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psnet.ahrq.gov/issue/unplanned-transfers-medical-intensive-care-unit-causes-and-relationship-preventable-errors
July 19, 2023 - Study
Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.
Citation Text:
Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. J …
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psnet.ahrq.gov/issue/impact-oncology-drug-shortages-chemotherapy-treatment
November 01, 2012 - Study
Impact of oncology drug shortages on chemotherapy treatment.
Citation Text:
Alpert A, Jacobson M. Impact of Oncology Drug Shortages on Chemotherapy Treatment. Clin Pharmacol Ther. 2019;106(2):415-421. doi:10.1002/cpt.1390.
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psnet.ahrq.gov/issue/surgical-safety-checklist-and-patient-outcomes-after-surgery-prospective-observational-cohort
May 28, 2015 - Study
Classic
The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis.
Citation Text:
Abbott TEF, Ahmad T, Phull MK, et al. The surgical safety checklist and patient outcomes…
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psnet.ahrq.gov/issue/why-do-healthcare-professionals-fail-escalate-early-warning-system-ews-protocol-qualitative
August 25, 2021 - Review
Emerging Classic
Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation.
Citation Text:
O’Neill SM, Clyne B, Bell M, et al. Why do h…
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psnet.ahrq.gov/issue/systematic-review-association-shift-length-protected-sleep-time-and-night-float-patient-care
November 26, 2014 - Review
Classic
Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education.
Citation Text:
Reed DA, Fletcher KE, Arora V. Systematic review: association of shift length, protected sl…
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psnet.ahrq.gov/issue/status-implementation-world-health-organization-multimodal-hand-hygiene-strategy-united
November 13, 2024 - Study
Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities.
Citation Text:
Allegranzi B, Conway L, Larson EL, et al. Status of the implementation of the World Health Organization multimodal hand …
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psnet.ahrq.gov/issue/does-clinical-supervision-health-professionals-improve-patient-safety-systematic-review-and
August 04, 2021 - Review
Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis.
Citation Text:
Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Int…
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psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-patient-safety-and-magnet-designation-united
October 09, 2019 - Study
Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States.
Citation Text:
Hamadi H, Borkar SR, DHA LRM, et al. Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. J Patient Sa…
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psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting
August 28, 2013 - Study
Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings.
Citation Text:
Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings. J Pati…
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psnet.ahrq.gov/issue/what-else-could-it-be-scoping-review-questions-patients-ask-throughout-diagnostic-process
November 03, 2021 - Review
"What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process.
Citation Text:
Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. J Patien…
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psnet.ahrq.gov/issue/exposure-media-information-about-disease-can-cause-doctors-misdiagnose-similar-looking
July 03, 2014 - Study
Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases.
Citation Text:
Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases…
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psnet.ahrq.gov/issue/bridging-leadership-roles-quality-and-patient-safety-experience-6-us-academic-medical-centers
September 04, 2016 - Study
Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers.
Citation Text:
Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1)…
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psnet.ahrq.gov/issue/self-reported-medical-medication-and-laboratory-error-eight-countries-risk-factors
September 19, 2012 - Study
Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults.
Citation Text:
Scobie A. Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Int J Qual Health Care. 2…
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psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events-hospitalised
September 28, 2016 - Study
Classic
An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients.
Citation Text:
Bhise V, Sittig DF, Vaghani V, et al. An electronic trigger based on care escalation to identify preventable adverse even…
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psnet.ahrq.gov/issue/transitioning-between-electronic-health-records-effects-ambulatory-prescribing-safety
June 03, 2013 - Study
Transitioning between electronic health records: effects on ambulatory prescribing safety.
Citation Text:
Abramson EL, Malhotra S, Fischer K, et al. Transitioning between electronic health records: effects on ambulatory prescribing safety. J Gen Intern Med. 2011;26(8):868-74. doi:1…
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psnet.ahrq.gov/issue/hacking-teamwork-health-care-addressing-adverse-effects-ad-hoc-team-composition-critical-care
October 11, 2023 - Study
Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine.
Citation Text:
McLeod PL, Cunningham QW, DiazGranados D, et al. Hacking teamwork in health care: Addressing adverse effects of ad hoc team composition in critical care …
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psnet.ahrq.gov/issue/frontline-nurses-clinical-judgment-recognizing-understanding-and-responding-patient
December 01, 2021 - Study
Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: a qualitative study.
Citation Text:
Dresser S, Teel C, Peltzer J. Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: …
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psnet.ahrq.gov/issue/detection-postoperative-respiratory-failure-how-predictive-agency-healthcare-research-and
January 13, 2010 - Study
Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator?
Citation Text:
Utter GH, Cuny J, Sama P, et al. Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare…
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psnet.ahrq.gov/issue/putting-out-fires-qualitative-study-exploring-use-patient-complaints-drive-improvement-three
October 27, 2021 - Study
Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals.
Citation Text:
Liu JJ, Rotteau L, Bell CM, et al. Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at …
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psnet.ahrq.gov/issue/stakeholder-perspectives-handovers-between-hospital-staff-and-general-practitioners
October 03, 2012 - Study
Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens.
Citation Text:
Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and general practitioners: an e…