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  1. psnet.ahrq.gov/issue/impact-out-hours-admission-patient-mortality-longitudinal-analysis-tertiary-acute-hospital
    July 21, 2017 - Study Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. Citation Text: Han L, Sutton M, Clough S, et al. Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. BMJ Qual Saf. 2018;…
  2. psnet.ahrq.gov/issue/second-victim-unanticipated-adverse-events
    February 12, 2020 - Commentary The second victim of unanticipated adverse events. Citation Text: Chen S, Skidmore S, Ferrigno BN, et al. The second victim of unanticipated adverse events. J Thorac Cardiovasc Surg. 2023;166(3):890-894. doi:10.1016/j.jtcvs.2022.09.010. Copy Citation Format: DOI …
  3. psnet.ahrq.gov/issue/aspen-survey-parenteral-nutrition-access-issues-how-system-fails-patients
    October 02, 2013 - Study ASPEN survey of parenteral nutrition access issues: how the system fails the patients. Citation Text: Mirtallo JM, Allen P, Book WM, et al. ASPEN survey of parenteral nutrition access issues: how the system fails the patient. Nutr Clin Pract. 2024;39(5):1164-1181. doi:10.1002/ncp.1…
  4. psnet.ahrq.gov/issue/identification-errors-involving-clinical-laboratories-college-american-pathologists-q-probes
    February 15, 2010 - Study Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions. Citation Text: Pathologists C of A, Valenstein PN, Raab SS, et al. Identification errors involving clinical …
  5. psnet.ahrq.gov/issue/survey-outpatient-internal-medicine-clinician-perceptions-diagnostic-error
    February 12, 2020 - Study A survey of outpatient internal medicine clinician perceptions of diagnostic error. Citation Text: Matulis JC, Kok SN, Dankbar EC, et al. A survey of outpatient Internal Medicine clinician perceptions of diagnostic error. Diagnosis. 2020;7(2):107-114. doi:10.1515/dx-2019-0070. Co…
  6. psnet.ahrq.gov/issue/organizational-ambidexterity-and-hybrid-middle-manager-case-patient-safety-uk-hospitals
    January 29, 2014 - Study Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals. Citation Text: Burgess N, Strauss K, Currie G, et al. Organizational Ambidexterity and the Hybrid Middle Manager: The Case of Patient Safety in UK Hospitals. Hum Resour Manage. 2…
  7. psnet.ahrq.gov/issue/drug-calculation-ability-qualified-paramedics-pilot-study
    June 25, 2018 - Study Drug calculation ability of qualified paramedics: a pilot study. Citation Text: Boyle MJ, Eastwood K. Drug calculation ability of qualified paramedics: A pilot study. World J Emerg Med. 2018;9(1):41-45. doi:10.5847/wjem.j.1920-8642.2018.01.006. Copy Citation Format: D…
  8. psnet.ahrq.gov/issue/competition-and-health-plan-performance-evidence-health-maintenance-organization-insurance
    July 14, 2009 - Study Competition and health plan performance: evidence from health maintenance organization insurance markets. Citation Text: Scanlon D, Swaminathan S, Chernew M, et al. Competition and health plan performance: evidence from health maintenance organization insurance markets. Med Care.…
  9. psnet.ahrq.gov/issue/how-do-stakeholders-experience-adoption-electronic-prescribing-systems-hospitals-systematic
    December 16, 2020 - Review How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies. Citation Text: Farre A, Heath G, Shaw K, et al. How do stakeholders experience the adoption of electronic prescribing syst…
  10. psnet.ahrq.gov/issue/interventions-improve-safe-sleep-among-hospitalized-infants-eight-childrens-hospitals
    April 24, 2018 - Study Interventions to improve safe sleep among hospitalized infants at eight children's hospitals. Citation Text: Kuhlmann S, Ahlers-Schmidt CR, Lukasiewicz G, et al. Interventions to Improve Safe Sleep Among Hospitalized Infants at Eight Children's Hospitals. Hosp Pediatr. 2016;6(2):88…
  11. psnet.ahrq.gov/issue/work-hours-work-stress-and-collaboration-among-ward-staff-relation-risk-hospital-associated
    December 14, 2022 - Study Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-associated infection among patients. Citation Text: Virtanen M, Kurvinen T, Terho K, et al. Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-asso…
  12. psnet.ahrq.gov/issue/anatomy-failure-sociotechnical-evaluation-laboratory-physician-order-entry-system
    April 13, 2022 - Study Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. Citation Text: Peute LW, Aarts J, Bakker PJM, et al. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. Int J…
  13. psnet.ahrq.gov/issue/addressing-adultification-black-pediatric-patients-emergency-department-framework-decrease
    October 27, 2021 - Commentary Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. Citation Text: Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. He…
  14. psnet.ahrq.gov/issue/diagnostic-accuracy-artificial-intelligence-based-automated-diabetic-retinopathy-screening
    September 28, 2022 - Review Diagnostic accuracy of artificial intelligence-based automated diabetic retinopathy screening in real-world settings: a systematic review and meta-analysis. Citation Text: Joseph S, Selvaraj J, Mani I, et al. Diagnostic accuracy of artificial intelligence-based automated diabetic …
  15. psnet.ahrq.gov/issue/prevalence-error-prone-abbreviations-used-medication-prescribing-hospitalised-patients-multi
    July 06, 2011 - Study Prevalence of error-prone abbreviations used in medication prescribing for hospitalised patients: multi-hospital evaluation. Citation Text: Dooley MJ, Wiseman M, Gu G. Prevalence of error-prone abbreviations used in medication prescribing for hospitalised patients: multi-hospital …
  16. psnet.ahrq.gov/issue/lack-emergency-medical-services-documentation-associated-poor-patient-outcomes-validation
    June 14, 2017 - Study Lack of emergency medical services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care. Citation Text: Laudermilch DJ, Schiff MA, Nathens AB, et al. Lack of emergency medical services documentation is associated with p…
  17. psnet.ahrq.gov/issue/seeing-risk-and-allocating-responsibility-talk-culture-and-its-consequences-work-patient
    November 03, 2015 - Study Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. Citation Text: Szymczak JE. Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. Soc Sci Med. 2014;120:252-9. doi…
  18. psnet.ahrq.gov/issue/recognizing-quality-improvement-and-patient-safety-activities-academic-promotion-departments
    April 20, 2011 - Study Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. Citation Text: Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in Academic …
  19. psnet.ahrq.gov/issue/residents-responsibility-and-error-how-residents-learn-navigate-intersection
    August 21, 2019 - Study Residents, responsibility, and error: how residents learn to navigate the intersection. Citation Text: Shepherd L, Chilton S, Cristancho SM. Residents, responsibility, and error: how residents learn to navigate the intersection. Acad Med. 2023;98(8):934-940. doi:10.1097/acm.0000000…
  20. psnet.ahrq.gov/issue/clinical-and-financial-effects-smart-pump-electronic-medical-record-interoperability-hospital
    November 16, 2022 - Study Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. Citation Text: Biltoft J, Finneman L. Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a region…

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