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psnet.ahrq.gov/issue/water-cooler-learning-knowledge-sharing-clinical-backstage-and-its-contribution-patient
January 29, 2014 - Study
"Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety.
Citation Text:
Waring J, Bishop S. "Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety. J Health Organ Manag. 2…
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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/encouraging-resident-adverse-event-reporting-qualitative-study-suggestions-front-lines
July 19, 2023 - Study
Encouraging resident adverse event reporting: a qualitative study of suggestions from the front lines.
Citation Text:
Szymusiak J, Walk TJ, Benson M, et al. Encouraging Resident Adverse Event Reporting: A Qualitative Study of Suggestions from the Front Lines. Ped Qual Saf. 2019;4(3…
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-quality-care-improving-usability-electronic-health-record
March 04, 2011 - Commentary
Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA.
Citation Text:
Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electro…
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psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients
October 27, 2021 - Study
Contribution of adverse events to death of hospitalised patients.
Citation Text:
Haukland EC, Mevik K, von Plessen C, et al. Contribution of adverse events to death of hospitalised patients. BMJ Open Qual. 2019;8(1):e000377. doi:10.1136/bmjoq-2018-000377.
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psnet.ahrq.gov/issue/barriers-emergency-departments-adherence-four-medication-safety-related-joint-commission
October 19, 2022 - Study
Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals.
Citation Text:
Juarez A, Gacki-Smith J, Bauer MR, et al. Barriers to emergency departments' adherence to four medication safety-related Joint Commission …
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psnet.ahrq.gov/issue/implementing-survey-patients-provide-safety-experience-feedback-following-care-transition
January 08, 2020 - Journal Article
Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study
Citation Text:
Scott J, Heavey E, Waring J, et al. Implementing a survey for patients to provide safety experience feedback following a care transitio…
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psnet.ahrq.gov/issue/harmful-medication-errors-involving-unfractionated-and-low-molecular-weight-heparin-three
October 23, 2018 - Study
Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs.
Citation Text:
Grissinger MC, Hicks RW, Keroack MA, et al. Harmful medication errors involving unfractionated and low-molecular-weight heparin in three pa…
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psnet.ahrq.gov/issue/detection-missed-fractures-hand-and-forearm-whole-body-ct-blinded-reassessment
February 05, 2020 - Study
Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment.
Citation Text:
Kim S, Goelz L, Münn F, et al. Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. BMC Musculoskelet Disord. 2021;22(1):589. doi:10…
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psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary-care-educators
January 23, 2017 - Study
Understanding and responding when things go wrong: key principles for primary care educators.
Citation Text:
McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080…
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psnet.ahrq.gov/issue/evaluation-and-comparison-errors-nursing-notes-created-online-and-offline-speech-recognition
April 13, 2022 - Study
Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study.
Citation Text:
Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes created by o…
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psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute-hospital-step-ladder
October 09, 2024 - Study
What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management?
Citation Text:
Hogan H, Olsen S, Scobie S, et al. What can we learn about patient safety from information sources within an acute hospital…
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psnet.ahrq.gov/issue/how-medical-error-shapes-physicians-perceptions-learning-exploratory-study
August 16, 2023 - Study
How medical error shapes physicians' perceptions of learning: an exploratory study.
Citation Text:
Shepherd L, LaDonna KA, Cristancho SM, et al. How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study. Acad Med. 2019;94(8):1157-1163. doi:10.1097/ACM.00000…
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psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions
November 04, 2015 - Study
Do patient safety events increase readmissions?
Citation Text:
Friedman B, Encinosa W, Jiang J, et al. Do patient safety events increase readmissions? Med Care. 2009;47(5):583-90. doi:10.1097/MLR.0b013e31819434da.
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psnet.ahrq.gov/issue/potential-harm-caused-physicians-priori-beliefs-clinical-effectiveness-hydroxychloroquine-and
November 21, 2021 - Study
Potential harm caused by physicians' a-priori beliefs in the clinical effectiveness of hydroxychloroquine and its impact on clinical and economic outcome--a simulation approach.
Citation Text:
Ebm C, Carfagna F, Edwards S, et al. Potential harm caused by physicians' a-priori belief…
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psnet.ahrq.gov/issue/paper-and-computer-based-workarounds-electronic-health-record-use-three-benchmark
June 06, 2012 - Study
Paper- and computer-based workarounds to electronic health record use at three benchmark institutions.
Citation Text:
Flanagan ME, Saleem JJ, Millitello LG, et al. Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. J Am Med Inform…
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psnet.ahrq.gov/issue/readmission-rates-after-passage-hospital-readmissions-reduction-program-pre-post-analysis
October 30, 2010 - Study
Classic
Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis.
Citation Text:
Wasfy JH, Zigler CM, Choirat C, et al. Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre-Post An…
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psnet.ahrq.gov/issue/unintended-consequences-quantifying-benefits-iatrogenic-harms-and-downstream-cascade-costs
March 17, 2021 - Study
Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care.
Citation Text:
Sajid IM, Parkunan A, Frost K. Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs…
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psnet.ahrq.gov/issue/actions-mitigating-negative-effects-patient-participation-patient-safety-qualitative-study
February 01, 2023 - Study
Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study.
Citation Text:
Van der Voorden M, Franx A, Ahaus K. Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study. BMC Health S…
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psnet.ahrq.gov/issue/clinical-outcomes-home-based-medication-reconciliation-program-after-discharge-skilled
March 21, 2017 - Study
Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility.
Citation Text:
Delate T, Chester EA, Stubbings TW, et al. Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursin…