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psnet.ahrq.gov/issue/healthcare-worker-serious-safety-events-applying-concepts-patient-safety-improve-healthcare
July 06, 2022 - Study
Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety.
Citation Text:
Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-adaptation-during-covid-19-pandemic
February 12, 2020 - Commentary
Patient safety and quality improvement adaptation during the COVID-19 pandemic.
Citation Text:
Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448…
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psnet.ahrq.gov/issue/usability-and-safety-analysis-electronic-health-records-multi-center-study
October 13, 2018 - Study
Emerging Classic
A usability and safety analysis of electronic health records: a multi-center study.
Citation Text:
Ratwani RM, Savage E, Will A, et al. A usability and safety analysis of electronic health records: a multi-center study. J Am Med Inform Ass…
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psnet.ahrq.gov/issue/quality-australian-health-care-study
February 02, 2022 - Study
Classic
The Quality in Australian Health Care Study.
Citation Text:
Wilson RML, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust. 2019;163(9):458-471. doi:10.5694/j.1326-5377.1995.tb124691.x.
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psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
April 08, 2011 - Study
A trigger tool to identify adverse events in the intensive care unit.
Citation Text:
Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…
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psnet.ahrq.gov/issue/supporting-doctors-healthcare-quality-and-safety-advocates-recommendations-association
April 13, 2016 - Study
Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT).
Citation Text:
Fleming CA, Humm G, Wild JR, et al. Supporting doctors as healthcare quality and safety advocates: Recommendations from the Association…
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psnet.ahrq.gov/issue/evaluation-shared-mental-models-and-mutual-trust-general-medical-units-implications
November 08, 2012 - Study
An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety.
Citation Text:
McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust on General Medical Units: …
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psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california
July 13, 2010 - Study
Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.
Citation Text:
Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals particip…
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psnet.ahrq.gov/issue/preliminary-development-and-testing-global-trigger-tool-detect-error-and-patient-harm-primary
January 19, 2011 - Study
The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records.
Citation Text:
de Wet C, Bowie P. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. …
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psnet.ahrq.gov/issue/identifying-errors-and-safety-considerations-patients-undergoing-thrombolysis-acute-ischemic
February 09, 2022 - Study
Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke.
Citation Text:
Dancsecs KA, Nestor M, Bailey A, et al. Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. Am J Emerg …
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psnet.ahrq.gov/issue/i-psi-short-and-long-term-efficacy-comprehensive-initiative-promote-patient-safety-event
November 18, 2020 - Study
I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees.
Citation Text:
Prabhu V, Mikhly M, Chung R, et al. I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting …
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psnet.ahrq.gov/issue/flow-information-contributing-medication-incidents-home-care-analysis-considering-incident
May 01, 2024 - Study
Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives.
Citation Text:
Vellonen M, Härkänen M, Välimäki T. Flow of information contributing to medication incidents in home care— an analysis considering inciden…
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psnet.ahrq.gov/issue/emergency-medical-services-provider-perceptions-nature-adverse-events-and-near-misses-out
September 09, 2010 - Study
Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view.
Citation Text:
Fairbanks RJ, Crittenden CN, O’Gara KG, et al. Emergency Medical Services Provider Perceptions of the Nature of Adverse E…
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psnet.ahrq.gov/issue/are-informed-policies-place-promote-safe-and-usable-ehrs-cross-industry-comparison
September 19, 2018 - Study
Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison.
Citation Text:
Savage EL, Fairbanks RJ, Ratwani RM. Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. J Am Med Inform Assoc. 2017;24(4):769-775. d…
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psnet.ahrq.gov/issue/decisions-about-critical-events-device-related-scenarios-function-expertise
January 02, 2017 - Study
Decisions about critical events in device-related scenarios as a function of expertise.
Citation Text:
Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12.
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psnet.ahrq.gov/issue/its-sending-message-bottle-qualitative-study-consequences-one-way-communication-technologies
December 02, 2020 - Study
It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals.
Citation Text:
Lafferty M, Harrod M, Krein SL, et al. It’s like sending a message in a bottle: a qualitative study of the consequences of one-way com…
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psnet.ahrq.gov/issue/automated-detection-look-alikesound-alike-medication-errors
August 28, 2019 - Study
Automated detection of look-alike/sound-alike medication errors.
Citation Text:
Rash-Foanio C, Galanter W, Bryson M, et al. Automated detection of look-alike/sound-alike medication errors. Am J Health Syst Pharm. 2017;74(7):521-527. doi:10.2146/ajhp150690.
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Forma…
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psnet.ahrq.gov/issue/mixed-method-study-merits-e-prescribing-drug-alerts-primary-care
September 25, 2011 - Study
A mixed method study of the merits of e-prescribing drug alerts in primary care.
Citation Text:
Lapane KL, Waring ME, Schneider KL, et al. A mixed method study of the merits of e-prescribing drug alerts in primary care. J Gen Intern Med. 2008;23(4):442-6. doi:10.1007/s11606-008-0…
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psnet.ahrq.gov/issue/speaking-extension-socio-cultural-dynamics-hospital-settings-study-staff-experiences-speaking
May 19, 2021 - Study
Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals.
Citation Text:
Pavithra A, Mannion R, Sunderland N, et al. Speaking up as an extension of socio-cultural dynamics in hospital settings: a…
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psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm-associated-medication
August 28, 2024 - Commentary
Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC).
Citation Text:
Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with Medication Errors: The H…