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psnet.ahrq.gov/issue/mortality-among-patients-admitted-hospitals-weekends-compared-weekdays
September 04, 2019 - Study
Classic
Mortality among patients admitted to hospitals on weekends as compared with weekdays.
Citation Text:
Bell CM, Redelmeier DA. Mortality among patients admitted to hospitals on weekends as compared with weekdays. New Engl J Med. 2001;345(9):663-668…
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psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
December 22, 2021 - Study
Surgical specimen management: a descriptive study of 648 adverse events and near misses.
Citation Text:
Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…
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psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
February 15, 2011 - Study
Patient characteristics and the occurrence of never events.
Citation Text:
Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277.
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psnet.ahrq.gov/issue/role-informal-and-formal-organisation-voice-about-concerns-healthcare-qualitative-interview
September 29, 2021 - Study
The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study.
Citation Text:
Wu F, Dixon-Woods M, Aveling E-L, et al. The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative inter…
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psnet.ahrq.gov/issue/use-revised-second-victim-experience-and-support-tool-examine-second-victim-experiences
November 03, 2021 - Study
Use of the revised second victim experience and support tool to examine second victim experiences of respiratory therapists.
Citation Text:
Allender EA, Bottema SM, Bosley CL, et al. Use of the revised second victim experience and support tool to examine second victim experiences o…
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psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events
February 03, 2021 - Study
Suffering in silence: a qualitative study of second victims of adverse events.
Citation Text:
Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035.
Co…
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psnet.ahrq.gov/issue/surgical-checklists-systematic-review-impacts-and-implementation
January 06, 2018 - Review
Surgical checklists: a systematic review of impacts and implementation.
Citation Text:
Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299-318. doi:10.1136/bmjqs-2012-001797.
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psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical-intensive-care-unit
August 02, 2011 - Study
A new safety event reporting system improves physician reporting in the surgical intensive care unit.
Citation Text:
Schuerer DJE, Nast PA, Harris CB, et al. A new safety event reporting system improves physician reporting in the surgical intensive care unit. J Am Coll Surg. 2006…
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psnet.ahrq.gov/issue/cost-benefit-analysis-medical-emergency-team-childrens-hospital
November 06, 2015 - Study
Cost-benefit analysis of a medical emergency team in a children's hospital.
Citation Text:
Bonafide CP, Localio R, Song L, et al. Cost-benefit analysis of a medical emergency team in a children's hospital. Pediatrics. 2014;134(2):235-41. doi:10.1542/peds.2014-0140.
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psnet.ahrq.gov/issue/costs-associated-adverse-drug-events-among-older-adults-ambulatory-setting
May 20, 2020 - Study
The costs associated with adverse drug events among older adults in the ambulatory setting.
Citation Text:
Field T, Gilman BH, Subramanian S, et al. The costs associated with adverse drug events among older adults in the ambulatory setting. Med Care. 2005;43(12):1171-1176.
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psnet.ahrq.gov/issue/what-else-could-it-be-scoping-review-questions-patients-ask-throughout-diagnostic-process
November 03, 2021 - Review
"What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process.
Citation Text:
Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. J Patien…
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psnet.ahrq.gov/issue/bridging-leadership-roles-quality-and-patient-safety-experience-6-us-academic-medical-centers
September 04, 2016 - Study
Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers.
Citation Text:
Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1)…
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psnet.ahrq.gov/issue/estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters
December 30, 2014 - Commentary
Estimating deaths due to medical error: the ongoing controversy and why it matters.
Citation Text:
Shojania KG, Dixon-Woods M. Estimating deaths due to medical error: the ongoing controversy and why it matters. BMJ Qual Saf. 2017;26(5):423-428. doi:10.1136/bmjqs-2016-006144.
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psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative
September 24, 2017 - Study
Classic
Mortality trends after a voluntary checklist-based surgical safety collaborative.
Citation Text:
Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Ann Surg. 2017;266(6):923-9…
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psnet.ahrq.gov/issue/effect-crew-resource-management-training-multidisciplinary-obstetrical-setting
March 06, 2005 - Study
Effect of crew resource management training in a multidisciplinary obstetrical setting.
Citation Text:
Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:…
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psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
September 16, 2020 - Commentary
Medical error—the third leading cause of death in the US.
Citation Text:
Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139.
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psnet.ahrq.gov/issue/its-big-part-being-good-surgeons-surgical-trainees-perceptions-error-recovery-operating-room
August 26, 2020 - Study
"It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room.
Citation Text:
Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating r…
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psnet.ahrq.gov/issue/evaluating-inpatient-mortality-new-electronic-review-process-gathers-information-front-line
February 18, 2011 - Study
Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers.
Citation Text:
Provenzano A, Rohan S, Trevejo E, et al. Evaluating inpatient mortality: a new electronic review process that gathers information from front-line provi…
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psnet.ahrq.gov/issue/adherence-surgical-care-improvement-project-measures-and-association-postoperative-infections
November 25, 2020 - Study
Classic
Adherence to Surgical Care Improvement Project measures and the association with postoperative infections.
Citation Text:
Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures and the association wit…
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psnet.ahrq.gov/issue/influence-organizational-factors-patient-safety-examining-successful-handoffs-health-care
November 20, 2015 - Study
The influence of organizational factors on patient safety: examining successful handoffs in health care.
Citation Text:
Richter J, McAlearney AS, Pennell ML. The influence of organizational factors on patient safety: Examining successful handoffs in health care. Health Care Manage …