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psnet.ahrq.gov/issue/medication-reconciliation-during-hospitalization-and-hospital-home-interface-observational
June 16, 2021 - Study
Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study.
Citation Text:
Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital-home interface: an observational retrosp…
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psnet.ahrq.gov/issue/prognosis-undiagnosed-chest-pain-linked-electronic-health-record-cohort-study
March 19, 2018 - Study
Prognosis of undiagnosed chest pain: linked electronic health record cohort study.
Citation Text:
Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194.
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psnet.ahrq.gov/issue/can-aviation-based-team-training-elicit-sustainable-behavioral-change
July 19, 2023 - Study
Can aviation-based team training elicit sustainable behavioral change?
Citation Text:
Sax HC, Browne P, Mayewski RJ, et al. Can aviation-based team training elicit sustainable behavioral change? Arch Surg. 2009;144(12):1133-1137. doi:10.1001/archsurg.2009.207.
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psnet.ahrq.gov/issue/randomized-controlled-trial-evaluating-impact-computerized-rounding-and-sign-out-system
July 14, 2010 - Study
Classic
A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours.
Citation Text:
Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating…
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psnet.ahrq.gov/issue/interprofessional-team-collaboration-and-work-environment-health-68-us-intensive-care-units
November 10, 2021 - Study
Interprofessional team collaboration and work environment health in 68 US intensive care units.
Citation Text:
Pun BT, Jun J, Tan A, et al. Interprofessional team collaboration and work environment health in 68 US intensive care units. Am J Crit Care. 2022;31(6):443-451. doi:10.403…
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psnet.ahrq.gov/issue/unscheduled-returns-emergency-department-outcome-medical-errors
November 12, 2014 - Study
Unscheduled returns to the emergency department: an outcome of medical errors?
Citation Text:
Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8.
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psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning
July 08, 2015 - Study
Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline.
Citation Text:
Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the front…
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psnet.ahrq.gov/issue/how-can-we-improve-recognition-reporting-and-resolution-medical-device-related-incidents
May 06, 2015 - Study
How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses.
Citation Text:
Polisena J, Gagliardi AR, Clifford T. How can we improve the recognition, reporting and resolution …
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psnet.ahrq.gov/issue/assessing-impact-real-time-random-safety-audits-through-full-propensity-score-matching
March 09, 2022 - Study
Assessing the impact of real-time random safety audits through full propensity score matching on reliable data from the clinical information system.
Citation Text:
Bodí M, Samper MA, Sirgo G, et al. Assessing the impact of real-time random safety audits through full propensity scor…
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psnet.ahrq.gov/issue/effects-electronic-nursing-handover-patient-safety-general-non-covid-19-and-covid-19
February 26, 2020 - Study
The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study.
Citation Text:
Tataei A, Rahimi B, Afshar HL, et al. The effects of electronic nursing handover on patient safety in the general…
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psnet.ahrq.gov/issue/identifying-hospital-wide-harm-set-icd-9-cm-coded-conditions-associated-increased-cost-length
September 07, 2016 - Study
Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality.
Citation Text:
Bankowitz RA, Doyle B, Duan M, et al. Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions associated with increase…
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psnet.ahrq.gov/issue/high-rate-implementation-proposed-actions-improvement-healthcare-failure-mode-effect-analysis
December 09, 2020 - Study
High rate of implementation of proposed actions for improvement with the Healthcare Failure Mode Effect Analysis method: evaluation of 117 analyses.
Citation Text:
Öhrn A, Ericsson C, Andersson C, et al. High Rate of Implementation of Proposed Actions for Improvement With the Healt…
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psnet.ahrq.gov/issue/effect-world-health-organization-checklist-patient-outcomes-stepped-wedge-cluster-randomized
June 03, 2020 - Study
Classic
Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial.
Citation Text:
Haugen AS, Søfteland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient outc…
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psnet.ahrq.gov/issue/implementation-strategy-multicenter-pediatric-rapid-response-system-ontario
September 09, 2015 - Commentary
An implementation strategy for a multicenter pediatric rapid response system in Ontario.
Citation Text:
Buist MD, Shearer W. Rapid Response Systems: A Mandatory System of Care or an Optional Extra for Bedside Clinical Staff? The Joint Commission Journal on Quality and Patient …
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psnet.ahrq.gov/issue/implementing-safer-and-more-reliable-system-monitor-test-results-teaching-university
November 07, 2018 - Commentary
Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report.
Citation Text:
Dorimain M-V, Plouffe-Malette M, Paquette M, et al. Implementing a safer and more…
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psnet.ahrq.gov/issue/safely-practicing-new-environment-qualitative-study-inform-physician-onboarding-practices
July 02, 2019 - Study
Safely practicing in a new environment: a qualitative study to inform physician onboarding practices.
Citation Text:
Lagoo J, Berry WR, Henrich N, et al. Safely practicing in a new environment: a qualitative study to inform physician onboarding practices. Jt Comm J Qual Patient Saf…
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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/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional-study
April 14, 2021 - Study
Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study.
Citation Text:
Ballangrud R, Hedelin B, Hall-Lord ML. Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study. Intensive Crit Care Nurs. 2012;28(6…
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psnet.ahrq.gov/issue/interpretive-diagnostic-error-reduction-surgical-pathology-and-cytology-guideline-college
February 10, 2012 - Organizational Policy/Guidelines
Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology.
Citation Text:
Nak…
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method
June 14, 2023 - Study
Learning from patient safety incidents: The Green Cross method.
Citation Text:
Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114.
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