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psnet.ahrq.gov/issue/use-quality-indicators-compare-point-care-testing-errors-neonatal-unit-and-errors-stat
December 02, 2020 - Study
Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory.
Citation Text:
Cantero M, Redondo M, Martín E, et al. Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a S…
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psnet.ahrq.gov/issue/mislabeling-cases-specimens-blocks-and-slides-college-american-pathologists-study-136
January 08, 2016 - Study
Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions.
Citation Text:
Nakhleh RE, Idowu MO, Souers RJ, et al. Mislabeling of cases, specimens, blocks, and slides: a college of american pathologists study of 136 instituti…
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psnet.ahrq.gov/issue/designing-critical-care-nurse-led-rapid-response-team-using-only-available-resources-6-years
December 21, 2014 - Study
Designing a critical care nurse–led rapid response team using only available resources: 6 years later.
Citation Text:
Mitchell A, Schatz M, Francis H. Designing a critical care nurse-led rapid response team using only available resources: 6 years later. Crit Care Nurse. 2014;34(3):…
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psnet.ahrq.gov/issue/reporting-perioperative-adverse-events-pediatric-anesthesiologists-tertiary-childrens
April 24, 2018 - Study
Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase the rate of reporting.
Citation Text:
Williams GD, Muffly MK, Mendoza JM, et al. Reporting of Perioperative Adverse Events by Pediatric Ane…
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psnet.ahrq.gov/issue/simulator-based-crew-resource-management-training-interhospital-transfer-critically-ill
February 14, 2024 - Study
Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU.
Citation Text:
Droogh JM, Kruger HL, Ligtenberg JJM, et al. Simulator-Based Crew Resource Management Training for Interhospital Transfer of Critically Ill Pati…
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psnet.ahrq.gov/issue/biased-language-simulated-handoffs-and-clinician-recall-and-attitudes
June 29, 2022 - Study
Biased language in simulated handoffs and clinician recall and attitudes.
Citation Text:
Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172.
…
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment
August 26, 2020 - Study
Reducing diagnostic errors in the emergency department at the time of patient treatment.
Citation Text:
Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…
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psnet.ahrq.gov/issue/information-transfer-hospital-discharge-systematic-review
February 21, 2015 - Review
Classic
Information transfer at hospital discharge: a systematic review.
Citation Text:
Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.000000000000…
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psnet.ahrq.gov/issue/mature-rapid-response-system-and-potentially-avoidable-cardiopulmonary-arrests-hospital
July 20, 2022 - Study
Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital.
Citation Text:
Galhotra S, DeVita MA, Simmons RL, et al. Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. Qual Saf Health Care. 2007;16(4):260-26…
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psnet.ahrq.gov/issue/ergonomic-and-human-factors-affecting-anesthetic-vigilance-and-monitoring-performance
May 31, 2011 - Review
Classic
Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment.
Citation Text:
Biebuyck J F, Weinger M B, Englund C E. Ergonomic and Human Factors Affecting Anesthetic Vigilance and Monitori…
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psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health-administration
April 30, 2014 - Study
Classic
Medical team training: applying crew resource management in the Veterans Health Administration.
Citation Text:
Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Com…
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psnet.ahrq.gov/issue/accuracy-trigger-tools-detect-preventable-adverse-events-primary-care-systematic-review
January 22, 2016 - Review
The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review.
Citation Text:
Davis JJ, Harrington N, Fagan HB, et al. The Accuracy of Trigger Tools to Detect Preventable Adverse Events in Primary Care: A Systematic Review. J Am Board Fam …
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psnet.ahrq.gov/issue/measuring-team-hierarchy-during-high-stakes-clinical-decision-making-development-and
April 05, 2023 - Study
Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method.
Citation Text:
Johansson AC, Manago B, Sell J, et al. Measuring team hierarchy during high-stakes clinical decision making: development and valid…
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psnet.ahrq.gov/issue/review-patient-safety-measures-based-routinely-collected-hospital-data
February 10, 2012 - Review
A review of patient safety measures based on routinely collected hospital data.
Citation Text:
Tsang C, Palmer WL, Bottle A, et al. A review of patient safety measures based on routinely collected hospital data. Am J Med Qual. 2012;27(2):154-69. doi:10.1177/1062860611414697.
C…
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www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/location-release.docx
July 01, 2024 - AHRQ Publishing and Communications Guidelines
Location Release Form for Video Shoots
Instructions
This Location Release Form must be completed by the location’s administrative authority (herein called “Administrator”) to verify permission to conduct video recording at a particular location. It does not apply to recordi…
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psnet.ahrq.gov/issue/comparison-accuracy-human-readers-versus-machine-learning-algorithms-pigmented-skin-lesion
July 22, 2020 - Study
Classic
Comparison of the accuracy of human readers versus machine-learning algorithms for pigmented skin lesion classification: an open, web-based, international, diagnostic study.
Citation Text:
Tschandl P, Codella N, Akay BN, et al. Comparison of the ac…
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psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and-involvement
August 11, 2010 - Study
Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers criteria medications.
Citation Text:
Kanaan AO, Donovan JL, Duchin NP, et al. Adverse drug events after hospital discharge in older adults: types, severity, and involvement of …
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psnet.ahrq.gov/issue/contraindicated-medication-use-dialysis-patients-undergoing-percutaneous-coronary
February 03, 2011 - Study
Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention.
Citation Text:
Tsai TT, Maddox TM, Roe MT, et al. Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention. JAMA. 2009;302(22):2458-64. doi:…
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psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-emergency-department-study-closed-malpractice-claims-4-liability
March 02, 2011 - Study
Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.
Citation Text:
Kachalia A, Gandhi TK, Puopolo AL, et al. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4…
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psnet.ahrq.gov/issue/classifying-errors-preventable-and-potentially-preventable-trauma-deaths-9-year-review-using
November 27, 2012 - Study
Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology.
Citation Text:
Vioque SM, Kim PK, McMaster J, et al. Classifying errors in preventable and potentially preventable trauma deaths: a 9-…