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psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home
April 28, 2021 - Study
Adverse events in long-term care residents transitioning from hospital back to nursing home.
Citation Text:
Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:…
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psnet.ahrq.gov/issue/training-safe-opioid-prescribing-and-treatment-opioid-use-disorder-internal-medicine
March 17, 2021 - Study
Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors.
Citation Text:
Windish DM, Catalanotti JS, Zaas A, et al. Training in safe opioid prescribing and treatment of opioid use disorder in i…
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psnet.ahrq.gov/issue/outcomes-two-massachusetts-hospital-systems-give-reason-optimism-about-communication-and
December 19, 2018 - Study
Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs.
Citation Text:
Mello MM, Kachalia A, Roche S, et al. Outcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution Progr…
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psnet.ahrq.gov/issue/failures-respectful-care-critically-ill-patients
December 19, 2018 - Study
Failures in the respectful care of critically ill patients.
Citation Text:
Law AC, Roche S, Reichheld A, et al. Failures in the Respectful Care of Critically Ill Patients. Jt Comm J Qual Patient Saf. 2019;45(4):276-284. doi:10.1016/j.jcjq.2018.05.008.
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psnet.ahrq.gov/issue/nurses-experience-decision-making-processes-missed-nursing-care-qualitative-study
May 11, 2022 - Study
The nurse's experience of decision-making processes in missed nursing care: a qualitative study.
Citation Text:
Abdelhadi N, Drach‐Zahavy A, Srulovici E. The nurse’s experience of decision‐making processes in missed nursing care: a qualitative study. J Adv Nurs. 2020;76(8):2161-217…
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psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - of Wisconsin School of Medicine and Public Health and Medical Director of the Compass Program, a low-barrier
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psnet.ahrq.gov/issue/does-one-size-fit-all-assessing-need-organizational-second-victim-support-programs
January 14, 2011 - Study
Emerging Classic
Does one size fit all? Assessing the need for organizational second victim support programs.
Citation Text:
Edrees HH, Wu AW. Does one size fit all? Assessing the need for organizational second victim support programs. J Patient Saf. 2021;…
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psnet.ahrq.gov/node/845473/psn-pdf
March 15, 2023 - Remote Patient Monitoring
March 15, 2023
Hood C, Sikka N, Van CM, et al. Remote Patient Monitoring. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/remote-patient-monitoring
Remote Patient Monitoring
The delivery of healthcare through electronic communication, or telehealth, has changed greatly since it…
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psnet.ahrq.gov/issue/errors-near-misses-and-adverse-events-emergency-department-what-can-patients-tell-us
April 25, 2018 - Study
Errors, near misses and adverse events in the emergency department: what can patients tell us?
Citation Text:
Friedman SM, Provan D, Moore S, et al. Errors, near misses and adverse events in the emergency department: what can patients tell us? CJEM. 2008;10(5):421-427.
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psnet.ahrq.gov/issue/cost-benefit-analysis-hospital-pharmacy-bar-code-solution
June 28, 2010 - Study
Cost-benefit analysis of a hospital pharmacy bar code solution.
Citation Text:
Maviglia SM, Yoo JY, Franz C, et al. Cost-benefit analysis of a hospital pharmacy bar code solution. Arch Intern Med. 2007;167(8):788-94.
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psnet.ahrq.gov/issue/adverse-events-associated-use-complementary-and-alternative-medicine-children
September 03, 2014 - Study
Adverse events associated with the use of complementary and alternative medicine in children.
Citation Text:
Lim A, Cranswick N, South M. Adverse events associated with the use of complementary and alternative medicine in children. Arch Dis Child. 2011;96(3):297-300. doi:10.1136/…
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psnet.ahrq.gov/issue/procuring-interoperability-achieving-high-quality-connected-and-person-centered-care
September 19, 2018 - Book/Report
Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care.
Citation Text:
Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. Pronovost P, Johns MME, Palmer S, et al, eds. Washington, DC: National Academy of M…
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.
Citation Text:
Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…
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psnet.ahrq.gov/issue/practice-respect-icu
August 09, 2018 - Commentary
Emerging Classic
The practice of respect in the ICU.
Citation Text:
Brown SM, Azoulay E, Benoit D, et al. The Practice of Respect in the ICU. Am J Respir Crit Care Med. 2018;197(11):1389-1395. doi:10.1164/rccm.201708-1676CP.
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psnet.ahrq.gov/issue/medication-safety-teams-guided-implementation-electronic-medication-administration-records
September 27, 2016 - Study
Medication safety teams' guided implementation of electronic medication administration records in five nursing homes.
Citation Text:
Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of electronic medication administration records in f…
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psnet.ahrq.gov/issue/do-professional-interpreters-improve-clinical-care-patients-limited-english-proficiency
November 30, 2016 - Review
Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature.
Citation Text:
Karliner LS, Jacobs EA, Chen AH, et al. Do professional interpreters improve clinical care for patients with limited English pr…
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psnet.ahrq.gov/issue/burnout-and-its-relationship-self-reported-quality-patient-care-and-adverse-events-during
August 25, 2021 - Study
Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses.
Citation Text:
Kakemam E, Chegini Z, Rouhi A, et al. Burnout and its relationship to self‐reported quality of patient care and adv…
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - We need to experiment and try different types of interventions, which is a big barrier. … So that has been a barrier.
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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - We need to experiment and try different types of interventions, which is a big barrier. … So that has been a barrier.
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psnet.ahrq.gov/issue/visual-medication-schedule-improve-anticoagulation-control-randomized-controlled-trial
October 21, 2010 - Study
A visual medication schedule to improve anticoagulation control: a randomized, controlled trial.
Citation Text:
Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;…