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  1. Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/factors-associated-emergency-department-visits-and-hospital-admissions-after-invasive
    August 17, 2018 - Study Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures in the Veterans Health Administration. Citation Text: Mull HJ, Gellad ZF, Gupta RT, et al. Factors Associated With Emergency Department Visits and Hospital Admissions Af…

  2. Understanding the effect of resident duty hour reform: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/understanding-effect-resident-duty-hour-reform-qualitative-study
    March 23, 2011 - Study Understanding the effect of resident duty hour reform: a qualitative study. Citation Text: Pattani R, Wu PE, Dhalla IA. Resident duty hours in Canada: past, present and future. Can Med Assoc J. 2014;186(10). doi:10.1503/cmaj.131053. Copy Citation Format: DOI Google Sc…

  3. ACR guidance document on MR safe practices: updates and critical information 2019. | PSNet

    psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-updates-and-critical-information-2019
    June 22, 2022 - Commentary ACR guidance document on MR safe practices: updates and critical information 2019. Citation Text: ACR guidance document on MR safe practices: updates and critical information 2019. ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging. 20…

  4. Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation. | PSNet

    psnet.ahrq.gov/issue/surgical-patient-safety-officers-united-states-negotiating-contradictions-between-compliance
    December 31, 2018 - Commentary Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation. Citation Text: van de Ruit C, Bosk CL. Surgical patient safety officers in the United States: negotiating contradictions between compliance and wo…

  5. Practice advisory for the prevention and management of operating room fires.  | PSNet

    psnet.ahrq.gov/issue/practice-advisory-prevention-and-management-operating-room-fires
    December 14, 2010 - Commentary Practice advisory for the prevention and management of operating room fires.  Citation Text: Fires AS of ATF on OR, Caplan RA, Barker SJ, et al. Practice advisory for the prevention and management of operating room fires. Anesthesiology. 2008;108(5):786-801; quiz 971-2. doi:10…

  6. The scope of drug-related problems in the home care setting. | PSNet

    psnet.ahrq.gov/issue/scope-drug-related-problems-home-care-setting
    February 16, 2011 - Review The scope of drug-related problems in the home care setting. Citation Text: Meyer-Massetti C, Meier CR, Guglielmo J. The scope of drug-related problems in the home care setting. Int J Clin Pharm. 2018;40(2):325-334. doi:10.1007/s11096-017-0581-9. Copy Citation Format: …

  7. Therapeutic errors among children in the community setting: nature, causes and outcomes. | PSNet

    psnet.ahrq.gov/issue/therapeutic-errors-among-children-community-setting-nature-causes-and-outcomes
    September 09, 2009 - Study Therapeutic errors among children in the community setting: nature, causes and outcomes. Citation Text: Taylor D, Robinson J, MacLeod D, et al. Therapeutic errors among children in the community setting: nature, causes and outcomes. J Paediatr Child Health. 2009;45(5):304-9. doi:…

  8. Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. | PSNet

    psnet.ahrq.gov/issue/prescription-opioids-medicare-needs-expand-oversight-efforts-reduce-risk-harm
    December 06, 2017 - Book/Report Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. Citation Text: Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. Washington, DC: United States Government Accountability Office; October 201…

  9. Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. | PSNet

    psnet.ahrq.gov/issue/implementation-pediatric-rapid-response-team-experience-hospital-sick-children-toronto
    September 10, 2014 - Commentary Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Citation Text: Kukreti V, Gaiteiro R, Mohseni-Bod H. Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Indian …

  10. Hospital credentialing and privileging of surgeons: a potential safety blind spot. | PSNet

    psnet.ahrq.gov/issue/hospital-credentialing-and-privileging-surgeons-potential-safety-blind-spot
    September 24, 2017 - Commentary Hospital credentialing and privileging of surgeons: a potential safety blind spot. Citation Text: Pradarelli J, Campbell D, Dimick JB. Hospital credentialing and privileging of surgeons: a potential safety blind spot. JAMA. 2015;313(13):1313-4. doi:10.1001/jama.2015.1943. Co…

  11. Implementing an error disclosure coaching model: a multicenter case study. | PSNet

    psnet.ahrq.gov/issue/implementing-error-disclosure-coaching-model-multicenter-case-study
    May 11, 2016 - Study Implementing an error disclosure coaching model: a multicenter case study. Citation Text: White AA, Brock DM, McCotter PI, et al. Implementing an error disclosure coaching model: A multicenter case study. J Healthc Risk Manag. 2017;36(3):34-45. doi:10.1002/jhrm.21260. Copy Citati…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44644/psn-pdf
    February 14, 2017 - is under pressure to relax restrictions on marketing of drugs for off-label purposes and raises the concern

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46766/psn-pdf
    January 17, 2018 - Through qualitative analysis, they identified a concern about loss of physicians' decision-making autonomy

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35524/psn-pdf
    October 06, 2016 - However, providers in intensive care settings expressed concern about the negative impact new designs

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36979/psn-pdf
    February 28, 2011 - research has shown fewer errors when housestaff worked shorter shifts, many commentators have raised concern

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36460/psn-pdf
    May 27, 2011 - While prior research has raised concern that implementation of CPOE systems may result in more ADEs,

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46594/psn-pdf
    November 01, 2017 - Respondents had significant concern about affecting collegial relationships and expressed a desire for

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43474/psn-pdf
    August 28, 2017 - ://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety Prior studies have raised the concern

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47178/psn-pdf
    July 10, 2018 - defining-estimating-and-communicating-overdiagnosis-cancer-screening Overdiagnosis is a growing area of concern

  20. CDS Artifact Enhancement Based on Pilot Implementation. Factors to Consider in Managing Chronic Pain: (pdf file)

    cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
    December 01, 2018 - Enhancements made to align with the CDC guideline Clinical Concept Concern and Enhancement Comments … of the summary was the best way forward. 10 Clinical Concept Concern … Enhancements made in collaboration with the pilot site Clinical Concept Concern and Enhancement Comments … are always empty since encounters don’t carry those dates. 13 Clinical Concept Concern … Enhancements made during CDS integration Clinical Concept Concern and Enhancement Comments Assessment
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