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psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement
September 07, 2022 - Study
Improving critical incident reporting in primary care through education and involvement.
Citation Text:
Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/b…
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psnet.ahrq.gov/issue/alcoholism-and-american-healthcare-case-patient-safety-approach
March 30, 2022 - Review
Alcoholism and American healthcare: the case for a patient safety approach.
Citation Text:
Zipperer L, Ryan R, Jones B. Alcoholism and American healthcare: the case for a patient safety approach. J Patient Saf Risk Manag. 2022;27(5):201-208. doi:10.1177/25160435221117952.
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psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned
April 12, 2011 - Study
Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system.
Citation Text:
Whalen K, Lynch E, Moawad I, et al. Transition to a new electronic health record and pediatric medication safety: lesson…
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psnet.ahrq.gov/issue/identifying-safe-care-processes-when-gps-work-or-alongside-emergency-departments-realist
January 12, 2022 - Study
Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation.
Citation Text:
Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Br J Ge…
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psnet.ahrq.gov/issue/translating-concerns-action-detailed-qualitative-evaluation-interdisciplinary-intervention
November 01, 2017 - Study
Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards.
Citation Text:
Pannick S, Archer S, Johnston MJ, et al. Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary interventio…
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digital.ahrq.gov/ahrq-funded-projects/functional-assessment-screening-patient-reported-information-fast-pri
January 01, 2023 - Functional Assessment Screening Patient Reported Information: FAST-PRI
Project Final Report ( PDF , 366.31 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent t…
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psnet.ahrq.gov/issue/risk-delayed-or-missed-care-and-non-covid-19-outcomes-older-patients-chronic-conditions
December 16, 2020 - Study
Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions during the pandemic.
Citation Text:
Smith M, Vaughan Sarrazin M, Wang X, et al. Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic condition…
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psnet.ahrq.gov/issue/institutional-covid-19-protocols-focused-preparation-safety-and-care-consolidation
September 30, 2020 - Commentary
Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation.
Citation Text:
DiSilvio B, Virani A, Patel S, et al. Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. Crit Care Nurs Q. 2020;43(4):413-427. doi:10…
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psnet.ahrq.gov/issue/cost-inpatient-falls-and-cost-benefit-analysis-implementation-evidence-based-fall-prevention
December 02, 2020 - Study
Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program.
Citation Text:
Dykes PC, Curtin-Bowen M, Lipsitz S, et al. Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention prog…
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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/interdisciplinary-quality-improvement-conference-using-revised-morbidity-and-mortality-format
July 22, 2020 - Study
Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes.
Citation Text:
Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conf…
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psnet.ahrq.gov/issue/electronic-health-record-nudges-and-health-care-quality-and-outcomes-primary-care-systematic
March 09, 2022 - Review
Electronic health record nudges and health care quality and outcomes in primary care: a systematic review.
Citation Text:
Nguyen OT, Kunta AR, Katoju SV, et al. Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. JAMA Netw Ope…
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psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-same-name-physician
February 23, 2022 - Commentary
A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders.
Citation Text:
Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm …
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psnet.ahrq.gov/issue/integration-prospective-and-retrospective-methods-risk-analysis-hospitals
June 23, 2010 - Study
Integration of prospective and retrospective methods for risk analysis in hospitals.
Citation Text:
Kessels-Habraken M, van der Schaaf TW, De Jonge J, et al. Integration of prospective and retrospective methods for risk analysis in hospitals. Int J Qual Health Care. 2009;21(6):42…
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psnet.ahrq.gov/issue/patients-and-providers-perceptions-preventability-hospital-readmission-prospective
September 07, 2016 - Study
Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries.
Citation Text:
van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of hospital read…
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psnet.ahrq.gov/issue/walkrounds-practice-corrupting-or-enhancing-quality-improvement-intervention-qualitative
December 30, 2014 - Study
Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study.
Citation Text:
Martin G, Ozieranski P, Willars J, et al. Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Jt Comm J Qual …
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psnet.ahrq.gov/issue/effects-computerized-clinical-decision-support-systems-practitioner-performance-and-patient
October 19, 2022 - Review
Classic
Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review.
Citation Text:
Garg AX, Adhikari NKJ, McDonald H, et al. Effects of Computerized Clinical Decision Support Systems o…
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psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same
February 02, 2022 - Study
Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study.
Citation Text:
Harada Y, Otaka Y, Katsukura S, et al. Effect of contextual factors on the prevalence of…
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psnet.ahrq.gov/issue/barriers-and-facilitators-hospital-pharmacists-engagement-medication-safety-activities
April 15, 2016 - Study
Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework.
Citation Text:
Mekonnen AB, McLachlan AJ, Brien J-AE, et al. Barriers and facilitators to hospital pharmacists' engagement in …
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psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic
October 19, 2022 - Study
Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program.
Citation Text:
Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a reali…