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psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify
May 25, 2022 - Study
Classic
Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events.
Citation Text:
Kang H, Wang J, Yao B, et al. Toward safer health care: a review strate…
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psnet.ahrq.gov/issue/eliciting-willingness-pay-prevent-hospital-medication-administration-errors-uk-contingent
March 28, 2012 - Study
Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey.
Citation Text:
Hill SR, Bhattarai N, Tolley CL, et al. Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a continge…
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psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-intervention-patient
April 12, 2023 - Study
Emerging Classic
Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study.
Citation Text:
Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconcil…
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psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement
September 07, 2022 - Study
Improving critical incident reporting in primary care through education and involvement.
Citation Text:
Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/b…
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psnet.ahrq.gov/issue/relationship-medical-assistants-work-engagement-their-concerns-having-made-important-medical
March 08, 2023 - Study
The relationship of medical assistants' work engagement with their concerns of having made an important medical error: a cross-sectional study.
Citation Text:
Loerbroks A, Vu-Eickmann P, Dreher A, et al. The relationship of medical assistants' work engagement with their concerns of…
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psnet.ahrq.gov/issue/analyzing-and-discussing-human-factors-affecting-surgical-patient-safety-using-innovative
August 25, 2021 - Study
Analyzing and discussing human factors affecting surgical patient safety using innovative technology: creating a safer operating culture.
Citation Text:
van Dalen ASHM, Jung JJ, Nieveen van Dijkum EJM, et al. Analyzing and discussing human factors affecting surgical patient safety …
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psnet.ahrq.gov/issue/measuring-teamwork-performance-teams-crisis-situations-systematic-review-assessment-tools-and
November 04, 2020 - Review
Emerging Classic
Measuring the teamwork performance of teams in crisis situations: a systematic review of assessment tools and their measurement properties.
Citation Text:
Boet S, Etherington N, Larrigan S, et al. Measuring the teamwork performance of tea…
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psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences
June 22, 2022 - Study
'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds.
Citation Text:
Rotteau L, Shojania KG, Webster F. ‘I think we should just listen and get out’: a qualitative exploration of views and experiences of Patient…
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psnet.ahrq.gov/issue/preventing-catheter-associated-bloodstream-infections-survey-policies-insertion-and-care
June 14, 2023 - Study
Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program.
Citation Text:
Warren DK, Yokoe D, Climo MW, et al. Preventing catheter-associated bloodstream infect…
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psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three
April 21, 2015 - Study
How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals.
Citation Text:
Martin G, Ozieranski P, Leslie M, et al. How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. J Heal…
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psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients
August 25, 2021 - Study
Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States.
Citation Text:
Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in adverse events among patients with p…
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psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons
August 04, 2021 - Study
Malpractice cases in breast surgery: an assessment of litigation involving surgeons.
Citation Text:
Fan B, Pardo J, Yu-Moe CW, et al. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. Ann Surg Oncol. 2021;28(13):8109-8115. doi:10.1245/s10434-021-1…
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psnet.ahrq.gov/issue/safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned-readmissions
May 04, 2022 - Study
Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse.
Citation Text:
El Abd A, Schwab C, Clementz A, et al. Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions u…
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psnet.ahrq.gov/issue/misdiagnosis-and-failure-diagnose-emergency-care-causes-and-empathy-solution
August 04, 2021 - Commentary
Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution.
Citation Text:
Pelaccia T, Messman AM, Kline JA. Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Patient Edu Couns. 2020;103(8):1650-1656. doi:10…
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psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
May 18, 2022 - Study
High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing?
Citation Text:
Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65…
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-and-neonatal-icu-systematic-review
October 29, 2012 - Review
Diagnostic errors in the pediatric and neonatal ICU: a systematic review.
Citation Text:
Custer JW, Winters BD, Goode V, et al. Diagnostic errors in the pediatric and neonatal ICU: a systematic review. Pediatr Crit Care Med. 2015;16(1):29-36. doi:10.1097/PCC.0000000000000274.
Co…
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psnet.ahrq.gov/issue/improving-peripherally-inserted-central-catheter-appropriateness-and-reducing-device-related
October 27, 2021 - Study
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals.
Citation Text:
Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness a…
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psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
December 22, 2021 - Study
Surgical specimen management: a descriptive study of 648 adverse events and near misses.
Citation Text:
Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…
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psnet.ahrq.gov/issue/changes-weekend-and-weekday-care-quality-emergency-medical-admissions-20-hospitals-england
August 20, 2018 - Study
Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy.
Citation Text:
Bion J, Aldridge CP, Girling AJ, et al. Changes in weekend and weekday care quality of emergency…
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psnet.ahrq.gov/issue/readmission-after-delayed-diagnosis-surgical-site-infection-focus-prevention-using-american
September 22, 2021 - Study
Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program.
Citation Text:
Gibson A, Tevis S, Kennedy G. Readmission after delayed diagnosis of surgical site infection: a…