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psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
November 03, 2021 - Review
Missed nursing care in emergency departments: a scoping review.
Citation Text:
Duhalde H, Bjuresäter K, Karlsson I, et al. Missed nursing care in emergency departments: a scoping review. Int Emerg Nurs. 2023;69:101296. doi:10.1016/j.ienj.2023.101296.
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psnet.ahrq.gov/issue/impact-introduction-electronic-prescribing-staff-perceptions-patient-safety-and
June 17, 2015 - Study
Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organizational culture.
Citation Text:
Davies J, Pucher PH, Ibrahim H, et al. Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organization…
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psnet.ahrq.gov/issue/practice-and-quality-improvement-successful-implementation-teamstepps-tools-academic
April 17, 2019 - Study
Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice.
Citation Text:
Gupta RT, Sexton B, Milne J, et al. Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic i…
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psnet.ahrq.gov/issue/dilemma-patient-safety-work-perceptions-hospital-middle-managers
February 03, 2015 - Study
The dilemma of patient safety work: perceptions of hospital middle managers.
Citation Text:
Sanner M, Halford C, Vengberg S, et al. The dilemma of patient safety work: Perceptions of hospital middle managers. J Healthc Risk Manag. 2018;38(2):47-55. doi:10.1002/jhrm.21325.
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psnet.ahrq.gov/issue/unintended-consequences-computerized-provider-order-entry-findings-mixed-methods-exploration
May 27, 2011 - Study
The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.
Citation Text:
Ash JS, Sittig DF, Dykstra RH, et al. The unintended consequences of computerized provider order entry: Findings from a mixed methods exploration. Int J Med…
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psnet.ahrq.gov/issue/implementation-science-ambulatory-care-safety-novel-method-develop-context-sensitive
April 17, 2019 - Study
Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients.
Citation Text:
McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method…
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psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-children-systematic-review
October 14, 2020 - Review
Adverse events during intrahospital transport of critically ill children: a systematic review.
Citation Text:
Haydar B, Baetzel A, Elliott A, et al. Adverse Events During Intrahospital Transport of Critically Ill Children: A Systematic Review. Anesth Analg. 2020;131(4):1135-1145. …
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psnet.ahrq.gov/issue/do-physicians-clean-their-hands-insights-covert-observational-study
July 02, 2019 - Study
Do physicians clean their hands? Insights from a covert observational study.
Citation Text:
Kovacs-Litman A, Wong K, Shojania KG, et al. Do physicians clean their hands? Insights from a covert observational study. J Hosp Med. 2016;11(12):862-864. doi:10.1002/jhm.2632.
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psnet.ahrq.gov/issue/assessment-attitudes-toward-deprescribing-older-medicare-beneficiaries-united-states
June 30, 2021 - Study
Classic
Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States.
Citation Text:
Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States.…
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psnet.ahrq.gov/issue/qualitative-evaluation-healthcare-professionals-perceptions-adverse-events-focusing
April 16, 2008 - Study
A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care.
Citation Text:
Rönnerhag M, Severinsson E, Haruna M, et al. A qualitative evaluation of healthcare professionals' perceptions of adverse eve…
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www.ahrq.gov/news/newsroom/case-studies/202101.html
June 01, 2021 - Duke’s Private Diagnostic Clinic Used TeamSTEPPS to Improve Teamwork and Communications
Search All Impact Case Studies
June 2021
Eighty to 90 percent of medical center leaders at Private Diagnostic Clinic (PDC), a multispecialty physician practice affiliated with Duke Health, reported fewer communications b…
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psnet.ahrq.gov/issue/quality-and-safety-practices-among-academic-obstetrics-and-gynecology-departments
October 19, 2022 - Study
Quality and safety practices among academic obstetrics and gynecology departments.
Citation Text:
Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.00000…
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psnet.ahrq.gov/issue/improving-clinician-well-being-and-patient-safety-through-human-centered-design
April 29, 2018 - Commentary
Improving clinician well-being and patient safety through human-centered design.
Citation Text:
Benishek LE, Kachalia A, Daugherty Biddison L. Improving clinician well-being and patient safety through human-centered design. JAMA. 2023;329(14):1149-1150. doi:10.1001/jama.2023.2…
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psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-obstetrics-and-gynecology
April 05, 2017 - Study
Cause and effect analysis of closed claims in obstetrics and gynecology.
Citation Text:
White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038.
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psnet.ahrq.gov/issue/improving-reconciliation-following-medical-injury-qualitative-study-responses-patient-safety
May 05, 2021 - Study
Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand.
Citation Text:
Moore J, Mello MM. Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Z…
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psnet.ahrq.gov/issue/investigating-us-medical-students-motivation-respond-lapses-professionalism
January 12, 2022 - Study
Investigating US medical students' motivation to respond to lapses in professionalism.
Citation Text:
van der Vossen MM-, Teherani A, van Mook WNKA, et al. Investigating US medical students' motivation to respond to lapses in professionalism. Med Educ. 2018;52(8):838-850. doi:10.11…
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psnet.ahrq.gov/issue/medication-errors-among-acutely-ill-and-injured-children-treated-rural-emergency-departments
December 13, 2013 - Study
Medication errors among acutely ill and injured children treated in rural emergency departments.
Citation Text:
Marcin JP, Dharmar M, Cho M, et al. Medication errors among acutely ill and injured children treated in rural emergency departments. Ann Emerg Med. 2007;50(4):361-7, 36…
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psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings
March 03, 2021 - Commentary
How to do no harm: empowering local leaders to make care safer in low-resource settings.
Citation Text:
Vincent CA, Mboga M, Gathara D, et al. How to do no harm: empowering local leaders to make care safer in low-resource settings. Arch Dis Child. 2021;106(4):333-337. doi:10.1…
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psnet.ahrq.gov/issue/design-and-testing-safety-agenda-mobile-app-managing-health-care-managers-patient-safety
July 12, 2017 - Study
Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities.
Citation Text:
Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers' Patient Safety Respon…
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psnet.ahrq.gov/issue/reducing-ambulatory-central-line-associated-bloodstream-infections-family-centered-approach
February 15, 2023 - Study
Reducing ambulatory central line-associated bloodstream infections: a family-centered approach.
Citation Text:
Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line‐associated bloodstream infections: a family‐centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. …