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psnet.ahrq.gov/issue/maintaining-maternal-newborn-safety-during-covid-19-pandemic
November 16, 2022 - Commentary
Maintaining maternal-newborn safety during the COVID-19 pandemic.
Citation Text:
Patrick NA, Johnson TS. Maintaining maternal-newborn safety during the COVID-19 pandemic. Nurs Womens Health. 2021;25(3):212-220. doi:10.1016/j.nwh.2021.03.003.
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psnet.ahrq.gov/issue/economic-burden-nurse-sensitive-adverse-events-22-medical-surgical-units-retrospective-and
December 15, 2021 - Study
The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis.
Citation Text:
Tchouaket E, Dubois C-A, D'Amour D. The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching…
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psnet.ahrq.gov/issue/nursing-care-quality-and-adverse-events-us-hospitals
November 04, 2009 - Study
Nursing care quality and adverse events in US hospitals.
Citation Text:
Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in US hospitals. J Clin Nurs. 2010;19(15-16):2185-95. doi:10.1111/j.1365-2702.2010.03250.x.
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psnet.ahrq.gov/issue/second-victim-experience-and-support-tool-validation-organizational-resource-assessing-second
September 19, 2016 - Study
The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources.
Citation Text:
Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: validation of an …
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psnet.ahrq.gov/issue/perspectives-perioperative-team-based-morbidity-and-mortality-conferences-mixed-methods-study
October 11, 2023 - Study
Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study.
Citation Text:
Samost-Williams A, Rosen R, Cummins E, et al. Perspectives on Perioperative Team-Based Morbidity and Mortality Conferences: A Mixed Methods Study. Jt Comm J Qual Pati…
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psnet.ahrq.gov/issue/serious-adverse-events-pediatric-procedural-sedation-and-after-implementation-pre-sedation
February 12, 2020 - Study
Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist.
Citation Text:
Librov S, Shavit I. Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. J Pai…
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psnet.ahrq.gov/issue/implementing-rise-second-victim-support-programme-johns-hopkins-hospital-case-study
March 03, 2019 - Study
Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study.
Citation Text:
Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. d…
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psnet.ahrq.gov/issue/influence-personality-psychological-safety-presence-stress-and-chosen-professional-roles
September 22, 2021 - Study
The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment.
Citation Text:
Grailey K, Lound A, Murray E, et al. The influence of personality on psychological safety, the presence of stress and chosen prof…
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psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30
February 24, 2011 - Study
Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations.
Citation Text:
Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event…
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psnet.ahrq.gov/issue/descriptive-analysis-disproportionate-medication-errors-and-associated-patient
February 14, 2024 - Study
Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system.
Citation Text:
Pera V, van Vaerenbergh F, Kors JA, et al. Descriptive analysis on disproportionate medication erro…
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psnet.ahrq.gov/issue/impact-adding-2-way-video-monitoring-system-falls-and-costs-high-risk-inpatients
April 24, 2018 - Study
The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients.
Citation Text:
Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. d…
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psnet.ahrq.gov/issue/reasons-drug-administration-problems-and-perceived-needs-assistance-patients-family
November 02, 2010 - Study
Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study.
Citation Text:
Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for assistance of patients, f…
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psnet.ahrq.gov/issue/staffing-levels-and-nursing-sensitive-patient-outcomes-umbrella-review-and-qualitative-study
May 19, 2021 - Review
Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study.
Citation Text:
Blume KS, Dietermann K, Kirchner‐Heklau U, et al. Staffing levels and nursing‐sensitive patient outcomes: umbrella review and qualitative study. Health Serv Res. 2021;56(5…
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psnet.ahrq.gov/issue/causes-adverse-events-home-mechanical-ventilation-nursing-perspective
November 10, 2021 - Study
Causes of adverse events in home mechanical ventilation: a nursing perspective.
Citation Text:
Lipprandt M, Liedtke W, Langanke M, et al. Causes of adverse events in home mechanical ventilation: a nursing perspective. BMC Nurs. 2022;21(1):264. doi:10.1186/s12912-022-01038-2.
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psnet.ahrq.gov/issue/toward-increased-patient-safety-electronic-communication-medication-information-between
June 23, 2021 - Study
Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners.
Citation Text:
Lyngstad M, Melby L, Grimsmo A, et al. Toward Increased Patient Safety? Electronic Communication of Medication Informat…
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psnet.ahrq.gov/issue/data-driven-quality-improvement-culture-change-and-high-reliability-journey-special-hospital
March 24, 2021 - Commentary
Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities.
Citation Text:
Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high relia…
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psnet.ahrq.gov/issue/looking-back-history-patient-safety-opportunity-reflect-and-ponder-future-challenges
July 10, 2019 - Commentary
Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges.
Citation Text:
Schiff G, Shojania KG. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. BMJ Qual Saf. 2022;31(2):148-152.…
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psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac
June 01, 2022 - Study
Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab.
Citation Text:
Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…
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psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment
May 18, 2022 - Study
The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment.
Citation Text:
Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Acad Med. 2021;…
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psnet.ahrq.gov/issue/vestibular-syndromes-diagnosis-and-diagnostic-errors-patients-dizziness-presenting-emergency
May 17, 2023 - Study
Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness presenting to the emergency department: a cross-sectional study.
Citation Text:
Comolli L, Korda A, Zamaro E, et al. Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness pre…