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psnet.ahrq.gov/issue/patient-harm-during-covid-19-pandemic-using-human-factors-lens-promote-patient-and-workforce
September 14, 2022 - Commentary
Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety.
Citation Text:
Alagha MA, Jaulin F, Yeung W, et al. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. J Patient S…
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psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
May 18, 2022 - Review
Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review.
Citation Text:
Driesen BEJM, Baartmans M, Merten H, et al. Root cause analysis using the prevention and recovery in…
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psnet.ahrq.gov/issue/patient-safety-culture-assisted-living-staff-perceptions-and-association-state-regulations
June 30, 2021 - Study
Patient safety culture in assisted living: staff perceptions and association with state regulations.
Citation Text:
Temkin-Greener H, Mao Y, McGarry B, et al. Patient safety culture in assisted living: staff perceptions and association with state regulations. J Am Med Dir Assoc. 20…
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psnet.ahrq.gov/issue/systematic-review-exploring-content-and-outcomes-interventions-improve-psychological-safety
October 28, 2020 - Review
Classic
A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour.
Citation Text:
O’Donovan R, McAuliffe E. A systematic review exploring the content and outcomes of interventi…
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psnet.ahrq.gov/issue/associations-between-safety-outcomes-and-communication-practices-among-pediatric-nurses
November 03, 2021 - Study
Associations between safety outcomes and communication practices among pediatric nurses in the United States.
Citation Text:
Gampetro PJ, Segvich JP, Hughes AM, et al. Associations between safety outcomes and communication practices among pediatric nurses in the United States. J Pe…
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psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review
February 02, 2022 - Review
The barriers and enhancers to trust in a just culture in hospital settings: a systematic review.
Citation Text:
van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e10…
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psnet.ahrq.gov/issue/using-radiofrequency-technology-prevent-retained-sponges-and-improve-patient-outcomes
November 25, 2020 - Study
Using radiofrequency technology to prevent retained sponges and improve patient outcomes.
Citation Text:
Primiano M, Sparks D, Murphy J, et al. Using radiofrequency technology to prevent retained sponges and improve patient outcomes. AORN J. 2020;112(4):345-352. doi:10.1002/aorn.13…
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psnet.ahrq.gov/issue/benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review
July 16, 2019 - Review
Benefits and risks of using smart pumps to reduce medication error rates: a systematic review.
Citation Text:
Ohashi K, Dalleur O, Dykes PC, et al. Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. Drug Saf. 2014;37(12):1011-1020. doi:1…
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psnet.ahrq.gov/issue/electronic-prescribing-subcutaneous-infusions-and-after-study-assessing-impact-upon-patient
July 06, 2022 - Study
The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency.
Citation Text:
Hindmarsh J, Holden K. The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact …
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psnet.ahrq.gov/issue/situation-awareness-and-mitigation-risk-associated-patient-deterioration-meta-narrative
December 08, 2021 - Review
Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice.
Citation Text:
Walshe N, Ryng S, Drennan J, et al. Situation awareness and the mitigation of risk associate…
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psnet.ahrq.gov/issue/smart-pumps-improve-medication-safety-increase-alert-burden-neonatal-care
September 09, 2020 - Study
Smart pumps improve medication safety but increase alert burden in neonatal care
Citation Text:
Melton KR, Timmons K, Walsh KE, et al. Smart pumps improve medication safety but increase alert burden in neonatal care. BMC Medical Inform Decis Mak. 2019;19(1):213. doi:10.1186/s12911-…
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psnet.ahrq.gov/issue/effect-burnout-among-physicians-observed-adverse-patient-outcomes-literature-review
October 27, 2021 - Review
Effect of burnout among physicians on observed adverse patient outcomes: a literature review.
Citation Text:
Mangory KY, Ali LY, Rø KI, et al. Effect of burnout among physicians on observed adverse patient outcomes: a literature review. BMC Health Serv Res. 2021;21(1):369. doi:10.…
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psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors
April 06, 2022 - Commentary
Weight and size descriptors for drug dosing: too many options and too many errors.
Citation Text:
Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zx…
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psnet.ahrq.gov/issue/twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-errors-and-user
November 04, 2020 - Study
Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study.
Citation Text:
Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and dose selection …
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psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting
November 16, 2022 - Study
A mixed methods evaluation of medication reconciliation in the primary care setting.
Citation Text:
Gionfriddo MR, Duboski V, Middernacht A, et al. A mixed methods evaluation of medication reconciliation in the primary care setting. PLoS ONE. 2021;16(12):e0260882. doi:10.1371/journ…
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psnet.ahrq.gov/issue/dimensions-safety-culture-systematic-review-quantitative-qualitative-and-mixed-methods
October 26, 2022 - Review
Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals.
Citation Text:
Churruca K, Ellis LA, Pomare C, et al. Dimensions of safety culture: a systematic review of quantitative, qualitative and mixe…
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psnet.ahrq.gov/issue/impact-interoperability-smart-infusion-pumps-and-electronic-medical-record-critical-care
August 25, 2021 - Study
Impact of interoperability of smart infusion pumps and an electronic medical record in critical care.
Citation Text:
Joseph R, Lee SW, Anderson SV, et al. Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. Am J Health-System Pharm.…
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psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - separate interview transcript accompanying this Perspective; rather, the interview transcripts are integrated … made the investment to do our outpatient encounters via telehealth, so we had the technology already integrated … Accessed July 7, 2020. [6] Telehealth: A Path to Virtual Integrated Care.
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psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
May 01, 2014 - Software integrated with a database generates reports showing how many HCWs entered the rooms, how many … care and issue an automated notice to do so; b) can also promote real-time feedback to HCWs; c) when integrated … cleansing actions than necessary, which is not good because it means that they have not completely integrated
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - cleansing actions than necessary, which is not good because it means that they have not completely integrated … Software integrated with a database generates reports showing how many HCWs entered the rooms, how many … care and issue an automated notice to do so; b) can also promote real-time feedback to HCWs; c) when integrated