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psnet.ahrq.gov/issue/impact-altering-referral-threshold-out-hours-primary-care-hospital-patient-safety-and-further
February 02, 2022 - Study
Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study.
Citation Text:
Svedahl ER, Pape K, Austad B, et al. Impact of altering referral threshold from out-of-hours primary care to hospital on…
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psnet.ahrq.gov/issue/inviting-patients-identify-diagnostic-concerns-through-structured-evaluation-their-online
March 03, 2021 - Study
Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes.
Citation Text:
Giardina TD, Choi DT, Upadhyay DK, et al. Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. J Am Me…
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psnet.ahrq.gov/issue/using-sociotechnical-theory-understand-medication-safety-work-primary-care-and-prescribers
November 09, 2022 - Study
Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study.
Citation Text:
Jeffries M, Salema N-E, Laing L, et al. Using sociotechnical theory to understand medication safety work in primar…
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psnet.ahrq.gov/issue/effects-i-pass-nursing-handoff-bundle-communication-quality-and-workflow
November 12, 2014 - Study
Effects of the I-PASS nursing handoff bundle on communication quality and workflow.
Citation Text:
Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-0…
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psnet.ahrq.gov/issue/implementing-situation-background-assessment-recommendation-anaesthetic-clinic-and-subsequent
December 30, 2014 - Study
Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers.
Citation Text:
Randmaa M, Swenne CL, Mårtensson G, et al. Implementing situation…
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psnet.ahrq.gov/issue/top-patient-safety-strategies-can-be-encouraged-adoption-now
September 20, 2011 - Commentary
The top patient safety strategies that can be encouraged for adoption now.
Citation Text:
Shekelle PG, Pronovost P, Wachter R, et al. The top patient safety strategies that can be encouraged for adoption now. Ann Intern Med. 2013;158(5 Pt 2):365-8. doi:10.7326/0003-4819-158-…
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psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
June 22, 2022 - Study
Classic
The Veterans Affairs root cause analysis system in action.
Citation Text:
Bagian JP, Gosbee JW, Lee CZ, et al. The Veterans Affairs Root Cause Analysis System in Action. Jt Comm J Qual Improv. 2016;28(10):531-545. doi:10.1016/s1070-3241(02)28057-8.…
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psnet.ahrq.gov/issue/family-centered-rounds-checklist-family-engagement-and-patient-safety-randomized-trial
December 22, 2018 - Study
A family-centered rounds checklist, family engagement, and patient safety: a randomized trial.
Citation Text:
Cox E, Jacobsohn GC, Rajamanickam VP, et al. A Family-Centered Rounds Checklist, Family Engagement, and Patient Safety: A Randomized Trial. Pediatrics. 2017;139(5). doi:10.…
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psnet.ahrq.gov/issue/culture-change-infection-control-applying-psychological-principles-improve-hand-hygiene
November 21, 2021 - Study
Culture change in infection control: applying psychological principles to improve hand hygiene.
Citation Text:
Cumbler E, Castillo L, Satorie L, et al. Culture change in infection control: applying psychological principles to improve hand hygiene. J Nurs Care Qual. 2013;28(4):304…
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psnet.ahrq.gov/issue/go-between-study-simulation-study-comparing-traffic-lights-and-sbar-tools-means-communication
March 01, 2023 - Study
The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff.
Citation Text:
MacDougall-Davis SR, Kettley L, Cook TM. The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'S…
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psnet.ahrq.gov/issue/overall-performance-drug-drug-interaction-clinical-decision-support-system-quantitative
August 10, 2022 - Study
Overall performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey.
Citation Text:
Van De Sijpe G, Quintens C, Walgraeve K, et al. Overall performance of a drug–drug interaction clinical decision support system: quantitative…
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psnet.ahrq.gov/issue/filling-gap-safety-metrics-development-patient-centred-framework-identify-and-categorise
February 15, 2023 - Study
Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care.
Citation Text:
Bell SK, Bourgeois FC, DesRoches CM, et al. Filling a gap in safety metrics: devel…
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psnet.ahrq.gov/issue/tempos-management-primary-care-key-factor-classifying-adverse-events-and-improving-quality
March 15, 2017 - Study
'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety.
Citation Text:
Amalberti R, Brami J. 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. BMJ Qual Saf.…
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psnet.ahrq.gov/issue/seven-features-safety-maternity-units-framework-based-multisite-ethnography-and-stakeholder
February 20, 2019 - Study
Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation.
Citation Text:
Liberati EG, Tarrant C, Willars J, et al. Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder con…
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psnet.ahrq.gov/issue/near-misses-and-unsafe-conditions-reported-pediatric-emergency-research-network
June 07, 2017 - Study
Near misses and unsafe conditions reported in a Pediatric Emergency Research Network.
Citation Text:
Ruddy RM, Chamberlain JM, Mahajan P, et al. Near misses and unsafe conditions reported in a Pediatric Emergency Research Network. BMJ Open. 2015;5(9):e007541. doi:10.1136/bmjopen-20…
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psnet.ahrq.gov/issue/treatment-patterns-and-clinical-outcomes-after-introduction-medicare-sepsis-performance
October 02, 2019 - Study
Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1).
Citation Text:
Barbash IJ, Davis BS, Yabes JG, et al. Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-…
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psnet.ahrq.gov/issue/discrepancy-between-emergency-department-admission-diagnosis-and-hospital-discharge-diagnosis
December 08, 2021 - Study
Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality.
Citation Text:
Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department adm…
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psnet.ahrq.gov/issue/unlocking-potential-free-text-electronic-health-records-large-language-models-llm-enhancing
October 01, 2014 - Commentary
Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions.
Citation Text:
Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records w…
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psnet.ahrq.gov/issue/nursing-implications-early-warning-system-implemented-reduce-adverse-events-qualitative-study
October 27, 2021 - Study
Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study.
Citation Text:
Braun EJ, Singh S, Penlesky AC, et al. Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. BMJ Qual Saf. …
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psnet.ahrq.gov/issue/impact-hospital-acquired-pneumonia-medicare-program
August 07, 2013 - Study
Impact of hospital-acquired pneumonia on the Medicare program.
Citation Text:
Baker DL, Giuliano KK, Desmarais M, et al. Impact of hospital-acquired pneumonia on the Medicare program. Infect Control Hosp Epidemiol. 2024;45(3):316-321. doi:10.1017/ice.2023.221.
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