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psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care
December 29, 2014 - Study
Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center.
Citation Text:
McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting…
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psnet.ahrq.gov/issue/weekend-hospitalization-and-additional-risk-death-analysis-inpatient-data
September 23, 2015 - Study
Weekend hospitalization and additional risk of death: an analysis of inpatient data.
Citation Text:
Freemantle N, Richardson M, Wood J, et al. Weekend hospitalization and additional risk of death: An analysis of inpatient data. J R Soc Med. 2012;105(2). doi:10.1258/jrsm.2012.1200…
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psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event
November 23, 2014 - Study
Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts.
Citation Text:
Kennerly DA, Saldaña M, Kudyakov R, et al. Description and evaluation of adaptations to the global trigger tool to enhance value to adverse eve…
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psnet.ahrq.gov/issue/feasibility-prospective-error-reporting-home-palliative-care-mixed-methods-study
November 11, 2020 - Study
Feasibility of prospective error reporting in home palliative care: a mixed methods study.
Citation Text:
Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692…
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psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions
November 04, 2015 - Study
Do patient safety events increase readmissions?
Citation Text:
Friedman B, Encinosa W, Jiang J, et al. Do patient safety events increase readmissions? Med Care. 2009;47(5):583-90. doi:10.1097/MLR.0b013e31819434da.
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psnet.ahrq.gov/issue/scoping-review-real-time-automated-clinical-deterioration-alerts-and-evidence-impacts
February 16, 2022 - Review
A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes.
Citation Text:
Blythe R, Parsons R, White NM, et al. A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hos…
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psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among
March 02, 2022 - Study
Classic
Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery.
Citation Text:
Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse Postoperati…
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psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-pediatric-indicators-quality-metric-surgery-children
May 01, 2015 - Study
Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes?
Citation Text:
Rhee D, Zhang Y, Papandria DJ, et al. Agency for Healthcare Research and Quality pediatric indicators as a quality metric …
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psnet.ahrq.gov/issue/measuring-hospital-adverse-events-assessing-inter-rater-reliability-and-trigger-performance
May 07, 2014 - Study
Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool.
Citation Text:
Naessens JM, O'Byrne TJ, Johnson MG, et al. Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the …
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psnet.ahrq.gov/issue/concept-and-development-discharge-alert-filter-abnormal-laboratory-values-coupled
June 27, 2018 - Study
Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.
Citation Text:
Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge a…
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psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting
August 28, 2013 - Study
Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings.
Citation Text:
Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings. J Pati…
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psnet.ahrq.gov/issue/impact-perioperative-catastrophes-anesthesiologists-results-national-survey
August 27, 2009 - Study
The impact of perioperative catastrophes on anesthesiologists: results of a national survey.
Citation Text:
Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10…
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psnet.ahrq.gov/issue/does-clinical-supervision-health-professionals-improve-patient-safety-systematic-review-and
August 04, 2021 - Review
Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis.
Citation Text:
Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Int…
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psnet.ahrq.gov/issue/enhancing-safety-high-risk-operations-multilevel-analysis-role-mindful-organising-translating
January 26, 2022 - Study
Enhancing safety in high-risk operations: a multilevel analysis of the role of mindful organising in translating safety climate into individual safety behaviours.
Citation Text:
Renecle M, Curcuruto M, Gracia Lerín FJ, et al. Enhancing safety in high-risk operations: a multilevel a…
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psnet.ahrq.gov/issue/safer-paediatric-surgical-teams-5-year-evaluation-crew-resource-management-implementation-and
February 03, 2021 - Study
Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes.
Citation Text:
Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of crew resource management implementation and outcomes…
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psnet.ahrq.gov/issue/incidence-and-characteristics-potential-and-actual-retained-foreign-object-events-surgical
January 02, 2017 - Study
Classic
Incidence and characteristics of potential and actual retained foreign object events in surgical patients.
Citation Text:
Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained foreign object event…
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psnet.ahrq.gov/issue/workplace-violence-pervasiveness-perioperative-environment-multiprofessional-survey
November 11, 2020 - Study
Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey.
Citation Text:
Lin DM, Lane-Fall MB, Lea JA, et al. Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. Jt Comm J Qual Patient Saf. 2024;50(11):…
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psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care
July 29, 2015 - Book/Report
Improving the Working Environment for Safe Surgical Care.
Citation Text:
Improving the Working Environment for Safe Surgical Care. Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017.
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psnet.ahrq.gov/issue/situational-awareness-and-patient-safety-learning-package
September 13, 2017 - Book/Report
Situational Awareness and Patient Safety: A Learning Package.
Citation Text:
Situational Awareness and Patient Safety: A Learning Package. Parush A, Campbell C, Hunter A, et al. Ottawa, Ontario: The Royal College of Physicians and Surgeons of Canada; 2011. ISBN: 9781926588100…
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psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
September 29, 2017 - Book/Report
Optimal Resources for Surgical Quality and Safety.
Citation Text:
Optimal Resources for Surgical Quality and Safety. Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242.
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