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psnet.ahrq.gov/issue/what-would-you-ideally-do-if-there-were-no-targets-ethnographic-study-unintended-consequences
July 27, 2011 - Study
What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings.
Citation Text:
Allard J, Bleakley A. What would you ideally do if there were no targets? An ethnographic study of the unintended…
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psnet.ahrq.gov/issue/emotional-exhaustion-and-workload-predict-clinician-rated-and-objective-patient-safety
February 14, 2017 - Study
Emotional exhaustion and workload predict clinician-rated and objective patient safety.
Citation Text:
Welp A, Meier LL, Manser T. Emotional exhaustion and workload predict clinician-rated and objective patient safety. Front Psychol. 2014;5:1573. doi:10.3389/fpsyg.2014.01573.
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psnet.ahrq.gov/issue/use-specific-indicators-detect-warfarin-related-adverse-events
October 19, 2022 - Study
Use of specific indicators to detect warfarin-related adverse events.
Citation Text:
Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events. American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404.
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psnet.ahrq.gov/issue/medication-errors-important-component-nonadherence-medication-outpatient-population-lung
June 23, 2021 - Study
Medication errors: an important component of nonadherence to medication in an outpatient population of lung transplant recipients.
Citation Text:
Irani S, Seba P, Speich R, et al. Medication errors: an important component of nonadherence to medication in an outpatient population …
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psnet.ahrq.gov/issue/exclusion-residents-surgery-intensive-care-team-communication-qualitative-study
December 04, 2015 - Study
Exclusion of residents from surgery-intensive care team communication: a qualitative study.
Citation Text:
Conn LG, Haas B, Rubenfeld GD, et al. Exclusion of Residents From Surgery-Intensive Care Team Communication: A Qualitative Study. J Surg Educ. 2016;73(4):639-47. doi:10.1016/j…
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psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
December 23, 2008 - Study
Classic
Medication prescribing errors in a teaching hospital.
Citation Text:
Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34.
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psnet.ahrq.gov/issue/teamstepps-long-term-care-academic-partnership-part-1-and-part-2
July 05, 2017 - Commentary
TeamSTEPPS in long-term care- an academic partnership: part 1 and part 2.
Citation Text:
Roman TC, Abraham K, Dever K. TeamSTEPPS in Long-Term Care-An Academic Partnership: Part I. J Contin Educ Nurs. 2016;47(11):490-492. doi:10.3928/00220124-20161017-06.
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psnet.ahrq.gov/issue/using-hfmea-assess-potential-patient-harm-tubing-misconnections
April 19, 2013 - Commentary
Using HFMEA to assess potential for patient harm from tubing misconnections.
Citation Text:
Kimehi-Woods J, Shultz JP. Using HFMEA to assess potential for patient harm from tubing misconnections. Jt Comm J Qual Patient Saf. 2006;32(7):373-381.
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psnet.ahrq.gov/issue/validity-ahrq-patient-safety-indicators-derived-icd-10-hospital-discharge-abstract-data-chart
October 30, 2024 - Study
Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study).
Citation Text:
Quan H, Eastwood C, Cunningham CT, et al. Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart re…
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psnet.ahrq.gov/issue/overview-use-and-implementation-checklists-surgical-specialities-systematic-review
July 31, 2013 - Review
An overview of the use and implementation of checklists in surgical specialities - a systematic review.
Citation Text:
Patel J, Ahmed K, Guru KA, et al. An overview of the use and implementation of checklists in surgical specialities - a systematic review. Int J Surg. 2014;12(12):…
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psnet.ahrq.gov/issue/implementing-human-factors-clinical-practice
June 28, 2023 - Study
Implementing human factors in clinical practice.
Citation Text:
Timmons S, Baxendale B, Buttery A, et al. Implementing human factors in clinical practice. Emerg Med J. 2015;32(5):368-72. doi:10.1136/emermed-2013-203203.
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psnet.ahrq.gov/issue/systematic-review-falls-hospital-patients-communication-disability-highlighting-invisible
April 15, 2016 - Review
A systematic review of falls in hospital for patients with communication disability: highlighting an invisible population.
Citation Text:
Hemsley B, Steel J, Worrall L, et al. A systematic review of falls in hospital for patients with communication disability: Highlighting an invi…
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psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety
July 14, 2010 - Study
Care management implementation and patient safety.
Citation Text:
Care management implementation and patient safety. Alexander JA; Weiner BJ; Baker LC; et al. J Patient Saf. 2006;2(2):83-96.
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psnet.ahrq.gov/issue/nurses-discuss-bedside-handover-and-using-written-handover-sheets
January 24, 2018 - Study
Nurses discuss bedside handover and using written handover sheets.
Citation Text:
Johnson M, Cowin LS. Nurses discuss bedside handover and using written handover sheets. J Nurs Manag. 2013;21(1):121-9. doi:10.1111/j.1365-2834.2012.01438.x.
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psnet.ahrq.gov/issue/usability-testing-mobile-app-report-medication-errors-anonymously-mixed-methods-approach
May 12, 2021 - Study
Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.
Citation Text:
George D, Hassali MA, Hss A-S. Usability Testing of a Mobile App to Report Medication Errors Anonymously: Mixed-Methods Approach. JMIR Hum Factors. 2018;5(4):e12232. do…
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psnet.ahrq.gov/issue/blending-evidence-and-innovation-improving-intershift-handoffs-multihospital-setting
September 23, 2017 - Commentary
Blending evidence and innovation: improving intershift handoffs in a multihospital setting.
Citation Text:
Thomas L, Donohue-Porter P. Blending evidence and innovation: improving intershift handoffs in a multihospital setting. J Nurs Care Qual. 2012;27(2):116-24. doi:10.1097…
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psnet.ahrq.gov/issue/prospective-memory-icu-effect-visual-cues-task-execution-representative-simulation
April 24, 2018 - Study
Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation.
Citation Text:
Grundgeiger T, Sanderson PM, Orihuela B, et al. Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation. Ergo…
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psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system-advanced-electronic
August 04, 2021 - Study
Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record.
Citation Text:
Gordon JRS, Wahls TL, Carlos RC, et al. Failure to recognize newly identified aortic dilations in a health care system with an advanced electro…
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psnet.ahrq.gov/issue/wrong-site-nerve-blocks-systematic-literature-review-guide-principles-prevention
July 22, 2020 - Review
Wrong-site nerve blocks: a systematic literature review to guide principles for prevention.
Citation Text:
Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.10…
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psnet.ahrq.gov/issue/matching-identifiers-electronic-health-records-implications-duplicate-records-and-patient
October 13, 2015 - Study
Matching identifiers in electronic health records: implications for duplicate records and patient safety.
Citation Text:
McCoy AB, Wright A, Kahn MG, et al. Matching identifiers in electronic health records: implications for duplicate records and patient safety. BMJ Qual Saf. 20…