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psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting
March 24, 2021 - Study
Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system.
Citation Text:
Hamad DM, Mandell SP, Stewart RM, et al. Error reduction in trauma care: Lessons from an anonymized, national, multicenter mortality reporting system. J Trau…
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psnet.ahrq.gov/issue/critical-care-nurses-physical-and-mental-health-worksite-wellness-support-and-medical-errors
March 21, 2018 - Study
Critical care nurses’ physical and mental health, worksite wellness support, and medical errors.
Citation Text:
Melnyk BM, Tan A, Hsieh AP, et al. Critical Care Nurses’ Physical and Mental Health, Worksite Wellness Support, and Medical Errors. Am J Crit Care. 2021;30(3):176-184. do…
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psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative
July 31, 2019 - Review
The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis.
Citation Text:
Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic rev…
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psnet.ahrq.gov/issue/effects-state-opioid-prescribing-laws-use-opioid-and-other-pain-treatments-among-commercially
October 13, 2018 - Study
Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults.
Citation Text:
McGinty EE, Bicket MC, Seewald NJ, et al. Effects of state opioid prescribing laws on use of opioid and other pain treatments among commerciall…
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psnet.ahrq.gov/issue/patient-safety-culture-and-association-safe-resident-care-nursing-homes
September 19, 2018 - Study
Patient safety culture and the association with safe resident care in nursing homes.
Citation Text:
Thomas KS, Hyer K, Castle NG, et al. Patient safety culture and the association with safe resident care in nursing homes. Gerontologist. 2012;52(6):802-811. doi:10.1093/geront/gns0…
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psnet.ahrq.gov/issue/delayed-or-failure-follow-abnormal-breast-cancer-screening-mammograms-primary-care-systematic
December 08, 2021 - Review
Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review.
Citation Text:
Reece JC, Neal EFG, Nguyen P, et al. Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. B…
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psnet.ahrq.gov/issue/association-between-night-time-surgery-and-occurrence-intraoperative-adverse-events-and
October 13, 2021 - Study
Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications.
Citation Text:
Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. Cortegi…
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psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement
March 22, 2023 - Study
Duplicate medication order errors: safety gaps and recommendations for improvement.
Citation Text:
Bocknek L, Kim T, Spaar P, et al. Duplicate medication order errors: safety gaps and recommendations for improvement. Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6.
Co…
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psnet.ahrq.gov/issue/healthcare-professionals-perception-safety-culture-and-operating-room-or-black-box-technology
March 02, 2022 - Study
Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey.
Citation Text:
Strandbygaard J, Dose N, Moeller KE, et al. Healthcare professionals’ perception of safety culture and th…
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www.ahrq.gov/es/tools/index.html?page=4
October 01, 2024 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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psnet.ahrq.gov/issue/associations-between-self-reported-healthcare-disruption-due-covid-19-and-avoidable-hospital
September 23, 2020 - Study
Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England.
Citation Text:
Green MA, McKee M, Hamilton OKL, et al. Associations between self-reported healthcare disruption du…
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psnet.ahrq.gov/issue/individual-surgeon-mortality-rates-can-outliers-be-detected-national-utility-analysis
October 27, 2021 - Study
Individual surgeon mortality rates: can outliers be detected? A national utility analysis.
Citation Text:
Harrison EM, Drake TM, O'Neill S, et al. Individual surgeon mortality rates: can outliers be detected? A national utility analysis. BMJ Open. 2016;6(10):e012471. doi:10.1136/bm…
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psnet.ahrq.gov/issue/accreditation-council-graduate-medical-educations-limits-residents-work-hours-and-patient
July 10, 2008 - Study
Classic
The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety.
Citation Text:
Jagsi R, Weinstein DF, Shapiro J, et al. The Accreditation Council for Graduate Medical Education's limits on residents'…
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psnet.ahrq.gov/issue/measuring-hospital-adverse-events-assessing-inter-rater-reliability-and-trigger-performance
May 07, 2014 - Study
Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool.
Citation Text:
Naessens JM, O'Byrne TJ, Johnson MG, et al. Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the …
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psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused
April 11, 2011 - Study
Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs.
Citation Text:
Sharek PJ, Horbar JD, Mason W, et al. Adverse events in the neonatal intensive care unit: development, t…
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psnet.ahrq.gov/issue/general-practitioners-risk-literacy-and-real-world-prescribing-potentially-hazardous-drugs
December 21, 2014 - Study
General practitioners' risk literacy and real-world prescribing of potentially hazardous drugs: a cross-sectional study.
Citation Text:
Wegwarth O, Hoffmann TC, Goldacre B, et al. General practitioners’ risk literacy and real-world prescribing of potentially hazardous drugs: a cros…
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psnet.ahrq.gov/issue/missed-nursing-care-surgical-care-hazard-patient-safety-quantitative-study-within-incharge
July 12, 2023 - Study
Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme.
Citation Text:
Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE pr…
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psnet.ahrq.gov/issue/veterans-affairs-initiative-prevent-methicillin-resistant-staphylococcus-aureus-infections
February 22, 2017 - Study
Classic
Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections.
Citation Text:
Jain R, Kralovic SM, Evans ME, et al. Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. N E…
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psnet.ahrq.gov/issue/prevalence-and-economic-burden-medication-errors-nhs-england
September 11, 2018 - Book/Report
Prevalence and Economic Burden of Medication Errors in the NHS England.
Citation Text:
Prevalence and Economic Burden of Medication Errors in the NHS England. Elliott RA, Camacho E, Campbell F, et al. Policy Research Unit in Economic Evaluation of Health and Care Intervention…
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psnet.ahrq.gov/issue/team-relations-and-role-perceptions-during-anesthesia-crisis-management-magnetic-resonance
December 13, 2023 - Study
Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging settings: a mixed-methods exploration.
Citation Text:
Schroeck H, Whitty MA, Hatton B, et al. Team relations and role perceptions during anesthesia crisis management in magnetic-re…