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psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients
September 11, 2019 - Study
Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker P, et al. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. App Ergon. 2020;85:103059…
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psnet.ahrq.gov/issue/where-are-my-instruments-hazards-delivery-surgical-instruments
September 25, 2008 - Study
Where are my instruments? Hazards in delivery of surgical instruments.
Citation Text:
Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Where are my instruments? Hazards in delivery of surgical instruments. Surg Endosc. 2016;30(7):2728-35. doi:10.1007/s00464-015-4537-7.
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psnet.ahrq.gov/issue/gender-biases-and-diagnostic-delay-inflammatory-bowel-disease-multicenter-observational-study
March 09, 2022 - Study
Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study.
Citation Text:
Sempere L, Bernabeu P, Cameo J, et al. Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Inflamm Bowel Dis. 2023;29(12)…
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psnet.ahrq.gov/issue/interventions-health-organisations-reduce-impact-adverse-events-second-and-third-victims
October 11, 2017 - Study
Interventions in health organisations to reduce the impact of adverse events in second and third victims.
Citation Text:
Mira JJ, Lorenzo S, Carrillo I, et al. Interventions in health organisations to reduce the impact of adverse events in second and third victims. BMC Health Serv …
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psnet.ahrq.gov/issue/reducing-ambulatory-central-line-associated-bloodstream-infections-family-centered-approach
February 15, 2023 - Study
Reducing ambulatory central line-associated bloodstream infections: a family-centered approach.
Citation Text:
Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line‐associated bloodstream infections: a family‐centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. …
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psnet.ahrq.gov/issue/structural-racism-and-impact-sickle-cell-disease-sickle-cell-lives-matter
February 15, 2023 - Commentary
Structural racism and impact on sickle cell disease: sickle cell lives matter.
Citation Text:
Smith WR, Valrie C, Sisler I. Structural racism and impact on sickle cell disease: sickle cell lives matter. Hematol Oncol Clin North Am. 2022;36(6):1063-1076. doi:10.1016/j.hoc.2022.…
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psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
December 12, 2014 - Review
Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis.
Citation Text:
Coussement J, De Paepe L, Schwendimann R, et al. Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-a…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Get Ready
Previous Page Next Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Chart
Appendix B. Prioritize Opportunities for I…
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psnet.ahrq.gov/issue/measuring-variation-use-who-surgical-safety-checklist-operating-room-multicenter-prospective
January 19, 2016 - Study
Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study.
Citation Text:
Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicente…
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psnet.ahrq.gov/issue/medication-administration-errors-older-people-long-term-residential-care
June 26, 2019 - Study
Medication administration errors for older people in long-term residential care.
Citation Text:
Szczepura A, Wild D, Nelson S. Medication administration errors for older people in long-term residential care. BMC Geriatr. 2011;11:82. doi:10.1186/1471-2318-11-82.
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psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-vest-intervention-reduce-medication-errors-during-medication
December 21, 2017 - Study
Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial.
Citation Text:
Berdot S, Vilfaillot A, Bézie Y, et al. Effectiveness of a ‘do not interrupt’ vest intervention to…
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psnet.ahrq.gov/issue/interdisciplinary-and-interprofessional-communication-intervention-how-psychological-safety
May 31, 2023 - Study
Interdisciplinary and interprofessional communication intervention: how psychological safety fosters communication and increases patient safety.
Citation Text:
Dietl JE, Derksen C, Keller FM, et al. Interdisciplinary and interprofessional communication intervention: how psychologic…
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psnet.ahrq.gov/issue/nursing-care-quality-and-adverse-events-us-hospitals
November 04, 2009 - Study
Nursing care quality and adverse events in US hospitals.
Citation Text:
Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in US hospitals. J Clin Nurs. 2010;19(15-16):2185-95. doi:10.1111/j.1365-2702.2010.03250.x.
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psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection
June 01, 1989 - Study
Classic
Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes.
Citation Text:
Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical Errors and Advers…
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psnet.ahrq.gov/issue/staffing-levels-and-nursing-sensitive-patient-outcomes-umbrella-review-and-qualitative-study
May 19, 2021 - Review
Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study.
Citation Text:
Blume KS, Dietermann K, Kirchner‐Heklau U, et al. Staffing levels and nursing‐sensitive patient outcomes: umbrella review and qualitative study. Health Serv Res. 2021;56(5…
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psnet.ahrq.gov/issue/prevalence-second-victim-syndrome-and-emotional-distress-pediatric-intensive-care-providers
April 24, 2018 - Study
The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers.
Citation Text:
Wolf MS, Smith K, Basu M, et al. The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. J Pediatr Intensive Care. 20…
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psnet.ahrq.gov/issue/burnout-mediates-association-between-depression-and-patient-safety-perceptions-cross
June 30, 2021 - Study
Burnout mediates the association between depression and patient safety perceptions: a cross-sectional study in hospital nurses.
Citation Text:
Johnson J, Louch G, Dunning A, et al. Burnout mediates the association between depression and patient safety perceptions: a cross-sectional…
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psnet.ahrq.gov/issue/pediatric-adverse-drug-events-outpatient-setting-11-year-national-analysis
September 09, 2010 - Study
Pediatric adverse drug events in the outpatient setting: an 11-year national analysis.
Citation Text:
Bourgeois FT, Mandl KD, Valim C, et al. Pediatric adverse drug events in the outpatient setting: an 11-year national analysis. Pediatrics. 2009;124(4):e744-e750. doi:10.1542/peds…
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psnet.ahrq.gov/issue/relationship-between-nursing-home-safety-culture-and-joint-commission-accreditation
June 02, 2010 - Study
Relationship between nursing home safety culture and Joint Commission accreditation.
Citation Text:
Wagner LM, McDonald SM, Castle NG. Relationship between nursing home safety culture and Joint Commission accreditation. Jt Comm J Qual Patient Saf. 2012;38(5):207-15.
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psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac
June 01, 2022 - Study
Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab.
Citation Text:
Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…