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psnet.ahrq.gov/issue/high-rate-implementation-proposed-actions-improvement-healthcare-failure-mode-effect-analysis
December 09, 2020 - Study
High rate of implementation of proposed actions for improvement with the Healthcare Failure Mode Effect Analysis method: evaluation of 117 analyses.
Citation Text:
Öhrn A, Ericsson C, Andersson C, et al. High Rate of Implementation of Proposed Actions for Improvement With the Healt…
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psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm
August 10, 2022 - Study
Classic
Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm.
Citation Text:
Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm…
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psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents
February 15, 2011 - Study
Classic
A July spike in fatal medication errors: a possible effect of new medical residents.
Citation Text:
Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. …
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method
June 14, 2023 - Study
Learning from patient safety incidents: The Green Cross method.
Citation Text:
Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114.
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psnet.ahrq.gov/issue/ethical-framework-allocating-scarce-life-saving-chemotherapy-and-supportive-care-drugs
September 07, 2016 - Commentary
An ethical framework for allocating scarce life-saving chemotherapy and supportive care drugs for childhood cancer.
Citation Text:
Unguru Y, Fernandez C, Bernhardt B, et al. An Ethical Framework for Allocating Scarce Life-Saving Chemotherapy and Supportive Care Drugs for Child…
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psnet.ahrq.gov/issue/inpatient-patient-safety-events-vulnerable-populations-retrospective-cohort-study
October 27, 2021 - Study
Inpatient patient safety events in vulnerable populations: a retrospective cohort study.
Citation Text:
Schulson LB, Novack V, Folcarelli PH, et al. Inpatient patient safety events in vulnerable populations: a retrospective cohort study. BMJ Qual Saf. 2021;30(5):372-379. doi:10.113…
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psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk
March 01, 2023 - Study
Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors.
Citation Text:
Hüner B, Derksen C, Schmiedhofer M, et al. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Healthcare (…
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psnet.ahrq.gov/issue/investigating-long-term-consequences-adverse-medical-events-among-older-adults
March 24, 2019 - Study
Investigating the long-term consequences of adverse medical events among older adults.
Citation Text:
Carter MW, Zhu M, Xiang J, et al. Investigating the long-term consequences of adverse medical events among older adults. Inj Prev. 2014;20(6):408-15. doi:10.1136/injuryprev-2013-04…
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psnet.ahrq.gov/issue/patient-factors-associated-new-prescribing-potentially-inappropriate-medications-multimorbid
August 18, 2021 - Study
Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications.
Citation Text:
Jungo KT, Streit S, Lauffenburger JC. Patient factors associated with new prescribing of potentially inappropriate medi…
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psnet.ahrq.gov/issue/elevated-mortality-among-weekend-hospital-admissions-not-associated-adoption-seven-day
July 21, 2017 - Study
Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards.
Citation Text:
Meacock R, Sutton M. Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards. Emerg Med …
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psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator
July 19, 2023 - Study
Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events.
Citation Text:
Georgantes ER, Gunturkun F, McGreevy TJ, et al. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safe…
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psnet.ahrq.gov/issue/controversies-surrounding-use-order-sets-clinical-decision-support-computerized-provider
May 27, 2011 - Commentary
Controversies surrounding use of order sets for clinical decision support in computerized provider order entry.
Citation Text:
Bobb AM, Payne TH, Gross PA. Viewpoint: controversies surrounding use of order sets for clinical decision support in computerized provider order ent…
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psnet.ahrq.gov/issue/implementing-survey-patients-provide-safety-experience-feedback-following-care-transition
January 08, 2020 - Journal Article
Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study
Citation Text:
Scott J, Heavey E, Waring J, et al. Implementing a survey for patients to provide safety experience feedback following a care transitio…
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psnet.ahrq.gov/issue/trends-survival-after-hospital-cardiac-arrest-during-nights-and-weekends
February 17, 2011 - Study
Emerging Classic
Trends in survival after in-hospital cardiac arrest during nights and weekends.
Citation Text:
Ofoma UR, Basnet S, Berger A, et al. Trends in Survival After In-Hospital Cardiac Arrest During Nights and Weekends. J Am Coll Cardiol. 2018;71(…
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psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident-involvement-among
October 27, 2021 - Study
Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services crew members: relationships and indirect effects.
Citation Text:
Sedlár M. Work-related factors, cognitive skills, unsafe behavior and safety incident involvemen…
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psnet.ahrq.gov/issue/safety-and-communication-operating-room-safety-questionnaire-after-implementation-blood-borne
September 23, 2020 - Study
Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out.
Citation Text:
Kane P, Marley R, Daney B, et al. Safety and Communication in the Ope…
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psnet.ahrq.gov/issue/system-based-interprofessional-simulation-based-training-program-increases-awareness-and-use
December 01, 2011 - Study
System-based interprofessional simulation-based training program increases awareness and use of rapid response teams.
Citation Text:
Wehbe-Janek H, Pliego J, Sheather S, et al. System-based interprofessional simulation-based training program increases awareness and use of rapid res…
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psnet.ahrq.gov/issue/using-computerized-provider-order-entry-and-clinical-decision-support-improve-referring
August 20, 2018 - Study
Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations.
Citation Text:
Were MC, Abernathy G, Hui SL, et al. Using computerized provider order entry and clinical decision support…
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psnet.ahrq.gov/issue/identifying-barriers-and-enablers-robust-independent-second-check-medication-adult-intensive
March 09, 2016 - Study
Identifying barriers and enablers for a robust independent second check of medication in adult intensive care.
Citation Text:
Milic V, Cameron L, Jones C. Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. Br J Nurs. 2023;…
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psnet.ahrq.gov/issue/failure-rescue-and-30-day-hospital-mortality-hospitals-and-without-crew-resource-management
January 26, 2022 - Study
Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management safety training.
Citation Text:
Bacon CT, McCoy TP, Henshaw DS. Failure to rescue and 30‐day in‐hospital mortality in hospitals with and without crew‐resource‐management safety…