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psnet.ahrq.gov/issue/amid-covid-19-pandemic-meaningful-communication-between-family-caregivers-and-residents-long
May 26, 2011 - Commentary
Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative.
Citation Text:
Hado E, Friss Feinberg L. Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of lon…
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psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care
June 01, 2022 - Study
Association of unexpected newborn deaths with changes in obstetric and neonatal process of care.
Citation Text:
Han D, Khadka A, McConnell M, et al. Association of Unexpected Newborn Deaths With Changes in Obstetric and Neonatal Process of Care. JAMA Netw Open. 2020;3(12):e2024589…
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psnet.ahrq.gov/issue/improving-perceptions-patient-safety-through-standardizing-handoffs-emergency-department
December 21, 2022 - Review
Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review.
Citation Text:
Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing handoffs from t…
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psnet.ahrq.gov/issue/green-cross-method-postanaesthesia-care-unit-qualitative-study-healthcare-professionals
September 04, 2024 - Study
Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including the COVID-19 pandemic period.
Citation Text:
Birkeli GH, Ballangrud R, Jacobsen HK, et al. Green Cross method in a postanaesthesia care unit:…
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psnet.ahrq.gov/issue/information-concerning-icu-patients-families-handover-clinicians-game-whispers-qualitative
March 24, 2021 - Study
Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study.
Citation Text:
Nygaard AM, Selnes Haugdahl H, Støre Brinchmann B, et al. Information concerning ICU patients’ families in the handover—the clinicians’ “game of whi…
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psnet.ahrq.gov/issue/effect-system-level-tiered-huddle-system-reporting-patient-safety-events-interrupted-time
October 07, 2020 - Study
The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis.
Citation Text:
Adapa K, Ivester T, Shea CM, et al. The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time se…
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psnet.ahrq.gov/issue/closing-loop-test-results-reduce-communication-failures-rapid-review-evidence-practice-and
March 11, 2020 - Review
Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.
Citation Text:
Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a rapid review of evidence, pra…
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psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-concerns
January 21, 2019 - Study
Classic
An analysis of electronic health record–related patient safety concerns.
Citation Text:
Meeks DW, Smith MW, Taylor L, et al. An analysis of electronic health record-related patient safety concerns. J Am Med Inform Assoc. 2014;21(6):1053-9. doi:10.1…
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psnet.ahrq.gov/issue/promoting-patient-safety-through-effective-health-information-technology-risk-management
May 25, 2016 - Government Resource
Promoting Patient Safety Through Effective Health Information Technology Risk Management.
Citation Text:
Promoting Patient Safety Through Effective Health Information Technology Risk Management. Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND…
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psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital-adverse
March 30, 2022 - Study
Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety events.
Citation Text:
Eriksson CO, Ovregaard N, Hansen M, et al. Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety ev…
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psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
December 09, 2020 - Study
Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.
Citation Text:
Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…
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psnet.ahrq.gov/issue/impact-statewide-intensive-care-unit-quality-improvement-initiative-hospital-mortality-and
October 16, 2012 - Study
Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.
Citation Text:
Lipitz-Snyderman A, Steinwachs D, Needham DM, et al. Impact of a statewide intensive care unit quality improvement…
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psnet.ahrq.gov/issue/inviting-patients-identify-diagnostic-concerns-through-structured-evaluation-their-online
March 03, 2021 - Study
Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes.
Citation Text:
Giardina TD, Choi DT, Upadhyay DK, et al. Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. J Am Me…
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psnet.ahrq.gov/issue/implementation-and-facilitation-post-resuscitation-debriefing-comparative-crossover-study-two
March 23, 2022 - Study
Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.
Citation Text:
Kam AJ, Gonsalves CL, Nordlund SV, et al. Implementation and facilitation of post-resuscitation debriefing: a comparative …
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psnet.ahrq.gov/issue/impact-vendor-computerized-physician-order-entry-community-hospitals
December 31, 2014 - Study
Impact of vendor computerized physician order entry in community hospitals.
Citation Text:
Leung AA, Keohane C, Amato MG, et al. Impact of vendor computerized physician order entry in community hospitals. J Gen Intern Med. 2012;27(7):801-7. doi:10.1007/s11606-012-1987-7.
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digital.ahrq.gov/funding-mechanism/ambulatory-safety-and-quality-program-improving-quality-through-clinician-use
January 01, 2023 - Ambulatory Safety and Quality Program: Improving Quality through Clinician Use of Health IT (R18)
Factors associated with ordering laboratory monitoring of high-risk medications.
Citation
Fischer SH, Tjia J, Reed G, et al. Factors associated with ordering laboratory monitoring…
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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/hidden-cost-regulation-administrative-cost-reporting-serious-reportable-events
December 02, 2020 - Study
The hidden cost of regulation: the administrative cost of reporting serious reportable events.
Citation Text:
Blanchfield BB, Acharya B, Mort E. The Hidden Cost of Regulation: The Administrative Cost of Reporting Serious Reportable Events. Jt Comm J Qual Patient Saf. 2018;44(4):212…
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psnet.ahrq.gov/issue/are-operating-room-distractions-interruptions-and-disruptions-associated-performance-and
December 02, 2020 - Review
Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis.
Citation Text:
Mcmullan RD, Urwin R, Gates PJ, et al. Are operating room distractions, interruptions and disruptions associated wi…
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psnet.ahrq.gov/issue/intravenous-infusion-administration-comparative-study-practices-and-errors-between-united
October 18, 2018 - Study
Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety.
Citation Text:
Blandford A, Dykes PC, Franklin BD, et al. Intravenous Infusion Administration: A Comparative Study of Pr…