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psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural-significant-harm
January 29, 2020 - Study
Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS).
Citation Text:
Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors anal…
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psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
May 17, 2018 - Study
Success in hospital-acquired pressure ulcer prevention: a tale in two data sets.
Citation Text:
Smith S, Snyder A, McMahon LF, et al. Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. Health Aff (Millwood). 2018;37(11):1787-1796. doi:10.1377/hlthaff.2…
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psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter
December 16, 2020 - Study
The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study.
Citation Text:
Millan PD, Kleiman AM, Friedman JF, et al. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia pro…
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psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency
August 10, 2022 - Study
Safety checklists for emergency response driving and patient transport: experiences from emergency medical services.
Citation Text:
Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. …
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psnet.ahrq.gov/issue/systematic-narrative-review-coroners-prevention-future-deaths-reports-pfds-tool-patient
October 19, 2022 - Review
A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient safety in hospitals.
Citation Text:
Bremner BT, Heneghan CJ, Aronson JK, et al. A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool f…
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psnet.ahrq.gov/issue/teams-tribes-and-patient-safety-overcoming-barriers-effective-teamwork-healthcare
November 17, 2014 - Review
Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare.
Citation Text:
Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgra…
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psnet.ahrq.gov/issue/review-patient-safety-incidents-submitted-critical-care-units-england-wales-uk-national
July 16, 2008 - Study
Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency.
Citation Text:
Thomas AN, Panchagnula U, Taylor RJ. Review of patient safety incidents submitted from Critical Care Units in England & Wales to the U…
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psnet.ahrq.gov/issue/healthcare-inspection-evaluation-veterans-health-administrations-national-consult-delay
September 10, 2014 - Book/Report
Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.
Citation Text:
Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.…
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psnet.ahrq.gov/issue/implementation-simulation-training-during-covid-19-pandemic-new-york-hospital-experience
February 15, 2023 - Commentary
Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience.
Citation Text:
Pan D, Rajwani K. Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. Simul Healthc. 2020;16(1):46-51. doi:10.1097…
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psnet.ahrq.gov/issue/impact-health-information-technology-interventions-improve-medication-laboratory-monitoring
August 11, 2010 - Review
Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review.
Citation Text:
Fischer SH, Tjia J, Field T. Impact of health information technology interventions to improve medication laboratory moni…
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psnet.ahrq.gov/issue/interventions-improve-follow-laboratory-test-results-pending-discharge-systematic-review
May 19, 2021 - Review
Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review.
Citation Text:
Whitehead NS, Williams L, Meleth S, et al. Interventions to Improve Follow-Up of Laboratory Test Results Pending at Discharge: A Systematic Review. J Hosp Med. 2…
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psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system
December 20, 2023 - Study
A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice.
Citation Text:
Pan D, Nilsson E, Rahman Jabin MS. A review of incidents related to health information technology in Sw…
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psnet.ahrq.gov/issue/inappropriate-prescribing-defined-stopp-and-start-criteria-and-its-association-adverse-drug
July 05, 2023 - Study
Inappropriate prescribing defined by STOPP and START criteria and its association with adverse drug events among hospitalized older patients: a multicentre, prospective study.
Citation Text:
Fahrni ML, Azmy MT, Usir E, et al. Inappropriate prescribing defined by STOPP and START cri…
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psnet.ahrq.gov/issue/suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient-safety-incident
July 22, 2020 - Study
Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident.
Citation Text:
Stovall M, Hansen L. Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. Worldviews Evid Based Nurs…
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psnet.ahrq.gov/issue/temporal-clustering-critical-illness-events-medical-wards
January 31, 2024 - Study
Temporal clustering of critical illness events on medical wards.
Citation Text:
Doshi S, Shin S, Lapointe-Shaw L, et al. Temporal clustering of critical illness events on medical wards. JAMA Intern Med. 2023;183(9):924-932. doi:10.1001/jamainternmed.2023.2629.
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psnet.ahrq.gov/issue/automated-search-methods-identifying-wrong-patient-order-entry-scoping-review
June 14, 2023 - Study
Automated search methods for identifying wrong patient order entry-a scoping review.
Citation Text:
Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057.
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psnet.ahrq.gov/issue/speaking-behaviours-safety-voices-healthcare-workers-metasynthesis-qualitative-research
June 23, 2021 - Review
Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies.
Citation Text:
Morrow KJ, Gustavson AM, Jones J. Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Int J Nurs…
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psnet.ahrq.gov/issue/speaking-extension-socio-cultural-dynamics-hospital-settings-study-staff-experiences-speaking
May 19, 2021 - Study
Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals.
Citation Text:
Pavithra A, Mannion R, Sunderland N, et al. Speaking up as an extension of socio-cultural dynamics in hospital settings: a…
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psnet.ahrq.gov/issue/analysis-structure-and-content-dashboards-used-monitor-patient-safety-inpatient-setting
March 09, 2022 - Study
An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.
Citation Text:
Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.…
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psnet.ahrq.gov/issue/adverse-events-involving-telehealth-veterans-health-administration
October 26, 2022 - Review
Adverse events involving telehealth in the Veterans Health Administration.
Citation Text:
Mills PD, Tomolo A, Yackel EE. Adverse events involving telehealth in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2024;Epub Dec 20. doi:10.1016/j.jcjq.2024.12.002.
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