et al. Reducing the risk of delayed colorectal cancer diagnoses through an ambulatory safety net collaborative. Jt Comm J Qual…
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psnet.ahrq.gov/issue/quality-framework-remote-antenatal-care-qualitative-study-women-healthcare-professionals-and
October 21, 2020 - Study
Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders.
Citation Text:
Hinton L, Dakin FH, Kuberska K, et al. Quality framework for remote antenatal care: qualitative study with women, healthcare professiona…
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psnet.ahrq.gov/issue/physician-transition-care-benefits-i-pass-and-electronic-handoff-system-community-pediatric
November 02, 2022 - Study
Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program.
Citation Text:
Walia J, Qayumi Z, Khawar N, et al. Physician Transition of Care: Benefits of I-PASS and an Electronic Handoff System in a Community Pediatri…
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psnet.ahrq.gov/issue/development-research-agenda-identify-evidence-based-strategies-improve-physician-wellness-and
June 01, 2022 - Commentary
Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout.
Citation Text:
Dyrbye LN, Trockel M, Frank E, et al. Development of a Research Agenda to Identify Evidence-Based Strategies to Improve Physician Wellness an…
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psnet.ahrq.gov/issue/perceptions-us-and-uk-incident-reporting-systems-scoping-review
January 19, 2022 - Review
Perceptions of U.S. and U.K. incident reporting systems: a scoping review.
Citation Text:
Gampetro PJ, Nickum A, Schultz CM. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. J Patient Saf. 2024;20(5):360-365. doi:10.1097/pts.0000000000001231.
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psnet.ahrq.gov/issue/description-and-evaluation-interprofessional-patient-safety-course-health-professions-and
July 19, 2023 - Commentary
Description and evaluation of an interprofessional patient safety course for health professions and related sciences students.
Citation Text:
Galt KA, Paschal KA, O'Brien RL, et al. Description and Evaluation of an Interprofessional Patient Safety Course for Health Professio…
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psnet.ahrq.gov/issue/managing-patient-safety-and-staff-safety-nursing-homes-exploring-how-leaders-nursing-homes
September 13, 2023 - Study
Managing patient safety and staff safety in nursing homes: exploring how leaders of nursing homes negotiate their dual responsibilities- a case study.
Citation Text:
Magerøy MR, Macrae C, Braut GS, et al. Managing patient safety and staff safety in nursing homes: exploring how lead…
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psnet.ahrq.gov/issue/multidisciplinary-multifaceted-improvement-initiative-eliminate-mislabelled-laboratory
December 24, 2008 - Study
A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens at a large tertiary care hospital.
Citation Text:
Seferian EG, Jamal S, Clark K, et al. A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laborator…
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psnet.ahrq.gov/issue/one-fourth-unplanned-transfers-higher-level-care-are-associated-highly-preventable-adverse
May 16, 2018 - Study
One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals.
Citation Text:
Marquet K, Claes N, De Troy E, et al. One fourth of unplanned transfers to a higher level of care are…
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psnet.ahrq.gov/issue/errors-administration-parenteral-drugs-intensive-care-units-multinational-prospective-study
September 30, 2010 - Study
Errors in administration of parenteral drugs in intensive care units: multinational prospective study.
Citation Text:
Valentin A, Capuzzo M, Guidet B, et al. Errors in administration of parenteral drugs in intensive care units: multinational prospective study. BMJ. 2009;338:b814.…
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psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
November 30, 2022 - Commentary
Humanizing harm: using a restorative approach to heal and learn from adverse events.
Citation Text:
Wailling J, Kooijman A, Hughes J, et al. Humanizing harm: Using a restorative approach to heal and learn from adverse events. Health Expect. 2022;25(4):1192-1199. doi:10.1111/he…
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psnet.ahrq.gov/issue/proficiency-based-virtual-reality-training-significantly-reduces-error-rate-residents-during
November 13, 2009 - Study
Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies.
Citation Text:
Ahlberg G, Enochsson L, Gallagher AG, et al. Proficiency-based virtual reality training significantly reduces the err…
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psnet.ahrq.gov/issue/outpatient-adverse-drug-events-identified-screening-electronic-health-records
June 08, 2016 - Study
Outpatient adverse drug events identified by screening electronic health records.
Citation Text:
Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06…
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psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
April 08, 2011 - Study
A trigger tool to identify adverse events in the intensive care unit.
Citation Text:
Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…
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psnet.ahrq.gov/issue/development-and-evaluation-integrated-electronic-prescribing-and-drug-management-system
March 10, 2011 - Study
The development and evaluation of an integrated electronic prescribing and drug management system for primary care.
Citation Text:
Tamblyn R, Huang A, Kawasumi Y, et al. The development and evaluation of an integrated electronic prescribing and drug management system for primary …
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psnet.ahrq.gov/issue/qualitative-study-prescribing-errors-among-multi-professional-prescribers-within-e
December 02, 2020 - Study
A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system.
Citation Text:
Alshahrani F, Marriott JF, Cox AR. A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system. Int J Clin…
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psnet.ahrq.gov/issue/quality-measures-patients-risk-adverse-outcomes-veterans-health-administration-expert-panel
June 22, 2022 - Commentary
Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations.
Citation Text:
Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administra…
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psnet.ahrq.gov/issue/educational-levels-hospital-nurses-and-surgical-patient-mortality
February 09, 2011 - Study
Classic
Educational levels of hospital nurses and surgical patient mortality.
Citation Text:
Aiken LH, Clarke S, Cheung RB, et al. Educational levels of hospital nurses and surgical patient mortality. JAMA. 2003;290(12):1617-1623.
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psnet.ahrq.gov/issue/using-ecological-systems-theory-understand-blackwhite-disparities-maternal-morbidity-and
February 08, 2023 - Study
Emerging Classic
Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States.
Citation Text:
Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand black/white …
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psnet.ahrq.gov/issue/some-version-most-time-surgical-safety-checklist-patient-safety-and-everyday-experience
December 15, 2021 - Study
"Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation.
Citation Text:
Hammond Mobilio M, Paradis E, Moulton C-A. “Some version, most of the time”: The surgical safety checklist, patient safety, and the eve…