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psnet.ahrq.gov/issue/does-responsibility-affect-publics-valuation-health-care-interventions-relative-valuation
October 12, 2022 - Study
Does responsibility affect the public's valuation of health care interventions? A relative valuation approach to health care safety.
Citation Text:
Singh J, Lord J, Longworth L, et al. Does responsibility affect the public's valuation of health care interventions? A relative valuat…
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psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
December 09, 2020 - Study
Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.
Citation Text:
Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…
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psnet.ahrq.gov/issue/development-pilot-study-and-psychometric-analysis-ahrq-surveys-patient-safety-culture-sops
December 09, 2020 - Study
Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals.
Citation Text:
Zebrak K, Yount N, Sorra J, et al. Development, pilot study, and psychometric analysis of the AHRQ Surveys on P…
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psnet.ahrq.gov/issue/impact-statewide-intensive-care-unit-quality-improvement-initiative-hospital-mortality-and
October 16, 2012 - Study
Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.
Citation Text:
Lipitz-Snyderman A, Steinwachs D, Needham DM, et al. Impact of a statewide intensive care unit quality improvement…
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psnet.ahrq.gov/issue/rethinking-resident-supervision-improve-safety-hierarchical-interprofessional-models
April 09, 2013 - Study
Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.
Citation Text:
Tamuz M, Giardina TD, Thomas EJ, et al. Rethinking resident supervision to improve safety: From hierarchical to interprofessional models. J Hosp Med. 2011;6(8):445-452…
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psnet.ahrq.gov/issue/implementation-and-facilitation-post-resuscitation-debriefing-comparative-crossover-study-two
March 23, 2022 - Study
Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.
Citation Text:
Kam AJ, Gonsalves CL, Nordlund SV, et al. Implementation and facilitation of post-resuscitation debriefing: a comparative …
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psnet.ahrq.gov/issue/interdisciplinary-quality-improvement-conference-using-revised-morbidity-and-mortality-format
July 22, 2020 - Study
Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes.
Citation Text:
Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conf…
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psnet.ahrq.gov/issue/effects-refined-evidence-based-toolkit-and-mentored-implementation-medication-reconciliation
April 12, 2023 - Study
Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study.
Citation Text:
Schnipper JL, Reyes Nieva H, Mallouk M, et al. Effects of a refined evidence-based toolkit and mentored implementation…
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psnet.ahrq.gov/issue/speaking-about-care-concerns-icu-patient-and-family-experiences-attitudes-and-perceived
August 09, 2018 - Study
Emerging Classic
Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers.
Citation Text:
Bell SK, Roche S, Mueller A, et al. Speaking up about care concerns in the ICU: patient and family experiences, at…
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psnet.ahrq.gov/issue/promoting-medication-safety-older-adults-upon-hospital-discharge-guiding-principles
July 31, 2019 - Study
Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan.
Citation Text:
Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication d…
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psnet.ahrq.gov/issue/exploring-how-ward-staff-engage-implementation-patient-safety-intervention-uk-based
December 21, 2016 - Study
Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-based qualitative process evaluation.
Citation Text:
Sheard L, Marsh C, O'Hara JK, et al. Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-ba…
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psnet.ahrq.gov/issue/patient-reporting-and-action-safe-environment-prase-intervention-feasibility-study
July 21, 2017 - Study
The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study.
Citation Text:
O'Hara JK, Lawton R, Armitage G, et al. The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. BMC Health Serv Res. 2016;16(…
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psnet.ahrq.gov/issue/systematic-review-methods-medical-record-analysis-detect-adverse-events-hospitalized-patients
December 14, 2022 - Review
A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.
Citation Text:
Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.…
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psnet.ahrq.gov/issue/intensive-care-unit-nurses-information-needs-and-recommendations-integrated-displays-improve
March 01, 2011 - Study
Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness.
Citation Text:
Koch SH, Weir C, Haar M, et al. Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurs…
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psnet.ahrq.gov/issue/speaking-about-safety-concerns-multi-setting-qualitative-study-patients-views-and-experiences
May 18, 2016 - Study
Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences.
Citation Text:
Entwistle VA, McCaughan D, Watt I, et al. Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences. Qual Saf Health C…
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psnet.ahrq.gov/issue/introduction-novel-patient-safety-advisory-evaluation-perceived-information-modified-qpp
April 05, 2023 - Study
Introduction of a novel patient safety advisory: evaluation of perceived information with a modified QPP questionnaire-a case-control study.
Citation Text:
Tubic B, Bånnsgård M, Gustavsson S, et al. Introduction of a novel patient safety advisory: evaluation of perceived informatio…
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psnet.ahrq.gov/issue/classifying-and-predicting-errors-inpatient-medication-reconciliation
February 15, 2011 - Study
Classifying and predicting errors of inpatient medication reconciliation.
Citation Text:
Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication reconciliation. J Gen Intern Med. 2008;23(9):1414-22. doi:10.1007/s11606-008-0687-9.
Copy C…
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psnet.ahrq.gov/issue/changes-end-user-satisfaction-computerized-provider-order-entry-over-time-among-nurses-and
March 15, 2017 - Study
Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units.
Citation Text:
Hoonakker P, Carayon P, Brown RL, et al. Changes in end-user satisfaction with Computerized Provider Order Entry over time among nurs…
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psnet.ahrq.gov/issue/effectiveness-improving-healthcare-teams-human-factor-skills-using-simulation-based-training
June 08, 2022 - Review
The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review.
Citation Text:
Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’ human factor skills using simulation-based t…
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psnet.ahrq.gov/issue/nurses-achilles-heel-using-big-data-determine-workload-factors-impact-near-misses
July 28, 2021 - Study
Nurse's Achilles Heel: using big data to determine workload factors that impact near misses.
Citation Text:
Campbell AA, Harlan T, Campbell M, et al. Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. J Nurs Scholarsh. 2021;53(3):333-342. d…