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psnet.ahrq.gov/node/49769/psn-pdf
September 01, 2016 - Complaints as Safety Surveillance
September 1, 2016
Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/complaints-safety-surveillance
The Case
A 42-year-old woman presented to the emergency department with abdominal pain. She said the pain
came on sudden…
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psnet.ahrq.gov/node/33847/psn-pdf
August 01, 2017 - In Conversation With… Karl Bilimoria, MD, MS
August 1, 2017
In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
Editor's note: Dr. Bilimoria is the Director of the Surgical Outcomes and Quality Improvement Center of
Northwest…
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psnet.ahrq.gov/node/848809/psn-pdf
May 10, 2023 - Improving safety during transitions of care through the
use of electronic referral loops to receive and reconcile
health information.
May 10, 2023
Allen G, Setzer J, Jones R, et al. Improving safety during transitions of care through the use of electronic
referral loops to receive and reconcile health information.…
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psnet.ahrq.gov/node/50836/psn-pdf
January 29, 2020 - Developing a cancer-specific trigger tool to identify
treatment-related adverse events using administrative
data.
January 29, 2020
Weingart SN, Nelson J, Koethe B, et al. Developing a cancer?specific trigger tool to identify treatment?
related adverse events using administrative data. Cancer Med. 2020;9(4):1462-14…
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psnet.ahrq.gov/node/866590/psn-pdf
August 28, 2024 - Risk controls identified in action plans following serious
incident investigations in secondary care: a qualitative
study.
August 28, 2024
Peerally MF, Carr S, Waring J, et al. Risk controls identified in action plans following serious incident
investigations in secondary care: a qualitative study. J Patient Saf. …
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psnet.ahrq.gov/node/854630/psn-pdf
October 18, 2023 - Physician behaviors associated with increased physician
and nurse communication during bedside
interdisciplinary rounds.
October 18, 2023
Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and
nurse communication during bedside interdisciplinary rounds. J Hosp Med. 20…
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psnet.ahrq.gov/node/50906/psn-pdf
February 19, 2020 - Implementation of a discharge education program to
improve transitions of care for patients at high risk of
medication errors.
February 19, 2020
Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to
improve transitions of care for patients at high risk of medication err…
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psnet.ahrq.gov/node/60550/psn-pdf
June 03, 2020 - Clinical efficacy of combined surgical patient safety
system and the World Health Organization's checklists in
surgery: a nonrandomized clinical trial.
June 3, 2020
Storesund A, Haugen AS, Flaatten H, et al. Clinical Efficacy of Combined Surgical Patient Safety System
and the World Health Organization’s Checklists…
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psnet.ahrq.gov/node/72742/psn-pdf
February 17, 2021 - High delayed and missed injury rate after inter-hospital
transfer of severely injured trauma patients.
February 17, 2021
Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital
transfer of severely injured trauma patients. Eur J Trauma Emerg Surg. 2020;46(6):1367-1374.
…
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psnet.ahrq.gov/issue/youre-boss-hospital
February 28, 2024 - Newspaper/Magazine Article
You're the boss at the hospital.
Save
Save to your library
Print
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Share
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November 28, 2016
This article shares guidelines for accompanying a fa…
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psnet.ahrq.gov/node/852750/psn-pdf
August 23, 2023 - Cognitive biases and moral characteristics of healthcare
workers and their treatment approach for persons with
advanced dementia in acute care settings.
August 23, 2023
Erel M, Marcus E-L, DeKeyser Ganz F. Cognitive biases and moral characteristics of healthcare workers
and their treatment approach for persons wit…
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psnet.ahrq.gov/node/839816/psn-pdf
January 01, 2023 - Gender bias in risk management reports involving
physicians in training - a retrospective qualitative study.
November 9, 2022
Andraska EA, Phillips AR, Asaadi S, et al. Gender bias in risk management reports involving physicians in
training - a retrospective qualitative study. J Surg Educ. 2023;80(1):102-109.
doi:…
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psnet.ahrq.gov/node/866737/psn-pdf
September 18, 2024 - Rates of Patient Safety Indicators in Belgian hospitals
were low but generally higher than in US hospitals, 2016-
18.
September 18, 2024
Van Wilder A, Bruyneel L, Cox B, et al. Rates of Patient Safety Indicators in Belgian hospitals were low but
generally higher than in US hospitals, 2016-18. Health Aff. 2024;43(9…
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psnet.ahrq.gov/node/838318/psn-pdf
October 12, 2022 - Exposure to incivility does not hinder speaking up: a
randomised controlled high-fidelity simulation-based
study.
October 12, 2022
Vauk S, Seelandt JC, Huber K, et al. Exposure to incivility does not hinder speaking up: a randomised
controlled high-fidelity simulation-based study. Br J Anaesth. 2022;129(5):776-787…
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psnet.ahrq.gov/node/43363/psn-pdf
September 12, 2016 - Escalation of care and failure to rescue: a multicenter,
multiprofessional qualitative study.
September 12, 2016
Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter,
multiprofessional qualitative study. Surgery. 2014;155(6):989-94. doi:10.1016/j.surg.2014.01.016.
https://ps…
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psnet.ahrq.gov/node/764389/psn-pdf
March 02, 2022 - Hospital-acquired functional decline and clinical
outcomes in older cardiac surgical patients: a multicenter
prospective cohort study.
March 2, 2022
Morisawa T, Saitoh M, Otsuka S, et al. Hospital-acquired functional decline and clinical outcomes in older
cardiac surgical patients: a multicenter prospective cohort…
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psnet.ahrq.gov/node/38505/psn-pdf
February 10, 2015 - Health information technology and patient safety:
evidence from panel data.
February 10, 2015
Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data.
Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357.
https://psnet.ahrq.gov/issue/health-informati…
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psnet.ahrq.gov/node/42281/psn-pdf
May 22, 2013 - The effect of computerized provider order entry systems
on clinical care and work processes in emergency
departments: a systematic review of the quantitative
literature.
May 22, 2013
Georgiou A, Prgomet M, Paoloni R, et al. The effect of computerized provider order entry systems on
clinical care and work processe…
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psnet.ahrq.gov/node/854822/psn-pdf
October 25, 2023 - Cognitive bias during clinical decision-making and its
influence on patient outcomes in the emergency
department: a scoping review.
October 25, 2023
Jala S, Fry M, Elliott R. Cognitive bias during clinical decision?making and its influence on patient
outcomes in the emergency department: a scoping review. J Clin N…
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psnet.ahrq.gov/node/45313/psn-pdf
September 27, 2016 - An acetaminophen icon helps reduce medication decision
errors in an experimental setting.
September 27, 2016
Shiffman S, Cotton H, Jessurun C, et al. An acetaminophen icon helps reduce medication decision errors in
an experimental setting. J Am Pharm Assoc (2003). 2016;56(5):495-503.e4.
doi:10.1016/j.japh.2016.04.…