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psnet.ahrq.gov/issue/personal-protective-equipment-preventing-highly-infectious-diseases-due-exposure-contaminated
April 23, 2014 - Review
Classic
Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff.
Citation Text:
Verbeek JH, Rajamaki B, Ijaz S, et al. Personal protective equipment for preventing highly infe…
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psnet.ahrq.gov/issue/i-think-medicine-actually-killed-my-wife-patient-and-family-perspectives-shared-decision
October 05, 2022 - Study
'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications and safety.
Citation Text:
Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family perspectives on s…
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psnet.ahrq.gov/issue/are-more-experienced-clinicians-better-able-tolerate-uncertainty-and-manage-risks-vignette
March 08, 2023 - Study
Emerging Classic
Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England.
Citation Text:
Lawton R, Robinson O, Harrison R, et al. Are more experienced c…
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psnet.ahrq.gov/issue/analyzing-and-discussing-human-factors-affecting-surgical-patient-safety-using-innovative
August 25, 2021 - Study
Analyzing and discussing human factors affecting surgical patient safety using innovative technology: creating a safer operating culture.
Citation Text:
van Dalen ASHM, Jung JJ, Nieveen van Dijkum EJM, et al. Analyzing and discussing human factors affecting surgical patient safety …
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digital.ahrq.gov/sites/default/files/docs/medicaid/AL_case_study.pdf
March 01, 2010 - Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency
Case Study: Collaborating to Improve the
Quality of Care: Lessons Learned from the
Alabama Medicaid Agency
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human…
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psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events
July 16, 2019 - Study
Classic
Evaluation of perioperative medication errors and adverse drug events.
Citation Text:
Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events. Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000…
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psnet.ahrq.gov/issue/improving-clinical-handover-between-intensive-care-unit-and-general-ward-professionals
January 30, 2019 - Review
Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge.
Citation Text:
van Sluisveld N, Hesselink G, van der Hoeven JG, et al. Improving clinical handover between intensive care unit and general ward professionals at…
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psnet.ahrq.gov/issue/effect-burnout-among-physicians-observed-adverse-patient-outcomes-literature-review
October 27, 2021 - Review
Effect of burnout among physicians on observed adverse patient outcomes: a literature review.
Citation Text:
Mangory KY, Ali LY, Rø KI, et al. Effect of burnout among physicians on observed adverse patient outcomes: a literature review. BMC Health Serv Res. 2021;21(1):369. doi:10.…
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psnet.ahrq.gov/issue/effect-hospital-electronic-health-record-adoption-nurse-assessed-quality-care-and-patient
March 28, 2012 - Study
The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety.
Citation Text:
Kutney-Lee A, Kelly D. The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. J Nurs Adm. 2011;41(…
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psnet.ahrq.gov/issue/reasons-bias-ambulance-clinicians-assessments-non-conveyed-patients-mixed-methods-study
January 26, 2022 - Study
Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study.
Citation Text:
Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non-conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(…
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psnet.ahrq.gov/issue/effects-introduction-who-surgical-safety-checklist-hospital-mortality-cohort-study
April 24, 2018 - Study
Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study.
Citation Text:
van Klei WA, Hoff RG, van Aarnhem EEHL, et al. Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. …
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psnet.ahrq.gov/issue/adverse-medication-events-related-hospitalization-united-states-comparison-between-adults
February 02, 2022 - Study
Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without.
Citation Text:
Erickson SR, Kamdar N, Wu C-H. Adverse Medication Events Related to Hospitalization in the Unite…
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psnet.ahrq.gov/issue/performance-fail-safe-system-follow-abnormal-mammograms-primary-care
September 11, 2013 - Study
Performance of a fail-safe system to follow up abnormal mammograms in primary care.
Citation Text:
Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal mammograms in primary care. J Patient Saf. 2010;6(3):172-179.
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psnet.ahrq.gov/issue/nicu-medication-errors-identifying-risk-profile-medication-errors-neonatal-intensive-care
September 21, 2008 - Study
NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit.
Citation Text:
Stavroudis TA, Shore AD, Morlock L, et al. NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. J Pe…
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psnet.ahrq.gov/issue/clinical-decision-support-alert-malfunctions-analysis-and-empirically-derived-taxonomy
December 04, 2016 - Study
Clinical decision support alert malfunctions: analysis and empirically derived taxonomy.
Citation Text:
Wright A, Ai A, Ash JS, et al. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. J Am Med Inform Assoc. 2018;25(5):496-506. doi:10.1093/jam…
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psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-patients-excess-length-stay-extra-costs-and-attributable
February 10, 2011 - Study
Classic
Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality.
Citation Text:
Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of stay, extra cos…
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psnet.ahrq.gov/issue/design-and-implementation-automated-email-notification-system-results-tests-pending-discharge
March 04, 2015 - Study
Design and implementation of an automated email notification system for results of tests pending at discharge.
Citation Text:
Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am M…
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psnet.ahrq.gov/issue/impact-drug-error-reduction-software-preventing-harmful-adverse-drug-events-england
November 16, 2022 - Study
The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study.
Citation Text:
Sutherland A, Gerrard WS, Patel A, et al. The impact of drug error reduction software on preventing harmful adverse drug events in Englan…
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psnet.ahrq.gov/issue/supervision-interprofessional-collaboration-and-patient-safety-intensive-care-units-during
June 02, 2021 - Study
Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic.
Citation Text:
Hennus MP, Young JQ, Hennessy M, et al. Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19…
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psnet.ahrq.gov/issue/streamlining-care-crisis-rapid-creation-and-implementation-digital-support-tool-covid-19
October 21, 2020 - Commentary
Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19.
Citation Text:
Stark N, Kerrissey M, Grade M, et al. Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. West J Emerg Med. …