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psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure
July 20, 2022 - Study
Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries.
Citation Text:
Abela G. Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. J Tissue Viability. 2021;30(3):3…
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psnet.ahrq.gov/issue/human-factors-intervention-hospital-evaluating-outcome-teamstepps-program-surgical-ward
November 03, 2021 - Study
A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward.
Citation Text:
Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward. …
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psnet.ahrq.gov/issue/finding-diagnostic-errors-children-admitted-picu
May 21, 2016 - Study
Finding diagnostic errors in children admitted to the PICU.
Citation Text:
Davalos MC, Samuels K, Meyer AND, et al. Finding diagnostic errors in children admitted to the PICU. Pediatr Crit Care Med. 2017;18(3):265-271. doi:10.1097/PCC.0000000000001059.
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psnet.ahrq.gov/issue/disclosing-harmful-mammography-errors-patients
November 03, 2015 - Study
Disclosing harmful mammography errors to patients.
Citation Text:
Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320.
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psnet.ahrq.gov/issue/exploratory-study-knowledge-brokering-hospital-settings-facilitating-knowledge-sharing-and
July 02, 2008 - Study
An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety?
Citation Text:
Waring J, Currie G, Crompton A, et al. An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing …
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psnet.ahrq.gov/issue/using-human-factors-design-principles-and-industrial-engineering-methods-improve-accuracy-and
September 23, 2020 - Commentary
Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays.
Citation Text:
Chen D-W, Chase VJ, Burkhardt ME, et al. Using Human Factors Design Principles and Industrial Engineering Methods to I…
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psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall
March 27, 2019 - Study
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit.
Citation Text:
Dykes PC, Duckworth M, Cunningham S, et al. Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a Patient-Centered Fall Prevention Tool…
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psnet.ahrq.gov/issue/does-app-day-keep-doctor-away-ai-symptom-checker-applications-entrenched-bias-and
March 14, 2018 - Commentary
Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibility.
Citation Text:
Zawati M'n H, Lang M. Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibi…
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psnet.ahrq.gov/issue/deep-scope-framework-safe-healthcare-design
August 18, 2021 - Commentary
DEEP SCOPE: a framework for safe healthcare design.
Citation Text:
Taylor E, Hignett S. DEEP SCOPE: a framework for safe healthcare design. Int J Environ Res Public Health. 2021;18(15):7780. doi:10.3390/ijerph18157780.
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psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units
June 16, 2011 - Study
Classic
The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units.
Citation Text:
Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate attitudes: a randomiz…
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psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
July 07, 2021 - Review
Root cause analysis for hospital-acquired pressure injury.
Citation Text:
Black JM. Root cause analysis for hospital-acquired pressure injury. J Wound Ostomy Continence Nurs. 2019;46(4):298-304. doi:10.1097/WON.0000000000000546.
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psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk
October 04, 2023 - Review
Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions.
Citation Text:
Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduct…
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psnet.ahrq.gov/issue/effect-clinical-decision-support-systems-systematic-review
September 23, 2020 - Review
Effect of clinical decision-support systems: a systematic review.
Citation Text:
Bright TJ, Wong A, Dhurjati R, et al. Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012;157(1):29-43. doi:10.7326/0003-4819-157-1-201207030-00450.
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psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning-system
February 16, 2022 - Study
Learning in radiation oncology: 12-month experience with a new incident learning system.
Citation Text:
Crouch K, Adamson L, Beldham‐Collins R, et al. Learning in radiation oncology: 12‐month experience with a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10…
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psnet.ahrq.gov/issue/transparency-public-reporting-and-culture-change-quality-and-safety-cardiac-surgery
February 17, 2021 - Commentary
Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery.
Citation Text:
Ibrahim M, Szeto WY, Gutsche J, et al. Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. Ann Thorac Surg. 2022;114(3…
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psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events
January 22, 2017 - Commentary
The disclosure dilemma—large-scale adverse events.
Citation Text:
Dudzinski DM, Hébert PC, Foglia MB, et al. The disclosure dilemma--large-scale adverse events. New Engl J Med. 2010;363(10):978-986. doi:10.1056/NEJMhle1003134.
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psnet.ahrq.gov/issue/advancing-perinatal-patient-safety-through-application-safety-science-principles-using-health
April 27, 2019 - Study
Advancing perinatal patient safety through application of safety science principles using health IT.
Citation Text:
Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Ma…
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psnet.ahrq.gov/issue/economic-consequences-medical-injuries-implications-no-fault-insurance-plan
February 18, 2011 - Study
Classic
The economic consequences of medical injuries: implications for a no-fault insurance plan.
Citation Text:
Johnson WG, Brennan TA, Newhouse JP, et al. The economic consequences of medical injuries. Implications for a no-fault insurance plan. JAMA.…
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psnet.ahrq.gov/issue/systems-thinking-and-incivility-nursing-practice-integrative-review
December 18, 2017 - Review
Classic
Systems thinking and incivility in nursing practice: an integrative review.
Citation Text:
Phillips JM, Stalter AM, Winegardner S, et al. Systems thinking and incivility in nursing practice: An integrative review. Nurs Forum. 2018;2018(3):286-298.…
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psnet.ahrq.gov/issue/increasing-patient-safety-neonates-handoff-communication-during-delivery-call
March 19, 2019 - Commentary
Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME.
Citation Text:
Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff communica…