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psnet.ahrq.gov/issue/incorporation-quality-and-safety-principles-maintenance-certification-qualitative-analysis
July 18, 2018 - Study
Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards.
Citation Text:
Davis JJ, Price DW, Kraft W, et al. Incorporation of Quality and Safety Principles in Maintenance of Certifi…
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psnet.ahrq.gov/issue/user-testing-guidelines-improve-safety-intravenous-medicines-administration-randomised-situ
November 16, 2022 - Study
User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study.
Citation Text:
Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised i…
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psnet.ahrq.gov/issue/observing-sources-system-resilience-using-situ-alarm-simulations
August 30, 2023 - Study
Observing sources of system resilience using in situ alarm simulations.
Citation Text:
McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217.
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psnet.ahrq.gov/issue/comprehensive-evaluation-using-computerised-provider-order-entry-system-hospital-discharge
August 24, 2015 - Study
Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders.
Citation Text:
Colombini N, Abbes M, Cherpin A, et al. Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. Int J Med Info…
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psnet.ahrq.gov/issue/look-back-and-talk-openly-responding-and-communicating-about-risk-large-scale-error-pathology
November 16, 2016 - Study
Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology diagnoses.
Citation Text:
Aldrich R, Finlayson P, Hill K, et al. Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology d…
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psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide
June 22, 2022 - Study
Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data.
Citation Text:
Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standar…
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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/activating-pharmacists-reduce-frequency-medication-related-problems-actmed-stepped-wedge
January 08, 2025 - Study
Activating pharmacists to reduce the frequency of medication-related problems (ACTMed): a stepped wedge cluster randomised trial.
Citation Text:
Spinks J, Violette R, Boyle DIR, et al. Activating pharmacists to reduce the frequency of medication‐related problems (ACTMed): a stepped…
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psnet.ahrq.gov/issue/who-research-agenda-role-institutional-safety-climate-hand-hygiene-improvement-delphi
February 01, 2011 - Study
WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study.
Citation Text:
Tartari E, Storr J, Bellare N, et al. WHO research agenda on the role of the institutional safety climate for hand hygiene improvement…
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psnet.ahrq.gov/issue/could-breaks-reduce-general-practitioner-burnout-and-improve-safety-daily-diary-study
August 24, 2016 - Study
Could breaks reduce general practitioner burnout and improve safety? A daily diary study.
Citation Text:
Hall LH, Johnson J, Watt I, et al. Could breaks reduce general practitioner burnout and improve safety? A daily diary study. PLoS ONE. 2024;19(8):e0307513. doi:10.1371/journal.p…
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psnet.ahrq.gov/issue/did-organization-primary-care-practices-during-covid-19-pandemic-influence-quality-and-safety
January 08, 2025 - Study
Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey.
Citation Text:
Eriksson M, Blomberg K, Arvidsson E, et al. Did the organization of primary care practices during the COVID-19 pandemic influence qual…
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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/are-world-health-organizations-patient-safety-learning-objectives-still-date-group-concept
February 16, 2022 - Study
Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study.
Citation Text:
Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mappin…
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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…
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psnet.ahrq.gov/issue/incidence-versus-prevalence-based-measures-inappropriate-prescribing-veterans-health
March 18, 2020 - Study
Incidence- versus prevalence-based measures of inappropriate prescribing in the Veterans Health Administration.
Citation Text:
Lund BC, Carrel M, Gellad WF, et al. Incidence- Versus Prevalence-Based Measures of Inappropriate Prescribing in the Veterans Health Administration. J Am G…
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psnet.ahrq.gov/issue/occupational-therapy-utilization-veterans-dementia-retrospective-review-root-cause-analyses
March 25, 2020 - Study
Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events.
Citation Text:
Rhodus EK, Lancaster EA, Hunter EG, et al. Occupational therapy utilization in veterans with dementia: a retrospective review…
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psnet.ahrq.gov/issue/exploring-role-guidelines-contributing-medication-errors-descriptive-analysis-national
November 16, 2022 - Study
Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data.
Citation Text:
Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of …
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psnet.ahrq.gov/issue/use-pediatric-injectable-medicines-guidelines-and-associated-medication-administration-errors
December 18, 2019 - Study
Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis.
Citation Text:
Jones MD, Clarke J, Feather C, et al. Use of pediatric injectable medicines guidelines and associated medication administration errors: a h…
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psnet.ahrq.gov/issue/determining-medication-errors-adult-intensive-care-unit
February 15, 2017 - Study
Determining medication errors in an adult intensive care unit.
Citation Text:
Castro R da NS de, Aguiar LB de, Volpe CRG, et al. Determining medication errors in an adult intensive care unit. Int J Environ Res Public Health. 2023;20(18):6788. doi:10.3390/ijerph20186788.
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