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psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative
June 15, 2022 - Study
Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals.
Citation Text:
Serou N, Husband AK, Forrest SP, et al. Support for healthcare professionals after surgical patient safety incidents: a qualitative …
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psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-portal-medication-discrepancies-randomized
April 27, 2022 - Study
The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study.
Citation Text:
Ebbens MM, Gombert-Handoko KB, Wesselink EJ, et al. The effect of medication reconciliation via a patient portal on medication discrepancies: …
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psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation
May 29, 2019 - Study
Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module.
Citation Text:
Le RD, Melanson SEF, Petrides AK, et al. Significant Reduction in Preanalytical Errors for Nonphlebotomy Blood Draws Aft…
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psnet.ahrq.gov/issue/use-e-triggers-identify-diagnostic-errors-paediatric-ed
October 27, 2021 - Study
Use of e-triggers to identify diagnostic errors in the paediatric ED.
Citation Text:
Lam D, Dominguez F, Leonard J, et al. Use of e-triggers to identify diagnostic errors in the paediatric ED. BMJ Qual Saf. 2022;31(10):735-743. doi:10.1136/bmjqs-2021-013683.
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psnet.ahrq.gov/issue/how-can-interventions-more-directly-address-drivers-unprofessional-behaviour-between
October 09, 2024 - Study
How can interventions more directly address drivers of unprofessional behaviour between healthcare staff?
Citation Text:
Aunger JA, Abrams R, Mannion R, et al. How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? BMJ Open Qual. 2…
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psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or-icu-handoff
April 28, 2021 - Study
So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization.
Citation Text:
Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Jt …
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psnet.ahrq.gov/issue/when-disasters-strike-emergency-department-case-series-and-narrative-review
September 30, 2020 - Commentary
When disasters strike the emergency department: a case series and narrative review.
Citation Text:
Barten DG, Klokman VW, Cleef S, et al. When disasters strike the emergency department: a case series and narrative review. Int J Emerg Med. 2021;14(1):49. doi:10.1186/s12245-021-…
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psnet.ahrq.gov/issue/prompting-rounding-teams-address-daily-best-practice-checklist-pediatric-intensive-care-unit
June 30, 2021 - Study
Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit.
Citation Text:
Cifra CL, Houston M, Otto A, et al. Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. Jt Comm J Qual Patient …
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psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
October 12, 2018 - EMERGING INNOVATIONS
Let us to the TWISST; Plan, Simulate, Study and Act.
Citation Text:
Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664.
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psnet.ahrq.gov/issue/communication-patients-and-families-regarding-health-care-associated-exposure-coronavirus
June 24, 2020 - Commentary
Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure.
Citation Text:
Sivashanker K, Mendu ML, Wickner PG, et al. Communication with patients and families regarding health care-associated ex…
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psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location
September 23, 2020 - Study
Emerging Classic
Evaluation of medication errors at the transition of care from an ICU to non-ICU location.
Citation Text:
Tully AP, Hammond DA, Li C, et al. Evaluation of Medication Errors at the Transition of Care From an ICU to Non-ICU Location. Crit Ca…
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psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
December 21, 2017 - Study
Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports.
Citation Text:
Magrabi F, Liaw ST, Arachi D, et al. Identifying patient safety problems associated with information technology in general practice: an an…
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psnet.ahrq.gov/issue/clinical-safety-englands-national-programme-it-retrospective-analysis-all-reported-safety
December 31, 2014 - Study
Classic
Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011.
Citation Text:
Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective …
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-spotlight
January 01, 2022 - Research Spotlight
The Algorithm Is In: Is Adoption of Healthcare AI Outpacing Understanding? Our Nation’s strategy for better healthcare hinges on putting digital technologies to work. Today’s powerful tools make it easier to capture and share patient information, coordinate care, and strea…
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digital.ahrq.gov/program-overview/research-stories/integrating-patient-voice-patient-reported-health-outcomes
January 01, 2023 - Integrating the Patient Voice in Patient-Reported Health Outcomes
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Using Patient-Reported Outcomes to Improve Care Delivery
Changing the focus of patient-reported outcomes to be centered on a patient’s individual goals and preferences…
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psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading
May 18, 2022 - Study
The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis.
Citation Text:
van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical…
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psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room
October 12, 2009 - Commentary
A novel ICU hand-over tool: the glass door of the patient room.
Citation Text:
Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947.
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psnet.ahrq.gov/issue/2017-acgme-common-work-hour-standards-promoting-physician-learning-and-professional
October 19, 2022 - Commentary
The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment.
Citation Text:
Burchiel KJ, Zetterman RK, Ludmerer KM, et al. The 2017 ACGME Common Work Hour Standards: Promoting Physician Learning and Profess…
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psnet.ahrq.gov/issue/statewide-nicu-central-line-associated-bloodstream-infection-rates-decline-after-bundles-and
September 23, 2020 - Study
Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists.
Citation Text:
Schulman J, Stricof R, Stevens TP, et al. Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists. Pediatrics. 201…
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psnet.ahrq.gov/issue/evaluation-evidence-based-nurse-driven-checklist-prevent-hospital-acquired-catheter
June 03, 2013 - Study
Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units.
Citation Text:
Fuchs MA, Sexton DJ, Thornlow D, et al. Evaluation of an evidence-based, nurse-driven checklist to prevent hos…