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psnet.ahrq.gov/issue/systematic-review-falls-hospital-patients-communication-disability-highlighting-invisible
April 15, 2016 - Review
A systematic review of falls in hospital for patients with communication disability: highlighting an invisible population.
Citation Text:
Hemsley B, Steel J, Worrall L, et al. A systematic review of falls in hospital for patients with communication disability: Highlighting an invi…
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psnet.ahrq.gov/issue/opportunities-enhance-laboratory-professionals-role-diagnostic-team
April 13, 2022 - Study
Opportunities to enhance laboratory professionals' role on the diagnostic team.
Citation Text:
Taylor JR, Thompson PJ, Genzen JR, et al. Opportunities to enhance laboratory professionals' role on the diagnostic team. Lab Med. 2017;48(1):97-103. doi:10.1093/labmed/lmw048.
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psnet.ahrq.gov/issue/introduction-neurosurgical-postoperative-checklist-improved-quality-care-and-patient-safety
August 03, 2022 - Study
The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety.
Citation Text:
Hall AJ, Toner NS, Bhatt PM. The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety. Br J Neurosurg. 2019;33(5):4…
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psnet.ahrq.gov/issue/connected-care-reducing-errors-through-automated-vital-signs-data-upload
September 01, 2018 - Study
Connected care: reducing errors through automated vital signs data upload.
Citation Text:
Smith LB, Banner L, Lozano D, et al. Connected care: reducing errors through automated vital signs data upload. Comput Inform Nurs. 2009;27(5):318-23. doi:10.1097/NCN.0b013e3181b21d65.
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psnet.ahrq.gov/issue/improving-surgical-complications-and-patient-safety-nations-largest-military-hospital
November 09, 2022 - Study
Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data.
Citation Text:
Maturo S, Hughes C, Kallingal G, et al. Improving Surgical Complications and Patient Safety at the Nation…
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psnet.ahrq.gov/issue/patient-safety-critical-care-environment
November 16, 2022 - Commentary
Patient safety in the critical care environment.
Citation Text:
Rossi PJ, Edmiston CE. Patient safety in the critical care environment. Surg Clin North Am. 2012;92(6):1369-86. doi:10.1016/j.suc.2012.08.007.
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psnet.ahrq.gov/issue/inter-and-intra-rater-reliability-classification-medication-related-events-paediatric
August 20, 2018 - Study
Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients.
Citation Text:
Kunac DL, Reith DM, Kennedy J, et al. Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. Qual Saf …
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psnet.ahrq.gov/issue/perioperative-safety-learning-not-taking-aviation
June 26, 2019 - Commentary
Perioperative safety: learning, not taking, from aviation.
Citation Text:
Neuhaus C, Hofer S, Hofmann G, et al. Perioperative Safety: Learning, Not Taking, from Aviation. Anesth Analg. 2016;122(6):2059-63. doi:10.1213/ANE.0000000000001315.
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psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm
February 12, 2020 - Commentary
Lessons learned from implementing a principled approach to resolution following patient harm.
Citation Text:
Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 201…
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psnet.ahrq.gov/issue/ambulatory-patient-safety-what-we-know-and-need-know
May 27, 2015 - Study
Ambulatory patient safety. What we know and need to know.
Citation Text:
Hammons T, Piland NF, Small SD, et al. Ambulatory Patient Safety. What we know and need to know. J Ambul Care Manage. 2013;26(1):63-82. doi:10.1097/00004479-200301000-00007.
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psnet.ahrq.gov/issue/automated-medication-error-studies-audit-supplementation-were-effectively-designed-and
May 18, 2011 - Study
Automated medication error studies with audit supplementation were effectively designed and analyzed by time series.
Citation Text:
Shuster JJ, Winterstein AG. Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. J C…
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psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe
June 17, 2020 - Commentary
The role of purple pens in learning to prescribe.
Citation Text:
Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach. 2019;16(6):598-603. doi:10.1111/tct.12991.
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psnet.ahrq.gov/issue/design-patient-safety-systems-based-risk-identification-framework
February 03, 2021 - Study
Emerging Classic
Design for patient safety: a systems-based risk identification framework.
Citation Text:
Simsekler MCE, Ward JR, Clarkson J. Design for patient safety: a systems-based risk identification framework. Ergonomics. 2018;61(8):1046-1064. doi:10…
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psnet.ahrq.gov/issue/epidemiology-and-risk-factors-harmful-anti-infective-medication-errors-pediatric-hospital
March 22, 2017 - Study
Epidemiology of and risk factors for harmful anti-infective medication errors in a pediatric hospital.
Citation Text:
Modi A, Germain E, Soma V, et al. Epidemiology of and Risk Factors for Harmful Anti-Infective Medication Errors in a Pediatric Hospital. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/tools-primary-care-patient-safety-narrative-review
July 20, 2016 - Review
Tools for primary care patient safety: a narrative review.
Citation Text:
Spencer R, Campbell S. Tools for primary care patient safety: a narrative review. BMC Fam Pract. 2014;15:166. doi:10.1186/1471-2296-15-166.
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psnet.ahrq.gov/issue/automated-identification-diagnostic-labelling-errors-medicine
September 23, 2020 - Study
Automated identification of diagnostic labelling errors in medicine.
Citation Text:
Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine. Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039.
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psnet.ahrq.gov/issue/proactive-risk-assessment-surgical-site-infections-ambulatory-surgery-centers
April 13, 2022 - Study
Proactive risk assessment of surgical site infections in ambulatory surgery centers.
Citation Text:
Bish EK, Azadeh-Fard N, Steighner LA, et al. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. J Patient Saf. 2014;13(2). doi:10.1097/pts.000000000…
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psnet.ahrq.gov/issue/comparative-safety-endovascular-aortic-aneurysm-repair-over-open-repair-using-patient-safety
November 16, 2022 - Study
Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption.
Citation Text:
Rose J, Evans C, Barleben A, et al. Comparative safety of endovascular aortic aneurysm repair over open repair using patient safety indicators …
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psnet.ahrq.gov/issue/risk-factors-patient-safety-minimally-invasive-surgery-versus-conventional-surgery
August 10, 2016 - Study
Risk factors in patient safety: minimally invasive surgery versus conventional surgery.
Citation Text:
Rodrigues SP, Wever AM, Dankelman J, et al. Risk factors in patient safety: minimally invasive surgery versus conventional surgery. Surg Endosc. 2012;26(2):350-6. doi:10.1007/s0…
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psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team
March 11, 2013 - Study
Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team.
Citation Text:
Konrad D, Jäderling G, Bell M, et al. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Intensive Care Med. 2010;…