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psnet.ahrq.gov/issue/model-increasing-patient-safety-intensive-care-unit-increasing-implementation-rates-proven
September 23, 2020 - Study
A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures.
Citation Text:
Krimsky WS, Mroz IB, McIlwaine JK, et al. A model for increasing patient safety in the intensive care unit: increasing the implementatio…
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psnet.ahrq.gov/issue/hindsight-foresight-effect-outcome-knowledge-judgment-under-uncertainty
July 08, 2020 - Study
Classic
Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty.
Citation Text:
Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psycholo…
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psnet.ahrq.gov/issue/nursing-guidelines-comprehensive-harm-prevention-strategies-adult-patients-acute-hospitals
August 10, 2022 - Review
Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: an integrative review and synthesis.
Citation Text:
Redley B, Douglas T, Hoon L, et al. Nursing guidelines for comprehensive harm prevention strategies for adult patients in acut…
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psnet.ahrq.gov/issue/detach-yourself-positive-effect-psychological-detachment-patient-safety-long-term-care
March 02, 2022 - Study
Detach yourself: the positive effect of psychological detachment on patient safety in long-term care.
Citation Text:
Buljac-Samardzic M, Dekker-van Doorn C, van Wijngaarden JDH. Detach yourself: the positive effect of psychological detachment on patient safety in long-term care. J …
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psnet.ahrq.gov/issue/impact-incorporating-pharmacy-claims-data-electronic-medication-reconciliation
September 01, 2016 - Study
Impact of incorporating pharmacy claims data into electronic medication reconciliation.
Citation Text:
Phansalkar S, Her QL, Tucker AD, et al. Impact of incorporating pharmacy claims data into electronic medication reconciliation. Am J Health Syst Pharm. 2015;72(3):212-7. doi:10.21…
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psnet.ahrq.gov/issue/sustaining-gains-7-year-follow-through-hospital-wide-patient-safety-improvement-project
October 19, 2022 - Study
Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture.
Citation Text:
Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide …
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psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-application-and-process-redesign-potential
June 09, 2011 - Study
Classic
Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.
Citation Text:
Schnipper JL, Hamann C, Ndumele CD, et al. Effect of an electronic medication reconcil…
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psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
November 15, 2011 - Study
Classic
Learning from mistakes: factors that influence how students and residents learn from medical errors.
Citation Text:
Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and residents learn from medical…
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psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events-hospitalised
September 28, 2016 - Study
Classic
An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients.
Citation Text:
Bhise V, Sittig DF, Vaghani V, et al. An electronic trigger based on care escalation to identify preventable adverse even…
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psnet.ahrq.gov/issue/validation-new-icd-10-based-patient-safety-indicators-identification-hospital-complications
April 19, 2023 - Study
Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy.
Citation Text:
McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for iden…
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psnet.ahrq.gov/issue/home-health-agency-patient-experience-measures-and-their-relationship-joint-commission
July 10, 2024 - Study
Home health agency patient experience measures and their relationship to Joint Commission accreditation.
Citation Text:
Longo BA, Schmaltz SP, Barrett SC, et al. Home health agency patient experience measures and their relationship to Joint Commission accreditation. Jt Comm J Qual …
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psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three
April 21, 2015 - Study
How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals.
Citation Text:
Martin G, Ozieranski P, Leslie M, et al. How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. J Heal…
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psnet.ahrq.gov/issue/quality-and-safety-outcomes-hospital-merger-following-full-integration-safety-net-hospital
June 22, 2022 - Study
Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital.
Citation Text:
Wang E, Arnold S, Jones S, et al. Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. JAMA Netw Open. 2022;5(1)…
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psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review
August 10, 2022 - Commentary
Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations.
Citation Text:
Abel G, Lyratzopoulos G. Ranking hospitals on avoidable death rates derived from retrospective case record review: methodologic…
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psnet.ahrq.gov/issue/safety-and-efficiency-new-generic-package-labelling-and-after-study-simulated-setting
January 08, 2025 - Study
Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting.
Citation Text:
Garcia BH, Elenjord R, Bjornstad C, et al. Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. BMJ Qual S…
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psnet.ahrq.gov/issue/emergency-diagnosis-cancer-and-previous-general-practice-consultations-insights-linked
February 17, 2021 - Study
Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data.
Citation Text:
Abel GA, Mendonca SC, McPhail S, et al. Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey…
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psnet.ahrq.gov/issue/association-between-exposure-nonactionable-physiologic-monitor-alarms-and-response-time
August 20, 2014 - Study
Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital.
Citation Text:
Bonafide CP, Lin R, Zander M, et al. Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospit…
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psnet.ahrq.gov/issue/impact-primary-care-nurse-manager-nurse-intent-leave-and-staff-perception-patient-safety
November 01, 2023 - Study
Impact of the primary care nurse manager on nurse intent to leave and staff perception of patient safety.
Citation Text:
Miller MJ, Johansen ML, de Cordova PB, et al. Impact of the primary care nurse manager on nurse intent to leave and staff perception of patient safety. Nurs Mana…
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psnet.ahrq.gov/issue/patient-perceptions-and-experiences-medication-related-activities-emergency-department
September 22, 2017 - Study
Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study.
Citation Text:
Zahl-Holmstad B, Garcia BH, Johnsgård T, et al. Patient perceptions and experiences with medication-related activities in the emergency department…
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psnet.ahrq.gov/issue/initiative-deprescribe-high-risk-drugs-older-adults-presenting-emergency-department-after
August 18, 2021 - Study
Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls.
Citation Text:
Selman K, Roberts E, Niznik J, et al. Initiative to deprescribe high‐risk drugs for older adults presenting to the emergency department after falls. J Am Ge…