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psnet.ahrq.gov/issue/deficiencies-emergency-department-care-patient-who-died-suicide-john-cochran-division-va-st
July 26, 2023 - Book/Report
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri.
Citation Text:
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division…
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psnet.ahrq.gov/issue/interventions-reduce-pediatric-prescribing-errors-professional-healthcare-settings-systematic
September 29, 2021 - Review
Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade.
Citation Text:
Koeck JA, Young NJ, Kontny U, et al. Interventions to Reduce Pediatric Prescribing Errors in Professional Healthcare Settings: A Systema…
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psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm
April 16, 2018 - Study
Remote patient monitoring improves patient falls and reduces harm.
Citation Text:
Zimbro KS, Bridges C, Bunn S, et al. Remote patient monitoring improves patient falls and reduces harm. J Nurs Care Qual. 2024;39(3):212-219. doi:10.1097/ncq.0000000000000749.
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psnet.ahrq.gov/issue/identifying-hot-spots-harm-and-blind-spots-across-care-pathway-patient-complaints-about
May 04, 2022 - Study
Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice.
Citation Text:
O’Dowd E, Lydon S, Lambe KA, et al. Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general pra…
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-reduce-risk-heparin-use
July 19, 2023 - Study
Failure mode and effects analysis to reduce risk of heparin use.
Citation Text:
Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229.
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hcup-us.ahrq.gov/figures/figure4_re_rpt.jsp
July 01, 2016 - Figure 4: Rate of Non-fatal Work-related Injuries and Illnesses Involving Days Away from Work, ConnecticutâPrivate Industry, by Race or Ethnicity, 1999-2006
An official website of the Department of Health & Human Services
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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/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30
February 24, 2011 - Study
Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations.
Citation Text:
Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event…
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psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals
June 15, 2011 - Study
Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals.
Citation Text:
Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events
March 21, 2017 - Study
Voluntary electronic reporting of medical errors and adverse events.
Citation Text:
Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):1…
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psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-counts
May 08, 2013 - Study
The hidden costs of reconciling surgical sponge counts.
Citation Text:
Steelman VM, Schaapveld AG, Perkhounkova Y, et al. The Hidden Costs of Reconciling Surgical Sponge Counts. AORN J. 2015;102(5):498-506. doi:10.1016/j.aorn.2015.09.002.
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psnet.ahrq.gov/issue/graduate-medical-education-and-patient-safety-busy-and-occasionally-hazardous-intersection
March 02, 2011 - Commentary
Classic
Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection.
Citation Text:
Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: a busy--and occasionally hazardous--intersectio…
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psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning
February 02, 2022 - Commentary
Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning.
Citation Text:
Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097…
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psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and-harm
June 19, 2019 - Study
Health care provider factors associated with patient-reported adverse events and harm.
Citation Text:
Giardina TD, Royse KE, Khanna A, et al. Health care provider factors associated with patient-reported adverse events and harm. Jt Comm J Qual Patient Saf. 2020;46(5):282-290. doi:…
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psnet.ahrq.gov/issue/honesty-and-transparency-indispensable-clinical-mission-parts-i-iii
November 11, 2020 - Commentary
Honesty and transparency, indispensable to the clinical mission--Parts I-III.
Citation Text:
Brenner MJ, Boothman RC, Rushton CH, et al. Honesty and Transparency, Indispensable to the Clinical Mission—Parts I - III. Otolaryngol Clin North Am. 2021;55(1):43-103. doi:10.1016/j.o…
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psnet.ahrq.gov/issue/cost-health-care-associated-infections-united-states
November 02, 2022 - Study
Cost of health care-associated infections in the United States.
Citation Text:
Forrester JD, Maggio PM, Tennakoon L. Cost of health care-associated infections in the United States. J Patient Saf. 2022;18(2):e477-e479. doi:10.1097/pts.0000000000000845.
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psnet.ahrq.gov/issue/validation-and-use-second-victim-experience-and-support-tool-questionnaire-scoping-review
July 09, 2008 - Review
Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review.
Citation Text:
Dato Md Yusof YJ, Ng QX, Teoh SE, et al. Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. Public Health. 2023;223…
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psnet.ahrq.gov/issue/misuse-abuse-and-medication-errors-adverse-events-associated-opioids-systematic-review
January 15, 2025 - Review
Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review.
Citation Text:
Gustafsson M, Silva V, Valeiro C, et al. Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Pharmaceuticals (Basel). 2024…
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psnet.ahrq.gov/issue/persistent-opioid-use-among-pediatric-patients-after-surgery
January 29, 2020 - Study
Classic
Persistent opioid use among pediatric patients after surgery.
Citation Text:
Harbaugh CM, Lee JS, Hu HM, et al. Persistent Opioid Use Among Pediatric Patients After Surgery. Pediatrics. 2018;141(1):e20172439. doi:10.1542/peds.2017-2439.
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psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes
February 08, 2017 - Commentary
Adverse events in healthcare: learning from mistakes.
Citation Text:
Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM. 2015;108(4):273-7. doi:10.1093/qjmed/hcu145.
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