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psnet.ahrq.gov/issue/safely-practicing-new-environment-qualitative-study-inform-physician-onboarding-practices
July 02, 2019 - Study
Safely practicing in a new environment: a qualitative study to inform physician onboarding practices.
Citation Text:
Lagoo J, Berry WR, Henrich N, et al. Safely practicing in a new environment: a qualitative study to inform physician onboarding practices. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/issue/discrepancy-between-emergency-department-admission-diagnosis-and-hospital-discharge-diagnosis
December 08, 2021 - Study
Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality.
Citation Text:
Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department adm…
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psnet.ahrq.gov/issue/impact-work-schedules-senior-resident-physicians-patient-and-resident-physician-safety
May 25, 2022 - Study
Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study.
Citation Text:
Barger LK, Weaver MD, Sullivan JP, et al. Impact of work schedules of senior resident physicians on patient and resident physician s…
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psnet.ahrq.gov/issue/safety-information-alaris-se-infusion-pumps
June 07, 2006 - February 22, 2006
Questions and Answers on FDA's Adverse Event Reporting System (FAERS
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
February 01, 2010 - Diabetes (3)
The girl had often been a challenging historian, providing conflicting or sometimes vague answers
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psnet.ahrq.gov/node/49424/psn-pdf
November 01, 2003 - There are no easy answers.
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psnet.ahrq.gov/node/49427/psn-pdf
January 01, 2004 - Answers to these questions should be considered essential to medical accident investigation.
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psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
October 01, 2016 - Health Care Data Science for Quality Improvement and Patient Safety
Alvin Rajkomar, MD | October 1, 2016
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Rajkomar A. Health Care Data Science for Quality Improvement and Patient S…
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psnet.ahrq.gov/issue/critical-appraisal-ahrqs-diagnostic-errors-report
July 13, 2016 - Commentary
A critical appraisal of AHRQ's "Diagnostic Errors" report.
Citation Text:
Carpenter C, Jotte R, Griffey RT, et al. A critical appraisal of AHRQ's "Diagnostic Errors" report. Mo Med. 2023;120(2):114-120.
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psnet.ahrq.gov/issue/making-move-using-simulation-identify-latent-safety-threats-care-injured-patients-new
December 30, 2014 - Commentary
Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space.
Citation Text:
Kotagal M, Falcone RA, Daugherty M, et al. Making a move: Using simulation to identify latent safety threats before the care of injured…
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psnet.ahrq.gov/issue/joint-commissions-ongoing-professional-practice-evaluation-process-costly-ineffective-and
July 01, 2017 - Study
The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture.
Citation Text:
Donnelly LF, Podberesky DJ, Towbin AJ, et al. The Joint Commission's ongoing professional practice evaluation process: costly, ine…
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-intensive-care-units-prospective
March 29, 2012 - Study
Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter study.
Citation Text:
Benkirane RR, Abouqal R, R-Abouqal R, et al. Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter s…
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psnet.ahrq.gov/issue/effect-therapeutic-interchange-medication-reconciliation-during-hospitalization-and-upon
November 20, 2013 - Study
Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population.
Citation Text:
Wang JS, Fogerty RL, Horwitz LI. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon dischar…
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psnet.ahrq.gov/issue/how-prevalent-are-hazardous-attitudes-among-orthopaedic-surgeons
March 14, 2018 - Study
How prevalent are hazardous attitudes among orthopaedic surgeons?
Citation Text:
Bruinsma WE, Becker SJE, Guitton TG, et al. How prevalent are hazardous attitudes among orthopaedic surgeons? Clin Orthop Relat Res. 2015;473(5):1582-9. doi:10.1007/s11999-014-3966-2.
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psnet.ahrq.gov/issue/performance-trigger-tool-identifying-adverse-events-oncology
May 23, 2018 - Study
Performance of a trigger tool for identifying adverse events in oncology.
Citation Text:
Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634.
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psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details
March 13, 2013 - Commentary
Classic
Medicare's decision to withhold payment for hospital errors: the devil is in the details.
Citation Text:
Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in the det. Jt Comm J Qual Patie…
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psnet.ahrq.gov/issue/effect-emergency-department-boarding-order-completion
January 29, 2018 - Study
The effect of emergency department boarding on order completion.
Citation Text:
Coil CJ, Flood JD, Belyeu BM, et al. The Effect of Emergency Department Boarding on Order Completion. Ann Emerg Med. 2016;67(6):730-736.e2. doi:10.1016/j.annemergmed.2015.09.018.
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psnet.ahrq.gov/issue/operational-rounds-practical-administrative-process-improve-safety-and-clinical-services
May 12, 2010 - Commentary
Operational rounds: a practical administrative process to improve safety and clinical services in radiology.
Citation Text:
Donnelly LF, Dickerson JM, Lehkamp TW, et al. IRQN award paper: Operational rounds: a practical administrative process to improve safety and clinical s…
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psnet.ahrq.gov/issue/qualitative-positive-deviance-study-explore-exceptionally-safe-care-medical-wards-older
March 02, 2016 - Study
A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people.
Citation Text:
Baxter R, Taylor N, Kellar I, et al. A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. BMJ Qual Saf. …
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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
February 26, 2025 - Positive answers to these survey items prompt further action or follow-up.