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psnet.ahrq.gov/issue/patient-involvement-evaluation-safety-oral-antineoplastic-treatment-failure-mode-and-effects
June 18, 2013 - Study
Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health care professionals.
Citation Text:
Mattsson TO, Lipczak H, Pottegård A. Patient Involvement in Evaluation of Safety in Oral Antineoplastic Treatm…
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psnet.ahrq.gov/issue/safety-surgical-telehealth-outpatient-and-inpatient-setting
September 13, 2023 - Review
Safety of surgical telehealth in the outpatient and inpatient setting.
Citation Text:
Purnell S, Zheng F. Safety of Surgical Telehealth in the Outpatient and Inpatient Setting. Surg Clin North Am. 2020;101(1):109-119. doi:10.1016/j.suc.2020.09.003.
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psnet.ahrq.gov/issue/using-lean-improve-medication-administration-safety-search-perfect-dose
September 16, 2015 - Study
Using Lean to improve medication administration safety: in search of the "perfect dose."
Citation Text:
Ching JM, Long C, Williams BL, et al. Using lean to improve medication administration safety: in search of the "perfect dose". Jt Comm J Qual Patient Saf. 2013;39(5):195-204.
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psnet.ahrq.gov/issue/interventions-targeted-reducing-diagnostic-error-systematic-review
March 10, 2021 - Review
Interventions targeted at reducing diagnostic error: systematic review.
Citation Text:
Dave N, Bui S, Morgan C, et al. Interventions targeted at reducing diagnostic error: systematic review. BMJ Qual Saf. 2022;31(4):297-307. doi:10.1136/bmjqs-2020-012704.
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psnet.ahrq.gov/issue/defining-critical-role-nurses-diagnostic-error-prevention-conceptual-framework-and-call
October 28, 2020 - Review
Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action.
Citation Text:
Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to act…
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psnet.ahrq.gov/issue/engaging-patient-observer-promote-hand-hygiene-compliance-ambulatory-care
September 02, 2020 - Study
Engaging the patient as observer to promote hand hygiene compliance in ambulatory care.
Citation Text:
Bittle MJ, LaMarche S. Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Jt Comm J Qual Patient Saf. 2009;35(10):519-25.
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psnet.ahrq.gov/issue/business-case-quality-economic-analysis-michigan-keystone-patient-safety-program-icus
September 20, 2011 - Study
Classic
The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs.
Citation Text:
Waters HR, Korn R, Colantuoni E, et al. The business case for quality: economic analysis of the Michigan Keystone Patient Saf…
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psnet.ahrq.gov/issue/quality-improvement-primary-approach-change-healthcare-precarious-self-limiting-choice
June 08, 2022 - Commentary
Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice?
Citation Text:
Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. d…
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psnet.ahrq.gov/issue/minor-flow-disruptions-traffic-related-factors-and-their-effect-major-flow-disruptions
August 19, 2020 - Study
Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room.
Citation Text:
Joseph A, Khoshkenar A, Taaffe KM, et al. Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating roo…
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psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children-medical-complexity
April 22, 2020 - Study
Parents' understanding of medication at discharge and potential harm in children with medical complexity.
Citation Text:
Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and potential harm in children with medical complexity. Arch Di…
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psnet.ahrq.gov/issue/clinical-communities-johns-hopkins-medicine-emerging-approach-quality-improvement
November 16, 2022 - Commentary
Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement.
Citation Text:
Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;…
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digital.ahrq.gov/ahrq-funded-projects/best-practices-integrating-clinical-decision-support-clinical-workflow
January 01, 2023 - Best Practices For Integrating Clinical Decision Support Into Clinical Workflow
Project Final Report ( PDF , 513.15 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily re…
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psnet.ahrq.gov/issue/healthcare-team-resilience-during-covid-19-qualitative-study
February 20, 2019 - Study
Healthcare team resilience during COVID-19: a qualitative study.
Citation Text:
Ambrose JW, Catchpole K, Evans HL, et al. Healthcare team resilience during COVID-19: a qualitative study. BMC Health Serv Res. 2024;24(1):459. doi:10.1186/s12913-024-10895-3.
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psnet.ahrq.gov/issue/direct-oral-anticoagulant-related-medication-incidents-and-pharmacists-interventions-hospital
January 12, 2022 - Study
Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory.
Citation Text:
Haque H, Alrowily A, Jalal Z, et al. Direct oral anticoagulant-related medication incidents and pharmac…
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psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm
April 16, 2018 - Study
Remote patient monitoring improves patient falls and reduces harm.
Citation Text:
Zimbro KS, Bridges C, Bunn S, et al. Remote patient monitoring improves patient falls and reduces harm. J Nurs Care Qual. 2024;39(3):212-219. doi:10.1097/ncq.0000000000000749.
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psnet.ahrq.gov/issue/development-professionalism-committee-approach-address-unprofessional-medical-staff-behavior
October 19, 2022 - Commentary
Development of a professionalism committee approach to address unprofessional medical staff behavior at an academic medical center.
Citation Text:
Speck RM, Foster JJ, Mulhern VA, et al. Development of a professionalism committee approach to address unprofessional medical staf…
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psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
August 04, 2021 - Study
System issues leading to "found-on-floor" incidents: a multi-incident analysis.
Citation Text:
Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294.
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psnet.ahrq.gov/issue/referrals-infection-control-breaches-public-health-authorities-ambulatory-care-settings
December 09, 2020 - Study
Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017.
Citation Text:
Braun B, Chitavi SO, Perkins KM, et al. Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. J…
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psnet.ahrq.gov/issue/trainees-perceptions-being-allowed-fail-clinical-training-sense-making-model
November 24, 2021 - Study
Trainees' perceptions of being allowed to fail in clinical training: a sense-making model.
Citation Text:
Klasen JM, Teunissen PW, Driessen E, et al. Trainees' perceptions of being allowed to fail in clinical training: a sense‐making model. Med Educ. 2023;57(5):430-439. doi:10.1111…
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psnet.ahrq.gov/issue/impact-clinically-undiagnosed-injuries-survival-estimates
April 03, 2024 - Study
The impact of clinically undiagnosed injuries on survival estimates.
Citation Text:
Gedeborg R, Thiblin I, Byberg L, et al. The impact of clinically undiagnosed injuries on survival estimates. Crit Care Med. 2009;37(2). doi:10.1097/ccm.0b013e318194b164.
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