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psnet.ahrq.gov/issue/assessing-nourishment-problems-hospital-what-can-we-learn-them
January 08, 2025 - Study
Assessing nourishment problems at a hospital: what can we learn from them?
Citation Text:
Clausen MK, Bogh SB, Schmidt-Petersen M, et al. Assessing nourishment problems at a hospital: what can we learn from them? BMJ Open Qual. 2024;13(2):e002745. doi:10.1136/bmjoq-2024-002745.
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psnet.ahrq.gov/issue/how-does-context-affect-interventions-improve-patient-safety-assessment-evidence-studies-five
September 20, 2011 - Review
How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research.
Citation Text:
Ovretveit JC, Shekelle PG, Dy SM, et al. How does context affect interventions to improve patient s…
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psnet.ahrq.gov/issue/improving-feedback-junior-doctors-prescribing-errors-mixed-methods-evaluation-quality
July 11, 2018 - Review
Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project.
Citation Text:
Reynolds M, Jheeta S, Benn J, et al. Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement proj…
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psnet.ahrq.gov/issue/longitudinal-evaluation-computed-tomography-radiation-incidents-within-multisite-nhs-trust
September 07, 2022 - Study
A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust.
Citation Text:
Adamson HK, Foster B, Clarke R, et al. A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. J Patient Saf. 2022;18(7):e109…
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psnet.ahrq.gov/issue/radiologist-errors-modality-anatomic-region-and-pathology-16-million-exams-what-we-have
October 18, 2023 - Study
Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned.
Citation Text:
Lamoureux C, Hanna TN, Sprecher D, et al. Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. Emerg Rad…
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psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers-high-reliability-hand
December 02, 2020 - Study
Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene.
Citation Text:
Vaughan-Malloy AM, Chan Yuen J, Sandora TJ. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in han…
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psnet.ahrq.gov/issue/exploring-perinatal-shift-shift-handover-communication-and-process-observational-study
April 04, 2018 - Study
Exploring perinatal shift-to-shift handover communication and process: an observational study.
Citation Text:
Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2014;20(2):166…
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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/data-quality-associated-handwritten-laboratory-test-requests-classification-and-frequency
September 27, 2023 - Study
Data quality associated with handwritten laboratory test requests: classification and frequency of data-entry errors for outpatient serology tests.
Citation Text:
Vecellio E, Toouli G, Georgiou A, et al. Data quality associated with handwritten laboratory test requests: classificat…
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psnet.ahrq.gov/issue/medication-administration-errors-older-people-long-term-residential-care
June 26, 2019 - Study
Medication administration errors for older people in long-term residential care.
Citation Text:
Szczepura A, Wild D, Nelson S. Medication administration errors for older people in long-term residential care. BMC Geriatr. 2011;11:82. doi:10.1186/1471-2318-11-82.
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psnet.ahrq.gov/issue/high-reliability-organisation-principles-implemented-dentistry
April 06, 2022 - Commentary
High-reliability organisation principles implemented in dentistry.
Citation Text:
Minyé HM, Benjamin EM. High-reliability organisation principles implemented in dentistry. Br Dent J. 2022;232(12):879-885. doi:10.1038/s41415-022-4354-z.
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psnet.ahrq.gov/issue/culture-safety-impact-improvement-infection-prevention-process-and-outcomes
September 23, 2020 - Review
Culture of safety: impact on improvement in infection prevention process and outcomes.
Citation Text:
Braun B, Chitavi SO, Suzuki H, et al. Culture of Safety: Impact on Improvement in Infection Prevention Process and Outcomes. Curr Infect Dis Rep. 2020;22(12):34. doi:10.1007/s1190…
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psnet.ahrq.gov/issue/looking-back-history-patient-safety-opportunity-reflect-and-ponder-future-challenges
July 10, 2019 - Commentary
Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges.
Citation Text:
Schiff G, Shojania KG. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. BMJ Qual Saf. 2022;31(2):148-152.…
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psnet.ahrq.gov/issue/patients-negative-experiences-health-care-settings-brought-light-formal-complaints
July 21, 2021 - Review
Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis.
Citation Text:
Eriksen AA, Fegran L, Fredwall TE, et al. Patients' negative experiences with health care settings brought to light by formal complaints: a q…
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psnet.ahrq.gov/issue/results-national-neurosurgery-resident-survey-duty-hour-regulations
September 29, 2017 - Study
Results of a national neurosurgery resident survey on duty hour regulations.
Citation Text:
Fargen KM, Chakraborty A, Friedman WA. Results of a national neurosurgery resident survey on duty hour regulations. Neurosurgery. 2011;69(6):1162-70. doi:10.1227/NEU.0b013e3182245989.
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psnet.ahrq.gov/issue/effects-brief-team-training-program-surgical-teams-nontechnical-skills-interrupted-time
December 08, 2021 - Study
Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study.
Citation Text:
Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series stu…
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psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and-patient-safety
April 01, 2020 - Commentary
Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement.
Citation Text:
Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;…
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psnet.ahrq.gov/issue/impact-nurse-led-rapid-response-system-adverse-major-adverse-events-and-activation-medical
December 17, 2010 - Study
The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team.
Citation Text:
Massey D, Aitken LM, Chaboyer W. The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medi…
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psnet.ahrq.gov/issue/impact-rounding-checklists-outcomes-patients-admitted-icus-systematic-review-and-meta
July 03, 2016 - Review
Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-analysis.
Citation Text:
MacKinnon KM, Seshadri S, Mailman JF, et al. Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-a…
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psnet.ahrq.gov/issue/framework-assess-patient-reported-adverse-outcomes-arising-during-hospitalization
December 06, 2017 - Study
A framework to assess patient-reported adverse outcomes arising during hospitalization.
Citation Text:
Okoniewska B, Santana MJ, Holroyd-Leduc J, et al. A framework to assess patient-reported adverse outcomes arising during hospitalization. BMC Health Serv Res. 2016;16(a):357. doi:…