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psnet.ahrq.gov/issue/role-pediatric-nurses-during-preventable-adverse-event-disclosure-scoping-review
October 19, 2022 - Review
The role of pediatric nurses during preventable adverse event disclosure: a scoping review.
Citation Text:
Sexton JR, Kelly-Weeder S. The role of pediatric nurses during preventable adverse event disclosure: a scoping review. J Patient Saf. 2024;20(6):381-387. doi:10.1097/pts.0000…
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psnet.ahrq.gov/issue/use-professional-interpreters-patients-limited-english-proficiency-undergoing-surgery
October 19, 2022 - Study
Use of professional interpreters for patients with limited English proficiency undergoing surgery.
Citation Text:
Cevallos J, Lee C, Bongiovanni T. Use of professional interpreters for patients with limited English proficiency undergoing surgery. JAMA Netw Open. 2024;7(2):e2355014.…
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psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety
February 14, 2024 - Commentary
Classic
Errors in laboratory medicine: practical lessons to improve patient safety.
Citation Text:
Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261.
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-monitoring-and-patient-education-0
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Monitoring and patient education-2015. Am J Health Syst …
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psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident-monitoring-study
June 13, 2011 - Study
Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database.
Citation Text:
Abeysekera A, Bergman IJ, Kluger MT, et al. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study…
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psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and-safety-their
July 31, 2008 - Study
How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study.
Citation Text:
Davis R, Koutantji M, Vincent C. How willing are patients to question healthcare staff on issues related to the quality and …
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psnet.ahrq.gov/issue/documenting-quality-improvement-and-patient-safety-efforts-quality-portfolio-statement
January 13, 2021 - Commentary
Documenting quality improvement and patient safety efforts: the quality portfolio. A statement from the Academic Hospitalist Taskforce.
Citation Text:
Taylor BB, Parekh V, Estrada CA, et al. Documenting quality improvement and patient safety efforts: the quality portfolio. A…
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psnet.ahrq.gov/issue/design-safe-or-sorry-study-cluster-randomised-trial-development-and-testing-evidence-based
May 22, 2013 - Study
The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events.
Citation Text:
van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? st…
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psnet.ahrq.gov/issue/systematic-review-simulation-multidisciplinary-team-training-operating-rooms
November 17, 2014 - Review
A systematic review of simulation for multidisciplinary team training in operating rooms.
Citation Text:
Cumin D, Boyd MJ, Webster CS, et al. A systematic review of simulation for multidisciplinary team training in operating rooms. Simul Healthc. 2013;8(3):171-179. doi:10.1097/S…
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psnet.ahrq.gov/issue/weekend-and-night-outcomes-statewide-trauma-system
November 16, 2022 - Study
Weekend and night outcomes in a statewide trauma system.
Citation Text:
Carr BG, Reilly PM, Schwab W, et al. Weekend and night outcomes in a statewide trauma system. Arch Surg. 2011;146(7):810-7. doi:10.1001/archsurg.2011.60.
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psnet.ahrq.gov/issue/analysis-paediatric-long-term-ventilation-incidents-community
November 06, 2024 - Study
Analysis of paediatric long-term ventilation incidents in the community
Citation Text:
Nawaz RF, Page B, Harrop E, et al. Analysis of paediatric long-term ventilation incidents in the community. Arch Dis Child. 2020;105(5):446-451. doi:10.1136/archdischild-2019-317965.
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psnet.ahrq.gov/issue/evolving-literature-safety-walkrounds-emerging-themes-and-practical-messages
February 25, 2015 - Commentary
The evolving literature on safety WalkRounds: emerging themes and practical messages.
Citation Text:
Singer SJ, Tucker AL. The evolving literature on safety WalkRounds: emerging themes and practical messages: Table 1. BMJ Qual Saf. 2014;23(10). doi:10.1136/bmjqs-2014-003416.
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psnet.ahrq.gov/issue/review-healthcare-failure-mode-and-effects-analysis-hfmea-radiotherapy
June 13, 2011 - Review
A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy.
Citation Text:
Giardina M, Cantone MC, Tomarchio E, et al. A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. Health Phys. 2016;111(4):317-26. doi:10.1097/HP.0000000000…
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psnet.ahrq.gov/issue/ed-handoffs-observed-practices-and-communication-errors
October 19, 2022 - Study
ED handoffs: observed practices and communication errors.
Citation Text:
Maughan BC, Lei L, Cydulka RK. ED handoffs: observed practices and communication errors. Am J Emerg Med. 2011;29(5):502-11. doi:10.1016/j.ajem.2009.12.004.
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psnet.ahrq.gov/issue/effective-triage-can-ameliorate-deleterious-effects-delayed-transfer-trauma-patients
August 04, 2021 - Study
Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU.
Citation Text:
Richardson D, Franklin G, Santos A, et al. Effective triage can ameliorate the deleterious effects of delayed transfer of trauma…
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psnet.ahrq.gov/issue/parental-preferences-error-disclosure-reporting-and-legal-action-after-medical-error-care
May 24, 2010 - Study
Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children.
Citation Text:
Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and legal action after medical error in the c…
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psnet.ahrq.gov/issue/organizational-ambidexterity-and-hybrid-middle-manager-case-patient-safety-uk-hospitals
January 29, 2014 - Study
Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals.
Citation Text:
Burgess N, Strauss K, Currie G, et al. Organizational Ambidexterity and the Hybrid Middle Manager: The Case of Patient Safety in UK Hospitals. Hum Resour Manage. 2…
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psnet.ahrq.gov/issue/insights-sharp-end-intravenous-medication-errors-implications-infusion-pump-technology
January 23, 2017 - Study
Insights from the sharp end of intravenous medication errors: implications for infusion pump technology.
Citation Text:
Husch M. Insights from the sharp end of intravenous medication errors: implications for infusion pump technology. Quality and Safety in Health Care. 2005;14(2).…
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psnet.ahrq.gov/issue/work-hours-work-stress-and-collaboration-among-ward-staff-relation-risk-hospital-associated
December 14, 2022 - Study
Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-associated infection among patients.
Citation Text:
Virtanen M, Kurvinen T, Terho K, et al. Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-asso…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-preventablereadm-primcare-es.pdf
March 01, 2020 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Executive Summary
Potentially Preventable Readmissions:
Conceptual Framework To Rethink the Role of
Primary Care
Executive Summary
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of H…