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psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
May 24, 2012 - Study
Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations.
Citation Text:
Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. Jt Co…
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psnet.ahrq.gov/issue/what-we-can-do-about-maternal-mortality-and-how-do-it-quickly
September 01, 2016 - Commentary
Emerging Classic
What we can do about maternal mortality—and how to do it quickly.
Citation Text:
Mann S, Hollier LM, McKay K, et al. What We Can Do about Maternal Mortality - And How to Do It Quickly. New Engl J Med. 2018;379(18):1689-1691. doi:10.10…
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psnet.ahrq.gov/issue/randomized-trial-improve-prescribing-safety-ambulatory-elderly-patients
March 10, 2011 - Study
Randomized trial to improve prescribing safety in ambulatory elderly patients.
Citation Text:
Raebel MA, Charles J, Dugan J, et al. Randomized trial to improve prescribing safety in ambulatory elderly patients. J Am Geriatr Soc. 2007;55(7):977-85.
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psnet.ahrq.gov/issue/racial-disparities-maternal-mortality-and-impact-structural-racism-and-implicit-racial-bias
July 13, 2009 - Review
The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature.
Citation Text:
Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and im…
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psnet.ahrq.gov/issue/specialty-based-voluntary-incident-reporting-neonatal-intensive-care-description-4846
March 09, 2010 - Study
Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.
Citation Text:
Snijders C, van Lingen RA, Klip H, et al. Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.…
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psnet.ahrq.gov/issue/burnout-mental-health-professionals-systematic-review-and-meta-analysis-prevalence-and
July 15, 2020 - Review
Classic
Burnout in mental health professionals: a systematic review and meta-analysis of prevalence and determinants.
Citation Text:
O'Connor K, Neff DM, Pitman S. Burnout in mental health professionals: a systematic review and meta-analysis of prevalence…
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psnet.ahrq.gov/issue/centers-disease-control-and-prevention-guideline-prevention-surgical-site-infection-2017
June 27, 2018 - Review
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017.
Citation Text:
Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JA…
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psnet.ahrq.gov/issue/intervening-interruptions-what-exactly-risk-we-are-trying-manage
July 20, 2022 - Review
Intervening in interruptions: what exactly is the risk we are trying to manage?
Citation Text:
Gao J, Rae AJ, Dekker SWA. Intervening in Interruptions: What Exactly Is the Risk We Are Trying to Manage? J Patient Saf. 2021;17(7):e684-e688. doi:10.1097/PTS.0000000000000429.
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psnet.ahrq.gov/issue/importance-prevention-and-early-intervention-adverse-events-pediatric-cardiac-catheterization
March 24, 2019 - Study
Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience.
Citation Text:
Huang Y-C, Chang J-S, Lai Y-C, et al. Importance of prevention and early intervention of adverse events in pediatric cardi…
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psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
June 22, 2022 - Study
Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia.
Citation Text:
Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults…
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psnet.ahrq.gov/issue/employee-silence-health-care-charting-new-avenues-leadership-and-management
May 04, 2022 - Commentary
Employee silence in health care: charting new avenues for leadership and management.
Citation Text:
Montgomery A, Lainidi O, Johnson J, et al. Employee silence in health care: Charting new avenues for leadership and management. Health Care Manage Rev. 2023;48(1):52-60. doi:10.…
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psnet.ahrq.gov/issue/devil-detail-how-closed-loop-documentation-system-iv-infusion-administration-contributes-and
February 12, 2020 - Study
The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety.
Citation Text:
Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusi…
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psnet.ahrq.gov/issue/charter-physician-well-being
May 25, 2016 - Commentary
Classic
Charter on Physician Well-being.
Citation Text:
Thomas LR, Ripp JA, West CP. Charter on Physician Well-being. JAMA. 2018;319(15):1541-1542. doi:10.1001/jama.2018.1331.
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psnet.ahrq.gov/issue/incidence-and-cost-unexpected-hospital-use-after-scheduled-outpatient-endoscopy
October 31, 2012 - Study
The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy.
Citation Text:
Leffler DA, Kheraj R, Garud S, et al. The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Arch Intern Med. 2010;170(19):1752-7. doi:10.1001/arc…
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psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences
March 20, 2019 - Book/Report
Classic
Why Things Bite Back: Technology and the Revenge of Unintended Consequences.
Citation Text:
Why Things Bite Back: Technology and the Revenge of Unintended Consequences. Tenner E. New York, NY: Knopf; 1996. ISBN: 0679425632.
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psnet.ahrq.gov/issue/patterns-opioid-administration-among-opioid-naive-inpatients-and-associations-postdischarge
November 05, 2008 - Study
Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study.
Citation Text:
Donohue JM, Kennedy JN, Seymour CW, et al. Patterns of Opioid Administration Among Opioid-Naive Inpatients and Associations With Postdischa…
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psnet.ahrq.gov/issue/it-depends-who-you-ask-divergences-staff-and-external-stakeholder-narratives-about-causes
August 05, 2020 - Study
It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure.
Citation Text:
Hald EJ, Gillespie A, Reader TW. It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthca…
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psnet.ahrq.gov/issue/interventions-reduce-pediatric-prescribing-errors-professional-healthcare-settings-systematic
September 29, 2021 - Review
Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade.
Citation Text:
Koeck JA, Young NJ, Kontny U, et al. Interventions to Reduce Pediatric Prescribing Errors in Professional Healthcare Settings: A Systema…
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psnet.ahrq.gov/issue/are-dental-patients-concerned-about-safety-exploratory-study
December 22, 2021 - Study
Are dental patients concerned about safety? An exploratory study.
Citation Text:
Obadan-Udoh E, Panwar S, Yansane A-I, et al. Are dental patients concerned about safety? An exploratory study. J Evid Based Dent Pract. 2020;20(3):101424. doi:10.1016/j.jebdp.2020.101424.
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psnet.ahrq.gov/issue/champ-model-building-center-support-health-care-worker-well-being-after-experiencing-adverse
January 18, 2023 - Commentary
CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event.
Citation Text:
McIntosh MS, Garvan C, Kalynych CJ, et al. CHaMP: A model for building a center to support health care worker well-being after experiencing an adve…