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psnet.ahrq.gov/issue/patient-handover-surgery-intensive-care-using-formula-1-pit-stop-and-aviation-models-improve
October 03, 2011 - Study
Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality.
Citation Text:
Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to …
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psnet.ahrq.gov/issue/team-experiences-root-cause-analysis-process-after-sentinel-event-qualitative-case-study
October 07, 2020 - Study
Team experiences of the root cause analysis process after a sentinel event: a qualitative case study.
Citation Text:
Liepelt S, Sundal H, Kirchhoff R. Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. BMC Health Serv Res. 2023;23(…
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psnet.ahrq.gov/issue/bundle-interventions-used-reduce-prescribing-and-administration-errors-hospitalized-children
September 09, 2015 - Review
Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review.
Citation Text:
Bannan DF, Tully MP. Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review. J C…
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psnet.ahrq.gov/issue/hospital-reputation-and-perceptions-patient-safety
October 11, 2017 - Study
Hospital reputation and perceptions of patient safety.
Citation Text:
Mira JJ, Lorenzo S, Navarro I. Hospital reputation and perceptions of patient safety. Med Princ Pract. 2014;23(1):92-4. doi:10.1159/000353152.
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psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units
June 16, 2011 - Study
Classic
The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units.
Citation Text:
Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate attitudes: a randomiz…
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psnet.ahrq.gov/issue/randomized-trial-warfarin-communication-protocol-nursing-homes-sbar-based-approach
November 21, 2012 - Study
Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach.
Citation Text:
Field T, Tjia J, Mazor KM, et al. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. Am J Med. 2011;124(2):179.e1-7. doi:1…
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psnet.ahrq.gov/issue/assessment-attitudes-toward-deprescribing-older-medicare-beneficiaries-united-states
June 30, 2021 - Study
Classic
Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States.
Citation Text:
Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States.…
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psnet.ahrq.gov/issue/narrative-review-safety-concerns-deprescribing-older-adults-and-strategies-mitigate-potential
December 19, 2018 - Review
A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms.
Citation Text:
Reeve E, Moriarty F, Nahas R, et al. A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potentia…
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psnet.ahrq.gov/issue/safety-warfarin-therapy-nursing-home-setting
March 11, 2011 - Study
The safety of warfarin therapy in the nursing home setting.
Citation Text:
Gurwitz JH, Field T, Radford MJ, et al. The safety of warfarin therapy in the nursing home setting. Am J Med. 2007;120(6):539-44.
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psnet.ahrq.gov/issue/recognition-adverse-drug-events-older-hospitalized-medical-patients
August 10, 2022 - Study
Recognition of adverse drug events in older hospitalized medical patients.
Citation Text:
Klopotowska JE, Wierenga PC, Smorenburg SM, et al. Recognition of adverse drug events in older hospitalized medical patients. Eur J Clin Pharmacol. 2013;69(1):75-85. doi:10.1007/s00228-012-1…
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psnet.ahrq.gov/issue/radiologist-errors-modality-anatomic-region-and-pathology-16-million-exams-what-we-have
October 18, 2023 - Study
Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned.
Citation Text:
Lamoureux C, Hanna TN, Sprecher D, et al. Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. Emerg Rad…
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psnet.ahrq.gov/issue/adverse-events-patients-transitioning-emergency-department-inpatient-setting
September 07, 2022 - Study
Adverse events in patients transitioning from the emergency department to the inpatient setting.
Citation Text:
Tsilimingras D, Schnipper JL, Zhang L, et al. Adverse events in patients transitioning from the emergency department to the inpatient setting. J Patient Saf. 2024;20(8):5…
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psnet.ahrq.gov/issue/scoping-review-second-victim-syndrome-among-surgeons-understanding-impact-responses-and
March 24, 2019 - Review
Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems.
Citation Text:
Chong RIH, Yaow CYL, Chong NZ-Y, et al. Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and suppo…
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psnet.ahrq.gov/issue/adverse-events-and-patient-outcomes-among-hospitalized-children-cared-general-pediatricians
March 23, 2016 - Study
Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists.
Citation Text:
Basco WT. Comparing the Care of Pediatric Hospitalists With That of General Pediatricians. JAMA Netw Open. 2018;1(8). doi:10.1001/jamanetworkopen.2018.…
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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/reduced-duty-hours-model-senior-internal-medicine-residents-qualitative-analysis-residents
June 25, 2014 - Study
A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions.
Citation Text:
Mathew R, Gundy S, Ulic D, et al. A Reduced Duty Hours Model for Senior Internal Medicine Residents: A Qualitative Analysis of Residen…
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psnet.ahrq.gov/issue/patient-and-visitor-aggression-healthcare-survey-exploring-organisational-safety-culture-and
September 20, 2011 - Study
Patient and visitor aggression in healthcare: a survey exploring organisational safety culture and team efficacy.
Citation Text:
Heckemann B, Hahn S, Halfens RJG, et al. Patient and visitor aggression in healthcare: A survey exploring organisational safety culture and team efficacy…
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psnet.ahrq.gov/issue/patient-falls-operating-room-setting-analysis-reported-safety-events
November 17, 2021 - Study
Patient falls in the operating room setting: an analysis of reported safety events.
Citation Text:
Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503…
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psnet.ahrq.gov/issue/remedies-sought-and-obtained-healthcare-complaints
April 13, 2011 - Study
Remedies sought and obtained in healthcare complaints.
Citation Text:
Bismark M, Spittal MJ, Gogos AJ, et al. Remedies sought and obtained in healthcare complaints. BMJ Qual Saf. 2011;20(9):806-810. doi:10.1136/bmjqs-2011-000109.
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psnet.ahrq.gov/issue/reasons-drug-administration-problems-and-perceived-needs-assistance-patients-family
November 02, 2010 - Study
Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study.
Citation Text:
Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for assistance of patients, f…