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psnet.ahrq.gov/issue/development-professionalism-committee-approach-address-unprofessional-medical-staff-behavior
October 19, 2022 - Commentary
Development of a professionalism committee approach to address unprofessional medical staff behavior at an academic medical center.
Citation Text:
Speck RM, Foster JJ, Mulhern VA, et al. Development of a professionalism committee approach to address unprofessional medical staf…
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psnet.ahrq.gov/issue/multicenter-phased-cluster-randomized-controlled-trial-reduce-central-line-associated
October 08, 2008 - Study
A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units.
Citation Text:
Marsteller JA, Sexton B, Hsu Y-J, et al. A multicenter, phased, cluster-randomized controlled trial to reduce central line-a…
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psnet.ahrq.gov/issue/facility-level-variation-potentially-inappropriate-prescribing-older-veterans
December 14, 2016 - Study
Facility-level variation in potentially inappropriate prescribing for older veterans.
Citation Text:
Gellad WF, Good CB, Amuan ME, et al. Facility-level variation in potentially inappropriate prescribing for older veterans. J Am Geriatr Soc. 2012;60(7):1222-9. doi:10.1111/j.1532-5…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-medications-and-clinical-decision-support-can-improve
May 29, 2019 - Study
Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance.
Citation Text:
Galanter W, Hier DB, Jao C, et al. Computerized physician order entry of medications and clinical decision support can improve problem…
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psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability
September 03, 2014 - Study
Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention.
Citation Text:
Jha V, Winterbottom A, Symons J, et al. Patient-led training on patient safety: a pilot study to test the feasibility and acceptability …
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psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during
March 08, 2017 - Study
Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission.
Citation Text:
Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home a…
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psnet.ahrq.gov/issue/analysis-23364-patient-generated-physician-reviewed-malpractice-claims-non-tort-blame-free
November 08, 2017 - Study
Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden.
Citation Text:
Pukk-Härenstam K, Ask J, Brommels M, et al. Analysis of 23 364 patient-generated, physician-revi…
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psnet.ahrq.gov/issue/patients-negative-experiences-health-care-settings-brought-light-formal-complaints
July 21, 2021 - Review
Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis.
Citation Text:
Eriksen AA, Fegran L, Fredwall TE, et al. Patients' negative experiences with health care settings brought to light by formal complaints: a q…
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psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-outside-intensive-care-unit-expanding
August 18, 2010 - Commentary
Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings.
Citation Text:
Kallen AJ, Patel PR, O'Grady NP. Clin Infect Dis. 2010;51:335-341.
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psnet.ahrq.gov/issue/enhancing-medication-use-safety-benefits-learning-your-peers
May 07, 2008 - Study
Enhancing medication use safety: benefits of learning from your peers.
Citation Text:
Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938.
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psnet.ahrq.gov/issue/relationship-between-organizational-leadership-safety-and-learning-patient-safety-events
September 23, 2009 - Study
The relationship between organizational leadership for safety and learning from patient safety events.
Citation Text:
Ginsburg LR, Chuang Y-T, Berta WB, et al. The relationship between organizational leadership for safety and learning from patient safety events. Health Serv Res. …
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psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care-pediatric-nurse
July 18, 2007 - Study
Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners.
Citation Text:
Resler J, Hackworth J, Mayo E, et al. Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse pr…
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psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology
May 06, 2009 - Study
A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology.
Citation Text:
Lander L, Roberson DW, Plummer KM, et al. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Otolaryngol Head Neck Surg. 201…
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psnet.ahrq.gov/issue/improving-patient-safety-identifying-latent-failures-successful-operations
September 15, 2010 - Study
Improving patient safety by identifying latent failures in successful operations.
Citation Text:
Catchpole K, Giddings AEB, Wilkinson M, et al. Improving patient safety by identifying latent failures in successful operations. Surgery. 2007;142(1):102-10.
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psnet.ahrq.gov/issue/hospital-acquired-infections-under-pay-performance-systems-administrative-perspective
January 30, 2019 - Review
Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change.
Citation Text:
Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and C…
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psnet.ahrq.gov/issue/preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and-harm-across-continuum
May 23, 2018 - Study
Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum.
Citation Text:
Lipitz-Snyderman A, Pfister D, Classen D, et al. Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum. Cancer. 2017…
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psnet.ahrq.gov/issue/implementation-science-neglected-opportunity-accelerate-improvements-safety-and-quality
February 14, 2018 - Review
Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care.
Citation Text:
Hull L, Athanasiou T, Russ S. Implementation Science: A Neglected Opportunity to Accelerate Improvements in the Safety and Quality of Surgical Care…
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psnet.ahrq.gov/issue/handoff-communication-between-hospital-and-outpatient-dialysis-units-patient-discharge
March 28, 2018 - Study
Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study.
Citation Text:
Reilly JB, Marcotte LM, Berns JS, et al. Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. …
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psnet.ahrq.gov/issue/changing-conversations-teaching-safety-and-quality-residency-training
May 31, 2006 - Study
Changing conversations: teaching safety and quality in residency training.
Citation Text:
Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8.
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psnet.ahrq.gov/issue/model-disruptive-surgeon-behavior-perioperative-environment
February 05, 2020 - Study
A model of disruptive surgeon behavior in the perioperative environment.
Citation Text:
Cochran A, Elder WB. A model of disruptive surgeon behavior in the perioperative environment. J Am Coll Surg. 2014;219(3):390-8. doi:10.1016/j.jamcollsurg.2014.05.011.
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