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psnet.ahrq.gov/issue/use-unsolicited-patient-observations-identify-surgeons-increased-risk-postoperative
July 10, 2019 - Study
Classic
Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications.
Citation Text:
Cooper WO, Guillamondegui O, Hines J, et al. Use of Unsolicited Patient Observations to Identify Surgeons With Increase…
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psnet.ahrq.gov/issue/high-prevalence-medication-discrepancies-between-home-health-referrals-and-centers-medicare
December 23, 2011 - Study
High prevalence of medication discrepancies between home health referrals and Centers for Medicare and Medicaid Services home health certification and plan of care and their potential to affect safety of vulnerable elderly adults.
Citation Text:
Brody AA, Gibson B, Tresner-Kirsch D…
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psnet.ahrq.gov/issue/feasibility-patient-reported-diagnostic-errors-following-emergency-department-discharge-pilot
August 19, 2020 - Study
Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study.
Citation Text:
Gleason KT, Peterson SM, Dennison Himmelfarb CR, et al. Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot stud…
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psnet.ahrq.gov/issue/concordance-urgent-referral-guidelines-patients-presenting-any-six-alarm-features-possible
February 17, 2021 - Study
Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records.
Citation Text:
Wiering B, Lyratzopoulos G, Hamilton W, et al. Concordance with urgent referral gui…
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psnet.ahrq.gov/issue/communicating-findings-delayed-diagnostic-evaluation-primary-care-providers
June 21, 2016 - Study
Communicating findings of delayed diagnostic evaluation to primary care providers.
Citation Text:
Meyer AND, Murphy DR, Singh H. Communicating Findings of Delayed Diagnostic Evaluation to Primary Care Providers. J Am Board Fam Med. 2016;29(4):469-73. doi:10.3122/jabfm.2016.04.15036…
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psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
October 30, 2024 - Study
Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions.
Citation Text:
Padula WV, Black JM, Davidson PM, et al. Adverse Effects of the Medicare PSI-90 Hospital Penalty System on Revenue-Neutral Hospital-Acquired Conditions. J …
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psnet.ahrq.gov/issue/performance-trigger-tool-detecting-drug-related-hospital-admissions-older-people-analysis
December 21, 2022 - Study
Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis from the OPERAM trial.
Citation Text:
Zerah L, Henrard S, Thevelin S, et al. Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis…
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psnet.ahrq.gov/issue/enhancing-teamwork-communication-and-patient-safety-responsiveness-paediatric-intensive-care
March 10, 2021 - Study
Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool.
Citation Text:
Aldawood F, Kazzaz Y, AlShehri A, et al. Enhancing teamwork communication and patient safety responsiveness in a paediatric inte…
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psnet.ahrq.gov/issue/high-reliability-organization-framework-health-care-multiyear-implementation-strategy-and
November 17, 2021 - Study
A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes.
Citation Text:
Sculli GL, Pendley-Louis R, Neily J, et al. A high-reliability organization framework for health care: a multiyear implementation strategy and asso…
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psnet.ahrq.gov/issue/patient-factors-and-hospital-outcomes-associated-atypical-presentation-hospitalized-older
June 29, 2022 - Study
Patient factors and hospital outcomes associated with atypical presentation in hospitalized older adults with COVID-19 during the first surge of the pandemic.
Citation Text:
Marziliano A, Burns E, Chauhan L, et al. Patient factors and hospital outcomes associated with atypical pres…
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psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-systems-clinical-care-and-work-processes-emergency
May 25, 2011 - Review
The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature.
Citation Text:
Georgiou A, Prgomet M, Paoloni R, et al. The effect of computerized provider order entry syst…
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psnet.ahrq.gov/issue/comparative-effectiveness-analysis-implementation-surgical-safety-checklists-tertiary-care
December 20, 2023 - Study
A comparative effectiveness analysis of the implementation of surgical safety checklists in a tertiary care hospital.
Citation Text:
Bock M, Fanolla A, Segur-Cabanac I, et al. A Comparative Effectiveness Analysis of the Implementation of Surgical Safety Checklists in a Tertiary Car…
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psnet.ahrq.gov/issue/costs-intravenous-adverse-drug-events-academic-and-nonacademic-intensive-care-units
August 11, 2021 - Study
Costs of intravenous adverse drug events in academic and nonacademic intensive care units.
Citation Text:
Nuckols TK, Paddock SM, Bower AG, et al. Costs of intravenous adverse drug events in academic and nonacademic intensive care units. Med Care. 2009;46(1):17-24. doi:10.1097/m…
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psnet.ahrq.gov/issue/patient-outcomes-dose-reduction-or-discontinuation-long-term-opioid-therapy-systematic-review
April 08, 2019 - Review
Classic
Patient outcomes in dose reduction or discontinuation of long-term opioid therapy: a systematic review.
Citation Text:
Frank JW, Lovejoy TI, Becker WC, et al. Patient Outcomes in Dose Reduction or Discontinuation of Long-Term Opioid Therapy: A Sys…
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psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reforms-mortality-and-readmissions-among
November 26, 2014 - Study
Classic
Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients.
Citation Text:
Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with mortali…
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psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-intentions-nursing-staff-report-near-miss
September 15, 2021 - Study
The relationship between patient safety culture and the intentions of the nursing staff to report a near-miss event during the COVID-19 crisis.
Citation Text:
Idilbi N, Dokhi M, Malka-Zeevi H, et al. The relationship between patient safety culture and the intentions of the nursing …
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psnet.ahrq.gov/issue/do-patients-disruptive-behaviours-influence-accuracy-doctors-diagnosis-randomised-experiment
July 03, 2014 - Study
Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment.
Citation Text:
Schmidt HG, Van Gog T, Schuit SC, et al. Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment. BMJ Qual S…
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psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
September 23, 2020 - Study
"SWARMing" to improve patient care: a novel approach to root cause analysis.
Citation Text:
Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501.
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psnet.ahrq.gov/issue/evaluating-safety-mental-health-related-prescribing-uk-primary-care-cross-sectional-study
August 14, 2019 - Study
Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD).
Citation Text:
Khawagi WY, Steinke DT, Carr MJ, et al. Evaluating the safety of mental health-related prescribing in UK prima…
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psnet.ahrq.gov/issue/association-between-patient-outcomes-and-accreditation-us-hospitals-observational-study
May 19, 2021 - Study
Emerging Classic
Association between patient outcomes and accreditation in US hospitals: observational study.
Citation Text:
Lam MB, Figueroa JF, Feyman Y, et al. Association between patient outcomes and accreditation in US hospitals: observational study. …