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psnet.ahrq.gov/issue/ed-overcrowding-associated-increased-frequency-medication-errors
August 20, 2018 - Study
ED overcrowding is associated with an increased frequency of medication errors.
Citation Text:
Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014. …
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psnet.ahrq.gov/issue/errors-and-electronic-prescribing-controlled-laboratory-study-examine-task-complexity-and
September 24, 2016 - Study
Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects.
Citation Text:
Magrabi F, Li SYW, Day R, et al. Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects…
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psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
April 29, 2018 - Study
Analysis of clinical decision support system malfunctions: a case series and survey.
Citation Text:
Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…
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psnet.ahrq.gov/issue/when-illegitimate-tasks-threaten-patient-safety-culture-cross-sectional-survey-tertiary
February 19, 2020 - Study
When illegitimate tasks threaten patient safety culture: a cross-sectional survey in a tertiary hospital.
Citation Text:
Cullati S, Semmer NK, Tschan F, et al. When illegitimate tasks threaten patient safety culture: a cross-sectional survey in a tertiary hospital. Int J Public Hea…
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psnet.ahrq.gov/issue/harm-susceptibility-model-method-prioritise-risks-identified-patient-safety-reporting-systems
December 29, 2014 - Study
The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems.
Citation Text:
Pham JC, Colantuoni E, Dominici F, et al. The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. Qual Sa…
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psnet.ahrq.gov/issue/testing-association-between-patient-safety-indicators-and-hospital-structural-characteristics
April 01, 2010 - Study
Testing the association between Patient Safety Indicators and hospital structural characteristics in VA and nonfederal hospitals.
Citation Text:
Rivard PE, Elixhauser A, Christiansen CL, et al. Testing the Association Between Patient Safety Indicators and Hospital Structural Char…
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psnet.ahrq.gov/issue/patient-safety-improving-national-trends-patient-safety-indicators-1998-2007
March 21, 2012 - Study
Is patient safety improving? National trends in patient safety indicators: 1998–2007.
Citation Text:
Downey JR, Hernandez-Boussard T, Banka G, et al. Is patient safety improving? National trends in patient safety indicators: 1998-2007. Health Serv Res. 2012;47(1 Pt 2):414-30. doi…
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psnet.ahrq.gov/issue/use-unit-based-interventions-improve-quality-care-hospitalized-medical-patients-national
November 01, 2023 - Study
Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey.
Citation Text:
O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of Care for Hospitalized Medical Patients: A Natio…
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psnet.ahrq.gov/issue/risk-reduction-adverse-drug-events-through-sequential-implementation-patient-safety
June 03, 2020 - Study
Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital.
Citation Text:
Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiat…
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psnet.ahrq.gov/issue/react-reframe-and-engage-establishing-receiver-mindset-more-effective-safety-negotiations
March 29, 2023 - Study
React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations.
Citation Text:
Barlow M, Watson B, Morse K, et al. React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. J Health Organ Manag. 2024;38(7):…
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psnet.ahrq.gov/issue/analysis-interprofessional-clinical-learning-environment-quality-improvement-and-patient
April 19, 2017 - Study
Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams.
Citation Text:
Cheng MKW, Collins S, Baron RB, et al. Analysis of the interprofessional clinical learning environment for quality…
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psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-beneficiaries-first-2-years-following-acgme-resident
February 17, 2009 - Study
Classic
Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform.
Citation Text:
Meltzer DO, Arora VM. Evaluating Resident Duty Hour Reforms. JAMA. 2007;298(9). doi:10.1001/jama.298.9.1055.
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psnet.ahrq.gov/issue/how-reliable-are-clinical-systems-uk-nhs-study-seven-nhs-organisations
November 26, 2008 - Study
How reliable are clinical systems in the UK NHS? A study of seven NHS organisations.
Citation Text:
Burnett S, Franklin BD, Moorthy K, et al. How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. BMJ Qual Saf. 2012;21(6):466-72. doi:10.1136/bmjqs-2011…
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psnet.ahrq.gov/issue/cost-implications-reduced-work-hours-and-workloads-resident-physicians
August 05, 2015 - Study
Cost implications of reduced work hours and workloads for resident physicians.
Citation Text:
Nuckols TK, Bhattacharya J, Wolman DM, et al. Cost implications of reduced work hours and workloads for resident physicians. N Engl J Med. 2009;360(21):2202-15. doi:10.1056/NEJMsa0810251…
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psnet.ahrq.gov/issue/disclosing-large-scale-adverse-events-us-veterans-health-administration-lessons-media
August 18, 2021 - Study
Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses.
Citation Text:
Maguire EM, Bokhour BG, Asch SM, et al. Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. Public …
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psnet.ahrq.gov/issue/observer-based-tools-non-technical-skills-assessment-simulated-and-real-clinical-environments
September 02, 2015 - Review
Emerging Classic
Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review.
Citation Text:
Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills…
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psnet.ahrq.gov/issue/how-often-do-prescribers-include-indications-drug-orders-analysis-4-million-outpatient
May 01, 2019 - Study
How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions.
Citation Text:
Salazar A, Karmiy SJ, Forsythe KJ, et al. How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. Am J H…
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psnet.ahrq.gov/issue/effects-two-commercial-electronic-prescribing-systems-prescribing-error-rates-hospital
September 01, 2016 - Study
Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.
Citation Text:
Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on prescribing error rates in hos…
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psnet.ahrq.gov/issue/identifying-safe-care-processes-when-gps-work-or-alongside-emergency-departments-realist
January 12, 2022 - Study
Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation.
Citation Text:
Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Br J Ge…
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psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-systems
October 04, 2011 - Study
Classic
The long road to patient safety: a status report on patient safety systems.
Citation Text:
Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65.
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