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psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital
October 25, 2023 - Study
Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study.
Citation Text:
Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysi…
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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/patient-safety-culture-health-information-technology-implementation-and-medical-office
December 15, 2010 - Study
Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error.
Citation Text:
Campione JR, Mardon RE, McDonald KM. Patient Safety Culture, Health Information Technology Implementation, and Medical Office Proble…
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psnet.ahrq.gov/issue/complications-associated-anesthesia-transport-pediatric-patients-analysis-wake-safe-database
February 12, 2020 - Study
Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database.
Citation Text:
Haydar B, Baetzel A, Stewart M, et al. Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Saf…
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psnet.ahrq.gov/issue/how-might-health-services-capture-patient-reported-safety-concerns-hospital-setting
July 21, 2017 - Study
How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms.
Citation Text:
O'Hara JK, Armitage G, Reynolds C, et al. How might health services capture patient-reported safety concerns in a hospital settin…
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psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume
May 04, 2012 - Study
Relationship between patient safety and hospital surgical volume.
Citation Text:
Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x.
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psnet.ahrq.gov/issue/dropping-baton-during-handoff-emergency-department-primary-care-pediatric-asthma-continuity
March 14, 2022 - Study
Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors.
Citation Text:
Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Jt Comm J …
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psnet.ahrq.gov/issue/communication-interdisciplinary-teams-exploring-closed-loop-communication-during-situ-trauma
July 19, 2023 - Study
Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training.
Citation Text:
Härgestam M, Lindkvist M, Brulin C, et al. Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team tra…
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psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident
October 12, 2016 - Study
Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports.
Citation Text:
Cooper A, Edwards A, Williams H, et al. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Age Age…
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digital.ahrq.gov/ahrq-funded-projects/chronic-care-technology-planning-project
January 01, 2023 - The Chronic Care Technology Planning Project
Project Final Report ( PDF , 217.74 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No state…
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psnet.ahrq.gov/issue/hindsight-foresight-effect-outcome-knowledge-judgment-under-uncertainty
July 08, 2020 - Study
Classic
Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty.
Citation Text:
Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psycholo…
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psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
September 16, 2020 - Commentary
Medical error—the third leading cause of death in the US.
Citation Text:
Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139.
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DOI Google Scholar PubMed BibTeX EndNote X3 X…
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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/how-does-workplace-violence-reporting-culture-affect-workplace-violence-nurse-burnout-and
February 08, 2023 - Study
How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety?
Citation Text:
Kim S, Lynn MR, Baernholdt MB, et al. How does workplace violence-reporting culture affect Workplace violence, nurse burnout, and patient safety? J Nurs Care Q…
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psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis
December 06, 2023 - Study
A qualitative content analysis of retained surgical items: learning from root cause analysis investigations.
Citation Text:
Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Int J Qu…
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psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions
July 03, 2016 - Study
Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent.
Citation Text:
Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf.…
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psnet.ahrq.gov/issue/pca-safety-data-review-after-clinical-decision-support-and-smart-pump-technology
October 08, 2016 - Study
PCA safety data review after clinical decision support and smart pump technology implementation.
Citation Text:
Prewitt J, Schneider S, Horvath M, et al. PCA safety data review after clinical decision support and smart pump technology implementation. J Patient Saf. 2013;9(2):103-9…
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psnet.ahrq.gov/issue/patient-safety-incidents-describing-patient-falls-critical-care-north-west-england-between
August 04, 2021 - Study
Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017.
Citation Text:
Thomas AN, Balmforth JE. Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. J Patient Saf. 202…
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hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit5_4.jsp
January 01, 2008 - Facts and Figures Exhibit 5.4
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psnet.ahrq.gov/issue/associations-between-new-disruptive-behaviors-scale-and-teamwork-patient-safety-work-life
June 02, 2021 - Study
Emerging Classic
Associations between a new disruptive behaviors scale and teamwork, patient safety, work-life balance, burnout, and depression.
Citation Text:
Rehder KJ, Adair KC, Hadley A, et al. Associations Between a New Disruptive Behaviors Scale and …