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psnet.ahrq.gov/issue/interventions-reliability-seeking-health-care-organizations-systematic-review-their-goals-and
October 19, 2022 - Review
Interventions into reliability-seeking health care organizations: a systematic review of their goals and measuring methods.
Citation Text:
Auschra C, Asaad E, Sydow J, et al. Interventions into reliability-seeking health care organizations: a systematic review of their goals and m…
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psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
February 15, 2011 - Study
Classic
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Citation Text:
Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…
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psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review
November 10, 2021 - Study
Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17.
Citation Text:
Trost SL, Beauregard JL, Smoots AN, et al. Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committee…
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psnet.ahrq.gov/issue/burnout-and-medical-errors-among-american-surgeons
December 21, 2014 - Study
Burnout and medical errors among American surgeons.
Citation Text:
Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010;251(6):995-1000. doi:10.1097/SLA.0b013e3181bfdab3.
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psnet.ahrq.gov/issue/failures-respectful-care-critically-ill-patients
December 19, 2018 - Study
Failures in the respectful care of critically ill patients.
Citation Text:
Law AC, Roche S, Reichheld A, et al. Failures in the Respectful Care of Critically Ill Patients. Jt Comm J Qual Patient Saf. 2019;45(4):276-284. doi:10.1016/j.jcjq.2018.05.008.
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psnet.ahrq.gov/issue/multistate-point-prevalence-survey-health-care-associated-infections
November 14, 2018 - Study
Multistate point-prevalence survey of health care-associated infections.
Citation Text:
Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801.
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psnet.ahrq.gov/issue/patients-willingness-and-ability-identify-and-respond-errors-their-personal-health-records
March 10, 2021 - Study
Patients' willingness and ability to identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data.
Citation Text:
Lear R, Freise L, Kybert M, et al. Patients' willingness and ability to identify and respond to errors in thei…
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psnet.ahrq.gov/issue/patient-handoffs-and-multi-specialty-trainee-perspectives-across-institution-informing
February 23, 2022 - Study
Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs.
Citation Text:
Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty t…
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psnet.ahrq.gov/issue/exposing-physicians-reduced-residency-work-hours-did-not-adversely-affect-patient-outcomes
June 21, 2016 - Study
Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency.
Citation Text:
Jena AB, Schoemaker L, Bhattacharya J. Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Health…
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psnet.ahrq.gov/issue/inadequate-hand-communication
April 02, 2015 - Sentinel Event Alerts
Inadequate hand-off communication.
Citation Text:
Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6.
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psnet.ahrq.gov/issue/nurses-attitudes-medical-emergency-team-service-teaching-hospital
November 16, 2022 - Study
Nurses' attitudes to a medical emergency team service in a teaching hospital.
Citation Text:
Jones D, Baldwin I, McIntyre T, et al. Nurses' attitudes to a medical emergency team service in a teaching hospital. Qual Saf Health Care. 2006;15(6):427-32.
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psnet.ahrq.gov/issue/electronic-medication-reconciliation-tools-aimed-healthcare-professionals-support-medication
December 02, 2020 - Review
Electronic medication reconciliation tools aimed at healthcare professionals to support medication reconciliation: a systematic review.
Citation Text:
Ciudad-Gutiérrez P, del Valle-Moreno P, Lora-Escobar SJ, et al. Electronic medication reconciliation tools aimed at healthcare pro…
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psnet.ahrq.gov/issue/improving-safety-hospitalized-patients-much-progress-many-challenges-remain
September 24, 2017 - Commentary
Improving safety for hospitalized patients: much progress but many challenges remain.
Citation Text:
Kronick R, Arnold S, Brady J. Improving Safety for Hospitalized Patients: Much Progress but Many Challenges Remain. JAMA. 2016;316(5):489-90. doi:10.1001/jama.2016.7887.
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psnet.ahrq.gov/issue/how-can-never-event-data-be-used-reflect-or-improve-hospital-safety-performance
March 30, 2022 - Study
How can never event data be used to reflect or improve hospital safety performance?
Citation Text:
Olivarius‐McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/a…
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psnet.ahrq.gov/issue/eye-storm-role-pharmacist-medication-safety-during-covid-19-pandemic-urban-teaching-hospital
June 02, 2021 - Commentary
In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching hospital.
Citation Text:
Kanaan AO, Sullivan KM, Seed SM, et al. In the eye of the storm: the role of the pharmacist in medication safety during the COVID…
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psnet.ahrq.gov/issue/association-nurse-workload-missed-nursing-care-neonatal-intensive-care-unit
September 27, 2017 - Study
Emerging Classic
Association of nurse workload with missed nursing care in the neonatal intensive care unit.
Citation Text:
Tubbs-Cooley HL, Mara CA, Carle AC, et al. Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Uni…
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psnet.ahrq.gov/issue/patient-safety-satisfaction-and-quality-hospital-care-cross-sectional-surveys-nurses-and
December 12, 2014 - Study
Classic
Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.
Citation Text:
Aiken LH, Sermeus W, Van den Heede K, et al. Patient safety, satisfaction, an…
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psnet.ahrq.gov/issue/nurse-staffing-and-education-and-hospital-mortality-nine-european-countries-retrospective
January 04, 2015 - Study
Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study.
Citation Text:
Aiken LH, Sloane DM, Bruyneel L, et al. Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational …
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psnet.ahrq.gov/issue/missed-nursing-care-during-covid-19-pandemic-comparative-observational-study
June 22, 2022 - Study
Missed nursing care during the COVID-19 pandemic: a comparative observational study.
Citation Text:
von Vogelsang A‐C, Göransson KE, Falk A‐C, et al. Missed nursing care during the COVID‐19 pandemic: a comparative observational study. J Nurs Manag. 2021;29(8):2343-2352. doi:10.1111…
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psnet.ahrq.gov/issue/patient-and-family-involvement-serious-incident-investigations-perspectives-key-stakeholders
March 02, 2022 - Review
Patient and family involvement in serious incident investigations from the perspectives of key stakeholders: a review of the qualitative evidence.
Citation Text:
Ramsey L, McHugh SK, Simms-Ellis R, et al. Patient and family involvement in serious incident investigations from the p…