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psnet.ahrq.gov/issue/electronic-health-record-use-issues-and-diagnostic-error-scoping-review-and-framework
September 14, 2011 - Review
Electronic health record use issues and diagnostic error: a scoping review and framework.
Citation Text:
Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping review and framework. J Patient Saf. 2023;19(1):e25-e30. doi:10.1097/p…
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psnet.ahrq.gov/issue/communication-training-adverse-events-and-quality-measures-2-retrospective-database-analyses
August 04, 2021 - Study
Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals.
Citation Text:
Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2 Retrospective Database Analyses in Washi…
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psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19
April 29, 2020 - Book/Report
Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic.
Citation Text:
Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Washington, DC: United States Government Accoun…
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psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
October 08, 2016 - Review
Intentional rounding—an integrative literature review.
Citation Text:
Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs. 2019;75(6):1151-1161. doi:10.1111/jan.13897.
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psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
November 30, 2016 - Study
Provider perspectives on partnering with parents of hospitalized children to improve safety.
Citation Text:
Rosenberg RE, Williams E, Ramchandani N, et al. Provider Perspectives on Partnering With Parents of Hospitalized Children to Improve Safety. Hosp Pediatr. 2018;8(6):330-337. …
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psnet.ahrq.gov/issue/parents-perspectives-keeping-their-children-safe-hospital
June 27, 2018 - Study
Parents' perspectives on "keeping their children safe" in the hospital.
Citation Text:
Rosenberg RE, Rosenfeld P, Williams E, et al. Parents' Perspectives on "Keeping Their Children Safe" in the Hospital. J Nurs Care Qual. 2016;31(4):318-326. doi:10.1097/NCQ.0000000000000193.
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psnet.ahrq.gov/issue/adverse-events-hospitalized-paediatric-patients-systematic-review-and-meta-regression
February 25, 2015 - Review
Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis.
Citation Text:
Berchialla P, Scaioli G, Passi S, et al. Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. J Eval Clin Pract…
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psnet.ahrq.gov/issue/implicit-racial-bias-pediatric-orthopaedic-surgery
September 21, 2022 - Study
Implicit racial bias in pediatric orthopaedic surgery.
Citation Text:
Guzek R, Goodbody CM, Jia L, et al. Implicit racial bias in pediatric orthopaedic surgery. J Pediatr Orthop. 2022;42(7):393-399. doi:10.1097/bpo.0000000000002170.
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psnet.ahrq.gov/issue/common-patterns-558-diagnostic-radiology-errors
July 19, 2023 - Study
Common patterns in 558 diagnostic radiology errors.
Citation Text:
Donald JJ, Barnard SA. Common patterns in 558 diagnostic radiology errors. J Med Imaging Radiat Oncol. 2012;56(2):173-178. doi:10.1111/j.1754-9485.2012.02348.x.
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psnet.ahrq.gov/issue/incidence-prescription-errors-patients-discharged-emergency-department
March 30, 2022 - Study
Incidence of prescription errors in patients discharged from the emergency department.
Citation Text:
Gregory H, Cantley M, Calhoun C, et al. Incidence of prescription errors in patients discharged from the emergency department. Am J Emerg Med. 2021;46:266-270. doi:10.1016/j.ajem.2…
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psnet.ahrq.gov/issue/sustained-effectiveness-primary-team-based-rapid-response-system
November 16, 2022 - Study
Sustained effectiveness of a primary-team-based rapid response system.
Citation Text:
Howell MD, Ngo L, Folcarelli P, et al. Sustained effectiveness of a primary-team-based rapid response system. Crit Care Med. 2012;40(9):2562-8. doi:10.1097/CCM.0b013e318259007b.
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psnet.ahrq.gov/issue/beyond-clinical-engagement-pragmatic-model-quality-improvement-interventions-aligning
April 24, 2018 - Review
Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities.
Citation Text:
Pannick S, Sevdalis N, Athanasiou T. Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clini…
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www.ahrq.gov/news/newsroom/case-studies/201413.html
August 01, 2014 - CUSP Helps University of Wisconsin Hospital and Clinics Reduce Healthcare-Associated Infections
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August 2014
One year after implementing AHRQ's Comprehensive Unit-based Safety Program (CUSP), the University of Wisconsin Hospital and Clinics (UWHC) was awarded the 2013 Partnersh…
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psnet.ahrq.gov/issue/teamwork-and-patient-safety-dynamic-domains-healthcare-review-literature
May 29, 2013 - Review
Teamwork and patient safety in dynamic domains of healthcare: a review of the literature.
Citation Text:
Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143-51. doi:10.1111/j.1399-6576.2008.…
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psnet.ahrq.gov/issue/inpatient-suicide-general-hospital
May 27, 2020 - Study
Inpatient suicide in a general hospital.
Citation Text:
Cheng I-C, Hu F-C, Tseng M-CM. Inpatient suicide in a general hospital. Gen Hosp Psychiatry. 2009;31(2):110-5. doi:10.1016/j.genhosppsych.2008.12.008.
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psnet.ahrq.gov/issue/team-mental-models-and-their-potential-improve-teamwork-and-safety-review-and-implications
June 09, 2021 - Review
Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare.
Citation Text:
Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A review and implications for future …
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psnet.ahrq.gov/issue/pharmacist-versus-physician-acquired-medication-history-prospective-study-emergency
June 17, 2014 - Study
Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department.
Citation Text:
De Winter S, Spriet I, Indevuyst C, et al. Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Qual Saf…
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psnet.ahrq.gov/issue/strengthening-use-artificial-intelligence-within-healthcare-delivery-organizations-balancing
September 18, 2024 - Commentary
Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety.
Citation Text:
Sendak MP, Liu VX, Beecy A, et al. Strengthening the use of artificial intelligence within healthcare delivery organiza…
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psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic
July 19, 2017 - Book/Report
First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic.
Citation Text:
First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISB…
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psnet.ahrq.gov/issue/reliability-assessment-preventable-adverse-drug-events-daily-clinical-practice
March 04, 2011 - Study
Reliability of the assessment of preventable adverse drug events in daily clinical practice.
Citation Text:
van Doormaal J, Mol PGM, van den Bemt PMLA, et al. Reliability of the assessment of preventable adverse drug events in daily clinical practice. Pharmacoepidemiol Drug Saf. …