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psnet.ahrq.gov/issue/incidence-origins-and-avoidable-harm-missed-opportunities-diagnosis-longitudinal-patient
December 16, 2020 - Study
Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices.
Citation Text:
Cheraghi-Sohi S, Holland F, Singh H, et al. Incidence, origins and avoidable harm of missed opportunities in diagnosis: lon…
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psnet.ahrq.gov/issue/unscheduled-return-visits-emergency-department-icu-admission-trigger-tool-diagnostic-error
December 02, 2020 - Study
Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error.
Citation Text:
Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU admission: A trigger tool for diagnostic error. Am …
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psnet.ahrq.gov/issue/frequency-intravenous-medication-administration-errors-related-smart-infusion-pumps
June 27, 2018 - Study
The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study.
Citation Text:
Schnock KO, Dykes PC, Albert J, et al. The frequency of intravenous medication administration errors related to smart infusion pumps: a…
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psnet.ahrq.gov/issue/improving-medication-appropriateness-nursing-homes-structured-interprofessional-medication
January 27, 2021 - Study
Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non-randomized controlled study.
Citation Text:
Dellinger JK, Pitzer S, Schaffler-Schaden D, et al. Improving medication appropriat…
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psnet.ahrq.gov/issue/intravenous-smart-pump-drug-library-compliance-descriptive-study-44-hospitals
July 31, 2019 - Study
Intravenous smart pump drug library compliance: a descriptive study of 44 hospitals.
Citation Text:
Giuliano KK, Su W-T, Degnan DD, et al. Intravenous Smart Pump Drug Library Compliance: A Descriptive Study of 44 Hospitals. J Patient Saf. 2018;14(4):e76-e82. doi:10.1097/PTS.0000000…
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psnet.ahrq.gov/issue/preventing-device-associated-infections-us-hospitals-national-surveys-2005-2013
June 21, 2023 - Study
Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013.
Citation Text:
Krein SL, Fowler KE, Ratz D, et al. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. BMJ Qual Saf. 2015;24(6):385-92. doi:10.1136/…
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psnet.ahrq.gov/issue/i-readi-quality-and-safety-framework-health-systems-response-airway-complications
June 09, 2021 - Commentary
The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19.
Citation Text:
Ginestra JC, Atkins JH, Mikkelsen ME, et al. The I-READI Quality and Safety Framework: a health system’s response to a…
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psnet.ahrq.gov/issue/improving-medication-reconciliation-comprehensive-evaluation-veterans-affairs-skilled-nursing
May 19, 2021 - Study
Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility.
Citation Text:
Baughman AW, Triantafylidis LK, O'Neil N, et al. Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing …
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psnet.ahrq.gov/issue/outcome-differences-between-surgeons-performing-first-and-subsequent-coronary-artery-bypass
May 25, 2022 - Study
Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures in a day: a retrospective comparative cohort study.
Citation Text:
Zhang D, Gu D, Rao C, et al. Outcome differences between surgeons performing first and subsequent coron…
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psnet.ahrq.gov/issue/resident-duty-hours-surgery-ensuring-patient-safety-providing-optimum-resident-education-and
August 26, 2011 - Commentary
Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision…
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psnet.ahrq.gov/issue/real-world-virtual-patient-simulation-improve-diagnostic-performance-through-deliberate
July 21, 2021 - Study
Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study.
Citation Text:
Kotwal S, Fanai M, Fu W, et al. Real-world virtual patient simulation to improve diagnostic performance through deliberate pra…
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psnet.ahrq.gov/issue/what-return-investment-implementation-crew-resource-management-program-academic-medical
April 24, 2018 - Study
What is the return on investment for implementation of a crew resource management program at an academic medical center?
Citation Text:
Moffatt-Bruce SD, Hefner JL, Mekhjian H, et al. What Is the Return on Investment for Implementation of a Crew Resource Management Program at an Ac…
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psnet.ahrq.gov/issue/estimate-missed-pediatric-sepsis-emergency-department
December 08, 2021 - Study
An estimate of missed pediatric sepsis in the emergency department.
Citation Text:
Cifra CL, Westlund E, Ten Eyck P, et al. An estimate of missed pediatric sepsis in the emergency department. Diagnosis (Berl). 2020;8(2):193-198. doi:10.1515/dx-2020-0023.
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psnet.ahrq.gov/issue/failure-engage-hospitalized-elderly-patients-and-their-families-advance-care-planning
November 21, 2016 - Study
Classic
Failure to engage hospitalized elderly patients and their families in advance care planning.
Citation Text:
Heyland DK, Barwich D, Pichora D, et al. Failure to engage hospitalized elderly patients and their families in advance care planning. JAMA I…
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psnet.ahrq.gov/issue/association-between-limiting-number-open-records-tele-critical-care-setting-and-retract
July 22, 2020 - Study
Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors.
Citation Text:
Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele-critical care setting and retract–reorder error…
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psnet.ahrq.gov/issue/effect-illness-severity-and-comorbidity-patient-safety-and-adverse-events
December 01, 2011 - Study
Effect of illness severity and comorbidity on patient safety and adverse events.
Citation Text:
Naessens JM, Campbell CR, Shah ND, et al. Effect of illness severity and comorbidity on patient safety and adverse events. Am J Med Qual. 2012;27(1):48-57. doi:10.1177/1062860611413456…
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psnet.ahrq.gov/issue/medication-use-and-cognitive-impairment-among-residents-aged-care-facilities
July 28, 2021 - Study
Medication use and cognitive impairment among residents of aged care facilities.
Citation Text:
Shafiee Hanjani L, Hubbard RE, Freeman CR, et al. Medication use and cognitive impairment among residents of aged care facilities. Intern Med J. 2021;51(4):520-532. doi:10.1111/imj.14804…
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psnet.ahrq.gov/issue/development-and-pilot-evaluation-electronic-health-record-usability-and-safety-self
December 21, 2022 - Study
Development and pilot evaluation of an electronic health record usability and safety self-assessment tool.
Citation Text:
Pruitt Z, Howe JL, Krevat S, et al. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. JAMIA Open. 2022;…
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psnet.ahrq.gov/issue/decreasing-malpractice-claims-reducing-preventable-perinatal-harm
September 01, 2018 - Study
Decreasing malpractice claims by reducing preventable perinatal harm.
Citation Text:
Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551.
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psnet.ahrq.gov/issue/varying-rates-patient-identity-verification-when-using-computerized-provider-order-entry
July 07, 2021 - Study
Varying rates of patient identity verification when using computerized provider order entry.
Citation Text:
Fortman E, Hettinger AZ, Howe JL, et al. Varying rates of patient identity verification when using computerized provider order entry. J Am Med Info Assoc. 2020;27(6):924-928…