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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-reduce-risk-heparin-use
July 19, 2023 - Study
Failure mode and effects analysis to reduce risk of heparin use.
Citation Text:
Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229.
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psnet.ahrq.gov/issue/impact-mobile-technology-teamwork-and-communication-hospitals-systematic-review
January 29, 2020 - Review
Emerging Classic
The impact of mobile technology on teamwork and communication in hospitals: a systematic review.
Citation Text:
Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in hospitals: a systematic…
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psnet.ahrq.gov/issue/implementation-evaluation-and-recommendations-extension-ahrq-common-formats-capture-patient
June 13, 2018 - Study
Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data.
Citation Text:
Collins S, Couture B, Dykes PC, et al. Implementation, evaluation, and recommendations for extension of AHRQ Common Formats…
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psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events
January 16, 2008 - Study
Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events.
Citation Text:
Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.100…
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psnet.ahrq.gov/issue/effect-clinical-decision-support-systems-systematic-review
September 23, 2020 - Review
Effect of clinical decision-support systems: a systematic review.
Citation Text:
Bright TJ, Wong A, Dhurjati R, et al. Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012;157(1):29-43. doi:10.7326/0003-4819-157-1-201207030-00450.
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psnet.ahrq.gov/issue/advancing-health-equity-patient-safety-reckoning-challenge-and-opportunity
February 23, 2022 - Commentary
Advancing health equity in patient safety: a reckoning, challenge and opportunity.
Citation Text:
Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf. 2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599.
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psnet.ahrq.gov/issue/validation-primary-care-patient-measure-safety-pc-pmos-questionnaire
June 25, 2014 - Study
Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire.
Citation Text:
Giles SJ, Parveen S, Hernan AL. Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. BMJ Qual Saf. 2019;28(5):389-396. doi:10.1136/bmjqs-2018-007988.
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psnet.ahrq.gov/issue/building-physician-work-hour-regulations-first-principles-and-best-evidence
April 24, 2018 - Commentary
Building physician work hour regulations from first principles and best evidence.
Citation Text:
Volpp KG, Landrigan CP. Building physician work hour regulations from first principles and best evidence. JAMA. 2008;300(10):1197-9. doi:10.1001/jama.300.10.1197.
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psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care
October 19, 2022 - Review
A new, evidence-based estimate of patient harms associated with hospital care.
Citation Text:
James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69.
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psnet.ahrq.gov/issue/impact-introduction-electronic-prescribing-staff-perceptions-patient-safety-and
June 17, 2015 - Study
Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organizational culture.
Citation Text:
Davies J, Pucher PH, Ibrahim H, et al. Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organization…
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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/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/identification-barriers-and-enablers-receiving-speaking-message-content-analysis-approach
March 29, 2023 - Study
Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach.
Citation Text:
Barlow M, Morse KJ, Watson B, et al. Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Adv Simul …
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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/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…
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psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods-analysis
October 21, 2020 - Study
Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis.
Citation Text:
Sharma AE, Huang B, Del Rosario JB, et al. Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. BMJ Open Qual. 2021;10(3):e001421. doi:10.1136/b…
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psnet.ahrq.gov/issue/healthcare-professionals-views-feedback-patient-safety-culture-assessment
October 25, 2023 - Study
Healthcare professionals' views on feedback of a patient safety culture assessment.
Citation Text:
Zwijnenberg NC, Hendriks M, Hoogervorst-Schilp J, et al. Healthcare professionals' views on feedback of a patient safety culture assessment. BMC Health Serv Res. 2016;16:199. doi:10.1…
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psnet.ahrq.gov/issue/factors-influencing-family-member-perspectives-safety-intensive-care-unit-systematic-review
July 21, 2021 - Review
Factors influencing family member perspectives on safety in the intensive care unit: a systematic review.
Citation Text:
Coombs MA, Statton S, Endacott CV, et al. Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. Int J Qual H…
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psnet.ahrq.gov/issue/changes-efficiency-and-safety-culture-after-integration-i-pass-supported-handoff-process
June 25, 2018 - Study
Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process.
Citation Text:
Sheth S, McCarthy E, Kipps AK, et al. Changes in Efficiency and Safety Culture After Integration of an I-PASS-Supported Handoff Process. PEDIATRICS. 2016;137(2). doi:10…
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psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
June 17, 2014 - Study
Learning from preventable deaths: exploring case record reviewers' narratives using change analysis.
Citation Text:
Hogan H, Healey F, Neale G, et al. Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. J R Soc Med. 2014;107(9):365-7…