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psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
November 26, 2014 - Study
An initiative to improve the management of clinically significant test results in a large health care network.
Citation Text:
Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt …
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psnet.ahrq.gov/issue/there-july-phenomenon-pediatric-neurosurgery-teaching-hospitals
May 23, 2018 - Study
Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals?
Citation Text:
Smith ER, Butler WE, Barker FG. Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? J Neurosurg. 2006;105(3 Suppl):169-76.
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psnet.ahrq.gov/issue/nursing-home-patient-safety-culture-perceptions-among-us-and-immigrant-nurses
January 14, 2011 - Study
Nursing home patient safety culture perceptions among US and immigrant nurses.
Citation Text:
Wagner LM, Brush BL, Castle NG, et al. Nursing Home Patient Safety Culture Perceptions Among US and Immigrant Nurses. J Patient Saf. 2020;16(3):238-244. doi:10.1097/pts.0000000000000271.
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psnet.ahrq.gov/issue/need-systematically-identify-and-mitigate-risks-upon-hospitalisation-patients-chronic-health
August 04, 2021 - Commentary
Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions.
Citation Text:
Pronovost PJ, Carrington EM. Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions.…
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psnet.ahrq.gov/issue/err-system-comparison-methodologies-investigation-adverse-outcomes-healthcare
January 26, 2022 - Commentary
To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare.
Citation Text:
Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. J Patient Saf Risk Manag. 2…
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psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident-reports
March 16, 2022 - Commentary
Qualitative content analysis: a framework for the substantive review of hospital incident reports.
Citation Text:
Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/…
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psnet.ahrq.gov/issue/changes-nursing-practice-associations-responses-and-coping-errors
October 19, 2022 - Study
Changes in nursing practice: associations with responses to and coping with errors.
Citation Text:
Karga M, Kiekkas P, Aretha D, et al. Changes in nursing practice: associations with responses to and coping with errors. J Clin Nurs. 2011;20(21-22):3246-55. doi:10.1111/j.1365-2702…
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psnet.ahrq.gov/issue/safety-learning-among-young-newly-employed-workers-three-sectors-challenge-assumed-order
August 12, 2020 - Study
Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things.
Citation Text:
Grytnes R, Nielsen ML, Jørgensen A, et al. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things…
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psnet.ahrq.gov/issue/comparing-errors-ed-computer-assisted-vs-conventional-pediatric-drug-dosing-and
November 22, 2017 - Study
Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.
Citation Text:
Yamamoto LG, Kanemori J. Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. Am J Emerg Med. 2010;28(5):588-92. doi:10.…
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psnet.ahrq.gov/issue/patient-safety-home-health-care-grounded-theory-study
September 25, 2019 - Study
Patient safety in home health care: a grounded theory study.
Citation Text:
Shahrestanaki SK, Rafii F, Najafi Ghezeljeh T, et al. Patient safety in home health care: a grounded theory study. BMC Health Serv Res. 2023;23(1):467. doi:10.1186/s12913-023-09458-9.
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psnet.ahrq.gov/issue/untenable-expectations-nurses-work-context-medication-administration-error-and-organization
September 21, 2022 - Study
Untenable expectations: nurses' work in the context of medication administration, error, and the organization.
Citation Text:
Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration, error, and the organization. Glob Qual Nurs Res. 202…
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psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting
December 06, 2013 - Study
Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting.
Citation Text:
Tjia J, Field T, Garber LD, et al. Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. Am J Manag Care. 2010;…
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psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development-multilevel-model
June 28, 2010 - Commentary
Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions.
Citation Text:
Chuang Y-T, Ginsburg LR, Berta WB. Learning from preventable adverse events in health care organizations: development of a mu…
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psnet.ahrq.gov/issue/going-blank-factors-contributing-interruptions-nurses-work-and-related-outcomes
September 24, 2016 - Study
Going blank: factors contributing to interruptions to nurses' work and related outcomes.
Citation Text:
Hall LMG, Ferguson-Paré M, Peter E, et al. Going blank: factors contributing to interruptions to nurses' work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. doi:10.1111/j…
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psnet.ahrq.gov/issue/comparative-issues-aviation-and-surgical-crew-resource-management-1-are-we-too-solution
October 30, 2013 - Commentary
Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused?
Citation Text:
Hunt GJF, Callaghan KSN. COMPARATIVE ISSUES IN AVIATION AND SURGICAL CREW RESOURCE MANAGEMENT: (1) ARE WE TOO SOLUTION FOCUSED? ANZ J Surg. 2008;78(8). doi:1…
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psnet.ahrq.gov/issue/attitude-everything-impact-workload-safety-climate-and-safety-tools-medical-errors-study
March 11, 2020 - Study
Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units.
Citation Text:
Steyrer J, Schiffinger M, Huber C, et al. Attitude is everything? The impact of workload, safety climate, and safety tools on med…
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psnet.ahrq.gov/issue/e-prescribing-efficiency-quality-lessons-computerization-uk-family-practice
October 01, 2014 - Study
E-prescribing, efficiency, quality: lessons from the computerization of UK family practice.
Citation Text:
Schade CP, Sullivan FM, de Lusignan S, et al. e-Prescribing, efficiency, quality: lessons from the computerization of UK family practice. J Am Med Inform Assoc. 2006;13(5):4…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0488_12-27-2011.pdf
January 01, 2011 - Effective Health Care
Topic Number: 0407
Document Completion Date: 02-14-12
1
Results of Topic Selection Process & Next Steps
Primary diagnosis and staging of pancreatic cancer will go forward for refinement as a systematic
review. The scope of this topic, including populations, interventions, c…
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psnet.ahrq.gov/issue/patient-report-information-given-consultation-time-and-safety-primary-care
October 11, 2017 - Study
Patient report on information given, consultation time and safety in primary care.
Citation Text:
Mira JJ, Nebot C, Lorenzo S, et al. Patient report on information given, consultation time and safety in primary care. Qual Saf Health Care. 2010;19(5):e33. doi:10.1136/qshc.2009.037…
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digital.ahrq.gov/sites/default/files/docs/resource/Timeline_at_a_glance_high_level_snapshot_on_the_progress.pdf
June 17, 2005 - use MED
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