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psnet.ahrq.gov/issue/please-describe-your-point-view-typical-case-error-palliative-care-qualitative-data
December 04, 2016 - Study
"Please describe from your point of view a typical case of an error in palliative care": qualitative data from an exploratory cross-sectional survey study among palliative care professionals.
Citation Text:
Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a …
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psnet.ahrq.gov/issue/executive-summary-american-college-obstetricians-and-gynecologists-presidential-task-force
September 23, 2020 - Commentary
Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery.
Citation Text:
Erickson TB, Kirkpatrick DH, DeFrancesco MS, et al. Executi…
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psnet.ahrq.gov/issue/analysis-unintended-events-hospitals-inter-rater-reliability-constructing-causal-trees-and
April 30, 2014 - Study
Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes.
Citation Text:
Smits M, Janssen J, de Vet R, et al. Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and c…
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psnet.ahrq.gov/issue/disclosing-harmful-mammography-errors-patients
November 03, 2015 - Study
Disclosing harmful mammography errors to patients.
Citation Text:
Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320.
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psnet.ahrq.gov/issue/error-reduction-and-performance-improvement-emergency-department-through-formal-teamwork
June 24, 2015 - Study
Classic
Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project.
Citation Text:
Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in t…
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psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review
January 12, 2022 - Review
Medication reconciliation during transitions of care as a patient safety strategy: a systematic review.
Citation Text:
Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158…
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psnet.ahrq.gov/issue/temporal-associations-between-ehr-derived-workload-burnout-and-errors-prospective-cohort
December 03, 2014 - Study
Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study.
Citation Text:
Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):21…
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psnet.ahrq.gov/issue/effects-racial-bias-pulse-oximetry-children-and-how-address-algorithmic-bias-clinical
May 08, 2017 - Commentary
Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine.
Citation Text:
Gray KD, Subramaniam HL, Huang ES. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. JAMA …
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psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california
July 13, 2010 - Study
Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.
Citation Text:
Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals particip…
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psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure
May 08, 2017 - Study
Classic
Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure.
Citation Text:
Wachter R, Flanders S, Fee C, et al. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flaw…
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review
June 09, 2015 - Review
Classic
Teaching quality improvement and patient safety to trainees: a systematic review.
Citation Text:
Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010;85(9):1425-39. d…
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psnet.ahrq.gov/issue/characterising-icu-ward-handoffs-three-academic-medical-centres-process-and-perceptions
September 27, 2023 - Study
Characterising ICU–ward handoffs at three academic medical centres: process and perceptions.
Citation Text:
Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1…
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digital.ahrq.gov/health-care-theme/patient-centered-care
January 01, 2023 - Patient-Centered Care
Improving Identification And Coordination Of Mobility Interventions In The ICU Using Clinical Decision Support
Description
The study will develop and test a vendor-compatible clinical decision support system to support intensive care unit nurses and physi…
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psnet.ahrq.gov/issue/anatomy-cyberattack-part-4-quality-assurance-and-error-reduction-billing-and-compliance
April 27, 2022 - Study
Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime.
Citation Text:
Frisch NK, Gibson PC, Stowman AM, et al. Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition…
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psnet.ahrq.gov/issue/what-became-eyes-and-ears-exploring-challenges-reporting-poor-quality-care-among-trainee
June 24, 2020 - Commentary
What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff.
Citation Text:
Berry P. What became of the ‘eyes and the ears’?: exploring the challenges to reporting poor quality of care among trainee medical st…
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psnet.ahrq.gov/issue/prospective-study-factors-influencing-outcome-patients-after-medical-emergency-team-review
March 05, 2010 - Study
A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review.
Citation Text:
Calzavacca P, Licari E, Tee A, et al. A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review. Intensive Care …
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psnet.ahrq.gov/issue/longer-work-experience-and-age-associated-safety-attitudes-operating-room-nurses-online-cross
July 28, 2013 - Study
Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study.
Citation Text:
Nyberg A, Olofsson B, Fagerdahl A, et al. Longer work experience and age associated with safety attitudes in operating room nurses: an online cr…
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psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
January 06, 2018 - Review
Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review.
Citation Text:
Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):410-416. doi:10.7326/0003-…
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psnet.ahrq.gov/issue/validation-electronic-trigger-measure-missed-diagnosis-stroke-emergency-departments
May 18, 2022 - Study
Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments.
Citation Text:
Vaghani V, Wei L, Mushtaq U, et al. Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments. J Am Med Inform Assoc. 2021;28(…
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psnet.ahrq.gov/issue/racial-bias-among-emergency-providers-strategies-mitigate-its-adverse-effects
January 12, 2011 - Commentary
Racial bias among emergency providers: strategies to mitigate its adverse effects.
Citation Text:
Brockett-Walker C, Lall M, Evans DD, et al. Racial bias among emergency providers: strategies to mitigate its adverse effects. Adv Emerg Nurs J. 2021;43(2):89-101. doi:10.1097/tme…