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psnet.ahrq.gov/issue/new-persistent-opioid-use-after-minor-and-major-surgical-procedures-us-adults
April 18, 2019 - Study
Classic
New persistent opioid use after minor and major surgical procedures in US adults.
Citation Text:
Brummett CM, Waljee JF, Goesling J, et al. New Persistent Opioid Use After Minor and Major Surgical Procedures in US Adults. JAMA Surg. 2017;152(6):e17…
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psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement
March 22, 2023 - Study
Duplicate medication order errors: safety gaps and recommendations for improvement.
Citation Text:
Bocknek L, Kim T, Spaar P, et al. Duplicate medication order errors: safety gaps and recommendations for improvement. Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6.
Co…
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psnet.ahrq.gov/issue/risk-reduction-adverse-drug-events-through-sequential-implementation-patient-safety
June 03, 2020 - Study
Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital.
Citation Text:
Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiat…
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psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported
December 09, 2020 - Study
Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers.
Citation Text:
Öhrn A, Elfström J, Liedgren C, et al. Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by …
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psnet.ahrq.gov/issue/inpatient-patient-safety-events-vulnerable-populations-retrospective-cohort-study
October 27, 2021 - Study
Inpatient patient safety events in vulnerable populations: a retrospective cohort study.
Citation Text:
Schulson LB, Novack V, Folcarelli PH, et al. Inpatient patient safety events in vulnerable populations: a retrospective cohort study. BMJ Qual Saf. 2021;30(5):372-379. doi:10.113…
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psnet.ahrq.gov/issue/community-healthcare-and-hospital-acquired-severe-sepsis-hospitalizations-university
October 10, 2012 - Study
Community-, healthcare-, and hospital-acquired severe sepsis hospitalizations in the University HealthSystem Consortium.
Citation Text:
Page DB, Donnelly JP, Wang HE. Community-, Healthcare-, and Hospital-Acquired Severe Sepsis Hospitalizations in the University HealthSystem Consor…
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psnet.ahrq.gov/issue/development-and-validation-electronic-health-record-based-triggers-detect-delays-follow
June 21, 2016 - Study
Development and validation of electronic health record–based triggers to detect delays in follow-up of abnormal lung imaging findings.
Citation Text:
Murphy DR, Thomas EJ, Meyer AND, et al. Development and Validation of Electronic Health Record-based Triggers to Detect Delays in Fo…
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-among-older-persons-meta-analysis-observational-studies
May 27, 2020 - Review
Emerging Classic
Potentially inappropriate prescribing among older persons: a meta-analysis of observational studies.
Citation Text:
Liew TM, Lee CS, Shawn KLG, et al. Potentially Inappropriate Prescribing Among Older Persons: A Meta-Analysis of Observati…
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psnet.ahrq.gov/issue/antibiotic-resistant-infection-treatment-costs-have-doubled-2002-now-exceeding-2-billion
July 02, 2019 - Study
Classic
Antibiotic-resistant infection treatment costs have doubled since 2002, now exceeding $2 billion annually.
Citation Text:
Thorpe KE, Joski P, Johnston KJ. Antibiotic-Resistant Infection Treatment Costs Have Doubled Since 2002, Now Exceeding $2 Bill…
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psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review
February 02, 2022 - Review
The barriers and enhancers to trust in a just culture in hospital settings: a systematic review.
Citation Text:
van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e10…
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psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu
June 16, 2011 - Study
Classic
An intervention to decrease catheter-related bloodstream infections in the ICU.
Citation Text:
Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(2…
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psnet.ahrq.gov/issue/recommendations-safe-effective-use-adaptive-cds-us-healthcare-system-amia-position-paper
March 24, 2021 - Commentary
Emerging Classic
Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.
Citation Text:
Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in th…
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psnet.ahrq.gov/issue/designing-intervention-improve-medication-safety-nursing-home-residents-based-experiential
February 14, 2024 - Commentary
Designing an intervention to improve medication safety for nursing home residents based on experiential knowledge related to patient safety culture at the nursing home front line: cocreative process study.
Citation Text:
Juhl MH, Soerensen AL, Vardinghus-Nielsen H, et al. Desi…
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psnet.ahrq.gov/issue/findings-first-consensus-conference-medical-emergency-teams
August 04, 2021 - Commentary
Findings of the first consensus conference on medical emergency teams.
Citation Text:
DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e.
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psnet.ahrq.gov/issue/association-web-based-handoff-tool-rates-medical-errors
April 12, 2023 - Study
Association of a web-based handoff tool with rates of medical errors.
Citation Text:
Mueller SK, Yoon CS, Schnipper JL. Association of a Web-Based Handoff Tool With Rates of Medical Errors. JAMA Intern Med. 2016;176(9):1400-2. doi:10.1001/jamainternmed.2016.4258.
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psnet.ahrq.gov/issue/patient-outcomes-after-introduction-statewide-icu-nurse-staffing-regulations
June 19, 2019 - Study
Patient outcomes after the introduction of statewide ICU nurse staffing regulations.
Citation Text:
Law AC, Stevens JP, Hohmann S, et al. Patient Outcomes After the Introduction of Statewide ICU Nurse Staffing Regulations. Crit Care Med. 2018;46(10):1563-1569. doi:10.1097/CCM.00000…
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psnet.ahrq.gov/issue/evaluation-outcomes-national-patient-initiated-second-opinion-program
July 15, 2015 - Study
Evaluation of outcomes from a national patient-initiated second-opinion program.
Citation Text:
Meyer AND, Singh H, Graber ML. Evaluation of Outcomes From a National Patient-initiated Second-opinion Program. Am J Med. 2015;128(10). doi:10.1016/j.amjmed.2015.04.020.
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psnet.ahrq.gov/issue/assessment-automating-safety-surveillance-electronic-health-records-analysis-quality-and
October 17, 2018 - Study
Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system.
Citation Text:
Fong A, Adams KT, Samarth A, et al. Assessment of Automating Safety Surveillance From Electronic Health Records: Analysis for the Quality a…
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psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
March 05, 2008 - Study
Classic
Medication use leading to emergency department visits for adverse drug events in older adults.
Citation Text:
Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. A…
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psnet.ahrq.gov/issue/associations-between-attending-physician-workload-teaching-effectiveness-and-patient-safety
July 02, 2014 - Study
Associations between attending physician workload, teaching effectiveness, and patient safety.
Citation Text:
Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:…