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psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital
December 23, 2020 - Study
Content analysis of nurses' reflections on medication errors in a regional hospital.
Citation Text:
Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.222043…
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psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic-conditions
November 04, 2014 - Study
Medical errors in US pediatric inpatients with chronic conditions.
Citation Text:
Ahuja N, Zhao W, Xiang H. Medical errors in US pediatric inpatients with chronic conditions. Pediatrics. 2012;130(4):e786-e793. doi:10.1542/peds.2011-2555.
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psnet.ahrq.gov/issue/report-card-system-using-error-profile-analysis-and-concurrent-morbidity-and-mortality-review
June 18, 2008 - Study
A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II.
Citation Text:
Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent morbidity and mortality rev…
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psnet.ahrq.gov/issue/teams-tribes-and-patient-safety-overcoming-barriers-effective-teamwork-healthcare
November 17, 2014 - Review
Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare.
Citation Text:
Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgra…
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psnet.ahrq.gov/issue/hospital-differences-adult-inpatient-stays-healthcare-associated-infections-2019-and-2021
August 03, 2022 - Book/Report
Hospital Differences in Adult Inpatient Stays with Healthcare-Associated Infections, 2019 and 2021.
Citation Text:
Miller MA, Lin L, Calfee DP, et al. Hospital Differences In Adult Inpatient Stays With Healthcare-Associated Infections, 2019 And 2021. Rockville, MD: Agency for…
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psnet.ahrq.gov/issue/influence-standardisation-and-task-load-team-coordination-patterns-during-anaesthesia
November 05, 2008 - Study
The influence of standardisation and task load on team coordination patterns during anaesthesia inductions.
Citation Text:
Zala-Mezö E, Wacker J, Künzle B, et al. The influence of standardisation and task load on team coordination patterns during anaesthesia inductions. Qual Saf …
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psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during-hospitalization
February 27, 2009 - Study
Classic
Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization.
Citation Text:
Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. …
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psnet.ahrq.gov/issue/radiologists-make-more-errors-interpreting-hours-body-ct-studies-during-overnight-assignments
November 16, 2022 - Study
Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments.
Citation Text:
Patel AG, Pizzitola VJ, Johnson CD, et al. Radiologists Make More Errors Interpreting Off-Hours Body CT Studies during Overnight As…
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psnet.ahrq.gov/issue/diagnostic-delays-among-covid-19-patients-second-concurrent-diagnosis
March 08, 2023 - Study
Diagnostic delays among COVID-19 patients with a second concurrent diagnosis.
Citation Text:
Freund O, Azolai L, Sror N, et al. Diagnostic delays among COVID‐19 patients with a second concurrent diagnosis. J Hosp Med. 2023;18(4):321-328. doi:10.1002/jhm.13063.
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psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-10-internal-medicine-departments
August 17, 2016 - Study
The nature and causes of unintended events reported at 10 internal medicine departments.
Citation Text:
Lubberding S, Zwaan L, Timmermans D, et al. The nature and causes of unintended events reported at 10 internal medicine departments. J Patient Saf. 2011;7(4):224-31. doi:10.109…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication3.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Methods
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Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. Datab…
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psnet.ahrq.gov/node/73874/psn-pdf
September 29, 2021 - The generalizability of a medication administration
discrepancy detection system: quantitative comparative
analysis
September 29, 2021
Kirkendall E, Huth H, Rauenbuehler B, et al. The generalizability of a medication administration
discrepancy detection system: quantitative comparative analysis. JMIR Med Inform. 2…
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/nm.html
March 01, 2019 - State at a Glance: New Mexico
Learn more about the CHIPRA quality demonstration projects being implemented in New Mexico.
New Mexico is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 3: How are CHIPRA Quality Demonstration States working to improve adolescent hea…
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psnet.ahrq.gov/issue/are-online-patient-reviews-associated-health-care-outcomes-systematic-review-literature
September 16, 2020 - Review
Are online patient reviews associated with health care outcomes? A systematic review of the literature.
Citation Text:
Placona AM, Rathert C. Are online patient reviews associated with health care outcomes? A systematic review of the literature. Med Care Res Rev. 2022;79(1):3-16. …
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psnet.ahrq.gov/issue/sign-right-here-and-youre-good-go-content-analysis-audiotaped-emergency-department-discharge
December 18, 2013 - Study
"Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions.
Citation Text:
Vashi A, Rhodes K. "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Ann Emer…
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psnet.ahrq.gov/issue/disclosure-and-reporting-surgical-complications-double-edged-sword
December 21, 2014 - Study
Disclosure and reporting of surgical complications: a double-edged sword?
Citation Text:
Stahel PF, Flierl MA, Smith WR, et al. Disclosure and reporting of surgical complications: a double-edged sword? Am J Med Qual. 2010;25(5):398-401. doi:10.1177/1062860610370989.
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psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-learning-network
July 28, 2021 - Commentary
The Child Health PSO at 10 years: an emerging learning network.
Citation Text:
Levy FH, Conrad KA, Kemper C, et al. The Child Health PSO at 10 Years: an emerging learning network. Pediatr Qual Saf. 2021;6(4):e449. doi:10.1097/pq9.0000000000000449.
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psnet.ahrq.gov/issue/identifying-potential-patient-safety-issues-federal-electronic-health-record-surveillance
May 12, 2021 - Study
Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program
Citation Text:
Pacheco TB, Hettinger AZ, Ratwani RM. Identifying Potential Patient Safety Issues From the Federal Electronic Health Record Surveillance Program. JAMA. 2019;322…
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www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp2.html
August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions
Case Studies
Previous Page Next Page
Table of Contents
High-Performance Work Practices in CLABSI Prevention Interventions
Case Studies
Key Findings
Conclusions
References
Table 1. Case Study Sites
Table 2. Summary of Ke…
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psnet.ahrq.gov/issue/review-healthcare-failure-mode-and-effects-analysis-hfmea-radiotherapy
June 13, 2011 - Review
A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy.
Citation Text:
Giardina M, Cantone MC, Tomarchio E, et al. A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. Health Phys. 2016;111(4):317-26. doi:10.1097/HP.0000000000…