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psnet.ahrq.gov/issue/impact-internal-service-quality-preventable-adverse-events-hospitals
September 24, 2016 - Study
The impact of internal service quality on preventable adverse events in hospitals.
Citation Text:
Zheng S, Tucker AL, Ren ZJ, et al. The Impact of Internal Service Quality on Preventable Adverse Events in Hospitals. Production Operations Manag. 2017;27(12):2201-2212. doi:10.1111/po…
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psnet.ahrq.gov/issue/cultural-transformation-after-implementation-crew-resource-management-it-really-possible
November 16, 2022 - Study
Cultural transformation after implementation of crew resource management: is it really possible?
Citation Text:
Hefner JL, Hilligoss B, Knupp A, et al. Cultural Transformation After Implementation of Crew Resource Management: Is It Really Possible? Am J Med Qual. 2017;32(4):384-390…
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psnet.ahrq.gov/issue/role-feedback-emergency-ambulance-services-qualitative-interview-study
April 06, 2022 - Study
The role of feedback in emergency ambulance services: a qualitative interview study.
Citation Text:
Wilson C, Howell A-M, Janes G, et al. The role of feedback in emergency ambulance services: a qualitative interview study. BMC Health Serv Res. 2022;22(1):296. doi:10.1186/s12913-022…
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psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
November 11, 2015 - Study
A hybrid methodology for modeling risk of adverse events in complex health-care settings.
Citation Text:
Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702.
…
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psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
November 21, 2018 - Study
SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study.
Citation Text:
De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…
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psnet.ahrq.gov/issue/transactional-second-victim-model-experiences-affected-healthcare-professionals-acute-somatic
April 20, 2022 - Review
A transactional "second-victim" model—experiences of affected healthcare professionals in acute-somatic inpatient settings: a qualitative metasynthesis.
Citation Text:
Schiess C, Schwappach DLB, Schwendimann R, et al. A Transactional "Second-Victim" Model-Experiences of Affected H…
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psnet.ahrq.gov/issue/retrospective-cohort-study-wrong-patient-imaging-order-errors-how-many-reach-patient
February 22, 2023 - Study
Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient?
Citation Text:
Kneifati-Hayek JZ, Geist E, Applebaum JR, et al. Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? BMJ Qual Saf. 2024;33(2):132-1…
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psnet.ahrq.gov/issue/qualitative-evaluation-safety-and-improvement-primary-care-sipc-pilot-collaborative-scotland
March 12, 2014 - Study
Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams.
Citation Text:
Bowie P, Halley L, Blamey A, et al. Qualitative evaluation of the Safety and Improvement in Primary C…
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psnet.ahrq.gov/issue/controlled-trial-improve-resident-sign-out-medical-intensive-care-unit
August 04, 2021 - Study
Controlled trial to improve resident sign-out in a medical intensive care unit.
Citation Text:
Nanchal R, Aebly B, Graves G, et al. Controlled trial to improve resident sign-out in a medical intensive care unit. BMJ Qual Saf. 2017;26(12):987-992. doi:10.1136/bmjqs-2017-006657.
Co…
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psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study
May 01, 2015 - Study
Classic
Physician spending and subsequent risk of malpractice claims: observational study.
Citation Text:
Jena AB, Schoemaker L, Bhattacharya J, et al. Physician spending and subsequent risk of malpractice claims: observational study. BMJ. 2015;351:h5516. …
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psnet.ahrq.gov/issue/safety-perceptions-health-care-leaders-2-canadian-academic-acute-care-centers
March 14, 2022 - Study
Safety perceptions of health care leaders in 2 Canadian academic acute care centers.
Citation Text:
Goldstein DH, Nyce JM, Van Den Kerkhof EG. Safety Perceptions of Health Care Leaders in 2 Canadian Academic Acute Care Centers. J Patient Saf. 2017;13(2):62-68. doi:10.1097/PTS.00000…
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psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
June 16, 2021 - Review
Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis.
Citation Text:
McGraw C, Drennan VM. Evaluation of the suitability of root cause analysis frameworks for the i…
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psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses-adverse-events
November 22, 2017 - Book/Report
VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events.
Citation Text:
VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. Washington, DC: United States Government Accountability Office; July 29, 2015…
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psnet.ahrq.gov/issue/facilitation-surgical-innovation-it-possible-speed-introduction-new-technology-while
August 20, 2018 - Study
Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety?
Citation Text:
Marcus RK, Lillemoe HA, Caudle AS, et al. Facilitation of Surgical Innovation: Is It Possible to Speed the Introduction of N…
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psnet.ahrq.gov/issue/how-accurately-do-older-adult-emergency-department-patients-recall-their-medications
September 02, 2020 - Study
How accurately do older adult emergency department patients recall their medications?
Citation Text:
Goldberg EM, Marks SJ, Merchant RC, et al. How accurately do older adult emergency department patients recall their medications? Acad Emerg Med. 2021;28(2):248-252. doi:10.1111/acem…
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psnet.ahrq.gov/issue/improving-nursing-home-safety-through-adoption-practical-resilient-health-care-approach
August 26, 2020 - Commentary
Improving nursing home safety through adoption of a practical resilient health care approach.
Citation Text:
Hartmann CW, Clark V, Nash P, et al. Improving nursing home safety through adoption of a practical resilient health care approach. J Am Med Dir Assoc. 2024;25(9):105014…
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-based-classification-system-adverse-events-surgical
January 28, 2009 - Study
A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I.
Citation Text:
Antonacci AC, Lam S, Lavarias V, et al. A morbidity and mortality conference-based classification system for adverse events: surgical outcome ana…
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psnet.ahrq.gov/issue/decreasing-prescribing-errors-antimicrobial-stewardship-program-restricted-medications
September 25, 2024 - Study
Decreasing prescribing errors in antimicrobial stewardship program-restricted medications.
Citation Text:
Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hped…
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psnet.ahrq.gov/issue/we-cant-get-along-without-each-other-qualitative-interviews-physicians-about-device-industry
March 07, 2018 - Study
"We can't get along without each other": qualitative interviews with physicians about device industry representatives, conflict of interest and patient safety.
Citation Text:
Gagliardi AR, Lehoux P, Ducey A, et al. "We can't get along without each other": Qualitative interviews wit…
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psnet.ahrq.gov/issue/second-victims-need-emotional-support-after-adverse-events-even-just-safety-culture
April 12, 2023 - Commentary
Second victims need emotional support after adverse events: even in a just safety culture.
Citation Text:
Schrøder K, Lamont RF, Jørgensen JS, et al. Second victims need emotional support after adverse events: even in a just safety culture. BJOG. 2019;126(4):440-442. doi:10.11…