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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/accuracy-pressure-ulcer-events-us-nursing-home-ratings
February 05, 2020 - Study
Accuracy of pressure ulcer events in US nursing home ratings.
Citation Text:
Chen Z, Gleason LJ, Sanghavi P. Accuracy of pressure ulcer events in US nursing home ratings. Med Care. 2022;60(10):775-783. doi:10.1097/mlr.0000000000001763.
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psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
October 12, 2018 - EMERGING INNOVATIONS
Let us to the TWISST; Plan, Simulate, Study and Act.
Citation Text:
Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664.
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psnet.ahrq.gov/issue/incorrect-surgical-procedures-within-and-outside-operating-room
November 21, 2011 - Study
Incorrect surgical procedures within and outside of the operating room.
Citation Text:
Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room. Arch Surg. 2009;144(11):1028-34. doi:10.1001/archsurg.2009.126.
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psnet.ahrq.gov/issue/economic-evaluations-interventions-prevent-and-control-health-care-associated-infections
May 18, 2022 - Review
Economic evaluations of interventions to prevent and control health-care-associated infections: a systematic review.
Citation Text:
Rice S, Carr K, Sobiesuo P, et al. Economic evaluations of interventions to prevent and control health-care-associated infections: a systematic revie…
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psnet.ahrq.gov/issue/national-survey-patient-safety-experiences-hospital-medicine-during-covid-19-pandemic
November 30, 2022 - Study
National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic.
Citation Text:
Carter D, Rosen A, Applebaum JR, et al. National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2024;…
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psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian-experience
February 15, 2023 - Book/Report
Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0
Citation Text:
Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland: International Society for …
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psnet.ahrq.gov/issue/unprecedented-solutions-extraordinary-times-helping-long-term-care-settings-deal-covid-19
January 12, 2022 - Commentary
Emerging Classic
Unprecedented solutions for extraordinary times: helping long-term care settings deal with the COVID-19 pandemic.
Citation Text:
Gaur S, Dumyati G, Nace DA, et al. Unprecedented solutions for extraordinary times: helping long-term car…
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psnet.ahrq.gov/issue/why-do-healthcare-professionals-fail-escalate-early-warning-system-ews-protocol-qualitative
August 25, 2021 - Review
Emerging Classic
Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation.
Citation Text:
O’Neill SM, Clyne B, Bell M, et al. Why do h…
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psnet.ahrq.gov/issue/understanding-patient-and-clinician-reported-nonroutine-events-ambulatory-surgery
December 16, 2020 - Study
Understanding patient and clinician reported nonroutine events in ambulatory surgery.
Citation Text:
Salwei ME, Anders S, Slagle JM, et al. Understanding patient and clinician reported nonroutine events in ambulatory surgery. J Patient Saf. 2023;19(2):e38-e45. doi:10.1097/pts.00000…
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psnet.ahrq.gov/issue/high-risk-medication-home-care-nursing-delphi-study
April 13, 2022 - Study
High-risk medication in home care nursing: a Delphi study.
Citation Text:
Dumitrescu I, Casteels M, De Vliegher K, et al. High-risk medication in home care nursing: a Delphi study. J Patient Saf. 2022;18(5):435-443. doi:10.1097/pts.0000000000001023.
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psnet.ahrq.gov/issue/national-trends-patient-safety-four-common-conditions-2005-2011
August 03, 2016 - Study
Classic
National trends in patient safety for four common conditions, 2005–2011.
Citation Text:
Wang Y, Eldridge N, Metersky M, et al. National trends in patient safety for four common conditions, 2005-2011. N Engl J Med. 2014;370(4):341-51. doi:10.1056/NE…
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psnet.ahrq.gov/issue/comparison-appendectomy-outcomes-between-senior-general-surgeons-and-general-surgery
May 03, 2023 - Study
Comparison of appendectomy outcomes between senior general surgeons and general surgery residents.
Citation Text:
Siam B, Al-Kurd A, Simanovsky N, et al. Comparison of Appendectomy Outcomes Between Senior General Surgeons and General Surgery Residents. JAMA Surg. 2017;152(7):679-68…
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psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
August 13, 2014 - Study
Analysis of adverse events associated with adult moderate procedural sedation outside the operating room.
Citation Text:
Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…
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psnet.ahrq.gov/issue/increased-mortality-and-costs-associated-adverse-events-intensive-care-unit-patients
January 16, 2008 - Study
Increased mortality and costs associated with adverse events in intensive care unit patients.
Citation Text:
Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081…
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psnet.ahrq.gov/issue/towards-safer-healthcare-qualitative-insights-process-view-organisational-learning-failure
July 21, 2021 - Study
Towards safer healthcare: qualitative insights from a process view of organisational learning from failure.
Citation Text:
Monazam Tabrizi N, Masri F. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. BMJ Open. 2021;11(8):e0…
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psnet.ahrq.gov/issue/do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic
January 31, 2024 - Study
Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study.
Citation Text:
Bell SK, Amat MJ, Anderson TS, et al. Do patients who read visit notes on the patient portal h…
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psnet.ahrq.gov/issue/patient-and-public-involvement-healthcare-systematic-mapping-review-systematic-reviews
August 24, 2016 - Study
Patient and public involvement in healthcare: a systematic mapping review of systematic reviews - identification of current research and possible directions for future research.
Citation Text:
Bergholtz J, Wolf A, Crine V, et al. Patient and public involvement in healthcare: a syst…
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psnet.ahrq.gov/issue/errors-palliative-care-kinds-causes-and-consequences-pilot-survey-experiences-and-attitudes
December 04, 2016 - Study
Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals.
Citation Text:
Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences a…
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psnet.ahrq.gov/issue/chatgpt-can-you-help-me-save-my-childs-life-diagnostic-accuracy-and-supportive-capabilities
February 01, 2023 - Study
"ChatGPT, can you help me save my child's life?" - Diagnostic accuracy and supportive capabilities to lay rescuers by ChatGPT in prehospital basic life support and paediatric advanced life support cases - an in-silico analysis.
Citation Text:
Bushuven S, Bentele M, Bentele S, et al…