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psnet.ahrq.gov/issue/thresholds-rules-and-defensive-strategies-how-physicians-learn-their-prior-diagnosis-related
April 15, 2020 - Study
Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experiences.
Citation Text:
Donner-Banzhoff N, Müller B, Beyer M, et al. Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experienc…
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psnet.ahrq.gov/issue/implementing-patient-and-family-involvement-interventions-promoting-patient-safety-systematic
February 02, 2022 - Review
Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis.
Citation Text:
Giap T-T-T, Park M. Implementing patient and family involvement interventions for promoting patient safety. J Patient Saf. 2021;17(2):131-1…
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psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
October 14, 2015 - Study
The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours.
Citation Text:
The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470.
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psnet.ahrq.gov/issue/bridging-gap-between-culture-and-safety-critical-care-context-role-work-debate-spaces
July 15, 2020 - Study
Bridging the gap between culture and safety in a critical care context: the role of work debate spaces.
Citation Text:
Leuridan G. Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. Safety Sci. 2020;129:104839. doi:10.1016/j.ssci…
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psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love
January 02, 2017 - Commentary
A piece of my mind. From shame to guilt to love.
Citation Text:
Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507-2508. doi:10.1001/jama.2015.11521.
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psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
September 29, 2017 - Commentary
Classic
Five system barriers to achieving ultrasafe health care.
Citation Text:
Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64.
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psnet.ahrq.gov/issue/avoiding-potential-harm-improving-appropriateness-urinary-catheter-use-18-emergency
June 08, 2016 - Study
Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments.
Citation Text:
Fakih MG, Heavens M, Grotemeyer J, et al. Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments. Ann Emerg Med…
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psnet.ahrq.gov/issue/lost-translation-silent-reporting-and-electronic-patient-records-nursing-handovers
October 20, 2021 - Study
Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study.
Citation Text:
Ihlebæk HM. Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. Int J Nurs Stud. 2020;109:1…
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psnet.ahrq.gov/issue/handoffs-safety-culture-and-practices-evidence-hospital-survey-patient-safety-culture
June 21, 2015 - Study
Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture.
Citation Text:
Lee S-H, Phan PH, Dorman T, et al. Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. BMC Health Serv Res. 2016;16…
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psnet.ahrq.gov/issue/impact-regionalized-care-concordance-plan-and-preventable-adverse-events-general-medicine
November 16, 2022 - Study
Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services.
Citation Text:
Mueller SK, Schnipper JL, Giannelli K, et al. Impact of regionalized care on concordance of plan and preventable adverse events on general medicine service…
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psnet.ahrq.gov/issue/effects-patient-handoff-characteristics-subsequent-care-systematic-review-and-areas-future
January 19, 2011 - Review
The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research.
Citation Text:
Foster S, Manser T. The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. Acad Med.…
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psnet.ahrq.gov/issue/more-holes-cheese-what-prevents-delivery-effective-high-quality-and-safe-healthcare-england
December 18, 2017 - Study
More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England?
Citation Text:
Hignett S, Lang A, Pickup L, et al. More holes than cheese. What prevents the delivery of effective, high quality and safe health care in England? Ergonomic…
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric-intensive-care
April 06, 2016 - Study
The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit.
Citation Text:
Cifra CL, Jones KL, Ascenzi J, et al. The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. B…
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psnet.ahrq.gov/issue/internet-things-healthcare-patient-safety-empirical-study
March 18, 2020 - Study
Internet of things in healthcare for patient safety: an empirical study.
Citation Text:
Yesmin T, Carter MW, Gladman AS. Internet of things in healthcare for patient safety: an empirical study. BMC Health Serv Res. 2022;22(1):278. doi:10.1186/s12913-022-07620-3.
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psnet.ahrq.gov/issue/strategies-improving-value-radiology-report-retrospective-analysis-errors-formally-over-read
November 10, 2021 - Study
Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies.
Citation Text:
Kabadi SJ, Krishnaraj A. Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read…
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psnet.ahrq.gov/issue/uncovering-creating-or-constructing-problems-enacting-new-role-support-staff-who-raise
September 29, 2021 - Study
Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service
Citation Text:
Martin GP, Chew S, Dixon-Woods M. Uncovering, creating or constructing problems? Enacting a new role…
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psnet.ahrq.gov/issue/effect-comprehensive-surgical-safety-system-patient-outcomes
May 17, 2012 - Study
Classic
Effect of a comprehensive surgical safety system on patient outcomes.
Citation Text:
de Vries EN, Prins HA, Crolla RMPH, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010;363(20):1928-37. doi:10.1056/…
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psnet.ahrq.gov/issue/interventions-engage-patients-and-families-patient-safety-systematic-review
March 04, 2020 - Review
Interventions to engage patients and families in patient safety: a systematic review.
Citation Text:
Lee M, Lee N-J, Seo H-J, et al. Interventions to Engage Patients and Families in Patient Safety: A Systematic Review. West J Nurs Res. 2021;43(10):972-983. doi:10.1177/01939459209…
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psnet.ahrq.gov/issue/effects-discharge-time-out-quality-hospital-discharge-summaries
December 31, 2014 - Study
The effects of a 'discharge time-out' on the quality of hospital discharge summaries.
Citation Text:
Mohta N, Vaishnava P, Liang C, et al. The effects of a 'discharge time-out' on the quality of hospital discharge summaries. BMJ Qual Saf. 2012;21(10):885-90.
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psnet.ahrq.gov/issue/pilot-implementation-perioperative-protocol-guide-operating-room-intensive-care-unit-patient
January 03, 2017 - Study
Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.
Citation Text:
Petrovic MA, Aboumatar HJ, Baumgartner WA, et al. Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patie…