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psnet.ahrq.gov/issue/dementia-and-risk-adverse-warfarin-related-events-nursing-home-setting
February 23, 2011 - Study
Dementia and risk of adverse warfarin-related events in the nursing home setting.
Citation Text:
Tjia J, Field T, Mazor KM, et al. Dementia and risk of adverse warfarin-related events in the nursing home setting. Am J Geriatr Pharmacother. 2012;10(5):323-30. doi:10.1016/j.amjopha…
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psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-review
August 17, 2022 - Review
Pediatric surgical errors: a systematic scoping review.
Citation Text:
Marsh KM, Fleming MA, Turrentine FE, et al. Pediatric surgical errors: a systematic scoping review. J Pediatr Surg. 2022;57(4):616-621. doi:10.1016/j.jpedsurg.2021.07.019.
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psnet.ahrq.gov/issue/physician-staffing-models-and-patient-safety-icu
May 27, 2011 - Commentary
Physician staffing models and patient safety in the ICU.
Citation Text:
Gajic O, Afessa B. Physician staffing models and patient safety in the ICU. Chest. 2009;135(4):1038-1044. doi:10.1378/chest.08-1544.
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psnet.ahrq.gov/issue/understanding-heterogeneity-labor-and-delivery-units-using-design-thinking-methodology-assess
August 15, 2018 - Study
Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth.
Citation Text:
Sherman J, Hedli LC, Kristensen-Cabrera AI, et al. Understanding the Heterogeneity of Labor and Del…
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psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes
March 11, 2015 - Press Release/Announcement
Infections associated with reprocessed flexible bronchoscopes.
Citation Text:
Infections associated with reprocessed flexible bronchoscopes. FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015.
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psnet.ahrq.gov/issue/expanding-what-we-know-about-peak-mortality-hospitals
July 09, 2008 - Study
Expanding what we know about off-peak mortality in hospitals.
Citation Text:
Hamilton P, Mathur S, Gemeinhardt G, et al. Expanding what we know about off-peak mortality in hospitals. J Nurs Adm. 2010;40(3):124-8. doi:10.1097/NNA.0b013e3181d0426e.
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psnet.ahrq.gov/issue/sbar-mm-feasible-reliable-and-valid-tool-assess-quality-surgical-morbidity-and-mortality
July 02, 2014 - Study
SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations.
Citation Text:
Mitchell EL, Lee DY, Arora S, et al. SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and …
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psnet.ahrq.gov/issue/design-and-implementation-icu-incident-registry
February 14, 2024 - Study
Design and implementation of an ICU incident registry.
Citation Text:
van der Veer S, Cornet R, De Jonge E. Design and implementation of an ICU incident registry. Int J Med Inform. 2007;76(2-3):103-8.
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psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care
October 13, 2021 - Study
Diagnostic errors in hospitalized adults who died or were transferred to intensive care.
Citation Text:
Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Inte…
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psnet.ahrq.gov/issue/development-conceptual-map-negative-consequences-patients-overuse-medical-tests-and
November 01, 2017 - Commentary
Emerging Classic
Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments.
Citation Text:
Korenstein D, Chimonas S, Barrow B, et al. Development of a Conceptual Map of Negative Consequences for P…
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psnet.ahrq.gov/issue/overview-adverse-events-related-invasive-procedures-intensive-care-unit
November 29, 2023 - Study
Overview of adverse events related to invasive procedures in the intensive care unit.
Citation Text:
Pottier V, Daubin C, Lerolle N, et al. Overview of adverse events related to invasive procedures in the intensive care unit. Am J Infect Control. 2012;40(3):241-6. doi:10.1016/j.a…
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psnet.ahrq.gov/issue/making-infection-prevention-and-control-everyones-business-hospital-staff-views-patient
April 29, 2015 - Study
Making infection prevention and control everyone's business? Hospital staff views on patient involvement.
Citation Text:
Sutton E, Brewster L, Tarrant C. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Health Expect. 2019;22…
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psnet.ahrq.gov/issue/gap-electronic-drug-information-resources-systematic-review
January 24, 2024 - Review
The gap in electronic drug information resources: a systematic review.
Citation Text:
Rambaran KA, Huynh HA, Zhang Z, et al. The Gap in Electronic Drug Information Resources: A Systematic Review. Cureus. 2018;10(6):e2860. doi:10.7759/cureus.2860.
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psnet.ahrq.gov/issue/handoff-practices-emergency-medicine-are-we-making-progress
September 23, 2020 - Study
Handoff practices in emergency medicine: are we making progress?
Citation Text:
Hern G, Gallahue FE, Burns BD, et al. Handoff Practices in Emergency Medicine: Are We Making Progress? Acad Emerg Med. 2016;23(2):197-201. doi:10.1111/acem.12867.
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psnet.ahrq.gov/issue/hospital-mortality-associated-misdiagnosis-or-unidentified-site-infection-admission
June 27, 2011 - Review
In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission.
Citation Text:
Abe T, Tokuda Y, Shiraishi A, et al. In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. Crit Care. 2019;23(1):2…
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psnet.ahrq.gov/issue/sleep-sleepiness-fatigue-and-performance-12-hour-shift-nurses
July 22, 2010 - Study
Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses.
Citation Text:
Geiger-Brown J, Rogers VE, Trinkoff AM, et al. Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-Shift Nurses. Chronobiol Int. 2012;29(2). doi:10.3109/07420528.2011.645752.
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psnet.ahrq.gov/issue/july-phenomenon-trauma-exception
January 15, 2014 - Study
The "July phenomenon": is trauma the exception?
Citation Text:
Schroeppel TJ, Fischer PE, Magnotti LJ, et al. The "July phenomenon": is trauma the exception? J Am Coll Surg. 2009;209(3):378-84. doi:10.1016/j.jamcollsurg.2009.05.026.
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psnet.ahrq.gov/web-mm/missing-trauma
March 03, 2011 - Author(s)
Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths
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psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - SPOTLIGHT CASE
Diagnosing Diagnostic Mistakes
Citation Text:
McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/node/49786/psn-pdf
March 01, 2017 - Consequences of Medical Overuse
March 1, 2017
Morgan DJ, Foy AJ. Consequences of Medical Overuse. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/consequences-medical-overuse
Case Objectives
Define overuse and overdiagnosis.
State how much of all care is estimated to be overuse.
Describe why the likelihood…