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psnet.ahrq.gov/node/35467/psn-pdf
March 11, 2011 - The impact of electronic health records on time efficiency
of physicians and nurses: a systematic review.
March 11, 2011
Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of
physicians and nurses: a systematic review. J Am Med Inform Assoc. 2005;12(5):505-16.
https…
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psnet.ahrq.gov/node/866950/psn-pdf
October 16, 2024 - Impact of team performance on the surgical safety
checklist on patient outcomes: an operating room black
box analysis.
October 16, 2024
Al Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on
patient outcomes: an operating room black box analysis. Surg Endosc. 2024;38(…
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psnet.ahrq.gov/node/42283/psn-pdf
February 27, 2014 - Finding and fixing mistakes: do checklists work for
clinicians with different levels of experience?
February 27, 2014
Sibbald M, de Bruin A, van Merrienboer JJG. Finding and fixing mistakes: do checklists work for clinicians
with different levels of experience? Adv Health Sci Educ Theory Pract. 2014;19(1):43-51.
d…
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psnet.ahrq.gov/node/38731/psn-pdf
April 30, 2014 - Preventable morbidity at a mature trauma center.
April 30, 2014
Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144(6):536-541.
https://psnet.ahrq.gov/issue/preventable-morbidity-mature-trauma-center
Patient safety in trauma poses unique challenges given the acuity of the patients and the need for rapid
ass…
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psnet.ahrq.gov/node/73315/psn-pdf
May 26, 2021 - What contributes to diagnostic error or delay? A
qualitative exploration across diverse acute care settings
in the United States.
May 26, 2021
Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration
across diverse acute care settings in the United States. J Pati…
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psnet.ahrq.gov/node/866156/psn-pdf
June 20, 2024 - Interventions to prevent falls in older adults: updated
evidence report and systematic review for the US
Preventive Services Task Force.
June 20, 2024
Guirguis-Blake JM, Perdue LA, Coppola EL, et al. Interventions to prevent falls in older adults: updated
evidence report and systematic review for the US Preventive…
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psnet.ahrq.gov/node/842761/psn-pdf
January 18, 2023 - Implicit racial bias, health care provider attitudes, and
perceptions of health care quality among African
American college students in Georgia, USA.
January 18, 2023
Armstrong-Mensah E, Rasheed N, Williams D, et al. Implicit racial bias, health care provider attitudes, and
perceptions of health care quality among…
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psnet.ahrq.gov/node/36814/psn-pdf
March 28, 2011 - Medication errors in paediatric care: a systematic review
of epidemiology and an evaluation of evidence supporting
reduction strategy recommendations.
March 28, 2011
Miller MR, Robinson K, Lubomski LH, et al. Medication errors in paediatric care: a systematic review of
epidemiology and an evaluation of evidence su…
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psnet.ahrq.gov/node/848318/psn-pdf
May 03, 2023 - Teamwork, clinical leadership skills and environmental
factors that influence missed nursing care - a qualitative
study on hospital wards.
May 3, 2023
Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental
factors that influence missed nursing care – a qualitative st…
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psnet.ahrq.gov/node/47445/psn-pdf
October 24, 2018 - Diagnostic error in the critically ill: defining the problem
and exploring next steps to advance intensive care unit
safety.
October 24, 2018
Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring
Next Steps to Advance Intensive Care Unit Safety. Ann Am Thorac Soc…
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psnet.ahrq.gov/node/44580/psn-pdf
January 13, 2016 - Computerized Prescriber Order Entry Medication Safety
(CPOEMS): Uncovering and Learning From Issues and
Errors.
January 13, 2016
Brigham and Women's Hospital, Harvard Medical School, Partners HealthCare. Silver Spring, MD: US
Food and Drug Administration; December 15, 2015.
https://psnet.ahrq.gov/issue/computeriz…
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psnet.ahrq.gov/node/858164/psn-pdf
December 13, 2023 - Risk-adjusted cumulative sum for early detection of
hospitals with excess perioperative mortality.
December 13, 2023
Chen VW, Chidi AP, Dong Y, et al. Risk-adjusted cumulative sum for early detection of hospitals with
excess perioperative mortality. JAMA Surg. 2023;158(11):1176. doi:10.1001/jamasurg.2023.3673.
htt…
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psnet.ahrq.gov/node/865971/psn-pdf
May 29, 2024 - Lessons learned from a national hospital antibiotic
stewardship implementation project.
May 29, 2024
Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship
implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:10.1016/j.jcjq.2024.04.002.
https://…
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psnet.ahrq.gov/node/866687/psn-pdf
September 11, 2024 - An exploratory analysis of the association between
healthcare associated infections & hospital financial
performance.
September 11, 2024
Beauvais B, Dolezel D, Shanmugam R, et al. An exploratory analysis of the association between
healthcare associated infections & hospital financial performance. Healthcare (Basel…
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psnet.ahrq.gov/node/837210/psn-pdf
May 25, 2022 - A learning health system agenda for organizational
approaches to enhancing occupational well-being among
clinicians.
May 25, 2022
Rotenstein LS, Melnick ER, Sinsky CA. A learning health system agenda for organizational approaches to
enhancing occupational well-being among clinicians. JAMA. 2022;327(21):2079-2080.
…
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psnet.ahrq.gov/node/37562/psn-pdf
June 14, 2011 - Effectiveness and efficiency of root cause analysis in
medicine.
June 14, 2011
Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687.
doi:10.1001/jama.299.6.685.
https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
Application of root c…
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psnet.ahrq.gov/node/41494/psn-pdf
June 27, 2012 - National Voluntary Consensus Standards for Patient
Safety Measures: A Consensus Report.
June 27, 2012
Washington, DC: National Quality Forum; June 2012.
https://psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-
report
Progress in improving patient safety has been hampe…
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psnet.ahrq.gov/node/40469/psn-pdf
May 20, 2019 - Error Reduction in Health Care: A Systems Approach to
Improving Patient Safety, Second edition.
May 20, 2019
Spath PL, ed. San Francisco, CA: Jossey-Bass; 2011. ISBN: 9780470502402.
https://psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd-
edition
Error Reduction in H…
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psnet.ahrq.gov/node/45447/psn-pdf
January 01, 2018 - Targeted implementation of the Comprehensive Unit-
Based Safety Program through an assessment of safety
culture to minimize central line-associated bloodstream
infections.
December 19, 2017
Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program
through an assessment of sa…
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psnet.ahrq.gov/node/865817/psn-pdf
May 08, 2024 - Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in
secondary care inpatient wards.
May 8, 2024
Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in secondary care inpatie…