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psnet.ahrq.gov/issue/alcoholism-and-american-healthcare-case-patient-safety-approach
March 30, 2022 - Review
Alcoholism and American healthcare: the case for a patient safety approach.
Citation Text:
Zipperer L, Ryan R, Jones B. Alcoholism and American healthcare: the case for a patient safety approach. J Patient Saf Risk Manag. 2022;27(5):201-208. doi:10.1177/25160435221117952.
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psnet.ahrq.gov/issue/children-and-opioid-epidemic-age-stratified-exposures-and-harms
February 13, 2019 - Study
Children and the opioid epidemic: age-stratified exposures and harms.
Citation Text:
Brown KW, Carlisle K, Raman SR, et al. Children and the opioid epidemic: age-stratified exposures and harms. Health Aff (Milwood). 2020;39(10):1737-1742. doi:10.1377/hlthaff.2020.00724.
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psnet.ahrq.gov/issue/diagnostic-error-index-quality-improvement-initiative-identify-and-measure-diagnostic-errors
July 14, 2021 - Study
The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors.
Citation Text:
Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. J Pediatr. 2021;232:…
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psnet.ahrq.gov/issue/decisions-and-repercussions-second-victim-experiences-mothers-medicine-save-dr-mom
May 18, 2022 - Study
Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM).
Citation Text:
Gupta K, Lisker S, Rivadeneira NA, et al. Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). BMJ Qual Saf. 2019;28(7):564-573.…
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psnet.ahrq.gov/issue/provider-patient-communication-and-hospital-ratings-perceived-gaps-and-forward-thinking-about
December 16, 2020 - Study
Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19.
Citation Text:
Belasen AT, Hertelendy AJ, Belasen AR, et al. Provider–patient communication and hospital ratings: perceived gaps and forward thinking about the ef…
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psnet.ahrq.gov/issue/comprehensive-obstetric-patient-safety-program-reduces-liability-claims-and-payments
June 22, 2017 - Study
A comprehensive obstetric patient safety program reduces liability claims and payments.
Citation Text:
Pettker CM, Thung SF, Lipkind HS, et al. A comprehensive obstetric patient safety program reduces liability claims and payments. Am J Obstet Gynecol. 2014;211(4):319-25. doi:10.10…
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psnet.ahrq.gov/issue/impact-prescribing-safety-alerts-elderly-persons-electronic-medical-record-interrupted-time
July 10, 2008 - Study
The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.
Citation Text:
Smith DH, Perrin N, Feldstein AC, et al. The impact of prescribing safety alerts for elderly persons in an electronic medical record:…
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psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
October 23, 2013 - Study
Classic
Our current approach to root cause analysis: is it contributing to our failure to improve patient safety?
Citation Text:
Kellogg KM, Hettinger Z, Shah M, et al. Our current approach to root cause analysis: is it contributing to our failure to impro…
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psnet.ahrq.gov/issue/overrides-medication-alerts-ambulatory-care
September 01, 2016 - Study
Overrides of medication alerts in ambulatory care.
Citation Text:
Isaac T, Weissman JS, Davis RB, et al. Overrides of medication alerts in ambulatory care. Arch Intern Med. 2009;169(3):305-311. doi:10.1001/archinternmed.2008.551.
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psnet.ahrq.gov/issue/preventing-potentially-inappropriate-medication-use-hospitalized-older-patients-computerized
November 16, 2022 - Study
Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.
Citation Text:
Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in hospitalized older patients wi…
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psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study
August 16, 2023 - Study
What are the experiences of team members involved in root cause analysis? A qualitative study.
Citation Text:
Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi…
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psnet.ahrq.gov/issue/evaluation-patient-and-family-outpatient-complaints-strategy-prioritize-efforts-improve
November 16, 2022 - Study
Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery.
Citation Text:
Mack JW, Jacobson J, Frank D, et al. Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve Canc…
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psnet.ahrq.gov/issue/effect-pharmacist-intervention-clinically-important-medication-errors-after-hospital
May 08, 2017 - Study
Classic
Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.
Citation Text:
Kripalani S, Roumie CL, Dalal A, et al. Effect of a pharmacist intervention on clinically important medicat…
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psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-support-deprescribing-interventions-across-veterans
April 24, 2018 - Study
A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings.
Citation Text:
Phillips KK, Mecca MC, Baim‐Lance AM, et al. A virtual breakthrough series collaborative to support deprescribing interventions across Vete…
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psnet.ahrq.gov/issue/comprehensive-estimation-costs-30-day-postoperative-complications-using-actual-costs-multiple
June 22, 2022 - Study
A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals.
Citation Text:
Merkow RP, Shan Y, Gupta AR, et al. A comprehensive estimation of the costs of 30-day postoperative complications using actual costs fro…
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psnet.ahrq.gov/issue/multistate-point-prevalence-survey-health-care-associated-infections
November 14, 2018 - Study
Multistate point-prevalence survey of health care-associated infections.
Citation Text:
Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801.
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psnet.ahrq.gov/issue/what-quality-and-safety-care-patients-admitted-clinically-inappropriate-wards-systematic
February 15, 2023 - Review
What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review.
Citation Text:
La Regina M, Guarneri F, Romano E, et al. What Quality and Safety of Care for Patients Admitted to Clinically Inappropriate Wards: a Systematic Review. J Ge…
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psnet.ahrq.gov/issue/complication-rates-hospital-size-and-bias-cms-hospital-acquired-condition-reduction-program
October 19, 2022 - Study
Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program.
Citation Text:
Koenig L, Soltoff SA, Demiralp B, et al. Complication Rates, Hospital Size, and Bias in the CMS Hospital-Acquired Condition Reduction Program. Am J Med Qual. 2017;32…
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psnet.ahrq.gov/issue/leadership-behavior-associations-domains-safety-culture-engagement-and-healthcare-worker-well
February 24, 2021 - Study
Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being.
Citation Text:
Tawfik DS, Adair KC, Palassof S, et al. Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. Jt Co…
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psnet.ahrq.gov/issue/influencing-culture-quality-and-safety-through-huddles
April 05, 2023 - Study
Influencing a culture of quality and safety through huddles.
Citation Text:
McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642.
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