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psnet.ahrq.gov/issue/development-and-usability-behavioural-marking-system-performance-assessment-obstetrical-teams
June 28, 2017 - Study
Development and usability of a behavioural marking system for performance assessment of obstetrical teams.
Citation Text:
Tregunno D, Pittini R, Haley M, et al. Development and usability of a behavioural marking system for performance assessment of obstetrical teams. Qual Saf Hea…
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psnet.ahrq.gov/issue/observational-study-medication-administration-errors-old-age-psychiatric-inpatients
September 27, 2017 - Study
An observational study of medication administration errors in old-age psychiatric inpatients.
Citation Text:
Haw C, Stubbs J, Dickens G. An observational study of medication administration errors in old-age psychiatric inpatients. Int J Qual Health Care. 2007;19(4):210-6.
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psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
March 11, 2020 - Study
Supporting a psychiatric hospital culture of safety.
Citation Text:
Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577.
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psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
January 26, 2022 - Study
Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements?
Citation Text:
Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525.
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psnet.ahrq.gov/issue/bedside-shift-report-improves-patient-safety-and-nurse-accountability
April 16, 2010 - Commentary
Bedside shift report improves patient safety and nurse accountability.
Citation Text:
Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…
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psnet.ahrq.gov/issue/french-national-survey-inpatient-adverse-events-prospectively-assessed-ward-staff
March 06, 2005 - Study
French national survey of inpatient adverse events prospectively assessed with ward staff.
Citation Text:
Michel P, Quenon JL, Djihoud A, et al. French national survey of inpatient adverse events prospectively assessed with ward staff. Qual Saf Health Care. 2007;16(5):369-77.
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psnet.ahrq.gov/issue/interventions-improve-communication-hospital-discharge-and-rates-readmission-systematic
January 12, 2022 - Review
Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis.
Citation Text:
Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. …
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psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-patient-injury
October 19, 2022 - Press Release/Announcement
FDA Safety Communication: recommendations to reduce surgical fires and related patient injury.
Citation Text:
FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…
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psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
December 22, 2018 - Study
Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative.
Citation Text:
Haché M, Sun LS, Gadi G, et al. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Paediatr Anaesth. 2020;30(12):1348-1354. doi:10.1111/pan.14044. …
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psnet.ahrq.gov/issue/improving-hospital-safety-culture-falls-prevention-through-interdisciplinary-health-education
December 16, 2011 - Study
Improving hospital safety culture for falls prevention through interdisciplinary health education.
Citation Text:
Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi…
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psnet.ahrq.gov/issue/quality-improvement-initiative-reduce-safety-events-among-adolescents-hospitalized-after
July 22, 2020 - Study
A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt.
Citation Text:
Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events Among Adolescents Hospitalized After a Suicide Attempt…
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psnet.ahrq.gov/issue/room-horrors-simulation-healthcare-education-systematic-review
September 09, 2020 - Review
Room of horrors simulation in healthcare education: a systematic review.
Citation Text:
Lee SE, Repsha C, Seo WJ, et al. Room of horrors simulation in healthcare education: a systematic review. Nurse Educ Today. 2023;126:105824. doi:10.1016/j.nedt.2023.105824.
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psnet.ahrq.gov/issue/standard-drug-concentrations-and-smart-pump-technology-reduce-continuous-medication-infusion
October 06, 2011 - Study
Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients.
Citation Text:
Larsen G, Parker HB, Cash J, et al. Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in ped…
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psnet.ahrq.gov/issue/realistic-distractions-and-interruptions-impair-simulated-surgical-performance-novice
August 04, 2021 - Study
Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons.
Citation Text:
Feuerbacher RL, Funk KH, Spight DH, et al. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Arch Surg. 2012;…
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psnet.ahrq.gov/issue/patient-safety-advisory-fentanyl-counterfeit-prescription-medications-contain-fentanyl-and
September 18, 2024 - Organizational Policy/Guidelines
Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety.
Citation Text:
Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fent…
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psnet.ahrq.gov/issue/identifying-latent-failures-underpinning-medication-administration-errors-exploratory-study
December 21, 2016 - Study
Identifying the latent failures underpinning medication administration errors: an exploratory study.
Citation Text:
Lawton R, Carruthers S, Gardner P, et al. Identifying the latent failures underpinning medication administration errors: an exploratory study. Health Serv Res. 2012…
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psnet.ahrq.gov/issue/analysis-staff-safety-concerns
July 19, 2023 - Study
Analysis of staff safety concerns.
Citation Text:
Davidson J, Lamontagne G, Burnell L, et al. Analysis of Staff Safety Concerns. J Nurs Care Qual. 2012;28(2). doi:10.1097/ncq.0b013e318277e874.
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psnet.ahrq.gov/issue/doctors-and-dentists-still-flooding-us-opioid-prescriptions
October 13, 2018 - Newspaper/Magazine Article
Doctors and dentists still flooding U.S. with opioid prescriptions.
Citation Text:
Mann B. Doctors and dentists still flooding U.S. with opioid prescriptions. National Public Radio. 2020;July 17.
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psnet.ahrq.gov/issue/avoiding-second-wave-medical-errors-importance-human-factors-context-pandemic
March 09, 2022 - Commentary
Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic.
Citation Text:
Tejos R, Navia A, Cuadra A, et al. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Aesthetic Plast Sur…
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psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care
October 13, 2021 - Study
Diagnostic errors in hospitalized adults who died or were transferred to intensive care.
Citation Text:
Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Inte…