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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/racial-bias-pulse-oximetry-measurement
January 19, 2022 - Study
Classic
Racial bias in pulse oximetry measurement.
Citation Text:
Sjoding MW, Dickson RP, Iwashyna TJ, et al. Racial bias in pulse oximetry measurement. N Engl J Med. 2020;383(25):2477-2478. doi:10.1056/nejmc2029240.
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psnet.ahrq.gov/issue/relationship-between-hospital-adverse-events-and-hospital-performance-30-day-all-cause
June 22, 2022 - Study
Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure.
Citation Text:
Wang Y, Eldridge N, Metersky ML, et al. Relationship between in-hospital adverse events and hospital performance on…
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psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-ahrq-patient-safety-indicator-postoperative
January 10, 2018 - Study
Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care.
Citation Text:
Nguyen MC, Moffatt-Bruce SD, Strosberg DS, et al. Agency for Healthcare Research …
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psnet.ahrq.gov/issue/do-telephone-call-interruptions-have-impact-radiology-resident-diagnostic-accuracy
July 19, 2023 - Study
Do telephone call interruptions have an impact on radiology resident diagnostic accuracy?
Citation Text:
Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Acad Radiol. 2014;21(12):1623-8. doi:10.1016/j.a…
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psnet.ahrq.gov/issue/covid-19-related-negative-emotions-and-emotional-suppression-are-associated-greater-risk
November 17, 2021 - Study
COVID-19 related negative emotions and emotional suppression are associated with greater risk perceptions among emergency nurses: a cross-sectional study.
Citation Text:
Huff NR, Liu G, Chimowitz H, et al. COVID-19 related negative emotions and emotional suppression are associated …
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psnet.ahrq.gov/issue/effects-tall-man-lettering-visual-behaviour-critical-care-nurses-while-identifying-syringe
September 09, 2020 - Study
Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation.
Citation Text:
Lohmeyer Q, Schiess C, Wendel Garcia PD, et al. Effects of tall man lettering on the visual behaviour of critical car…
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psnet.ahrq.gov/issue/prevalence-adverse-events-pediatric-intensive-care-units-united-states
April 11, 2011 - Study
Prevalence of adverse events in pediatric intensive care units in the United States.
Citation Text:
Agarwal S, Classen D, Larsen G, et al. Prevalence of adverse events in pediatric intensive care units in the United States. Pediatr Crit Care Med. 2010;11(5):568-578. doi:10.1097/P…
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psnet.ahrq.gov/issue/effect-crew-resource-management-training-multidisciplinary-obstetrical-setting
March 06, 2005 - Study
Effect of crew resource management training in a multidisciplinary obstetrical setting.
Citation Text:
Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:…
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psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective-assessment
November 11, 2020 - Study
Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement.
Citation Text:
Danielis M, Destrebecq A, Terzoni S, et al. Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcar…
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psnet.ahrq.gov/issue/sustaining-gains-7-year-follow-through-hospital-wide-patient-safety-improvement-project
October 19, 2022 - Study
Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture.
Citation Text:
Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide …
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psnet.ahrq.gov/issue/ticket-ride-reducing-handoff-risk-during-hospital-patient-transport
May 30, 2018 - Commentary
Ticket to ride: reducing handoff risk during hospital patient transport.
Citation Text:
Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.982…
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psnet.ahrq.gov/issue/delayed-workup-rectal-bleeding-adult-primary-care-examining-process-care-failures
April 24, 2018 - Study
Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures.
Citation Text:
Weingart SN, Stoffel EM, Chung DC, et al. Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures. The Joint Commission Journal on Quality…
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psnet.ahrq.gov/issue/interprofessional-team-collaboration-and-work-environment-health-68-us-intensive-care-units
November 10, 2021 - Study
Interprofessional team collaboration and work environment health in 68 US intensive care units.
Citation Text:
Pun BT, Jun J, Tan A, et al. Interprofessional team collaboration and work environment health in 68 US intensive care units. Am J Crit Care. 2022;31(6):443-451. doi:10.403…
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psnet.ahrq.gov/issue/unscheduled-returns-emergency-department-outcome-medical-errors
November 12, 2014 - Study
Unscheduled returns to the emergency department: an outcome of medical errors?
Citation Text:
Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8.
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psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning
July 08, 2015 - Study
Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline.
Citation Text:
Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the front…
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psnet.ahrq.gov/issue/exploring-challenges-quality-and-safety-work-nursing-homes-and-home-care-case-study-basis
August 14, 2019 - Study
Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development.
Citation Text:
Johannessen T, Ree E, Aase I, et al. Exploring challenges in quality and safety work in nursing homes and home care – a case study as basis …
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psnet.ahrq.gov/issue/use-novel-electronic-health-record-centered-interprofessional-icu-rounding-simulation
March 04, 2019 - Study
Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues.
Citation Text:
Bordley J, Sakata KK, Bierman J, et al. Use of a Novel, Electronic Health Record-Centered, Interprofessional ICU Rounding Simulation to Un…
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psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and
October 19, 2022 - Study
Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice.
Citation Text:
Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to …
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psnet.ahrq.gov/issue/evaluation-and-comparison-errors-nursing-notes-created-online-and-offline-speech-recognition
April 13, 2022 - Study
Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study.
Citation Text:
Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes created by o…