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psnet.ahrq.gov/issue/understanding-unwarranted-variation-clinical-practice-focus-network-effects-reflective
March 31, 2021 - Commentary
Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems.
Citation Text:
Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective …
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psnet.ahrq.gov/issue/patient-safety-advisory-fentanyl-counterfeit-prescription-medications-contain-fentanyl-and
September 18, 2024 - Organizational Policy/Guidelines
Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety.
Citation Text:
Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fent…
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psnet.ahrq.gov/issue/infection-control-assessment-ambulatory-surgical-centers
October 19, 2012 - Study
Infection control assessment of ambulatory surgical centers.
Citation Text:
Schaefer MK, Jhung M, Dahl M, et al. Infection control assessment of ambulatory surgical centers. JAMA. 2010;303(22):2273-9. doi:10.1001/jama.2010.744.
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psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
August 04, 2021 - Study
From research to practice: factors affecting implementation of prospective targeted injury-detection systems.
Citation Text:
Sorensen A, Harrison MI, Kane HL, et al. From research to practice: factors affecting implementation of prospective targeted injury-detection systems. BMJ …
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psnet.ahrq.gov/issue/evidence-based-organization-and-patient-safety-strategies-european-hospitals
January 20, 2016 - Study
Evidence-based organization and patient safety strategies in European hospitals.
Citation Text:
Suñol R, Wagner C, Arah OA, et al. Evidence-based organization and patient safety strategies in European hospitals. Int J Qual Health Care. 2014;26 Suppl 1:47-55. doi:10.1093/intqhc/mzu0…
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psnet.ahrq.gov/issue/how-rns-rescue-patients-qualitative-study-rns-perceived-involvement-rapid-response-teams
June 19, 2013 - Study
How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.
Citation Text:
Leach LS, Mayo A, O'Rourke M. How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. Qual Saf Health Care. 2010;19(5):e1…
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psnet.ahrq.gov/issue/surgical-patient-safety-officers-united-states-negotiating-contradictions-between-compliance
December 31, 2018 - Commentary
Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation.
Citation Text:
van de Ruit C, Bosk CL. Surgical patient safety officers in the United States: negotiating contradictions between compliance and wo…
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psnet.ahrq.gov/issue/falls-english-and-welsh-hospitals-national-observational-study-based-retrospective-analysis
June 15, 2011 - Study
Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports.
Citation Text:
Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study based o…
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psnet.ahrq.gov/issue/comparative-analysis-incident-reporting-lag-times-academic-medical-centres-japan-and-usa
March 23, 2011 - Study
A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA.
Citation Text:
Regenbogen SE, Hirose M, Imanaka Y, et al. A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA. Qual Saf Hea…
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psnet.ahrq.gov/issue/using-portable-digital-technology-clinical-care-and-critical-incidents-new-model
June 29, 2011 - Commentary
Using portable digital technology for clinical care and critical incidents: a new model.
Citation Text:
Bolsin S, Faunce T, Colson M. Using portable digital technology for clinical care and critical incidents: a new model. Aust Health Rev. 2005;29(3):297-305.
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psnet.ahrq.gov/issue/typology-electronic-health-record-workarounds-small-medium-size-primary-care-practices
November 30, 2016 - Study
A typology of electronic health record workarounds in small-to-medium size primary care practices.
Citation Text:
Friedman A, Crosson JC, Howard J, et al. A typology of electronic health record workarounds in small-to-medium size primary care practices. J Am Med Inform Assoc. 2014;…
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psnet.ahrq.gov/issue/identifying-high-alert-medications-university-hospital-applying-data-medication-error
August 03, 2017 - Study
Identifying high-alert medications in a university hospital by applying data from the medication error reporting system.
Citation Text:
Tyynismaa L, Honkala A, Airaksinen M, et al. Identifying High-alert Medications in a University Hospital by Applying Data From the Medication Erro…
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psnet.ahrq.gov/issue/design-patient-safety-systems-based-risk-identification-framework
February 03, 2021 - Study
Emerging Classic
Design for patient safety: a systems-based risk identification framework.
Citation Text:
Simsekler MCE, Ward JR, Clarkson J. Design for patient safety: a systems-based risk identification framework. Ergonomics. 2018;61(8):1046-1064. doi:10…
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psnet.ahrq.gov/issue/organizational-perspectives-nurse-executives-15-hospitals-impact-and-effectiveness-rapid
August 03, 2022 - Study
Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams.
Citation Text:
Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact and Effectiveness of Rapid Response Teams. Jt…
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psnet.ahrq.gov/issue/positive-deviance-different-approach-achieving-patient-safety
May 15, 2024 - Commentary
Positive deviance: a different approach to achieving patient safety.
Citation Text:
Lawton R, Taylor N, Clay-Williams R, et al. Positive deviance: a different approach to achieving patient safety. BMJ Qual Saf. 2014;23(11):880-3. doi:10.1136/bmjqs-2014-003115.
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psnet.ahrq.gov/issue/effects-educational-patient-safety-campaign-patients-safety-behaviours-and-adverse-events
November 05, 2013 - Study
Effects of an educational patient safety campaign on patients' safety behaviours and adverse events.
Citation Text:
Schwappach DLB, Frank O, Buschmann U, et al. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. J Eval Clin Pract.…
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psnet.ahrq.gov/issue/healthcare-scandals-and-failings-doctors-do-official-inquiries-hold-profession-account
November 13, 2019 - Review
Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account?
Citation Text:
Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126.
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psnet.ahrq.gov/issue/linking-joint-commission-inpatient-core-measures-and-national-patient-safety-goals-evidence
October 19, 2022 - Commentary
Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence.
Citation Text:
Masica AL, Richter KM, Convery P, et al. Linking joint commission inpatient core measures and national patient safety goals with evidence. Proc (Bayl Univ Med Cen…
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psnet.ahrq.gov/issue/journey-no-preventable-risk-baylor-health-care-system-patient-safety-experience
November 23, 2014 - Commentary
Journey to no preventable risk: The Baylor Health Care System patient safety experience.
Citation Text:
Kennerly DA, Richter KM, Good V, et al. Journey to no preventable risk: the Baylor Health Care System patient safety experience. Am J Med Qual. 2011;26(1):43-52. doi:10.11…
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psnet.ahrq.gov/issue/critical-incident-stress-management-cism-complex-systems-cultural-adaptation-and-safety
December 29, 2014 - Study
Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare.
Citation Text:
Müller-Leonhardt A, Mitchell SG, Vogt J, et al. Critical Incident Stress Management (CISM) in complex systems: cultural adaptation and safety impacts …