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psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related
October 17, 2018 - Study
Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients.
Citation Text:
Benda NC, Wesley DB, Nare M, et al. Social determinants of health and patient safety: an analysis of patient safety event rep…
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psnet.ahrq.gov/issue/quality-improvement-ambulatory-surgery-centers-major-national-effort-aimed-reducing
September 23, 2020 - Study
Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications.
Citation Text:
Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major National Effort Aimed at Reducin…
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psnet.ahrq.gov/issue/state-evidence-computerized-provider-order-entry-systematic-review-and-analysis-quality
August 04, 2021 - Review
The state of the evidence for computerized provider order entry: a systematic review and analysis of the quality of the literature.
Citation Text:
Weir C, Staggers N, Phansalkar S. The state of the evidence for computerized provider order entry: a systematic review and analysis …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/alexander/alexander.pptx
February 16, 2011 - Methods and Metrics Issues in Delivery Systems Research
Methods and Metrics Issues in Delivery System Research
JEFF ALEXANDER
The University of Michigan
The Challenge and Promise of Delivery System Research: A Meeting of AHRQ Grantees, Experts, and Stakeholders
Doubletree Dulles – Sterling, Virginia
February 16, 201…
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psnet.ahrq.gov/issue/impact-adding-2-way-video-monitoring-system-falls-and-costs-high-risk-inpatients
April 24, 2018 - Study
The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients.
Citation Text:
Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. d…
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psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions
December 16, 2020 - Study
Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions.
Citation Text:
Makic MBF, Stevens KR, Gritz RM, et al. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Appl Clin Inform. 2022;13(3):62…
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psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action
March 21, 2017 - Study
Evaluation of the contributions of an electronic web-based reporting system: enabling action.
Citation Text:
Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15.…
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psnet.ahrq.gov/issue/race-differences-reported-near-miss-patient-safety-events-health-care-system-high-reliability
March 01, 2023 - Study
Race differences in reported "near miss" patient safety events in health care system high reliability organizations.
Citation Text:
Thomas AD, Pandit C, Krevat S. Race differences in reported "near miss" patient safety events in health care system high reliability organizations. J …
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psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery
February 17, 2011 - Study
Classic
Risk factors for retained instruments and sponges after surgery.
Citation Text:
Gawande AA, Studdert DM, Orav J, et al. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003;348(3):229-35.
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psnet.ahrq.gov/issue/online-patient-feedback-safety-valve-automated-language-analysis-unnoticed-and-unresolved
August 05, 2020 - Study
Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents.
Citation Text:
Gillespie A, Reader TW. Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents. Ris…
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psnet.ahrq.gov/issue/mitigating-patient-and-consumer-safety-risks-when-using-conversational-assistants-medical
September 19, 2018 - Study
Mitigating patient and consumer safety risks when using conversational assistants for medical information: exploratory mixed methods experiment.
Citation Text:
Bickmore TW, Olafsson S, O'Leary TK. Mitigating patient and consumer safety risks when using conversational assistants for…
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psnet.ahrq.gov/issue/how-dangerous-day-hospital-model-adverse-events-and-length-stay-medical-inpatients
February 09, 2012 - Study
Classic
How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients.
Citation Text:
Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients. Med…
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psnet.ahrq.gov/issue/doctor-was-rude-toilets-are-dirty-utilizing-soft-signals-regulation-patient-safety
October 06, 2021 - Study
The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety.
Citation Text:
Kok J, Wallenburg I, Leistikow I, et al. The doctor was rude, the toilets are dirty. Utilizing ‘soft signals’ in the regulation of patient safety. Safety Sci. 20…
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psnet.ahrq.gov/issue/receipt-antibiotics-hospitalized-patients-and-risk-clostridium-difficile-infection-subsequent
September 29, 2017 - Study
Receipt of antibiotics in hospitalized patients and risk for Clostridium difficile infection in subsequent patients who occupy the same bed.
Citation Text:
Freedberg DE, Salmasian H, Cohen B, et al. Receipt of Antibiotics in Hospitalized Patients and Risk for Clostridium difficile …
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www.ahrq.gov/research/findings/evidence-based-reports/er207-abstract.html
October 01, 2014 - Allocation of Scarce Resources During MCEs
Full Title: Allocation of Scarce Resources During Mass Casualty Events
Topic page summarizing evidence report on allocation of scarce resources during mass casualty events (MCEs).
June 2012
This report reviews the evidence regarding allocation of scarce medical r…
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psnet.ahrq.gov/issue/information-transfer-and-communication-surgery-systematic-review
September 26, 2012 - Review
Information transfer and communication in surgery: a systematic review.
Citation Text:
Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review. Ann Surg. 2010;252(2):225-39. doi:10.1097/SLA.0b013e3181e495c2.
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psnet.ahrq.gov/issue/innovative-tool-experiential-learning-nursing-quality-and-safety-competencies
October 16, 2012 - September 29, 2010
The SBAR communication technique: teaching nursing students professional
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psnet.ahrq.gov/node/41683/psn-pdf
September 19, 2012 - Techniques to improve patient safety in hospitals: what
nurse administrators need to know.
September 19, 2012
Fagan MJ. Techniques to improve patient safety in hospitals: what nurse administrators need to know. J
Nurs Adm. 2012;42(9):426-430. doi:10.1097/NNA.0b013e3182664df5.
https://psnet.ahrq.gov/issue/technique…
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psnet.ahrq.gov/node/38698/psn-pdf
June 10, 2009 - Towards a framework to select techniques for error
prediction: supporting novice users in the healthcare
sector.
June 10, 2009
Lyons M. Towards a framework to select techniques for error prediction: supporting novice users in the
healthcare sector. Appl Ergon. 2009;40(3):379-95. doi:10.1016/j.apergo.2008.11.004.
…
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psnet.ahrq.gov/node/46304/psn-pdf
November 01, 2017 - Comparative performance of pediatric weight estimation
techniques: a human factor errors analysis.
November 1, 2017
Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation
techniques: a human factor errors analysis. Pediatr Emerg Care. 2015;33(8):548-552.
doi:10.1097/pe…