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psnet.ahrq.gov/issue/incomplete-ehr-adoption-late-uptake-patient-safety-and-cost-control-functions
July 25, 2011 - Commentary
Incomplete EHR adoption: late uptake of patient safety and cost control functions.
Citation Text:
Menachemi N, Ford E, Beitsch LM, et al. Incomplete EHR adoption: late uptake of patient safety and cost control functions. Am J Med Qual. 2007;22(5):319-26.
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psnet.ahrq.gov/issue/exploring-psychological-safety-healthcare-teams-inform-development-interventions-combining
March 18, 2020 - Study
Exploring psychological safety in healthcare teams to inform the development of interventions: combining observational, survey and interview data.
Citation Text:
O’Donovan R, McAuliffe E. Exploring psychological safety in healthcare teams to inform the development of interventions:…
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psnet.ahrq.gov/issue/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety
November 26, 2014 - Study
Classic
Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.
Citation Text:
O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Arch Intern Me…
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psnet.ahrq.gov/issue/using-co-design-develop-collective-leadership-intervention-healthcare-teams-improve-safety
October 02, 2019 - Commentary
Emerging Classic
Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture.
Citation Text:
Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for He…
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psnet.ahrq.gov/issue/universal-surveillance-methicillin-resistant-staphylococcus-aureus-3-affiliated-hospitals
December 23, 2008 - Study
Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals.
Citation Text:
Robicsek A, Beaumont JL, Paule SM, et al. Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Ann Intern Med. 2008;148(6)…
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psnet.ahrq.gov/issue/facilitation-surgical-innovation-it-possible-speed-introduction-new-technology-while
August 20, 2018 - Study
Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety?
Citation Text:
Marcus RK, Lillemoe HA, Caudle AS, et al. Facilitation of Surgical Innovation: Is It Possible to Speed the Introduction of N…
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psnet.ahrq.gov/issue/developing-reliable-and-valid-patient-measure-safety-hospitals-pmos-validation-study
January 19, 2014 - Study
Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study.
Citation Text:
McEachan RRC, Lawton R, O'Hara JK, et al. Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. BMJ Qual Saf. 2014;23(7):56…
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psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary
May 11, 2022 - Study
The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center.
Citation Text:
Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting …
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psnet.ahrq.gov/issue/adverse-drug-event-related-admissions-pediatric-emergency-unit
October 05, 2022 - Study
Adverse drug event-related admissions to a pediatric emergency unit.
Citation Text:
Carvalho IV, Sousa VM de, Visacri MB, et al. Adverse drug event-related admissions to a pediatric emergency unit. Pediatr Emerg Care. 2021;37(4):e152-e158. doi:10.1097/pec.0000000000001582.
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psnet.ahrq.gov/issue/impact-nursing-practice-environments-patient-safety-culture-primary-health-care-scoping
March 09, 2022 - Review
The impact of nursing practice environments on patient safety culture in primary health care: a scoping review.
Citation Text:
Pereira SC de A, Ribeiro OMPL, Fassarella CS, et al. The impact of nursing practice environments on patient safety culture in primary health care: a scopi…
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psnet.ahrq.gov/issue/using-snowball-sampling-method-nurses-understand-medication-administration-errors
August 02, 2011 - Study
Using snowball sampling method with nurses to understand medication administration errors.
Citation Text:
Sheu S-J, Wei I-L, Chen C-H, et al. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs. 2009;18(4):559-69. doi:10.1111/j.1…
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psnet.ahrq.gov/issue/predictors-and-triggers-incivility-within-healthcare-teams-systematic-review-literature
July 21, 2011 - Review
Predictors and triggers of incivility within healthcare teams: a systematic review of the literature.
Citation Text:
Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. BMJ Open. 2020;10(6):e035…
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - e.g., CT scan) might have detected the aortic dissection before the discharge and subsequent tragic outcome … The mother and fetus in this case suffered a tragic outcome at a hospital that appeared to lack a structured … It is unclear whether the outcome would have been different elsewhere. … Aortic dissection in pregnancy: analysis of risk factors and outcome.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - judgment and errors in technique occurred, and the attending surgeon was ultimately responsible for the outcome … Approach to Improving Patient Safety
Errors in both judgement and technique led to this adverse outcome … understandings about the allowable number and location of cannulation attempts, could also have improved the outcome … Following these best practices could have resulted in a much better outcome for the patient in this case
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
Luckily, this case has a good outcome … student or practicing team level through critical incident root cause analysis and
http://www.acgme.org/outcome … Available at:
http://www.acgme.org/outcome/. Accessed September 27, 2007.
13. … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=9032162
http://www.acgme.org/outcome/
http://www.ama-assn.org
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psnet.ahrq.gov/issue/barbers-civility
October 07, 2015 - June 16, 2011
The relationship of the emotional climate of work and threat to patient outcome
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psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
June 21, 2015 - June 23, 2015
Effect of outcome on physician judgments of appropriateness of care.
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psnet.ahrq.gov/issue/medical-and-surgical-comanagement-after-elective-hip-and-knee-arthroplasty-randomized
January 22, 2014 - 25, 2011
Evaluating implementation of a rapid response team: considering alternative outcome
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psnet.ahrq.gov/issue/latency-ecg-displays-hospital-telemetry-systems-science-advisory-american-heart-association
March 14, 2018 - A clinical case of electronic health record drug alert fatigue: consequences for patient outcome
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psnet.ahrq.gov/issue/safety-climate-and-medical-errors-62-us-emergency-departments
June 16, 2009 - March 10, 2011
EMS helicopter crashes: what influences fatal outcome?