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psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and
July 14, 2009 - Review
National efforts to improve health information system safety in Canada, the United States of America and England.
Citation Text:
Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety in Canada, the United States of America and …
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psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach
August 26, 2011 - Study
Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection.
Citation Text:
Kopp BJ, Erstad BL, Allen ME, et al. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Crit…
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psnet.ahrq.gov/issue/clinical-decision-support-25-year-retrospective-and-25-year-vision
May 20, 2019 - Review
Clinical decision support: a 25 year retrospective and a 25 year vision.
Citation Text:
Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-targeted-decolonization.docx
March 01, 2022 - FAQs (Staff): Targeted Decolonization
Decolonization of
Non-ICU Patients With Devices
Section 14-4 – Addressing Questions Asked by Staff:
Targeted Decolonization
What is targeted decolonization?
Participating non-ICU units at your hospital will be decolonizing adult patients with medical devices using chlorhexidine …
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psnet.ahrq.gov/issue/improving-patient-safety-radiology-concepts-comprehensive-patient-safety-program
December 14, 2016 - Commentary
Improving patient safety in radiology: concepts for a comprehensive patient safety program.
Citation Text:
Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety in radiology: concepts for a comprehensive patient safety program. Semin Ultrasound CT MR. 2010…
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psnet.ahrq.gov/issue/diagnostic-excellence-us-rural-healthcare-call-action
December 22, 2018 - Book/Report
Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action.
Citation Text:
Ali KJ, Galvez NJ, Craig S, et al. Diagnostic Excellence In U.s. Rural Healthcare: A Call To Action. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Publication No…
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psnet.ahrq.gov/issue/use-medical-emergency-team-met-responses-detect-medical-errors
April 06, 2011 - Study
Use of medical emergency team (MET) responses to detect medical errors.
Citation Text:
Braithwaite RS, Devita MA, Mahidhara R, et al. Use of medical emergency team (MET) responses to detect medical errors. Qual Saf Health Care. 2004;13(4):255-259.
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psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis
November 14, 2018 - Review
Review of alternatives to root cause analysis: developing a robust system for incident report analysis.
Citation Text:
Hagley G, Mills PD, Watts B, et al. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. BMJ Open Qual. 2019;8(…
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psnet.ahrq.gov/issue/patient-care-square-rigger-sailing-and-safety
November 16, 2022 - Commentary
Patient care, square-rigger sailing, and safety.
Citation Text:
Henkind SJ, Sinnett C. Patient care, square-rigger sailing, and safety. JAMA. 2008;300(14):1691-3. doi:10.1001/jama.300.14.1691.
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DOI Google Scholar PubMed BibTeX EndNote X3 XM…
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psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role
August 10, 2010 - Study
"It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency.
Citation Text:
Wu MS, Rawal S. "It's the difference between life and death": The views of profession…
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psnet.ahrq.gov/issue/integrating-ethics-and-patient-safety-role-clinical-ethics-consultants-quality-improvement
October 04, 2011 - Commentary
Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement.
Citation Text:
Opel DJ, Brownstein D, Diekema DS, et al. Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. J Clin Ethic…
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psnet.ahrq.gov/issue/systematic-review-effect-distraction-surgeon-performance-directions-operating-room-policy-and
November 14, 2011 - Review
A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training.
Citation Text:
Mentis HM, Chellali A, Manser K, et al. A systematic review of the effect of distraction on surgeon performance: directions for opera…
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psnet.ahrq.gov/issue/assessment-simulated-case-based-measurement-physician-diagnostic-performance
May 20, 2019 - Study
Assessment of a simulated case-based measurement of physician diagnostic performance.
Citation Text:
Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006. doi:10.1001/jamanetw…
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psnet.ahrq.gov/issue/team-communication-during-patient-handover-operating-room-more-facts-and-figures
December 16, 2009 - Study
Team communication during patient handover from the operating room: more than facts and figures.
Citation Text:
Manser T, Foster S, Flin R, et al. Team communication during patient handover from the operating room: more than facts and figures. Hum Factors. 2013;55(1):138-56.
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psnet.ahrq.gov/issue/association-between-physician-burnout-and-self-reported-errors-meta-analysis
July 19, 2017 - Review
Association between physician burnout and self-reported errors: meta-analysis.
Citation Text:
Owoc J, Mańczak M, Jabłońska M, et al. Association between physician burnout and self-reported errors: meta-analysis. J Patient Saf. 2022;18(1):e180-e188. doi:10.1097/pts.0000000000000724…
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psnet.ahrq.gov/issue/role-safety-culture-influencing-provider-perceptions-patient-safety
November 09, 2016 - Study
The role of safety culture in influencing provider perceptions of patient safety.
Citation Text:
Bishop A, Boyle TA. The Role of Safety Culture in Influencing Provider Perceptions of Patient Safety. J Patient Saf. 2016;12(4):204-209.
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psnet.ahrq.gov/issue/nurses-use-computerized-clinical-guidelines-improve-patient-safety-hospitals
June 06, 2018 - Review
Nurses' use of computerized clinical guidelines to improve patient safety in hospitals.
Citation Text:
Hovde B, Jensen KH, Alexander GL, et al. Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals. West J Nurs Res. 2015;37(7):877-98. doi:10.1177/0…
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psnet.ahrq.gov/issue/improved-operating-room-teamwork-safety-prep-rural-community-hospitals-experience
September 05, 2009 - Study
Improved operating room teamwork via SAFETY prep: a rural community hospital's experience.
Citation Text:
Paige JT, Aaron DL, Yang T, et al. Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. World J Surg. 2009;33(6):1181-7. doi:10.1007/s00…
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psnet.ahrq.gov/issue/effect-electronic-checklist-critical-care-provider-workload-errors-and-performance
January 22, 2016 - Study
The effect of an electronic checklist on critical care provider workload, errors, and performance.
Citation Text:
Thongprayoon C, Harrison AM, O'Horo JC, et al. The Effect of an Electronic Checklist on Critical Care Provider Workload, Errors, and Performance. J Intensive Care Med. …
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psnet.ahrq.gov/issue/role-parents-promotion-hand-hygiene-paediatric-setting-systematic-literature-review
January 27, 2021 - Review
Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review.
Citation Text:
Bellissimo-Rodrigues F, Pires D, Zingg W, et al. Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review. J…