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Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. | PSNet

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July 02, 2014 - Study Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. Citation Text: Mookherjee S, Vidyarthi AR, Ranji SR, et al. Potential Unintended Consequences Due to Medica…

Claims, errors, and compensation payments in medical malpractice litigation. | PSNet

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March 02, 2011 - Study Classic Claims, errors, and compensation payments in medical malpractice litigation. Citation Text: Studdert DM, Mello MM, Gawande AA, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006;354(19):2024-33.…

Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors. | PSNet

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August 12, 2020 - Study Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors. Citation Text: Beaudoin FL, Merchant RC, Janicki A, et al. Preventing iatrogenic overdose: a review of in-emergency department opioid-related adverse drug e…

Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. | PSNet

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August 29, 2018 - Study Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. Citation Text: Jeffery MM, Hooten M, Hess EP, et al. Opioid Prescribing for Opioid-Naive Patients in Emergency Departments …

Association between treatment by locum tenens internal medicine physicians and 30-day mortality among hospitalized Medicare beneficiaries. | PSNet

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September 29, 2017 - Study Association between treatment by locum tenens internal medicine physicians and 30-day mortality among hospitalized Medicare beneficiaries. Citation Text: Blumenthal DM, Olenski AR, Tsugawa Y, et al. Association Between Treatment by Locum Tenens Internal Medicine Physicians and 30-D…

Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. | PSNet

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July 18, 2018 - Study Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. Citation Text: Borgundvaag B, McLeod S, Khuu W, et al. Opioid prescribing and adverse events in opioid-naive patients treated by…

Factors associated with intern fatigue. | PSNet

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October 28, 2009 - Study Factors associated with intern fatigue. Citation Text: Friesen LD, Vidyarthi A, Baron RB, et al. Factors associated with intern fatigue. J Gen Intern Med. 2008;23(12):1981-6. doi:10.1007/s11606-008-0798-3. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Learning from mistakes: factors that influence how students and residents learn from medical errors. | PSNet

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November 15, 2011 - Study Classic Learning from mistakes: factors that influence how students and residents learn from medical errors. Citation Text: Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and residents learn from medical…

Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. | PSNet

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November 18, 2016 - Study Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. Citation Text: Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…

An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. | PSNet

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September 28, 2016 - Study Classic An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. Citation Text: Bhise V, Sittig DF, Vaghani V, et al. An electronic trigger based on care escalation to identify preventable adverse even…

Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study. | PSNet

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March 11, 2020 - Study Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study. Citation Text: Erkelens DC, Rutten FH, Wouters LT, et al. Missed Acute Coronary Syndrome During Telephone Triage at Out-of-Hours Primary Care. J Patient Saf. 2022…

Home health agency patient experience measures and their relationship to Joint Commission accreditation. | PSNet

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July 10, 2024 - Study Home health agency patient experience measures and their relationship to Joint Commission accreditation. Citation Text: Longo BA, Schmaltz SP, Barrett SC, et al. Home health agency patient experience measures and their relationship to Joint Commission accreditation. Jt Comm J Qual …

Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. | PSNet

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January 12, 2022 - Review Emerging Classic Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. Citation Text: van Dael J, Reader TW, Gillespie A, et al. Learning from complaints in healthcare: a realist review o…

ICU attending handoff practices: results from a national survey of academic intensivists. | PSNet

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February 06, 2019 - Study ICU attending handoff practices: results from a national survey of academic intensivists. Citation Text: Lane-Fall MB, Collard ML, Turnbull AE, et al. ICU Attending Handoff Practices: Results From a National Survey of Academic Intensivists. Crit Care Med. 2016;44(4):690-8. doi:10.1…

Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study. | PSNet

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February 06, 2019 - Study Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study. Citation Text: Lane-Fall MB, Pascual JL, Massa S, et al. Developing a Standard Handoff Process f…

Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. | PSNet

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May 19, 2021 - Study Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. Citation Text: Hedsköld M, Sachs MA, Rosander T, et al. Acting between guidelines and reality- an interview study exploring the strategies of first line…

Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards. | PSNet

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July 18, 2018 - Study Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards. Citation Text: Davis JJ, Price DW, Kraft W, et al. Incorporation of Quality and Safety Principles in Maintenance of Certifi…

Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial

February 14, 2017 - Study Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Citation Text: Haines TP, Hill A-M, Hill KD, et al. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Arch Intern Med. 2011;171(6):516…

Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. | PSNet

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November 12, 2014 - Study Classic Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. Citation Text: Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association wit…

Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. | PSNet

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May 06, 2020 - Study Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. Citation Text: Qato DM, Wilder J, Schumm P, et al. Changes in Prescription and Over-the-Counter Medication and Dietary Supplement Use Among Olde…

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