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psnet.ahrq.gov/issue/judgment-errors-surgical-care
December 14, 2022 - Study
Judgment errors in surgical care.
Citation Text:
Marsh KM, Turrentine FE, Jin R, et al. Judgment errors in surgical care. J Am Coll Surg. 2024;238(5):874-879. doi:10.1097/xcs.0000000000001011.
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psnet.ahrq.gov/issue/usage-and-accuracy-medication-data-nationwide-health-information-exchange-quebec-canada
June 17, 2020 - Study
Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada.
Citation Text:
Motulsky A, Weir DL, Couture I, et al. Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. J Am Med Inform Assoc. 201…
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psnet.ahrq.gov/issue/higher-accuracy-complex-medication-reconciliation-through-improved-design-electronic-tools
April 05, 2017 - Study
Higher accuracy of complex medication reconciliation through improved design of electronic tools.
Citation Text:
Horsky J, Drucker EA, Ramelson HZ. Higher accuracy of complex medication reconciliation through improved design of electronic tools. J Am Med Inform Assoc. 2018;25(5):46…
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psnet.ahrq.gov/issue/we-cant-get-along-without-each-other-qualitative-interviews-physicians-about-device-industry
March 07, 2018 - Study
"We can't get along without each other": qualitative interviews with physicians about device industry representatives, conflict of interest and patient safety.
Citation Text:
Gagliardi AR, Lehoux P, Ducey A, et al. "We can't get along without each other": Qualitative interviews wit…
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psnet.ahrq.gov/issue/patient-safety-informatics-criteria-development-assessing-maturity-digital-patient-safety
July 20, 2022 - Review
Patient safety informatics: criteria development for assessing the maturity of digital patient safety in hospitals.
Citation Text:
Kutza J-O, Hübner U, Holmgren AJ, et al. Patient safety informatics: criteria development for assessing the maturity of digital patient safety in hosp…
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psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
May 19, 2021 - Study
Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient.
Citation Text:
Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon.…
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psnet.ahrq.gov/issue/improved-medication-management-introduction-perioperative-and-prescribing-pharmacist-service
August 05, 2020 - Study
Improved medication management with introduction of a perioperative and prescribing pharmacist service.
Citation Text:
Nguyen AD, Lam A, Banakh I, et al. Improved medication management with introduction of a perioperative and prescribing pharmacist service. J Pharm Pract. 2020;33(3…
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psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems
February 14, 2024 - Study
Classic
The attributes of medical event reporting systems.
Citation Text:
Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicin…
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psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health
March 10, 2010 - Study
Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care.
Citation Text:
Habraken MMP, van der Schaaf TW, Leistikow IP, et al. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFM…
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psnet.ahrq.gov/issue/does-simulation-training-acute-care-nurses-improve-patient-safety-outcomes-systematic-review
January 12, 2022 - Review
Emerging Classic
Does simulation training for acute care nurses improve patient safety outcomes: a systematic review to inform evidence-based practice.
Citation Text:
Lewis KA, Ricks TN, Rowin A, et al. Does Simulation Training for Acute Care Nurses Impr…
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psnet.ahrq.gov/issue/operationalizing-occupational-fatigue-pharmacists-exploratory-factor-analysis
March 23, 2022 - Study
Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis.
Citation Text:
Watterson TL, Look KA, Steege LM, et al. Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. Res Social Adm Pharm. 2021;17(7):1282-1287. doi:10.101…
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psnet.ahrq.gov/issue/naming-baby-or-beast-importance-concepts-and-labels-healthcare-safety-investigation
April 14, 2021 - Commentary
Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation.
Citation Text:
Wiig S, Macrae C, Frich J, et al. Naming the “baby” or the “beast”? The importance of concepts and labels in healthcare safety investigation. Front Public…
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psnet.ahrq.gov/issue/impact-nurse-shortage-hospital-patient-care-comparative-perspectives
March 23, 2011 - Study
Impact of the nurse shortage on hospital patient care: comparative perspectives.
Citation Text:
Buerhaus P, Donelan K, Ulrich BT, et al. Impact of the nurse shortage on hospital patient care: comparative perspectives. Health Aff (Millwood). 2007;26(3):853-62.
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psnet.ahrq.gov/issue/working-hours-hospital-staff-nurses-and-patient-safety
December 19, 2012 - Study
Classic
The working hours of hospital staff nurses and patient safety.
Citation Text:
Rogers AE, Hwang W-T, Scott LD, et al. The working hours of hospital staff nurses and patient safety. Health Aff (Millwood). 2004;23(4):202-212.
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psnet.ahrq.gov/issue/study-error-reporting-nurses-significant-impact-nursing-team-dynamics
April 12, 2014 - Study
A study of error reporting by nurses: the significant impact of nursing team dynamics.
Citation Text:
Munn LT, Lynn MR, Knafl GJ, et al. A study of error reporting by nurses: the significant impact of nursing team dynamics. J Res Nurs. 2023;28(5):354-364. doi:10.1177/17449871231194…
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psnet.ahrq.gov/issue/covid-19-has-united-patients-and-providers-against-institutional-betrayal-health-care-battle
June 29, 2009 - Commentary
COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected.
Citation Text:
Klest B, Smith CP, May C, et al. COVID-19 has united patients and providers against institutional betrayal in health care: a …
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psnet.ahrq.gov/issue/data-driven-quality-improvement-culture-change-and-high-reliability-journey-special-hospital
March 24, 2021 - Commentary
Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities.
Citation Text:
Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high relia…
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psnet.ahrq.gov/issue/presafe-model-barriers-and-facilitators-patients-providing-feedback-experiences-safety
January 08, 2020 - Study
PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety.
Citation Text:
De Brún A, Heavey E, Waring J, et al. PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. Health Expect. 2017;20(…
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psnet.ahrq.gov/issue/patient-safety-climate-psc-perceptions-frontline-staff-acute-care-hospitals-examining-role
March 28, 2012 - Study
Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership.
Citation Text:
Zaheer S, Ginsburg LR, Chuang Y-T, et al. Patient safety climate (PSC) perceptions of f…
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psnet.ahrq.gov/issue/time-day-effects-incidence-anesthetic-adverse-events
January 03, 2017 - Study
Time of day effects on the incidence of anesthetic adverse events.
Citation Text:
Wright MC, Phillips-Bute B, Mark JB, et al. Time of day effects on the incidence of anesthetic adverse events. Qual Saf Health Care. 2006;15(4):258-63.
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