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psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality
August 20, 2018 - Study
Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care?
Citation Text:
Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? J Bu…
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psnet.ahrq.gov/issue/running-hospital-patient-safety-campaign-qualitative-study
May 01, 2015 - Study
Running a hospital patient safety campaign: a qualitative study.
Citation Text:
Ozieranski P, Robins V, Minion J, et al. Running a hospital patient safety campaign: a qualitative study. J Health Organ Manag. 2014;28(4):562-75.
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psnet.ahrq.gov/issue/prospective-memory-icu-effect-visual-cues-task-execution-representative-simulation
April 24, 2018 - Study
Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation.
Citation Text:
Grundgeiger T, Sanderson PM, Orihuela B, et al. Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation. Ergo…
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psnet.ahrq.gov/issue/us-food-and-drug-administration-precertification-pilot-program-digital-health-software
September 25, 2008 - Commentary
Emerging Classic
U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks.
Citation Text:
Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for …
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psnet.ahrq.gov/issue/defining-speaking-healthcare-system-systematic-review
September 27, 2023 - Review
Defining speaking up in the healthcare system: a systematic review.
Citation Text:
Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0.
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psnet.ahrq.gov/issue/sensemaking-and-co-production-safety-qualitative-study-primary-medical-care-patients
August 26, 2015 - Study
Sensemaking and the co-production of safety: a qualitative study of primary medical care patients.
Citation Text:
Rhodes P, McDonald R, Campbell S, et al. Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. Sociol Health Illn. 2016;38(…
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psnet.ahrq.gov/issue/how-patients-can-improve-accuracy-their-medical-records
July 20, 2022 - Study
How patients can improve the accuracy of their medical records.
Citation Text:
Dullabh P, Sondheimer N, Katsh E, et al. How Patients Can Improve the Accuracy of their Medical Records. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2014;2(3). doi:10.13063/2327-92…
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psnet.ahrq.gov/issue/decision-support-sensible-dosing-electronic-prescribing-systems
February 23, 2011 - Study
Decision support for sensible dosing in electronic prescribing systems.
Citation Text:
Coleman JJ, Nwulu U, Ferner RE. Decision support for sensible dosing in electronic prescribing systems. J Clin Pharm Ther. 2012;37(4):415-9. doi:10.1111/j.1365-2710.2011.01310.x.
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psnet.ahrq.gov/issue/patient-safety-dentistry-development-candidate-never-event-list-primary-care
April 12, 2017 - Study
Patient safety in dentistry: development of a candidate 'never event' list for primary care.
Citation Text:
Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456.
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psnet.ahrq.gov/issue/untenable-expectations-nurses-work-context-medication-administration-error-and-organization
September 21, 2022 - Study
Untenable expectations: nurses' work in the context of medication administration, error, and the organization.
Citation Text:
Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration, error, and the organization. Glob Qual Nurs Res. 202…
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psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting
January 11, 2023 - Study
Patient falls while under supervision: trends from incident reporting.
Citation Text:
Roberts M. Patient falls while under supervision: trends from incident reporting. Br J Nurs. 2023;32(11):508-513. doi:10.12968/bjon.2023.32.11.508.
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psnet.ahrq.gov/issue/representative-case-series-public-hospital-admissions-1998-ii-surgical-adverse-events
June 07, 2023 - Study
Representative case series from public hospital admissions 1998 II: surgical adverse events.
Citation Text:
Briant R, Morton J, Lay-Yee R, et al. Representative case series from public hospital admissions 1998 II: surgical adverse events. N Z Med J. 2005;118(1219):U1591.
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psnet.ahrq.gov/issue/checking-lists-systematic-review-electronic-checklist-use-health-care
August 08, 2018 - Review
Checking the lists: a systematic review of electronic checklist use in health care.
Citation Text:
Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006.
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psnet.ahrq.gov/issue/hospital-finances-and-patient-safety-outcomes
April 27, 2010 - Study
Hospital finances and patient safety outcomes.
Citation Text:
Encinosa W, Bernard DM. Hospital finances and patient safety outcomes. Inquiry. 2005;42(1):60-72.
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psnet.ahrq.gov/issue/distraction-and-interruption-anaesthetic-practice
May 18, 2022 - Study
Distraction and interruption in anaesthetic practice.
Citation Text:
Campbell G, Arfanis K, Smith AF. Distraction and interruption in anaesthetic practice. Br J Anaesth. 2012;109(5):707-715. doi:10.1093/bja/aes219.
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psnet.ahrq.gov/issue/interpreting-adverse-drug-reaction-adr-reports-hospital-patient-safety-incidents
August 04, 2021 - Study
Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents.
Citation Text:
Davies EC, Green CF, Mottram DR, et al. Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. Br J Clin Pharmacol. 2010;70(1):102-8. doi:10.1111/…
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psnet.ahrq.gov/issue/learning-near-misses-quick-fixes-closing-swiss-cheese-holes
April 11, 2012 - Study
Learning from near misses: from quick fixes to closing off the Swiss-cheese holes.
Citation Text:
Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256…
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psnet.ahrq.gov/issue/guideline-order-set-patient-harm
October 10, 2017 - Commentary
From guideline to order set to patient harm.
Citation Text:
Shah SD, Cifu AS. From Guideline to Order Set to Patient Harm. JAMA. 2018;319(12):1207-1208. doi:10.1001/jama.2018.1666.
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psnet.ahrq.gov/issue/medication-reconciliation-performed-pharmacy-technicians-time-preoperative-screening
August 18, 2010 - Study
Medication reconciliation performed by pharmacy technicians at the time of preoperative screening.
Citation Text:
van den Bemt PM, van den Broek S, van Nunen AK, et al. Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. Ann Pharmaco…
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psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality-improvement-lessons
April 24, 2018 - Study
Rural hospital information technology implementation for safety and quality improvement: lessons learned.
Citation Text:
Tietze MF, Williams J, Galimbertti M. Rural hospital information technology implementation for safety and quality improvement: lessons learned. Comput Inform N…