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  1. Patient safety and the problem of many hands. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands
    June 16, 2021 - Commentary Patient safety and the problem of many hands. Citation Text: Dixon-Woods M, Pronovost P. Patient safety and the problem of many hands. BMJ Qual Saf. 2016;25(7):485-488. doi:10.1136/bmjqs-2016-005232. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  2. Detection of adverse events in surgical patients using the Trigger Tool approach. | PSNet

    psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
    February 15, 2011 - Study Detection of adverse events in surgical patients using the Trigger Tool approach. Citation Text: Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080. Cop…

  3. Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it. | PSNet

    psnet.ahrq.gov/issue/cybersecurity-health-urgent-patient-safety-concern-we-can-learn-existing-patient-safety
    October 28, 2020 - Commentary Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it. Citation Text: O’Brien N, Ghafur S, Durkin M. Cybersecurity in health is an urgent patient safety concern: we can learn from existing pa…

  4. Good people who try their best can have problems: recognition of human factors and how to minimise error. | PSNet

    psnet.ahrq.gov/issue/good-people-who-try-their-best-can-have-problems-recognition-human-factors-and-how-minimise
    October 29, 2017 - Review Good people who try their best can have problems: recognition of human factors and how to minimise error. Citation Text: Brennan PA, Mitchell DA, Holmes S, et al. Good people who try their best can have problems: recognition of human factors and how to minimise error. Br J Oral Ma…

  5. How event reporting by US hospitals has changed from 2005 to 2009. | PSNet

    psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009
    April 21, 2010 - Study How event reporting by US hospitals has changed from 2005 to 2009. Citation Text: Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114. Copy Citation Format: D…

  6. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. | PSNet

    psnet.ahrq.gov/issue/anticipated-consequences-2011-duty-hours-standards-views-internal-medicine-and-surgery
    August 22, 2018 - Study Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. Citation Text: Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program dire…

  7. Adherence to drug–drug interaction alerts in high-risk patients: a trial of context-enhanced alerting. | PSNet

    psnet.ahrq.gov/issue/adherence-drug-drug-interaction-alerts-high-risk-patients-trial-context-enhanced-alerting
    February 21, 2018 - Study Adherence to drug–drug interaction alerts in high-risk patients: a trial of context-enhanced alerting. Citation Text: Duke JD, Li X, Dexter P. Adherence to drug-drug interaction alerts in high-risk patients: a trial of context-enhanced alerting. J Am Med Inform Assoc. 2013;20(3):49…

  8. Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study. | PSNet

    psnet.ahrq.gov/issue/prospective-validation-classification-intraoperative-adverse-events-classintra-international
    November 20, 2015 - Study Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study. Citation Text: Dell-Kuster S, Gomes NV, Gawria L, et al. Prospective validation of classification of intraoperative adverse events (ClassIntra): internat…

  9. Effectiveness of acute care remote triage systems: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effectiveness-acute-care-remote-triage-systems-systematic-review
    March 14, 2022 - Review Emerging Classic Effectiveness of acute care remote triage systems: a systematic review. Citation Text: Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic review. J Gen Intern Med. 2020;35(7):2136-2145.…

  10. Measuring the rate of manual transcription error in outpatient point-of-care testing. | PSNet

    psnet.ahrq.gov/issue/measuring-rate-manual-transcription-error-outpatient-point-care-testing
    August 20, 2018 - Study Measuring the rate of manual transcription error in outpatient point-of-care testing. Citation Text: Mays JA, Mathias PC. Measuring the rate of manual transcription error in outpatient point-of-care testing. J Am Med Inform Assoc. 2019;26(3):269-272. doi:10.1093/jamia/ocy170. Cop…

  11. New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice. | PSNet

    psnet.ahrq.gov/issue/new-graduate-registered-nurses-risk-mitigation-strategies-ensure-safety-and-successful
    September 28, 2022 - Commentary New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice. Citation Text: Smith CJ, DesRoches SL, Street NW, et al. New graduate registered nurses: risk mitigation strategies to ensure safety and successful transition to …

  12. Implementation of patient safety structures and processes in the patient-centered medical home. | PSNet

    psnet.ahrq.gov/issue/implementation-patient-safety-structures-and-processes-patient-centered-medical-home
    September 28, 2022 - Study Implementation of patient safety structures and processes in the patient-centered medical home. Citation Text: Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in the patient-centered medical home. J Healthc Qual. 2021;43(6):…

  13. The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective. | PSNet

    psnet.ahrq.gov/issue/effects-hospital-physician-financial-integration-adverse-incident-rate-agency-theory
    August 10, 2022 - Study The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective. Citation Text: Upadhyay S, Weech-Maldonado R, Opoku-Agyeman W. The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspect…

  14. Comparing NICU teamwork and safety climate across two commonly used survey instruments. | PSNet

    psnet.ahrq.gov/issue/comparing-nicu-teamwork-and-safety-climate-across-two-commonly-used-survey-instruments
    November 20, 2019 - Study Comparing NICU teamwork and safety climate across two commonly used survey instruments. Citation Text: Profit J, Lee HC, Sharek PJ, et al. Comparing NICU teamwork and safety climate across two commonly used survey instruments. BMJ Qual Saf. 2016;25(12):954-961. doi:10.1136/bmjqs-20…

  15. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. | PSNet

    psnet.ahrq.gov/issue/systematic-review-impact-health-information-technology-quality-efficiency-and-costs-medical
    March 30, 2022 - Review Classic Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Citation Text: Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and …

  16. The Medication Metronome Project - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2010
    January 01, 2010 - The Medication Metronome Project - 2010 Project Name The Medication Metronome Project Principal Investigator Grant, Richard Organization Massachusetts General Hospital Funding Mechanism PAR: HS08-270: Utilizing Health Information Technology (IT) to Improve Health Ca…

  17. Do physicians clean their hands? Insights from a covert observational study. | PSNet

    psnet.ahrq.gov/issue/do-physicians-clean-their-hands-insights-covert-observational-study
    July 02, 2019 - Study Do physicians clean their hands? Insights from a covert observational study. Citation Text: Kovacs-Litman A, Wong K, Shojania KG, et al. Do physicians clean their hands? Insights from a covert observational study. J Hosp Med. 2016;11(12):862-864. doi:10.1002/jhm.2632. Copy Citati…

  18. How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research. | PSNet

    psnet.ahrq.gov/issue/how-does-context-affect-interventions-improve-patient-safety-assessment-evidence-studies-five
    September 20, 2011 - Review How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research. Citation Text: Ovretveit JC, Shekelle PG, Dy SM, et al. How does context affect interventions to improve patient s…

  19. Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. | PSNet

    psnet.ahrq.gov/issue/prescription-opioid-dose-reductions-and-potential-adverse-events-multi-site-observational
    March 04, 2020 - Study Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. Citation Text: Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational coho…

  20. The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/prevalence-incivility-hospitals-and-effects-incivility-patient-safety-culture-and-outcomes
    March 24, 2019 - Review The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis. Citation Text: Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on patie…
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