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psnet.ahrq.gov/issue/deficiencies-electronic-medical-record-inpatient-list-capabilities-negatively-impact-patient
October 19, 2022 - Study
Deficiencies in electronic medical record inpatient list capabilities negatively impact patient safety, resident education, and wellness.
Citation Text:
Davalos RA, Aden J, Pluta N, et al. Deficiencies in electronic medical record inpatient list capabilities negatively impact patie…
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psnet.ahrq.gov/issue/designing-and-evaluating-automated-system-real-time-medication-administration-error-detection
November 04, 2020 - Study
Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care unit.
Citation Text:
Ni Y, Lingren T, Hall ES, et al. Designing and evaluating an automated system for real-time medication administration error detecti…
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psnet.ahrq.gov/issue/tools-establishing-sustainable-safety-culture-within-maternity-services-retrospective-case
February 28, 2024 - Study
Tools for establishing a sustainable safety culture within maternity services: a retrospective case study.
Citation Text:
Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. SAGE Open …
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psnet.ahrq.gov/issue/parents-perceptions-patient-safety-paediatric-hospital-care-mixed-methods-systematic-review
May 01, 2024 - Review
Parents' perceptions of patient safety in paediatric hospital care-a mixed-methods systematic review.
Citation Text:
Witkowska MI, Janhunen K, Sak‐Dankosky N, et al. Parents' perceptions of patient safety in paediatric hospital care—a mixed‐methods systematic review. J Adv Nurs. 2…
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psnet.ahrq.gov/issue/increasing-patient-safety-neonates-handoff-communication-during-delivery-call
March 19, 2019 - Commentary
Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME.
Citation Text:
Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff communica…
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psnet.ahrq.gov/issue/preventing-medical-injury
February 18, 2011 - Study
Classic
Preventing medical injury.
Citation Text:
Leape LL, Lawthers AG, Brennan TA, et al. Preventing medical injury. QRB - Qual Rev Bull. 1993;19(5):144-149. doi:10.1016/s0097-5990(16)30608-x.
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psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
April 07, 2021 - Study
Patterns of error in interpretive pathology.
Citation Text:
Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190.
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psnet.ahrq.gov/issue/factorial-survey-safety-behavior-providing-opportunities-improve-safety
November 16, 2015 - Study
A factorial survey on safety behavior providing opportunities to improve safety.
Citation Text:
Simons P, Houben R, Reijnders P, et al. A Factorial Survey on Safety Behavior Providing Opportunities to Improve Safety. J Patient Saf. 2018;14(4):193-201. doi:10.1097/PTS.00000000000001…
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psnet.ahrq.gov/issue/physiology-failure-identifying-risk-factors-mortality-emergency-general-surgery-patients
March 23, 2022 - Study
The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record.
Citation Text:
Baimas-George M, Ross SW, Hetherington T, et al. The physiology of failure: identifying risk f…
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psnet.ahrq.gov/issue/do-written-disclosures-serious-events-increase-risk-malpractice-claims-one-health-care
October 12, 2011 - Study
Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience.
Citation Text:
Painter LM, Kidwell KM, Kidwell RP, et al. Do Written Disclosures of Serious Events Increase Risk of Malpractice Claims? One Health Care System's Experi…
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psnet.ahrq.gov/issue/effects-computerized-physician-order-entry-and-clinical-decision-support-systems-medication
May 27, 2011 - Review
Classic
Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review.
Citation Text:
Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision s…
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psnet.ahrq.gov/issue/deployment-second-victim-peer-support-program-replication-study
January 12, 2022 - Study
Deployment of a second victim peer support program: a replication study.
Citation Text:
Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031.
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psnet.ahrq.gov/issue/observational-study-associations-between-nurse-reported-hospital-characteristics-and
January 22, 2014 - Study
An observational study: associations between nurse-reported hospital characteristics and estimated 30-day survival probabilities.
Citation Text:
Tvedt C, Sjetne IS, Helgeland J, et al. An observational study: associations between nurse-reported hospital characteristics and estimate…
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psnet.ahrq.gov/issue/medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar
June 28, 2010 - Study
Classic
Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy.
Citation Text:
Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events …
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psnet.ahrq.gov/issue/i-made-mistake-narrative-analysis-experienced-physicians-stories-preventable-error
September 26, 2016 - Study
“I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error.
Citation Text:
Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. J Eval Clin Pract. 2021;27(…
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psnet.ahrq.gov/issue/hospital-home-setting-regulatory-course-ensure-safe-high-quality-care
June 30, 2021 - Commentary
Hospital at Home: setting a regulatory course to ensure safe, high-quality care.
Citation Text:
DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/…
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psnet.ahrq.gov/issue/physician-task-load-and-risk-burnout-among-us-physicians-national-survey
October 26, 2022 - Study
Physician task load and the risk of burnout among US physicians in a national survey.
Citation Text:
Harry EM, Sinsky CA, Dyrbye LN, et al. Physician task load and the risk of burnout among US physicians in a national survey. Jt Comm J Qual Patient Saf. 2021;47(2):76-85. doi:10.101…
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psnet.ahrq.gov/issue/underreporting-quality-measures-and-associated-facility-characteristics-and-racial
August 09, 2023 - Study
Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings.
Citation Text:
Sanghavi P, Chen Z. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home rati…
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psnet.ahrq.gov/issue/vestibular-syndromes-diagnosis-and-diagnostic-errors-patients-dizziness-presenting-emergency
May 17, 2023 - Study
Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness presenting to the emergency department: a cross-sectional study.
Citation Text:
Comolli L, Korda A, Zamaro E, et al. Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness pre…
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psnet.ahrq.gov/issue/should-health-care-providers-be-forced-apologise-after-things-go-wrong
March 14, 2016 - Commentary
Should health care providers be forced to apologise after things go wrong?
Citation Text:
McLennan S, Walker S, Rich LE. Should health care providers be forced to apologise after things go wrong? J Bioeth Inq. 2014;11(4):431-5. doi:10.1007/s11673-014-9571-y.
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