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psnet.ahrq.gov/issue/do-no-harm-novel-safety-checklist-and-research-approach-determine-whether-launch-artificial
September 23, 2020 - Commentary
A "Do No Harm" novel safety checklist and research approach to determine whether to launch an artificial intelligence-based medical technology: introducing the Biological-Psychological, Economic, and Social (BPES) Framework.
Citation Text:
Khan WU, Seto E. "Do No Harm" novel s…
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psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2019-user-comparative-database-report
April 17, 2019 - Book/Report
AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report.
Citation Text:
AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report. Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Resea…
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psnet.ahrq.gov/issue/supporting-error-management-and-safety-climate-ambulatory-care-practices-cirsforte-study
September 07, 2022 - Study
Supporting error management and safety climate in ambulatory care practices: the CIRSforte study.
Citation Text:
Müller BS, Lüttel D, Schütze D, et al. Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. J Patient Saf. 2024;20(5):314-32…
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psnet.ahrq.gov/issue/medical-line-entanglement-unspoken-patient-safety-hazard-medical-devices
May 08, 2019 - Study
Medical line entanglement: the unspoken patient safety hazard of medical devices.
Citation Text:
Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000.
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psnet.ahrq.gov/issue/causes-adverse-events-home-mechanical-ventilation-nursing-perspective
November 10, 2021 - Study
Causes of adverse events in home mechanical ventilation: a nursing perspective.
Citation Text:
Lipprandt M, Liedtke W, Langanke M, et al. Causes of adverse events in home mechanical ventilation: a nursing perspective. BMC Nurs. 2022;21(1):264. doi:10.1186/s12912-022-01038-2.
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psnet.ahrq.gov/issue/factors-impacting-patient-setup-analysis-and-error-management-during-breast-cancer
September 15, 2021 - Review
Factors impacting on patient setup analysis and error management during breast cancer radiotherapy.
Citation Text:
Costin I-C, Marcu LG. Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. Crit Rev Oncol Hematol. 2022;178:103798. doi…
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psnet.ahrq.gov/node/49424/psn-pdf
November 01, 2003 - Computerized realistic simulation: a teaching
module for crisis management in radiology.
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psnet.ahrq.gov/node/72616/psn-pdf
December 22, 2020 - Teaching dental students about patient
communication following an adverse event: a pilot educational module
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psnet.ahrq.gov/issue/using-hfmea-assess-potential-patient-harm-tubing-misconnections
April 19, 2013 - Commentary
Using HFMEA to assess potential for patient harm from tubing misconnections.
Citation Text:
Kimehi-Woods J, Shultz JP. Using HFMEA to assess potential for patient harm from tubing misconnections. Jt Comm J Qual Patient Saf. 2006;32(7):373-381.
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Format:
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psnet.ahrq.gov/issue/search-common-ground-handoff-documentation-intensive-care-unit
March 23, 2011 - Study
In search of common ground in handoff documentation in an intensive care unit.
Citation Text:
Collins S, Mamykina L, Jordan D, et al. In search of common ground in handoff documentation in an Intensive Care Unit. J Biomed Inform. 2012;45(2):307-15. doi:10.1016/j.jbi.2011.11.007. …
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psnet.ahrq.gov/issue/reporting-death-us-food-and-drug-administration-medical-device-adverse-event-reports
April 07, 2019 - Study
Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death.
Citation Text:
Lalani C, Kunwar EM, Kinard M, et al. Reporting of death in US Food and Drug Administration medical device adverse event reports in categories o…
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psnet.ahrq.gov/issue/second-victim-syndrome-intensive-care-unit-healthcare-workers-systematic-review-and-meta
March 24, 2019 - Review
Second victim syndrome in intensive care unit healthcare workers: a systematic review and meta-analysis on types, prevalence, risk factors, and recovery time.
Citation Text:
Naya K, Aikawa G, Ouchi A, et al. Second victim syndrome in intensive care unit healthcare workers: a syste…
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psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety-incidents-primary
August 24, 2022 - Study
A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial.
Citation Text:
Chanelière M, Buchet-Poyau K, Keriel-Gascou M, et al. A multifaceted risk management program to improve the report…
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psnet.ahrq.gov/issue/mixed-results-safety-performance-computerized-physician-order-entry
May 04, 2022 - Study
Classic
Mixed results in the safety performance of computerized physician order entry.
Citation Text:
Metzger J, Welebob E, Bates DW, et al. Mixed results in the safety performance of computerized physician order entry. Health Aff (Millwood). 2010;29(4):65…
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psnet.ahrq.gov/issue/developing-strategic-recommendations-implementing-smart-pumps-advanced-healthcare-systems
August 24, 2022 - Commentary
Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety.
Citation Text:
Sutherland A, Jones MD, Howlett M, et al. Developing strategic recommendations for implementing smart pumps in advanced hea…
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psnet.ahrq.gov/issue/opioid-guidelines-common-dental-surgical-procedures-multidisciplinary-panel-consensus
April 28, 2021 - Organizational Policy/Guidelines
Opioid guidelines for common dental surgical procedures: a multidisciplinary panel consensus.
Citation Text:
Farooqi OA, Bruhn WE, Lecholop MK, et al. Opioid guidelines for common dental surgical procedures: a multidisciplinary panel consensus. Int J Oral…
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psnet.ahrq.gov/issue/impact-technological-and-departmental-changes-incident-rates-radiation-oncology-over
February 16, 2022 - Study
Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year period.
Citation Text:
Le Cornu E, Murray S, Brown EJ, et al. Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen‐yea…
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psnet.ahrq.gov/issue/retrospective-review-serious-surgical-incidents-5-large-uk-teaching-hospitals-system-based
May 26, 2021 - Study
A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach.
Citation Text:
Serou N, Slight RD, Husband AK, et al. A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. J Pa…
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psnet.ahrq.gov/issue/official-critical-care-societies-collaborative-statement-burnout-syndrome-critical-care
October 19, 2022 - Commentary
An official Critical Care Societies Collaborative statement: burnout syndrome in critical care healthcare professionals: a call for action.
Citation Text:
Moss M, Good VS, Gozal D, et al. An Official Critical Care Societies Collaborative Statement: Burnout Syndrome in Critical…
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psnet.ahrq.gov/issue/potential-harm-caused-physicians-priori-beliefs-clinical-effectiveness-hydroxychloroquine-and
November 21, 2021 - Study
Potential harm caused by physicians' a-priori beliefs in the clinical effectiveness of hydroxychloroquine and its impact on clinical and economic outcome--a simulation approach.
Citation Text:
Ebm C, Carfagna F, Edwards S, et al. Potential harm caused by physicians' a-priori belief…