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psnet.ahrq.gov/issue/unintended-patient-safety-risks-due-wireless-smart-infusion-pump-library-update-delays
September 25, 2019 - Study
Unintended patient safety risks due to wireless smart infusion pump library update delays.
Citation Text:
Hsu K-Y, DeLaurentis P, Bitan Y, et al. Unintended Patient Safety Risks Due to Wireless Smart Infusion Pump Library Update Delays. J Patient Saf. 2019;15(1):e8-e14. doi:10.1097…
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psnet.ahrq.gov/issue/exploring-clinical-lessons-learned-experienced-hospitalists-diagnostic-errors-and-successes
January 15, 2025 - Study
Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes.
Citation Text:
Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. J Gen Intern Med. 2024;39(8):…
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psnet.ahrq.gov/issue/implementing-comprehensive-unit-based-safety-program-cusp-improve-patient-safety-academic
April 21, 2016 - Study
Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice.
Citation Text:
Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Acad…
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psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall
March 27, 2019 - Study
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit.
Citation Text:
Dykes PC, Duckworth M, Cunningham S, et al. Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a Patient-Centered Fall Prevention Tool…
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psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their-successful
December 05, 2012 - Study
How to make medication error reporting systems work—factors associated with their successful development and implementation.
Citation Text:
Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work--Factors associated with their successful develo…
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psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm
April 16, 2018 - Study
Remote patient monitoring improves patient falls and reduces harm.
Citation Text:
Zimbro KS, Bridges C, Bunn S, et al. Remote patient monitoring improves patient falls and reduces harm. J Nurs Care Qual. 2024;39(3):212-219. doi:10.1097/ncq.0000000000000749.
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psnet.ahrq.gov/issue/early-warning-scores-predict-noncritical-events-overnight-hospitalized-medical-patients
March 30, 2022 - Study
Early warning scores to predict noncritical events overnight in hospitalized medical patients: a prospective case cohort study.
Citation Text:
Bittman J, Nijjar AP, Tam P, et al. Early warning scores to predict noncritical events overnight in hospitalized medical patients: a prospe…
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psnet.ahrq.gov/issue/patient-safety-chiropractic-teaching-programs-mixed-methods-study
November 04, 2020 - Study
Patient safety in chiropractic teaching programs: a mixed methods study.
Citation Text:
Pohlman KA, Salsbury SA, Funabashi M, et al. Patient safety in chiropractic teaching programs: a mixed methods study. Chiropr Man Therap. 2020;28(1):50. doi:10.1186/s12998-020-00339-0.
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psnet.ahrq.gov/issue/using-human-factors-design-principles-and-industrial-engineering-methods-improve-accuracy-and
September 23, 2020 - Commentary
Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays.
Citation Text:
Chen D-W, Chase VJ, Burkhardt ME, et al. Using Human Factors Design Principles and Industrial Engineering Methods to I…
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psnet.ahrq.gov/issue/exploratory-study-knowledge-brokering-hospital-settings-facilitating-knowledge-sharing-and
July 02, 2008 - Study
An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety?
Citation Text:
Waring J, Currie G, Crompton A, et al. An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing …
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psnet.ahrq.gov/issue/reduction-opioid-prescribing-through-evidence-based-prescribing-guidelines
January 27, 2019 - Study
Reduction in opioid prescribing through evidence-based prescribing guidelines.
Citation Text:
Howard R, Waljee JF, Brummett CM, et al. Reduction in Opioid Prescribing Through Evidence-Based Prescribing Guidelines. JAMA Surg. 2018;153(3):285-287. doi:10.1001/jamasurg.2017.4436.
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psnet.ahrq.gov/issue/management-deteriorating-adult-patient-does-simulation-based-education-improve-patient-safety
June 08, 2022 - Review
Management of the deteriorating adult patient: does simulation-based education improve patient safety?
Citation Text:
Bennion J, Mansell SK. Management of the deteriorating adult patient: does simulation-based education improve patient safety? Br J Hosp Med (Lond). 2021;82(8):1-8.…
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psnet.ahrq.gov/issue/situ-interprofessional-perinatal-drills-impact-structured-debrief-maximizing-training-while
October 12, 2009 - Study
In-situ interprofessional perinatal drills: the impact of a structured debrief on maximizing training while sensing patient safety threats.
Citation Text:
Greer JA, Haischer-Rollo G, Delorey D, et al. In-situ Interprofessional Perinatal Drills: The Impact of a Structured Debrief on…
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psnet.ahrq.gov/issue/surgeons-narcissism-hostility-stress-bullying-meaning-life-and-work-environment-two-centered
November 07, 2018 - Study
Surgeon's narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis.
Citation Text:
El Boghdady M, Ewalds-Kvist BM. Surgeon’s narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis. Langenb…
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psnet.ahrq.gov/issue/improving-feedback-junior-doctors-prescribing-errors-mixed-methods-evaluation-quality
July 11, 2018 - Review
Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project.
Citation Text:
Reynolds M, Jheeta S, Benn J, et al. Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement proj…
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psnet.ahrq.gov/issue/validation-and-use-second-victim-experience-and-support-tool-questionnaire-scoping-review
July 09, 2008 - Review
Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review.
Citation Text:
Dato Md Yusof YJ, Ng QX, Teoh SE, et al. Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. Public Health. 2023;223…
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psnet.ahrq.gov/issue/evaluation-physician-informatics-tool-improve-patient-handoffs
January 07, 2015 - Study
Evaluation of a physician informatics tool to improve patient handoffs.
Citation Text:
Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892.
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psnet.ahrq.gov/issue/checkpoint-simple-tool-measure-surgical-safety-checklist-implementation-fidelity
December 06, 2023 - Study
CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity.
Citation Text:
Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136…
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psnet.ahrq.gov/issue/pilot-implementation-perioperative-protocol-guide-operating-room-intensive-care-unit-patient
January 03, 2017 - Study
Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.
Citation Text:
Petrovic MA, Aboumatar HJ, Baumgartner WA, et al. Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patie…
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psnet.ahrq.gov/issue/association-hospital-participation-regional-trauma-quality-improvement-collaborative-patient
August 20, 2018 - Study
Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes.
Citation Text:
Hemmila MR, Cain-Nielsen AH, Jakubus JL, et al. Association of Hospital Participation in a Regional Trauma Quality Improvement Collaborative With Patie…