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psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-emergency-medicine-residency
August 04, 2021 - Commentary
Increasing patient safety event reporting in an emergency medicine residency.
Citation Text:
Steen S, Jaeger C, Price L, et al. Increasing Patient Safety Event Reporting in an Emergency Medicine Residency. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u223876.w5716.
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psnet.ahrq.gov/issue/nurses-perceptions-electronic-patient-record-patient-safety-perspective-qualitative-study
October 09, 2013 - Study
Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study.
Citation Text:
Stevenson JE, Nilsson G. Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study. J Adv Nurs. 2012;68(3):6…
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psnet.ahrq.gov/issue/advancing-health-equity-patient-safety-reckoning-challenge-and-opportunity
February 23, 2022 - Commentary
Advancing health equity in patient safety: a reckoning, challenge and opportunity.
Citation Text:
Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf. 2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599.
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psnet.ahrq.gov/issue/physician-engagement-organisational-patient-safety-through-implementation-medical-safety
February 22, 2011 - Study
Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study.
Citation Text:
Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety through the implementation o…
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psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety
November 17, 2021 - Study
The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements.
Citation Text:
Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improve…
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psnet.ahrq.gov/issue/patient-safety-rounds-pediatric-tertiary-care-center
September 09, 2008 - Study
Patient safety rounds in a pediatric tertiary care center.
Citation Text:
Rinke ML, Zimmer KP, Lehmann CU, et al. Patient safety rounds in a pediatric tertiary care center. Jt Comm J Qual Patient Saf. 2008;34(1):5-12.
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psnet.ahrq.gov/issue/reduction-preventable-time-critical-dose-omissions-impact-electronic-medication-management
February 03, 2016 - Study
Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients.
Citation Text:
Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems …
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psnet.ahrq.gov/issue/effect-clinical-pharmacist-led-training-programme-intravenous-medication-errors-controlled
March 04, 2011 - Study
The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled before and after study.
Citation Text:
Nguyen H-T, Pham H-T, Vo D-K, et al. The effect of a clinical pharmacist-led training programme on intravenous medication errors: a cont…
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psnet.ahrq.gov/issue/american-college-surgeons-and-surgical-infection-society-surgical-site-infection-guidelines
October 23, 2018 - Review
American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update.
Citation Text:
Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update. J Am Coll …
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psnet.ahrq.gov/issue/standards-patient-monitoring-during-general-anesthesia-harvard-medical-school
February 10, 2011 - Clinical Guideline
Standards for patient monitoring during general anesthesia at Harvard Medical School.
Citation Text:
Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA. 1986;256(8):1017-20.
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psnet.ahrq.gov/issue/what-extent-are-adverse-events-found-patient-records-reported-patients-and-healthcare
January 21, 2009 - Study
To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports?
Citation Text:
Christiaans-Dingelhoff I, Smits M, Zwaan L, et al. To what extent are adverse events found in patient records r…
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psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology
July 23, 2014 - Study
Medication reconciliation in ambulatory oncology.
Citation Text:
Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual Patient Saf. 2007;33(12):750-7.
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psnet.ahrq.gov/issue/forum-100000-lives-campaign-scientific-and-policy-review-ihi-response
March 13, 2013 - Commentary
Classic
Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response].
Citation Text:
Wachter R, Pronovost P. The 100,000 Lives Campaign: A scientific and policy review. Jt Comm J Qual Patient Saf. 2006;32(11):621-7.
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psnet.ahrq.gov/issue/presafe-model-barriers-and-facilitators-patients-providing-feedback-experiences-safety
January 08, 2020 - Study
PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety.
Citation Text:
De Brún A, Heavey E, Waring J, et al. PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. Health Expect. 2017;20(…
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psnet.ahrq.gov/issue/residency-work-hours-reform-cost-analysis-including-preventable-adverse-events
August 05, 2015 - Study
Residency work-hours reform: a cost analysis including preventable adverse events.
Citation Text:
Nuckols TK, Escarce JJ. Residency work-hours reform. A cost analysis including preventable adverse events. J Gen Intern Med. 2005;20(10):873-8.
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psnet.ahrq.gov/issue/examining-relationship-between-nurse-fatigue-alertness-and-medication-errors
October 10, 2015 - Study
Examining the relationship between nurse fatigue, alertness, and medication errors.
Citation Text:
Farag A, Gallagher J, Carr L. Examining the relationship between nurse fatigue, alertness, and medication errors. West J Nurs Res. 2024;46(4):288-295. doi:10.1177/01939459241236631.
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psnet.ahrq.gov/issue/implementation-science-ambulatory-care-safety-novel-method-develop-context-sensitive
April 17, 2019 - Study
Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients.
Citation Text:
McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method…
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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/predicting-computerized-physician-order-entry-system-adoption-us-hospitals-can-federal
October 06, 2011 - Study
Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met?
Citation Text:
Ford EW, McAlearney AS, Phillips MT, et al. Predicting computerized physician order entry system adoption in US hospitals: Can the federal mandate be met?…
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psnet.ahrq.gov/issue/chance-favors-only-prepared-mind-preparing-minds-systematically-reduce-hazards-testing
April 23, 2014 - Study
"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care.
Citation Text:
Singh R, Hickner J, Mold J, et al. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testin…