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psnet.ahrq.gov/issue/evaluation-hand-hygiene-intensive-care-unit-are-visitors-potential-vector-pathogens
April 22, 2015 - Study
An evaluation of hand hygiene in an intensive care unit: are visitors a potential vector for pathogens?
Citation Text:
Birnbach DJ, Rosen LF, Fitzpatrick M, et al. An evaluation of hand hygiene in an intensive care unit: Are visitors a potential vector for pathogens? J Infect Publi…
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psnet.ahrq.gov/issue/minimizing-opioid-prescribing-surgery-mopis-initiative-analysis-implementation-barriers
September 09, 2020 - Study
Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers.
Citation Text:
Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS) Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;…
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psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination
April 03, 2019 - Study
Improving safety in the operating room: medication icon labels increase visibility and discrimination.
Citation Text:
Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:1…
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psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms
September 14, 2022 - Study
Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms.
Citation Text:
Staal J, Zegers R, Caljouw-Vos J, et al. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis (Berl). 2022;10(2):121…
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psnet.ahrq.gov/issue/patient-involvement-patient-safety-how-willing-are-patients-participate
September 05, 2013 - Study
Classic
Patient involvement in patient safety: how willing are patients to participate?
Citation Text:
Davis R, Sevdalis N, Vincent C. Patient involvement in patient safety: How willing are patients to participate? BMJ Qual Saf. 2011;20(1):108-114. doi:…
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psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading-institutional
March 30, 2022 - Commentary
A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change.
Citation Text:
Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional ch…
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psnet.ahrq.gov/issue/staffing-matters-every-shift
January 20, 2021 - Commentary
Staffing matters—every shift.
Citation Text:
West G, Patrician PA, Loan L. Staffing matters-every shift: data from the Military Nursing Outcomes Database can be used to demonstrate that the right number and mix of nurses prevent errors. Am J Nurs. 2012;112(12):22-7; discussi…
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psnet.ahrq.gov/issue/confidential-clinician-reported-surveillance-adverse-events-among-medical-inpatients
June 29, 2011 - Study
Classic
Confidential clinician-reported surveillance of adverse events among medical inpatients.
Citation Text:
Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2…
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psnet.ahrq.gov/issue/usage-and-accuracy-medication-data-nationwide-health-information-exchange-quebec-canada
June 17, 2020 - Study
Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada.
Citation Text:
Motulsky A, Weir DL, Couture I, et al. Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. J Am Med Inform Assoc. 201…
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psnet.ahrq.gov/issue/innovation-patient-safety-new-task-design-reducing-patient-falls
January 04, 2010 - Study
Innovation in patient safety: a new task design in reducing patient falls.
Citation Text:
Tzeng H-M, Yin C-Y. Innovation in patient safety: a new task design in reducing patient falls. J Nurs Care Qual. 2008;23(1):34-42. doi:10.1097/01.NCQ.0000303803.07457.e5.
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psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery
July 19, 2023 - Study
Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery.
Citation Text:
Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasur…
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psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year
November 12, 2014 - Study
Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis.
Citation Text:
Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…
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psnet.ahrq.gov/issue/prospective-evaluation-consultant-surgeon-sleep-deprivation-and-outcomes-more-4000
October 19, 2022 - Study
Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures.
Citation Text:
Chu MWA, Stitt LW, Fox SA, et al. Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 cons…
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psnet.ahrq.gov/issue/impact-intraoperative-distractions-patient-safety-prospective-descriptive-study-using
August 18, 2017 - Study
Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments.
Citation Text:
Sevdalis N, Undre S, McDermott J, et al. Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated ins…
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-compliance-prescription-accuracy
May 27, 2011 - Study
Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.
Citation Text:
Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Pharm World Sc…
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psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
August 04, 2021 - Commentary
Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety.
Citation Text:
Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…
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psnet.ahrq.gov/issue/us-internal-medicine-program-director-perceptions-alignment-graduate-medical-education-and
July 02, 2014 - Study
US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety.
Citation Text:
Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of Ali…
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psnet.ahrq.gov/issue/am-i-safe-interpretative-phenomenological-analysis-vulnerability-experienced-patients
July 10, 2024 - Study
Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by patients with complications following surgery.
Citation Text:
Sutton E, Booth L, Ibrahim M, et al. Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by pat…
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psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016
January 23, 2017 - Study
US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016.
Citation Text:
Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558. doi:10.1001/jam…
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psnet.ahrq.gov/issue/managing-competing-organizational-priorities-clinical-handover-across-organizational
February 07, 2024 - Study
Managing competing organizational priorities in clinical handover across organizational boundaries.
Citation Text:
Sujan MA, Chessum P, Rudd M, et al. Managing competing organizational priorities in clinical handover across organizational boundaries. J Health Serv Res Policy. 2015;…