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psnet.ahrq.gov/issue/effect-hospital-acquired-clostridium-difficile-infection-hospital-mortality
April 22, 2011 - Study
The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality.
Citation Text:
Oake N, Taljaard M, van Walraven C, et al. The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Arch Intern Med. 2010;170(20):1804-10. doi:1…
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psnet.ahrq.gov/issue/methodological-variability-detecting-prescribing-errors-and-consequences-evaluation
March 05, 2010 - Study
Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions.
Citation Text:
Franklin BD, Birch S, Savage I, et al. Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. …
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psnet.ahrq.gov/issue/patient-mediated-interventions-improve-professional-practice
April 25, 2016 - Review
Emerging Classic
Patient-mediated interventions to improve professional practice.
Citation Text:
Fønhus MS, Dalsbø TK, Johansen M, et al. Patient-mediated interventions to improve professional practice. Cochrane Database Syst Rev. 2018;9:CD012472. doi:10.…
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psnet.ahrq.gov/issue/must-we-bust-trust-understanding-how-clinician-patient-relationship-influences-patient
January 11, 2023 - Study
Must we bust the trust?: Understanding how the clinician–patient relationship influences patient engagement in safety.
Citation Text:
Mishra SR, Haldar S, Khelifi M, et al. Must we bust the trust?: Understanding how the clinician–patient relationship influences patient engagement i…
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psnet.ahrq.gov/issue/listen-whispers-they-become-screams-addressing-black-maternal-morbidity-and-mortality-united
December 05, 2012 - Commentary
Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States.
Citation Text:
Njoku A, Evans M, Nimo-Sefah L, et al. Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality…
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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/gpt-versus-resident-physicians-benchmark-based-official-board-scores
November 03, 2021 - Study
GPT versus resident physicians — a benchmark based on official board scores.
Citation Text:
Katz U, Cohen E, Shachar E, et al. GPT versus resident physicians — a benchmark based on official board scores. NEJM AI. 2024;1(5):5. doi:10.1056/aidbp2300192.
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psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice-claims
August 04, 2021 - Study
Communication failures contributing to patient injury in anaesthesia malpractice claims.
Citation Text:
Douglas RN, Stephens LS, Posner KL, et al. Communication failures contributing to patient injury in anaesthesia malpractice claims. Br J Anaesth. 2021;127(3):470-478. doi:10.1016…
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psnet.ahrq.gov/issue/implementation-medication-reconciliation-outpatient-cancer-care
December 20, 2023 - Study
Implementation of medication reconciliation in outpatient cancer care.
Citation Text:
Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care. BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211.
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psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care
December 09, 2020 - Study
Pharmacist-led program to improve transitions from acute care to skilled nursing facility care.
Citation Text:
Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12)…
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psnet.ahrq.gov/issue/implicit-bias-healthcare-clinical-practice-research-and-decision-making
May 25, 2022 - Review
Classic
Implicit bias in healthcare: clinical practice, research and decision making.
Citation Text:
Gopal DP, Chetty U, O'Donnell P, et al. Implicit bias in healthcare: clinical practice, research and decision making. Future Healthc J. 2021;8(1):40-48. d…
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psnet.ahrq.gov/issue/using-targeted-solutions-tool-improve-hand-hygiene-compliance-associated-decreased-health
August 18, 2021 - Study
Using the Targeted Solutions Tool to improve hand hygiene compliance is associated with decreased health care–associated infections.
Citation Text:
Shabot M, Chassin MR, France A-C, et al. Using the Targeted Solutions Tool® to Improve Hand Hygiene Compliance Is Associated with Decr…
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psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality
June 22, 2022 - Study
Classic
Nurse staffing and inpatient hospital mortality.
Citation Text:
Needleman J, Buerhaus P, Pankratz S, et al. Nurse staffing and inpatient hospital mortality. New Engl J Med. 2011;364(11):1037-1045. doi:10.1056/NEJMsa1001025.
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psnet.ahrq.gov/issue/relationship-nursing-practice-environment-quality-care-and-patients-safety-primary-health
March 09, 2022 - Study
Relationship of the nursing practice environment with the quality of care and patients' safety in primary health care.
Citation Text:
Lucas P, Jesus É, Almeida S, et al. Relationship of the nursing practice environment with the quality of care and patients’ safety in primary health…
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psnet.ahrq.gov/issue/identifying-list-healthcare-never-events-effect-system-change-systematic-review-and-narrative
April 24, 2019 - Review
Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis.
Citation Text:
Bowman CL, De Gorter R, Zaslow J, et al. Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative …
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psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data
April 14, 2021 - Study
Common general surgical never events: analysis of NHS England never event data.
Citation Text:
Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045.…
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psnet.ahrq.gov/issue/improving-safety-evaluating-impact-supply-chain-and-drug-shortages-health-systems
November 04, 2020 - Commentary
Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems.
Citation Text:
Patel V, Cieslak K, Hertig JB. Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. Hosp Pharm. 2023;58(2):120-124.…
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psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events
May 27, 2011 - Study
Classic
Relationship between medication errors and adverse drug events.
Citation Text:
Bates DW, Boyle DL, Vliet MBV, et al. Relationship between medication errors and adverse drug events. J Gen Intern Med. 1995;10(4):199-205.
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psnet.ahrq.gov/issue/enhancing-psychological-safety-mental-health-services
May 12, 2021 - Commentary
Classic
Enhancing psychological safety in mental health services.
Citation Text:
Hunt DF, Bailey J, Lennox BR, et al. Enhancing psychological safety in mental health services. Int J Ment Health Syst. 2021;15(1):33. doi:10.1186/s13033-021-00439-1.
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psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health
September 12, 2018 - Study
Competencies for improving diagnosis: an interprofessional framework for education and training in health care.
Citation Text:
Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Diagnosi…