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psnet.ahrq.gov/issue/large-scale-deployment-global-trigger-tool-across-large-hospital-system-refinements
November 23, 2014 - Study
Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse events to support patient safety learning opportunities.
Citation Text:
Good VS, Saldaña M, Gilder R, et al. Large-scale deployment of the Global Trig…
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psnet.ahrq.gov/issue/risk-factors-patient-reported-errors-during-cancer-follow-results-national-survey-denmark
December 01, 2011 - Study
Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark.
Citation Text:
Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow-up: Results from a national survey in Denmark. Ca…
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psnet.ahrq.gov/issue/association-workload-call-medical-interns-call-sleep-duration-shift-duration-and
September 25, 2008 - Study
Classic
Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities.
Citation Text:
Arora V, Georgitis E, Siddique J, et al. Association of workload of on-call medical intern…
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psnet.ahrq.gov/issue/technology-related-safety-event-analysis-community-clinical-informatics-case-study
April 03, 2024 - Commentary
Technology-related safety event analysis in community clinical informatics: a case study.
Citation Text:
Recsky C, Stowe M, Rush KL, et al. Technology-related safety event analysis in community clinical informatics: a case study. Stud Health Technol Inform. 2024;315:452-457. d…
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psnet.ahrq.gov/issue/data-driven-approach-evaluate-barcode-assisted-medication-preparation-alerts-large-academic
October 19, 2022 - Study
A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center.
Citation Text:
Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic me…
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psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah
October 12, 2022 - Government Resource
Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin.
Citation Text:
Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Washington, DC: VA …
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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/residency-work-hours-reform-cost-analysis-including-preventable-adverse-events
August 05, 2015 - Study
Residency work-hours reform: a cost analysis including preventable adverse events.
Citation Text:
Nuckols TK, Escarce JJ. Residency work-hours reform. A cost analysis including preventable adverse events. J Gen Intern Med. 2005;20(10):873-8.
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psnet.ahrq.gov/issue/examining-relationship-between-nurse-fatigue-alertness-and-medication-errors
October 10, 2015 - Study
Examining the relationship between nurse fatigue, alertness, and medication errors.
Citation Text:
Farag A, Gallagher J, Carr L. Examining the relationship between nurse fatigue, alertness, and medication errors. West J Nurs Res. 2024;46(4):288-295. doi:10.1177/01939459241236631.
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psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review
February 23, 2011 - Review
Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature.
Citation Text:
Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care--mapping the problem, working to a solution: a systematic …
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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-inpatient-clinical-workflow-literature
February 23, 2009 - Review
The impact of computerized provider order entry systems on inpatient clinical workflow: a literature review.
Citation Text:
Niazkhani Z, Pirnejad H, Berg M, et al. The impact of computerized provider order entry systems on inpatient clinical workflow: a literature review. J Am M…
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psnet.ahrq.gov/issue/icu-nurses-acceptance-electronic-health-records
December 31, 2014 - Study
ICU nurses' acceptance of electronic health records.
Citation Text:
Carayon P, Cartmill R, Blosky MA, et al. ICU nurses' acceptance of electronic health records. J Am Med Inform Assoc. 2011;18(6):812-9. doi:10.1136/amiajnl-2010-000018.
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psnet.ahrq.gov/issue/night-time-communication-stanford-university-hospital-perceptions-reality-and-solutions
March 24, 2019 - Study
Night-time communication at Stanford University Hospital: perceptions, reality and solutions.
Citation Text:
Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjq…
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psnet.ahrq.gov/issue/amelie-project-failure-mode-effects-and-criticality-analysis-model-evaluate-nurse-medication
September 24, 2016 - Study
The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process on the floor.
Citation Text:
Nguyen C, Côté J, Lebel D, et al. The AMÉLIE project: failure mode, effects and criticality analysis: a model to evalua…
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psnet.ahrq.gov/issue/multidisciplinary-approach-reduce-central-line-associated-bloodstream-infections
November 16, 2022 - Study
A multidisciplinary approach to reduce central line-associated bloodstream infections.
Citation Text:
McMullan C, Propper G, Schuhmacher C, et al. A multidisciplinary approach to reduce central line-associated bloodstream infections. Jt Comm J Qual Patient Saf. 2013;39(2):61-69. …
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psnet.ahrq.gov/issue/relationship-between-safety-culture-and-voluntary-event-reporting-large-regional-ambulatory
November 26, 2014 - Study
The relationship between safety culture and voluntary event reporting in a large regional ambulatory care group.
Citation Text:
Miller N, Bhowmik S, Ezinwa M, et al. The Relationship Between Safety Culture and Voluntary Event Reporting in a Large Regional Ambulatory Care Group. J P…
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psnet.ahrq.gov/issue/chance-favors-only-prepared-mind-preparing-minds-systematically-reduce-hazards-testing
April 23, 2014 - Study
"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care.
Citation Text:
Singh R, Hickner J, Mold J, et al. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testin…
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psnet.ahrq.gov/issue/how-dangerous-day-hospital-model-adverse-events-and-length-stay-medical-inpatients
February 09, 2012 - Study
Classic
How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients.
Citation Text:
Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients. Med…
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psnet.ahrq.gov/issue/examination-opportunities-active-patient-improving-patient-safety
October 04, 2011 - Review
An examination of opportunities for the active patient in improving patient safety.
Citation Text:
Davis R, Sevdalis N, Jacklin R, et al. An examination of opportunities for the active patient in improving patient safety. J Patient Saf. 2012;8(1):36-43. doi:10.1097/PTS.0b013e318…
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psnet.ahrq.gov/issue/chemotherapy-errors-call-standardized-approach-measurement-and-reporting
October 28, 2020 - Commentary
Chemotherapy errors: a call for a standardized approach to measurement and reporting.
Citation Text:
Lennes IT, Bohlen N, Park ER, et al. Chemotherapy Errors: A Call for a Standardized Approach to Measurement and Reporting. J Oncol Pract. 2016;12(4):e495-501. doi:10.1200/JOP.2…