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psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-suicide-deaths
October 19, 2022 - Review
How health care systems let our patients down: a systematic review into suicide deaths.
Citation Text:
Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1…
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psnet.ahrq.gov/issue/root-cause-analyses-reported-adverse-events-occurring-during-gastrointestinal-scope-and-tube
November 17, 2021 - Study
Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association.
Citation Text:
Soncrant C, Mills PD, Neily J, et al. Root cause analyses of reported adverse events occurring during gastrointest…
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psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals
January 02, 2017 - Study
Inpatient suicide and suicide attempts in Veterans Affairs hospitals.
Citation Text:
Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488.
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-long-term-care-and-its-relationship-probable-delirium
September 23, 2020 - Study
Potentially inappropriate prescribing in long-term care and its relationship with probable delirium.
Citation Text:
Webber C, Milani C, Bjerre LM, et al. Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. J Am Med Dir Assoc. 2024;25…
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psnet.ahrq.gov/issue/effect-facility-complexity-perceptions-safety-climate-operating-room-size-matters
December 21, 2014 - Study
The effect of facility complexity on perceptions of safety climate in the operating room: size matters.
Citation Text:
Carney BT, West P, Neily J, et al. The effect of facility complexity on perceptions of safety climate in the operating room: size matters. Am J Med Qual. 2010;25…
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psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-care
June 22, 2022 - Study
Improving medication error reporting in hospice care.
Citation Text:
Boyer R, McPherson ML, Deshpande G, et al. Improving medication error reporting in hospice care. Am J Hosp Palliat Care. 2009;26(5):361-7. doi:10.1177/1049909109335145.
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psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
August 04, 2021 - Study
System issues leading to "found-on-floor" incidents: a multi-incident analysis.
Citation Text:
Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294.
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psnet.ahrq.gov/issue/remote-patient-monitoring-during-covid-19-unexpected-patient-safety-benefit
July 20, 2022 - Commentary
Remote patient monitoring during COVID-19: an unexpected patient safety benefit.
Citation Text:
Pronovost PJ, Cole MD, Hughes RM. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. JAMA. 2022;327(12):1125-1126. doi:10.1001/jama.2022.2040.
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psnet.ahrq.gov/issue/explanation-and-elaboration-squire-standards-quality-improvement-reporting-excellence
November 18, 2016 - Commentary
Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature.
Citation Text:
Goodman D, Ogrinc G, Davies L, et al. Explanation and elaboration of the S…
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psnet.ahrq.gov/issue/transitions-care-consensus-policy-statement-american-college-physicians-society-general
July 27, 2022 - Commentary
Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.
Citation Text:
Snow V,…
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psnet.ahrq.gov/issue/world-federation-chiropractic-global-patient-safety-task-force-call-action
December 23, 2020 - Review
The World Federation of Chiropractic Global Patient Safety Task Force: a call to action.
Citation Text:
Coleman BC, Rubinstein SM, Salsbury SA, et al. The World Federation of Chiropractic Global Patient Safety Task Force: a call to action. Chiropr Man Therap. 2024;32(1):15. doi:10…
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psnet.ahrq.gov/issue/improving-bar-coded-medication-administration-system-department-veterans-affairs
November 18, 2009 - Study
Improving the bar-coded medication administration system at the Department of Veterans Affairs.
Citation Text:
Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):144…
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psnet.ahrq.gov/issue/early-diagnostic-suggestions-improve-accuracy-family-physicians-randomized-controlled-trial
April 07, 2021 - Study
Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece.
Citation Text:
Kostopoulou O, Lionis C, Angelaki A, et al. Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Fam P…
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psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
February 24, 2011 - Commentary
Creating a safer health care system: finding the constraint.
Citation Text:
Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8.
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psnet.ahrq.gov/issue/education-initiatives-cognitive-debiasing-improve-diagnostic-accuracy-student-providers
October 21, 2020 - Review
Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review.
Citation Text:
Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scopin…
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psnet.ahrq.gov/issue/time-essence-relationship-between-hospital-staff-perceptions-time-safety-attitudes-and-staff
September 01, 2021 - Study
"Time is of the essence": relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing.
Citation Text:
Ellis LA, Tran Y, Pomare C, et al. “Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff …
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psnet.ahrq.gov/issue/impact-remote-consultations-antibiotic-prescribing-primary-healthcare-systematic-review
November 30, 2022 - Review
Emerging Classic
Impact of remote consultations on antibiotic prescribing in primary healthcare: systematic review.
Citation Text:
Han SM, Greenfield G, Majeed A, et al. Impact of remote consultations on antibiotic prescribing in primary healthcare: syste…
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psnet.ahrq.gov/issue/impact-implementing-alerts-about-medication-black-box-warnings-electronic-health-records
July 10, 2008 - Study
Impact of implementing alerts about medication black-box warnings in electronic health records.
Citation Text:
Yu DT, Seger DL, Lasser KE, et al. Impact of implementing alerts about medication black-box warnings in electronic health records. Pharmacoepidemiol Drug Saf. 2011;20(2):1…
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psnet.ahrq.gov/issue/national-healthcare-safety-networks-digital-quality-measures-cdcs-automated-measures
September 23, 2020 - Study
The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety.
Citation Text:
Shehab N, Alschuler L, McILvenna S, et al. The National Healthcare Safety Network’s digital quality measures: CDC’s automated measures for …
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psnet.ahrq.gov/issue/how-safe-are-paediatric-emergency-departments-national-prospective-cohort-study
May 20, 2020 - Study
How safe are paediatric emergency departments? A national prospective cohort study.
Citation Text:
Plint AC, Newton AS, Stang A, et al. How safe are paediatric emergency departments? A national prospective cohort study. BMJ Qual Saf. 2022;31(11):806-817. doi:10.1136/bmjqs-2021-0146…