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psnet.ahrq.gov/issue/medical-engagement-organisation-wide-safety-and-quality-improvement-programmes-experience-uk
February 01, 2011 - Study
Medical engagement in organisation-wide safety and quality-improvement programmes: experience in the UK Safer Patients Initiative.
Citation Text:
Parand A, Burnett S, Benn J, et al. Medical engagement in organisation-wide safety and quality-improvement programmes: experience in t…
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psnet.ahrq.gov/issue/outbreak-investigation-covid-19-among-residents-and-staff-independent-and-assisted-living
October 19, 2022 - Study
Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living community for older adults in Seattle, Washington.
Citation Text:
Roxby AC, Greninger AL, Hatfield KM, et al. Outbreak investigation of COVID-19 among residents and staff of an indepe…
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psnet.ahrq.gov/issue/sepsis-early-recognition-and-response-initiative-serri
November 11, 2015 - Commentary
The Sepsis Early Recognition and Response Initiative (SERRI).
Citation Text:
Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt Comm J Qual Patient Saf. 2016;42(3):122-138.
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psnet.ahrq.gov/issue/using-statistical-text-classification-identify-health-information-technology-incidents
February 14, 2024 - Study
Using statistical text classification to identify health information technology incidents.
Citation Text:
Chai KEK, Anthony S, Coiera E, et al. Using statistical text classification to identify health information technology incidents. J Am Med Inform Assoc. 2013;20(5):980-5. doi:10…
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psnet.ahrq.gov/issue/improving-safety-recommendations-implementation-simulation-based-event-analysis-optimize
July 24, 2019 - Study
Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events.
Citation Text:
Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a s…
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psnet.ahrq.gov/issue/detach-yourself-positive-effect-psychological-detachment-patient-safety-long-term-care
March 02, 2022 - Study
Detach yourself: the positive effect of psychological detachment on patient safety in long-term care.
Citation Text:
Buljac-Samardzic M, Dekker-van Doorn C, van Wijngaarden JDH. Detach yourself: the positive effect of psychological detachment on patient safety in long-term care. J …
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psnet.ahrq.gov/issue/primary-care-closed-claims-experience-massachusetts-malpractice-insurers
August 14, 2017 - Study
Classic
Primary care closed claims experience of Massachusetts malpractice insurers.
Citation Text:
Schiff G, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013;173(22):206…
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psnet.ahrq.gov/issue/multiprofessional-team-simulation-training-based-obstetric-model-can-improve-teamwork-other
January 12, 2022 - Study
Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care.
Citation Text:
van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an obstetric model, can improve teamwor…
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psnet.ahrq.gov/issue/measuring-teamwork-performance-teams-crisis-situations-systematic-review-assessment-tools-and
November 04, 2020 - Review
Emerging Classic
Measuring the teamwork performance of teams in crisis situations: a systematic review of assessment tools and their measurement properties.
Citation Text:
Boet S, Etherington N, Larrigan S, et al. Measuring the teamwork performance of tea…
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psnet.ahrq.gov/issue/adverse-events-experienced-while-transferring-critically-ill-patient-emergency-department
November 13, 2024 - Study
Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit.
Citation Text:
Gillman L, Leslie G, Williams T, et al. Adverse events experienced while transferring the critically ill patient from the emergency de…
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psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system
August 03, 2022 - Study
Electronic approaches to making sense of the text in the adverse event reporting system.
Citation Text:
Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhr…
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psnet.ahrq.gov/issue/prevalence-medication-administration-errors-two-medical-units-automated-prescription-and
February 26, 2020 - Study
Prevalence of medication administration errors in two medical units with automated prescription and dispensing.
Citation Text:
Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. Prevalence of medication administration errors in two medical units with automated presc…
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psnet.ahrq.gov/issue/turning-medical-gaze-upon-itself-root-cause-analysis-and-investigation-clinical-error
June 14, 2011 - Study
Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error.
Citation Text:
Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Soc Sci Med. 2006;62(7):16…
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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/differences-donor-heart-acceptance-race-and-gender-patients-transplant-waiting-list
January 12, 2022 - Study
Differences in donor heart acceptance by race and gender of patients on the transplant waiting list.
Citation Text:
Breathett K, Knapp SM, Lewsey SC, et al. Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. JAMA. 2024;331(16):1379-…
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psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using
August 05, 2020 - Study
Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool.
Citation Text:
Nilsson L, Lindblad M, Johansson N, et al. Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool…
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psnet.ahrq.gov/issue/trauma-resuscitation-using-situ-simulation-team-training-trust-study-latent-safety-threat
October 27, 2021 - Study
Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review.
Citation Text:
Petrosoniak A, Fan M, Hicks CM, et al. Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: lat…
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psnet.ahrq.gov/issue/effect-mobile-app-prehospital-medication-errors-during-simulated-pediatric-resuscitation
October 06, 2021 - Study
Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical trial.
Citation Text:
Siebert JN, Bloudeau L, Combescure C, et al. Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitatio…
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psnet.ahrq.gov/issue/medication-related-emergency-department-visits-pediatrics-prospective-observational-study
October 16, 2013 - Study
Medication-related emergency department visits in pediatrics: a prospective observational study.
Citation Text:
Zed PJ, Black KJL, Fitzpatrick EA, et al. Medication-related emergency department visits in pediatrics: a prospective observational study. Pediatrics. 2015;135(3):435-43.…
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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…