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psnet.ahrq.gov/issue/preventable-harm-canadian-organ-donation-and-transplantation-system-descriptive-study-missed
October 19, 2022 - Study
Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral.
Citation Text:
Zavalkoff S, O’Donnell S, Lalani J, et al. Preventable harm in the Canadian organ donation and transplantation system: a…
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psnet.ahrq.gov/issue/health-care-worker-perspectives-their-motivation-reduce-health-care-associated-infections
June 02, 2019 - Study
Health care worker perspectives of their motivation to reduce health care–associated infections.
Citation Text:
McClung L, Obasi C, Knobloch MJ, et al. Health care worker perspectives of their motivation to reduce health care-associated infections. Am J Infect Control. 2017;45(10):…
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psnet.ahrq.gov/issue/recognizing-and-responding-toxic-work-environment-worker-safety-patient-safety-and
July 02, 2019 - Study
Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes.
Citation Text:
Pickering CEZ, Nurenberg K, Schiamberg L. Recognizing and Responding to the "Toxic" Work Environment: Worker Safety, Patient Safety, and Abu…
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psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired-diagnoses
July 23, 2008 - Study
An adverse event screening tool based on routinely collected hospital-acquired diagnoses.
Citation Text:
Brand CA, Tropea J, Gorelik A, et al. An adverse event screening tool based on routinely collected hospital-acquired diagnoses. Int J Qual Health Care. 2012;24(3):266-78. doi:10…
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psnet.ahrq.gov/issue/communication-techniques-patients-low-health-literacy-survey-physicians-nurses-and
February 27, 2019 - Study
Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists.
Citation Text:
Schwartzberg JG, Cowett A, VanGeest J, et al. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharma…
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psnet.ahrq.gov/issue/imagining-improved-interactions-patients-designs-address-implicit-bias
March 27, 2019 - Study
Imagining improved interactions: patients' designs to address implicit bias.
Citation Text:
Imagining improved interactions: patients' designs to address implicit bias. Yang C, Coney L, Mohanraj D, et al. AMIA Annu Symp Proc. 2023;2023:774-783.
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psnet.ahrq.gov/issue/improving-quality-through-effective-implementation-information-technology-healthcare
October 17, 2016 - Study
Improving quality through effective implementation of information technology in healthcare.
Citation Text:
Øvretveit J, Scott T, Rundall TG, et al. Improving quality through effective implementation of information technology in healthcare. Int J Qual Health Care. 2007;19(5):259-6…
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psnet.ahrq.gov/issue/algorithmic-prediction-failure-modes-healthcare
September 06, 2023 - Study
Algorithmic prediction of failure modes in healthcare.
Citation Text:
Kobo-Greenhut A, Sharlin O, Adler Y, et al. Algorithmic prediction of failure modes in healthcare. Int J Qual Health Care. 2021;33(1):mzaa151. doi:10.1093/intqhc/mzaa151.
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psnet.ahrq.gov/issue/development-web-based-surgical-booking-and-informed-consent-system-reduce-potential-error-and
November 16, 2022 - Study
Development of a Web-based surgical booking and informed consent system to reduce the potential for error and improve communication.
Citation Text:
Siracuse JJ, Benoit E, Burke J, et al. Development of a Web-based surgical booking and informed consent system to reduce the potential…
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psnet.ahrq.gov/issue/improvements-safety-patient-care-can-help-end-medical-malpractice-crisis-united-states
July 17, 2019 - Review
Improvements in the safety of patient care can help end the medical malpractice crisis in the United States.
Citation Text:
Dalton GD, Samaropoulos XF, Dalton AC. Improvements in the safety of patient care can help end the medical malpractice crisis in the United States. Health …
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psnet.ahrq.gov/issue/measuring-improve-medication-reconciliation-large-subspecialty-outpatient-practice
February 02, 2011 - Study
Measuring to improve medication reconciliation in a large subspecialty outpatient practice.
Citation Text:
Kern E, Dingae MB, Langmack EL, et al. Measuring to Improve Medication Reconciliation in a Large Subspecialty Outpatient Practice. Jt Comm J Qual Patient Saf. 2017;43(5):212-2…
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psnet.ahrq.gov/issue/case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system
January 12, 2022 - Commentary
Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system.
Citation Text:
Schnoor J, Rogalski C, Frontini R, et al. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Patien…
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psnet.ahrq.gov/issue/perceived-value-ward-based-pharmacists-perspective-physicians-and-nurses
February 15, 2011 - Study
Perceived value of ward-based pharmacists from the perspective of physicians and nurses.
Citation Text:
Gillespie U, Mörlin C, Hammarlund-Udenaes M, et al. Perceived value of ward-based pharmacists from the perspective of physicians and nurses. Int J Clin Pharm. 2012;34(1):127-35…
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psnet.ahrq.gov/issue/development-modified-early-warning-score-using-electronic-medical-record
April 28, 2021 - Commentary
Development of a modified early warning score using the electronic medical record.
Citation Text:
Albert BL, Huesman L. Development of a modified early warning score using the electronic medical record. Dimens Crit Care Nurs. 2011;30(5):283-292. doi:10.1097/DCC.0b013e3182277…
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psnet.ahrq.gov/issue/inaccuracies-assignment-clinical-stage-localized-prostate-cancer
April 06, 2022 - Study
Inaccuracies in assignment of clinical stage for localized prostate cancer.
Citation Text:
Reese AC, Sadetsky N, Carroll PR, et al. Inaccuracies in assignment of clinical stage for localized prostate cancer. Cancer. 2011;117(2):283-9. doi:10.1002/cncr.25596.
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psnet.ahrq.gov/issue/hospital-quality-and-patient-safety-competencies-development-description-and-recommendations
January 10, 2018 - Commentary
Hospital quality and patient safety competencies: development, description, and recommendations for use.
Citation Text:
O'Leary KJ, Afsar-Manesh N, Budnitz T, et al. Hospital quality and patient safety competencies: Development, description, and recommendations for use. J Ho…
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psnet.ahrq.gov/issue/identifying-hospital-organizational-strategies-reduce-readmissions
May 25, 2016 - Study
Identifying hospital organizational strategies to reduce readmissions.
Citation Text:
Ahmad FS, Metlay JP, Barg FK, et al. Identifying hospital organizational strategies to reduce readmissions. Am J Med Qual. 2013;28(4):278-85. doi:10.1177/1062860612464999.
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psnet.ahrq.gov/issue/evidence-summary-and-recommendations-improved-communication-during-care-transitions
October 19, 2022 - Review
Evidence summary and recommendations for improved communication during care transitions.
Citation Text:
Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj…
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psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-member-and-patient-safety
April 16, 2014 - Commentary
Introducing the safety score audit for staff member and patient safety.
Citation Text:
Sinnott M, Eley R, Winch S. Introducing the safety score audit for staff member and patient safety. AORN J. 2014;100(1):91-5. doi:10.1016/j.aorn.2014.05.006.
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psnet.ahrq.gov/issue/visual-illusions-radiology-untrue-perceptions-medical-images-and-their-implications
July 06, 2022 - Commentary
Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnostic accuracy.
Citation Text:
Alexander RG, Yazdanie F, Waite S, et al. Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnosti…