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psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports
July 08, 2020 - Study
Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports.
Citation Text:
Kepner S, Bennett A, Jones RM. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Patient Safety. 2024;6(1). doi:10.33940/001c.116555.
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psnet.ahrq.gov/issue/critical-need-nursing-education-address-diagnostic-process
June 08, 2022 - Commentary
The critical need for nursing education to address the diagnostic process.
Citation Text:
Gleason KT, Harkless G, Stanley J, et al. The critical need for nursing education to address the diagnostic process. Nurs Outlook. 2021;69(3):362-369. doi:10.1016/j.outlook.2020.12.005.
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psnet.ahrq.gov/issue/patient-perceptions-safety-primary-care-qualitative-study-inform-care
September 28, 2022 - Study
Patient perceptions of safety in primary care: a qualitative study to inform care.
Citation Text:
Lasser EC, Heughan JA-A, Lai AY, et al. Patient perceptions of safety in primary care: a qualitative study to inform care. Curr Med Res Opin. 2021;37(11):1991-1999. doi:10.1080/0300799…
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psnet.ahrq.gov/issue/coronavirus-and-risks-elderly-long-term-care
July 15, 2020 - Commentary
The coronavirus and the risks to the elderly in long-term care.
Citation Text:
Gardner W, States D, Bagley N. The coronavirus and the risks to the elderly in long-term care. J Aging Soc Policy. 2020;32(4-5):310-315. doi:10.1080/08959420.2020.1750543.
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psnet.ahrq.gov/issue/mitigating-july-effect
August 05, 2020 - Commentary
Mitigating the July effect.
Citation Text:
Wu AW, Vincent CA, Shapiro DW, et al. Mitigating the July effect. J Patient Saf Risk Manag. 2021;26(3):93-96. doi:10.1177/25160435211019142.
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psnet.ahrq.gov/issue/impact-anti-infective-drug-shortages-hospitals-united-states-trends-and-causes
October 19, 2022 - Review
The impact of anti-infective drug shortages on hospitals in the United States: trends and causes.
Citation Text:
Griffith MM, Gross AE, Sutton SH, et al. The impact of anti-infective drug shortages on hospitals in the United States: trends and causes. Clin Infect Dis. 2012;54(5):6…
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psnet.ahrq.gov/issue/decreasing-clinically-significant-adverse-events-using-feedback-emergency-physicians
January 21, 2015 - Study
Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes.
Citation Text:
Chern C-H, How C-K, Wang L-M, et al. Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-…
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psnet.ahrq.gov/issue/health-service-accreditation-predictor-clinical-and-organisational-performance-blinded-random
October 19, 2022 - Study
Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study.
Citation Text:
Braithwaite J, Greenfield D, Westbrook JI, et al. Health service accreditation as a predictor of clinical and organisational performance: a …
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psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse
September 26, 2016 - Study
Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.
Citation Text:
Westbrook JI, Rob MI, Woods A, et al. Errors in the administration of intravenous medications in hospital and the role of correct procedures a…
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psnet.ahrq.gov/issue/positive-predictive-value-ahrq-accidental-puncture-or-laceration-patient-safety-indicator
April 03, 2017 - Slideset
Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator.
Citation Text:
Utter GH, Zrelak PA, Baron R, et al. Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. Ann Surg. 2009;250(6):1041-5.…
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psnet.ahrq.gov/issue/organisational-reporting-and-learning-systems-innovating-inside-and-outside-box
July 22, 2020 - Commentary
Organisational reporting and learning systems: innovating inside and outside of the box.
Citation Text:
Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203.
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psnet.ahrq.gov/issue/explaining-ethnic-disparities-patient-safety-qualitative-analysis
April 14, 2021 - Study
Explaining ethnic disparities in patient safety: a qualitative analysis.
Citation Text:
Suurmond J, Uiters E, de Bruijne M, et al. Explaining ethnic disparities in patient safety: a qualitative analysis. Am J Public Health. 2010;100 Suppl 1:S113-7. doi:10.2105/AJPH.2009.167064.
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psnet.ahrq.gov/issue/usability-and-accessibility-publicly-available-patient-safety-databases
May 12, 2021 - Study
Usability and accessibility of publicly available patient safety databases.
Citation Text:
Sheehan JG, Howe JL, Fong A, et al. Usability and accessibility of publicly available patient safety databases. J Patient Saf. 2022;18(6):565-569. doi:10.1097/pts.0000000000001018.
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psnet.ahrq.gov/issue/impact-adverse-events-clinicians-whats-name
March 25, 2020 - Review
The impact of adverse events on clinicians: what's in a name?
Citation Text:
Wu AW, Shapiro J, Harrison R, et al. The Impact of Adverse Events on Clinicians: What's in a Name? J Patient Saf. 2020;16(1):65-72. doi:10.1097/PTS.0000000000000256.
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psnet.ahrq.gov/issue/what-covid-19-teaches-us-about-implicit-bias-pediatric-health-care
March 25, 2020 - Commentary
What COVID-19 teaches us about implicit bias in pediatric health care.
Citation Text:
Mulchan SS, Wakefield EO, Santos M. What COVID-19 teaches us about implicit bias in pediatric health care. J Ped Psychol. 2021;46(2):138-143. doi:10.1093/jpepsy/jsaa131.
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psnet.ahrq.gov/issue/how-when-and-why-bad-apples-spoil-barrel-negative-group-members-and-dysfunctional-groups
August 08, 2018 - Commentary
Classic
How, when, and why bad apples spoil the barrel: negative group members and dysfunctional groups.
Citation Text:
Felps W, Mitchell TR, Byington E. How, when, and why bad apples spoil the barrel: negative group members and dysfunctional groups. …
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psnet.ahrq.gov/issue/deficiencies-care-care-coordination-and-facility-response-patient-who-died-suicide-memphis-va
December 16, 2020 - Book/Report
Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee.
Citation Text:
Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center i…
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psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
February 26, 2014 - Commentary
Sentinel events, serious reportable events, and root cause analysis.
Citation Text:
Chen TC, Schein OD, Miller JW. Sentinel events, serious reportable events, and root cause analysis. JAMA Ophthalmol. 2015;133(6):631-632. doi:10.1001/jamaophthalmol.2015.0672.
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psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study
October 23, 2024 - Commentary
Applied use of safety event occurrence control charts of harm and non-harm events: a case study.
Citation Text:
Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291.…
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psnet.ahrq.gov/issue/first-do-no-harm-balancing-competing-priorities-surgical-practice
December 12, 2012 - Study
"First, do no harm": balancing competing priorities in surgical practice.
Citation Text:
Leung A, Luu S, Regehr G, et al. "First, do no harm": balancing competing priorities in surgical practice. Acad Med. 2012;87(10):1368-74.
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