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psnet.ahrq.gov/issue/impact-comprehensive-unit-based-safety-program-cusp-safety-culture-surgical-inpatient-unit
January 03, 2017 - Study
Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety culture in a surgical inpatient unit.
Citation Text:
Timmel J, Kent P, Holzmueller CG, et al. Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient unit. Jt Comm …
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psnet.ahrq.gov/issue/cluster-randomized-trial-two-implementation-strategies-deliver-audit-and-feedback-equipped
September 01, 2018 - Study
A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program.
Citation Text:
Vaughan CP, Burningham Z, Kelleher JL, et al. A cluster‐randomized trial of two implementation strategies to deliver audit and feedbac…
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psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-reports-due
June 01, 2016 - Study
SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study.
Citation Text:
Randmaa M, Mårtensson G, Swenne CL, et al. SBAR improves communication and safety climate and decreas…
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psnet.ahrq.gov/issue/medical-crisis-checklists-emergency-department-simulation-based-multi-institutional
February 16, 2022 - Study
Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial.
Citation Text:
Dryver E, Lundager Forberg J, Hård af Segerstad C, et al. Medical crisis checklists in the emergency department: a simulation-based multi-instit…
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psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
January 17, 2012 - Study
Classic
Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system.
Citation Text:
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the V…
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psnet.ahrq.gov/issue/adding-automation-and-independent-dual-verification-reduce-wrong-blood-tube-wbit-events
October 21, 2020 - Study
Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events.
Citation Text:
Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;15…
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psnet.ahrq.gov/issue/engineering-care-transitions-clinician-perceptions-barriers-safe-medication-management-during
July 20, 2022 - Study
Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care.
Citation Text:
Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during t…
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psnet.ahrq.gov/issue/medication-reconciliation-geriatric-unit-impact-maintenance-post-hospitalization
December 01, 2021 - Study
Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions.
Citation Text:
Montaleytang M, Correard F, Spiteri C, et al. Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescrip…
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psnet.ahrq.gov/issue/quality-initiative-system-wide-reduction-serious-medication-events-through-targeted
April 10, 2024 - Study
A quality initiative: a system-wide reduction in serious medication events through targeted simulation training.
Citation Text:
Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. S…
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psnet.ahrq.gov/issue/impact-simulation-based-closed-loop-communication-training-medical-errors-pediatric-emergency
July 22, 2020 - Study
Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department.
Citation Text:
Diaz MCG, Dawson K. Impact of Simulation-Based Closed-Loop Communication Training on Medical Errors in a Pediatric Emergency Department. Am J Med Qual…
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psnet.ahrq.gov/issue/partnering-patients-and-families-living-chronic-conditions-coproduce-diagnostic-safety
October 27, 2021 - Study
Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool.
Citation Text:
Bell SK, Dong ZJ, DesRoches CM, et al. Partnering with patients and families living with chronic conditions to coprod…
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psnet.ahrq.gov/issue/patient-safety-actioning-and-communicating-blood-test-results-primary-care-uk-wide-audit
August 03, 2022 - Study
Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT).
Citation Text:
Watson J, Duncan P, Burrell A, et al. Patient safety in actioning and communicating blood test results in primary c…
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psnet.ahrq.gov/issue/signs-and-symptoms-determine-if-patient-presenting-primary-care-or-hospital-outpatient
March 23, 2022 - Review
Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease.
Citation Text:
Struyf T, Deeks JJ, Dinnes J, et al. Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings…
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psnet.ahrq.gov/issue/effect-transitions-intervention-ensure-patient-safety-and-satisfaction-when-transferred
October 20, 2021 - Review
The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review.
Citation Text:
Oksholm T, Gissum KR, Hunskår I, et al. The effect of transitions intervention to ensure patient safety and satis…
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psnet.ahrq.gov/issue/organizational-cultural-and-psychological-determinants-smart-infusion-pump-work-arounds-study
May 18, 2022 - Study
Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health systems.
Citation Text:
Dunford BB, Perrigino M, Tucker SJ, et al. Organizational, Cultural, and Psychological Determinants of Smart Infusion Pump Work Arounds: A …
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psnet.ahrq.gov/issue/adverse-events-intensive-care-and-continuing-care-units-during-bed-bath-procedures
March 05, 2025 - Study
Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study.
Citation Text:
Decormeille G, Maurer-Maouchi V, Mercier G, et al. Adverse events in intensive care and continuing care u…
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psnet.ahrq.gov/issue/healthcare-leaders-and-elected-politicians-approach-support-systems-and-requirements
February 28, 2024 - Study
Healthcare leaders' and elected politicians' approach to support-systems and requirements for complying with quality and safety regulation in nursing homes - a case study.
Citation Text:
Magerøy MR, Braut GS, Macrae C, et al. Healthcare leaders’ and elected politicians’ approach to…
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psnet.ahrq.gov/issue/overcoming-covid-19-what-can-human-factors-and-ergonomics-offer
September 02, 2020 - Commentary
Emerging Classic
Overcoming COVID-19: what can human factors and ergonomics offer?
Citation Text:
Gurses AP, Tschudy MM, McGrath-Morrow S, et al. Overcoming COVID-19: what can human factors and ergonomics offer? J Patient Saf Risk Manag. 2020;25(2):49…
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psnet.ahrq.gov/issue/redeployment-health-care-workers-covid-19-pandemic-qualitative-study-health-system-leaders
March 17, 2021 - Study
Redeployment of health care workers in the COVID-19 pandemic: a qualitative study of health system leaders' strategies.
Citation Text:
Panda N, Sinyard RD, Henrich N, et al. Redeployment of health care workers in the COVID-19 pandemic: a qualitative study of health system leaders' …
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psnet.ahrq.gov/issue/association-inpatient-hospital-experience-patient-safety-indicators-cross-sectional-canadian
February 17, 2017 - Study
Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study.
Citation Text:
Kemp KA, Santana MJ, Southern DA, et al. Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study. BM…