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psnet.ahrq.gov/issue/anesthesiology-patient-handoff-education-interventions-systematic-review
April 28, 2021 - Review
Anesthesiology patient handoff education interventions: a systematic review.
Citation Text:
Riesenberg LA, Davis R, Heng A, et al. Anesthesiology patient handoff education interventions: a systematic review. Jt Comm J Qual Patient Saf. 2023;49(8):394-404. doi:10.1016/j.jcjq.2022.1…
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psnet.ahrq.gov/issue/crisis-recovery-surgery-error-management-and-problem-solving-safety-critical-situations
November 30, 2022 - Study
Crisis recovery in surgery: error management and problem solving in safety-critical situations.
Citation Text:
Gogalniceanu P, Kunduzi B, Ruckley C, et al. Crisis recovery in surgery: error management and problem solving in safety-critical situations. Surgery. 2022;172(2):537-545. …
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psnet.ahrq.gov/issue/use-error-management-theory-quantify-and-characterize-residents-error-recovery-strategies
June 14, 2023 - Study
Use of error management theory to quantify and characterize residents' error recovery strategies.
Citation Text:
Pugh CM, Law KE, Cohen ER, et al. Use of error management theory to quantify and characterize residents’ error recovery strategies. Am J Surg. 2020;219(2):214-220. doi:1…
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psnet.ahrq.gov/issue/good-bad-and-ugly-operative-staff-perspectives-surgeon-coping-intraoperative-errors
September 22, 2021 - Study
The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors.
Citation Text:
D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Surgery. …
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psnet.ahrq.gov/issue/accuracy-preliminary-diagnoses-made-paramedics-cross-sectional-comparative-study
September 16, 2020 - Study
The accuracy of preliminary diagnoses made by paramedics - a cross-sectional comparative study.
Citation Text:
Koivulahti O, Tommila M, Haavisto E. The accuracy of preliminary diagnoses made by paramedics – a cross-sectional comparative study. Scand J Trauma Resusc Emerg Med. 2020;…
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psnet.ahrq.gov/issue/randomized-trial-electronic-clinical-reminders-improve-medication-laboratory-monitoring
June 11, 2014 - Study
Classic
A randomized trial of electronic clinical reminders to improve medication laboratory monitoring.
Citation Text:
Matheny ME, Sequist TD, Seger AC, et al. A randomized trial of electronic clinical reminders to improve medication laboratory monitori…
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psnet.ahrq.gov/issue/innovation-patient-safety-new-task-design-reducing-patient-falls
January 04, 2010 - Study
Innovation in patient safety: a new task design in reducing patient falls.
Citation Text:
Tzeng H-M, Yin C-Y. Innovation in patient safety: a new task design in reducing patient falls. J Nurs Care Qual. 2008;23(1):34-42. doi:10.1097/01.NCQ.0000303803.07457.e5.
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psnet.ahrq.gov/issue/consistency-between-coded-poison-center-data-and-fatality-abstract-narratives-therapeutic
June 11, 2008 - Study
Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.
Citation Text:
Hayes BD, Klein-Schwartz W. Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in old…
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psnet.ahrq.gov/issue/receipt-antibiotics-hospitalized-patients-and-risk-clostridium-difficile-infection-subsequent
September 29, 2017 - Study
Receipt of antibiotics in hospitalized patients and risk for Clostridium difficile infection in subsequent patients who occupy the same bed.
Citation Text:
Freedberg DE, Salmasian H, Cohen B, et al. Receipt of Antibiotics in Hospitalized Patients and Risk for Clostridium difficile …
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psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
April 07, 2021 - Study
Patterns of error in interpretive pathology.
Citation Text:
Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190.
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psnet.ahrq.gov/issue/economic-burden-nurse-sensitive-adverse-events-22-medical-surgical-units-retrospective-and
December 15, 2021 - Study
The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis.
Citation Text:
Tchouaket E, Dubois C-A, D'Amour D. The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching…
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psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
November 15, 2017 - Study
Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system.
Citation Text:
Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int…
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psnet.ahrq.gov/issue/impact-unacceptable-behaviour-between-healthcare-workers-clinical-performance-and-patient
April 27, 2022 - Review
Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review.
Citation Text:
Guo L, Ryan B, Leditschke IA, et al. Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcom…
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psnet.ahrq.gov/issue/care-coordination-strategies-and-barriers-during-medication-safety-incidents-qualitative
March 17, 2021 - Study
Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis.
Citation Text:
Russ-Jara AL, Luckhurst CL, Dismore RA, et al. Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive…
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psnet.ahrq.gov/issue/state-medical-board-regulation-compounding-physician-offices
July 13, 2022 - Study
State medical board regulation of compounding in physician offices.
Citation Text:
Reynolds KA, Hellquist K, Ibrahim SA, et al. State medical board regulation of compounding in physician offices. Arch Dermatol Res. 2022;314(4):363-367. doi:10.1007/s00403-021-02237-8.
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psnet.ahrq.gov/issue/wide-variation-and-overprescription-opioids-after-elective-surgery
April 24, 2018 - Study
Classic
Wide variation and overprescription of opioids after elective surgery.
Citation Text:
Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.00000…
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psnet.ahrq.gov/issue/physician-ehr-adoption-and-potentially-preventable-hospital-admissions-among-medicare
February 14, 2024 - Study
Physician EHR adoption and potentially preventable hospital admissions among Medicare beneficiaries: panel data evidence, 2010–2013.
Citation Text:
Lammers EJ, McLaughlin CG, Barna M. Physician EHR Adoption and Potentially Preventable Hospital Admissions among Medicare Beneficiarie…
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psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-culture-2019-user-comparative-database-report
February 20, 2019 - Book/Report
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report.
Citation Text:
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report. Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Res…
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psnet.ahrq.gov/issue/relationship-between-nursing-home-staffing-and-resident-safety-outcomes-systematic-review
April 20, 2022 - Review
The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews.
Citation Text:
Blatter C, Osińska M, Simon M, et al. The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. Int J Nurs…
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psnet.ahrq.gov/issue/managers-perceptions-factors-affecting-resident-and-patient-safety-work-residential-settings
October 25, 2023 - Review
Managers' perceptions of the factors affecting resident and patient safety work in residential settings and nursing homes: a qualitative systematic review.
Citation Text:
Kiljunen O, Savela R‐M, Välimäki T, et al. Managers' perceptions of the factors affecting resident and patient…