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psnet.ahrq.gov/issue/relationship-self-report-quality-practice-size-and-health-information-technology
April 12, 2011 - Study
The relationship of self-report of quality to practice size and health information technology.
Citation Text:
Gorman PN, O'Malley JP, Fagnan LJ. The relationship of self-report of quality to practice size and health information technology. J Am Board Fam Med. 2012;25(5):614-24. do…
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psnet.ahrq.gov/issue/implementation-mandatory-checklist-protocols-and-objectives-improves-compliance-wide-range
September 22, 2010 - Study
Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.
Citation Text:
Byrnes MC, Schuerer DJE, Schallom ME, et al. Implementation of a mandatory checklist of protocols and objectiv…
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psnet.ahrq.gov/issue/impact-medication-reconciliation-and-review-patients-using-oral-chemotherapy
November 17, 2021 - Study
The impact of medication reconciliation and review in patients using oral chemotherapy.
Citation Text:
Darcis E, Germeys J, Stragier M, et al. The impact of medication reconciliation and review in patients using oral chemotherapy. J Oncol Pharm Pract. 2023;29(2):270-275. doi:10.117…
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psnet.ahrq.gov/issue/outreach-and-early-warning-systems-ews-prevention-intensive-care-admission-and-death
September 20, 2011 - Review
Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards.
Citation Text:
McGaughey J, Alderdice F, Fowler RA, et al. Outreach and Early Warning Systems (EWS) for the prevention of…
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psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
July 17, 2024 - Study
Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis.
Citation Text:
Newman C, Mulrine S, Brittain K, et al. Care home safety incidents and safeguarding reports relating to hospital to care home transiti…
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psnet.ahrq.gov/issue/association-sleep-and-fatigue-decision-regret-among-critical-care-nurses
July 14, 2021 - Study
Association of sleep and fatigue with decision regret among critical care nurses.
Citation Text:
Scott LD, Arslanian-Engoren C, Engoren MC. Association of sleep and fatigue with decision regret among critical care nurses. Am J Crit Care. 2014;23(1):13-23. doi:10.4037/ajcc2014191. …
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psnet.ahrq.gov/issue/post-discharge-adverse-events-among-african-american-and-caucasian-patients-urban-community
January 18, 2023 - Study
Post-discharge adverse events among African American and Caucasian patients of an urban community hospital.
Citation Text:
Costello WG, Zhang L, Schnipper JL, et al. Post-discharge adverse events among African American and Caucasian patients of an urban community hospital. J Racial…
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psnet.ahrq.gov/issue/undergraduate-baccalaureate-nursing-students-self-reported-confidence-learning-about-patient
February 04, 2015 - Study
Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013).
Citation Text:
Lukewich J, Edge DS, Tranmer J, et al. Undergraduate baccalaureate nursing stu…
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psnet.ahrq.gov/issue/assessment-potentially-inappropriate-prescribing-opioid-analgesics-requiring-prior-opioid
October 19, 2022 - Study
Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance.
Citation Text:
Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. JAMA Netw Ope…
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psnet.ahrq.gov/issue/associations-between-attending-physician-workload-teaching-effectiveness-and-patient-safety
July 02, 2014 - Study
Associations between attending physician workload, teaching effectiveness, and patient safety.
Citation Text:
Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:…
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psnet.ahrq.gov/issue/multiple-meanings-resilience-health-professionals-experiences-dual-element-training
August 10, 2022 - Study
Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error.
Citation Text:
Janes G, Harrison R, Johnson J, et al. Multiple meanings of resilience: health professionals' experiences o…
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psnet.ahrq.gov/issue/communicating-patients-about-diagnostic-errors-breast-cancer-care-providers-attitudes
March 11, 2013 - Study
Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice
Citation Text:
Reisch LM, Prouty CD, Elmore JG, et al. Communicating with patients about diagnostic errors in breast cancer care: Providers’ attitudes, experienc…
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psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis
December 16, 2020 - Study
Medication errors in the outpatient setting: classification and root cause analysis.
Citation Text:
Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284.
Cop…
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psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie
February 14, 2024 - Study
Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model.
Citation Text:
Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification o…
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psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic-medical-center
July 31, 2013 - Study
Medication errors during medical emergencies in a large, tertiary care, academic medical center.
Citation Text:
Gokhman R, Seybert AL, Phrampus P, et al. Medication errors during medical emergencies in a large, tertiary care, academic medical center. Resuscitation. 2012;83(4):482…
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psnet.ahrq.gov/issue/interventions-promoting-employee-speaking-within-healthcare-workplaces-systematic-narrative
May 19, 2021 - Review
Classic
Interventions promoting employee "speaking-up" within healthcare workplaces: a systematic narrative review of the international literature.
Citation Text:
Jones A, Blake J, Adams M, et al. Interventions promoting employee “speaking-up” within heal…
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psnet.ahrq.gov/issue/sign-out-snapshot-cross-sectional-evaluation-written-sign-outs-among-specialties
November 20, 2013 - Study
Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties.
Citation Text:
Schoenfeld AR, Al-Damluji MS, Horwitz LI. Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. BMJ Qual Saf. 2014;23(1):66-72. doi:10.1136/bmjqs-20…
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psnet.ahrq.gov/issue/diagnostic-concordance-among-pathologists-interpreting-breast-biopsy-specimens
July 13, 2016 - Study
Classic
Diagnostic concordance among pathologists interpreting breast biopsy specimens.
Citation Text:
Elmore JG, Longton GM, Carney PA, et al. Diagnostic concordance among pathologists interpreting breast biopsy specimens. JAMA. 2015;313(11):1122-1132. do…
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psnet.ahrq.gov/issue/association-open-communication-and-emotional-and-behavioural-impact-medical-error-patients
February 16, 2022 - Study
Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey.
Citation Text:
Prentice JC, Bell SK, Thomas EJ, et al. Association of open communication and the emotional and behavioural impact…
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psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
October 23, 2013 - Study
Classic
Our current approach to root cause analysis: is it contributing to our failure to improve patient safety?
Citation Text:
Kellogg KM, Hettinger Z, Shah M, et al. Our current approach to root cause analysis: is it contributing to our failure to impro…