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psnet.ahrq.gov/issue/driven-distraction-prospective-controlled-study-simulated-ward-round-experience-improve
March 14, 2022 - Study
Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students.
Citation Text:
Thomas I, Nicol L, Regan L, et al. Driven to distraction: a prospective controlled study of a simulated ward round expe…
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psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable-system-flaws
October 05, 2022 - Study
Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws.
Citation Text:
Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39…
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psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-patients-excess-length-stay-extra-costs-and-attributable
February 10, 2011 - Study
Classic
Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality.
Citation Text:
Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of stay, extra cos…
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psnet.ahrq.gov/issue/high-risk-medication-home-care-nursing-delphi-study
April 13, 2022 - Study
High-risk medication in home care nursing: a Delphi study.
Citation Text:
Dumitrescu I, Casteels M, De Vliegher K, et al. High-risk medication in home care nursing: a Delphi study. J Patient Saf. 2022;18(5):435-443. doi:10.1097/pts.0000000000001023.
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psnet.ahrq.gov/issue/detection-adverse-events-acute-geriatric-hospital-over-6-year-period-using-global-trigger
March 09, 2022 - Study
Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool.
Citation Text:
Suarez C, Menendez MD, Alonso J, et al. Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. J Am …
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psnet.ahrq.gov/issue/making-electronic-prescribing-alerts-more-effective-scenario-based-experimental-study-junior
November 16, 2022 - Study
Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors.
Citation Text:
Scott GPT, Shah P, Wyatt JC, et al. Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. J Am Med Inform Ass…
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psnet.ahrq.gov/issue/applicability-healthcare-failure-mode-and-effects-analysis-healthcare-epidemiology-evaluation
October 19, 2022 - Study
Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments.
Citation Text:
Weinstein RA, Linkin DR, Sausman C, et al. Applicability of Healthcare Failure Mode and Effects Analysis to Heal…
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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/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/improving-perceptions-patient-safety-through-standardizing-handoffs-emergency-department
December 21, 2022 - Review
Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review.
Citation Text:
Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing handoffs from t…
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psnet.ahrq.gov/issue/physician-order-entry-or-nurse-order-entry-comparison-two-implementation-strategies
February 23, 2009 - Study
Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors.
Citation Text:
Kazemi A, Fors UGH, Tofighi S, et al. Physician order entry or nurse order entry? Comparison of…
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psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
September 28, 2010 - Study
A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1.
Citation Text:
Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of …
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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/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident-involvement-among
October 27, 2021 - Study
Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services crew members: relationships and indirect effects.
Citation Text:
Sedlár M. Work-related factors, cognitive skills, unsafe behavior and safety incident involvemen…
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psnet.ahrq.gov/issue/effect-pharmacist-email-alerts-concurrent-prescribing-opioids-and-benzodiazepines-prescribers
September 07, 2022 - Study
Effect of pharmacist email alerts on concurrent prescribing of opioids and benzodiazepines by prescribers and primary care managers: a randomized clinical trial.
Citation Text:
Sacarny A, Safran E, Steffel M, et al. Effect of pharmacist email alerts on concurrent prescribing of opi…
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psnet.ahrq.gov/issue/impact-repeated-reimbursement-penalties-hospital-total-quality-scores
November 16, 2022 - Study
Impact of repeated reimbursement penalties on hospital total quality scores.
Citation Text:
Brewer A, Hughes MC, Patel KN. Impact of repeated reimbursement penalties on hospital total quality scores. J Patient Saf. 2024;20(3):198-201. doi:10.1097/pts.0000000000001199.
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psnet.ahrq.gov/issue/demonstrating-high-reliability-accountability-measures-johns-hopkins-hospital
January 27, 2016 - Study
Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital.
Citation Text:
Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531…
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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/prevention-ventilator-associated-pneumonia-evidence-based-systematic-review
July 14, 2010 - Study
Classic
Prevention of ventilator-associated pneumonia: an evidence-based systematic review.
Citation Text:
Collard HR, Saint S, Matthay MA. Prevention of ventilator-associated pneumonia: an evidence-based systematic review. Ann Intern Med. 2003;138(6):49…
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psnet.ahrq.gov/issue/official-critical-care-societies-collaborative-statement-burnout-syndrome-critical-care
October 19, 2022 - Commentary
An official Critical Care Societies Collaborative statement: burnout syndrome in critical care healthcare professionals: a call for action.
Citation Text:
Moss M, Good VS, Gozal D, et al. An Official Critical Care Societies Collaborative Statement: Burnout Syndrome in Critical…