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psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
February 15, 2011 - Study
Patient characteristics and the occurrence of never events.
Citation Text:
Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/lvfeedback.jsp
February 01, 2025 - Enhancing the Clinical Content of Administrative Data - Laboratory Data Toolkit: Feedback and Reporting Tools
An official website of the Department of Health & Human Services
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hcup-us.ahrq.gov/datainnovations/clinicaldata/piprog.jsp
July 01, 2016 - Enhancing the Clinical Content of Administrative Data - Laboratory Data Toolkit: Projects in Progress
An official website of the Department of Health & Human Services
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hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit1_2.jsp
January 01, 2009 - Facts and Figures Exhibit 1.2
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hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit4_4.jsp
January 01, 2009 - Facts and Figures Exhibit 4.4
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psnet.ahrq.gov/issue/patient-safety-culture-impact-workplace-violence-and-health-worker-burnout
December 07, 2022 - Study
Patient safety culture: the impact on workplace violence and health worker burnout.
Citation Text:
Kim S, Kitzmiller R, Baernholdt MB, et al. Patient safety culture: the impact on workplace violence and health worker burnout. Workplace Health Saf. 2022;71(2):78-88. doi:10.1177/2165…
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psnet.ahrq.gov/issue/surgical-checklists-systematic-review-impacts-and-implementation
January 06, 2018 - Review
Surgical checklists: a systematic review of impacts and implementation.
Citation Text:
Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299-318. doi:10.1136/bmjqs-2012-001797.
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psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture-psychological-safety
August 02, 2015 - Commentary
Emerging Classic
Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem.
Citation Text:
Rosenbaum L. Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10…
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psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
January 04, 2012 - Study
A comparison of hospital adverse events identified by three widely used detection methods.
Citation Text:
Naessens JM, Campbell CR, Huddleston JM, et al. A comparison of hospital adverse events identified by three widely used detection methods. Int J Qual Health Care. 2009;21(4):…
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psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-educational-interventions-designed-improve-medication
June 24, 2020 - Review
Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses.
Citation Text:
Härkänen M, Voutilainen A, Turunen E, et al. Systematic review and meta-analysis of educational interventions desig…
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psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions
July 03, 2016 - Study
Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent.
Citation Text:
Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf.…
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psnet.ahrq.gov/issue/prevalence-adverse-events-pediatric-intensive-care-units-united-states
April 11, 2011 - Study
Prevalence of adverse events in pediatric intensive care units in the United States.
Citation Text:
Agarwal S, Classen D, Larsen G, et al. Prevalence of adverse events in pediatric intensive care units in the United States. Pediatr Crit Care Med. 2010;11(5):568-578. doi:10.1097/P…
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psnet.ahrq.gov/issue/measuring-hospital-adverse-events-assessing-inter-rater-reliability-and-trigger-performance
May 07, 2014 - Study
Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool.
Citation Text:
Naessens JM, O'Byrne TJ, Johnson MG, et al. Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the …
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psnet.ahrq.gov/issue/adherence-surgical-care-improvement-project-measures-and-association-postoperative-infections
November 25, 2020 - Study
Classic
Adherence to Surgical Care Improvement Project measures and the association with postoperative infections.
Citation Text:
Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures and the association wit…
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psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times
June 21, 2023 - Study
Medication safety event reporting: factors that contribute to safety events during times of organizational stress.
Citation Text:
Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stre…
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psnet.ahrq.gov/issue/application-aviation-black-box-principle-pediatric-cardiac-surgery-tracking-all-failures
October 07, 2013 - Study
Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room.
Citation Text:
Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric cardiac surgery: trac…
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psnet.ahrq.gov/issue/underlying-reasons-associated-hospital-readmission-following-surgery-united-states
May 06, 2020 - Study
Classic
Underlying reasons associated with hospital readmission following surgery in the United States.
Citation Text:
Merkow RP, Ju MH, Chung JW, et al. Underlying reasons associated with hospital readmission following surgery in the United States. JAMA. …
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psnet.ahrq.gov/issue/systematic-review-effectiveness-interruptive-medication-prescribing-alerts-hospital-cpoe
August 17, 2016 - Review
A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety.
Citation Text:
Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medic…
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psnet.ahrq.gov/issue/evaluation-effectiveness-surgical-checklist-medicare-patients
January 13, 2016 - Study
Evaluation of the effectiveness of a surgical checklist in Medicare patients.
Citation Text:
Reames BN, Scally CP, Thumma JR, et al. Evaluation of the Effectiveness of a Surgical Checklist in Medicare Patients. Med Care. 2015;53(1):87-94. doi:10.1097/MLR.0000000000000277.
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psnet.ahrq.gov/issue/assessment-perioperative-outcomes-among-surgeons-who-operated-night
March 06, 2019 - Study
Assessment of perioperative outcomes among surgeons who operated the night before.
Citation Text:
Sun EC, Mello MM, Vaughn MT, et al. Assessment of perioperative outcomes among surgeons who operated the night before. JAMA Intern Med. 2022;182(7):720-728. doi:10.1001/jamainternmed.2…