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psnet.ahrq.gov/issue/assertive-communication-training-nurses-speak-cases-medical-errors-systematic-review-and-meta
April 15, 2020 - Review
Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and meta-analysis.
Citation Text:
Chen H-W, Wu J-C, Kang Y-N, et al. Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and …
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psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
June 23, 2015 - Study
Classic
Incidence and types of preventable adverse events in elderly patients: population based review of medical records.
Citation Text:
Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based revie…
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psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
February 15, 2011 - Study
Classic
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Citation Text:
Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…
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psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic
November 07, 2012 - Review
Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review.
Citation Text:
Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. BMJ Qual Saf.…
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psnet.ahrq.gov/issue/cost-effectiveness-computerized-provider-order-entry-system-improving-medication-safety
August 09, 2017 - Study
Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care.
Citation Text:
Forrester SH, Hepp Z, Roth JA, et al. Cost-Effectiveness of a Computerized Provider Order Entry System in Improving Medication Safety Ambulatory Care. Val…
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digital.ahrq.gov/ahrq-funded-projects/sinc-synchronized-immunization-notifications
January 01, 2023 - SINC: Synchronized Immunization Notifications
Project Final Report ( PDF , 580.25 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No stat…
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psnet.ahrq.gov/issue/burnout-and-medical-errors-among-american-surgeons
December 21, 2014 - Study
Burnout and medical errors among American surgeons.
Citation Text:
Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010;251(6):995-1000. doi:10.1097/SLA.0b013e3181bfdab3.
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www.ahrq.gov/sops/about/patient-safety-culture.html
June 01, 2024 - What Is Patient Safety Culture?
Patient Safety Culture Defined Patient safety culture is the extent to which an organization's culture supports and promotes patient safety. It refers to the values, beliefs, and norms that are shared by healthcare practitioners and other staff throughout the organization that in…
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psnet.ahrq.gov/issue/culture-change-infection-control-applying-psychological-principles-improve-hand-hygiene
November 21, 2021 - Study
Culture change in infection control: applying psychological principles to improve hand hygiene.
Citation Text:
Cumbler E, Castillo L, Satorie L, et al. Culture change in infection control: applying psychological principles to improve hand hygiene. J Nurs Care Qual. 2013;28(4):304…
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psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-qualitative-exploration-acute-care-nurses
October 20, 2021 - Study
Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses' perceptions of their roles and responsibilities.
Citation Text:
Latimer S, Hewitt J, de Wet C, et al. Medication reconciliation at hospital discharge: A qualitative exploration of acute…
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psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events
October 07, 2020 - Study
Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals.
Citation Text:
Harper A, Kukielka E, Jones RM. Patient harm resulting from medication reconciliation process failures: a study of serious events rep…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2012
January 01, 2012 - Enhancing Complex Care Through an Integrated Care Coordination Information System - 2012
Project Name
Enhancing Complex Care through an Integrated Care Coordination Information System
Principal Investigator
Dorr, David
Organization
Oregon Health and Science University
…
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digital.ahrq.gov/ahrq-funded-projects/how-do-you-define-regional-geography-health-information-exchange
January 01, 2023 - How Do You Define Regional? The Geography of Health Information Exchange
Project Final Report ( PDF , 482.38 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent…
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digital.ahrq.gov/ahrq-funded-projects/promoting-self-management-stroke-survivors-using-health-it
January 01, 2023 - Promoting Self-Management in Stroke Survivors Using Health Information Technology
Project Final Report ( PDF , 180.67 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily …
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psnet.ahrq.gov/issue/international-perspective-definitions-and-terminology-used-describe-serious-reportable
August 04, 2021 - Review
An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review.
Citation Text:
Hegarty J, Flaherty SJ, Saab MM, et al. An international perspective on definitions and terminology used to describe seri…
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psnet.ahrq.gov/issue/structured-override-reasons-drug-drug-interaction-alerts-electronic-health-records
April 29, 2018 - Study
Structured override reasons for drug–drug interaction alerts in electronic health records.
Citation Text:
Wright A, McEvoy D, Aaron S, et al. Structured override reasons for drug-drug interaction alerts in electronic health records. J Am Med Info Asso. 2019;26(10):934-942. doi:10.1…
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psnet.ahrq.gov/issue/association-surgeon-patient-sex-concordance-postoperative-outcomes
September 09, 2020 - Study
Association of surgeon-patient sex concordance with postoperative outcomes.
Citation Text:
Wallis CJD, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative outcomes. JAMA Surg. 2022;157(2):146-156. doi:10.1001/jamasurg.2021.6339.
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psnet.ahrq.gov/issue/impact-covid-19-pandemic-cancer-care-global-collaborative-study
April 21, 2021 - Study
Emerging Classic
Impact of the COVID-19 pandemic on cancer care: a global collaborative study.
Citation Text:
Jazieh AR, Akbulut H, Curigliano G, et al. Impact of the COVID-19 pandemic on cancer care: a global collaborative study. JCO Glob Oncol. 2020;6)(6…
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psnet.ahrq.gov/issue/comorbid-conditions-delay-diagnosis-colorectal-cancer-cohort-study-using-electronic-primary
January 13, 2021 - Study
Comorbid conditions delay diagnosis of colorectal cancer: a cohort study using electronic primary care records.
Citation Text:
Mounce LTA, Price S, Valderas JM, et al. Comorbid conditions delay diagnosis of colorectal cancer: a cohort study using electronic primary care records. Br…
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psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care
June 01, 2022 - Study
Association of unexpected newborn deaths with changes in obstetric and neonatal process of care.
Citation Text:
Han D, Khadka A, McConnell M, et al. Association of Unexpected Newborn Deaths With Changes in Obstetric and Neonatal Process of Care. JAMA Netw Open. 2020;3(12):e2024589…