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psnet.ahrq.gov/issue/clinician-perspectives-management-abnormal-subcritical-tests-urban-academic-safety-net-health
February 22, 2011 - Study
Clinician perspectives on the management of abnormal subcritical tests in an urban academic safety-net health care system.
Citation Text:
Clarity C, Sarkar U, Lee J, et al. Clinician Perspectives on the Management of Abnormal Subcritical Tests in an Urban Academic Safety-Net Health…
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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:…
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psnet.ahrq.gov/issue/complication-rates-central-venous-catheters-systematic-review-and-meta-analysis
December 07, 2016 - Review
Complication rates of central venous catheters: a systematic review and meta-analysis.
Citation Text:
Teja B, Bosch NA, Diep C, et al. Complication rates of central venous catheters: a systematic review and meta-analysis. JAMA Intern Med. 2024;184(5):474-482. doi:10.1001/jamainter…
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psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions
November 04, 2015 - Study
Do patient safety events increase readmissions?
Citation Text:
Friedman B, Encinosa W, Jiang J, et al. Do patient safety events increase readmissions? Med Care. 2009;47(5):583-90. doi:10.1097/MLR.0b013e31819434da.
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psnet.ahrq.gov/issue/sustained-decrease-latent-safety-threats-through-regular-interprofessional-situ-simulation
June 15, 2016 - Study
Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonatal emergencies.
Citation Text:
Mileder LP, Schwaberger B, Baik-Schneditz N, et al. Sustained decrease in latent safety threats through regular interprofessional in sit…
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psnet.ahrq.gov/node/60875/psn-pdf
September 02, 2020 - Understanding context specificity: the effect of contextual
factors on clinical reasoning.
September 2, 2020
Konopasky A, Artino AR, Battista A, et al. Understanding context specificity: the effect of contextual factors
on clinical reasoning. Diagnosis (Berl). 2020;79(3):257-264. doi:10.1515/dx-2020-0016.
https://…
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psnet.ahrq.gov/node/49835/psn-pdf
January 01, 2020 - Don't Pick the PICC
July 1, 2018
McGill RL. Don't Pick the PICC. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/dont-pick-picc
The Case
A 63-year-old man with diabetes mellitus complicated by retinopathy, neuropathy, and nephropathy;
glaucoma; and stage IV chronic kidney disease was admitted to the hospita…
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psnet.ahrq.gov/node/50652/psn-pdf
January 01, 2020 - Preventable adverse drug events: descriptive
epidemiology.
November 13, 2019
Woo SA, Cragg A, Wickham ME, et al. Preventable adverse drug events: Descriptive epidemiology. Br J
Clin Pharmacol. 2020;86(2):291-302. doi:10.1111/bcp.14139.
https://psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidem…
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psnet.ahrq.gov/issue/drug-errors-are-dangerous-preventable
March 27, 2024 - Newspaper/Magazine Article
Drug errors are dangerous but preventable.
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September 8, 2010
This newspaper article describes steps p…
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psnet.ahrq.gov/node/866279/psn-pdf
July 10, 2024 - Need to systematically identify and mitigate risks upon
hospitalisation for patients with chronic health
conditions.
July 10, 2024
Pronovost PJ, Carrington EM. Need to systematically identify and mitigate risks upon hospitalisation for
patients with chronic health conditions. BMJ Qual Saf. 2024;33(11):755-758. doi…
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psnet.ahrq.gov/node/861281/psn-pdf
January 24, 2024 - E-prescribing and medication safety in community
settings: a rapid scoping review.
January 24, 2024
Cassidy CE, Boulos L, McConnell E, et al. E-prescribing and medication safety in community settings: a
rapid scoping review. Explor Res Clin Soc Pharm. 2023;12:100365. doi:10.1016/j.rcsop.2023.100365.
https://psnet.…
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psnet.ahrq.gov/node/49704/psn-pdf
March 01, 2014 - Late Anemia Following Rh Disease in a Newborn
March 1, 2014
Newman TB, Maisels JM. Late Anemia Following Rh Disease in a Newborn. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
The Case
A full-term neonate was delivered uneventfully to an Rh-negative woman who had re…
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - Electronic Health Records
December 15, 2024
Electronic Health Records. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/electronic-health-records
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
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psnet.ahrq.gov/node/39305/psn-pdf
April 01, 2010 - Primary medication non-adherence: analysis of 195,930
electronic prescriptions.
April 1, 2010
Fischer MA, Stedman MR, Lii J, et al. Primary medication non-adherence: analysis of 195,930 electronic
prescriptions. J Gen Intern Med. 2010;25(4):284-90. doi:10.1007/s11606-010-1253-9.
https://psnet.ahrq.gov/issue/primar…
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psnet.ahrq.gov/node/36412/psn-pdf
December 22, 2010 - Ambiguities of chronic illness management and
challenges to the medical error paradigm.
December 22, 2010
Lutfey KE, Freese J. Ambiguities of chronic illness management and challenges to the medical error
paradigm. Soc Sci Med. 2007;64(2):314-25.
https://psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-…
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psnet.ahrq.gov/node/33718/psn-pdf
October 01, 2011 - In Conversation With… Paul G. Shekelle, MD, MPH, PhD
October 1, 2011
In Conversation With… Paul G. Shekelle, MD, MPH, PhD. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
Editor's note: Dr. Shekelle is director of the Southern California Evidence-Based Practice Cen…
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psnet.ahrq.gov/issue/youre-boss-hospital
February 28, 2024 - Newspaper/Magazine Article
You're the boss at the hospital.
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November 28, 2016
This article shares guidelines for accompanying a fa…
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psnet.ahrq.gov/node/74842/psn-pdf
February 16, 2022 - An initiative to reduce insulin-related adverse drug events
in a children's hospital.
February 16, 2022
Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a
children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds.2020-004937.
https://psnet.ah…
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psnet.ahrq.gov/node/50884/psn-pdf
February 12, 2020 - Prescribing patterns of heart failure-exacerbating
medications following a heart failure hospitalization.
February 12, 2020
Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating
medications following a heart failure hospitalization. JACC Heart Fail. 2019;8(1):25-34.
do…
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psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and-assessment-success
April 29, 2018 - Study
Problem list completeness in electronic health records: a multi-site study and assessment of success factors.
Citation Text:
Wright A, McCoy AB, Hickman T-TT, et al. Problem list completeness in electronic health records: A multi-site study and assessment of success factors. Int J …