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psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital-adverse
March 30, 2022 - Study
Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety events.
Citation Text:
Eriksson CO, Ovregaard N, Hansen M, et al. Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety ev…
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psnet.ahrq.gov/issue/impact-altering-referral-threshold-out-hours-primary-care-hospital-patient-safety-and-further
February 02, 2022 - Study
Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study.
Citation Text:
Svedahl ER, Pape K, Austad B, et al. Impact of altering referral threshold from out-of-hours primary care to hospital on…
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psnet.ahrq.gov/issue/deficient-care-patient-who-died-suicide-and-facility-leaders-response-charlie-norwood-va
November 29, 2023 - Book/Report
Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia.
Citation Text:
Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center …
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psnet.ahrq.gov/issue/inviting-patients-identify-diagnostic-concerns-through-structured-evaluation-their-online
March 03, 2021 - Study
Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes.
Citation Text:
Giardina TD, Choi DT, Upadhyay DK, et al. Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. J Am Me…
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psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center
February 16, 2022 - Study
Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database.
Citation Text:
Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: a…
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psnet.ahrq.gov/issue/low-rate-completion-recommended-tests-and-referrals-academic-primary-care-practice-resident
January 17, 2024 - Study
Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees.
Citation Text:
Amat MJ, Anderson TS, Shafiq U, et al. Low rate of completion of recommended tests and referrals in an academic primary care practice with resident …
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psnet.ahrq.gov/issue/we-want-know-patient-comfort-speaking-about-breakdowns-care-and-patient-experience
May 20, 2020 - Study
Emerging Classic
We want to know: patient comfort speaking up about breakdowns in care and patient experience.
Citation Text:
Fisher K, Smith KM, Gallagher TH, et al. We want to know: patient comfort speaking up about breakdowns in care and patient experie…
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psnet.ahrq.gov/issue/systematic-review-methods-medical-record-analysis-detect-adverse-events-hospitalized-patients
December 14, 2022 - Review
A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.
Citation Text:
Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.…
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psnet.ahrq.gov/issue/associations-workflow-disruptions-operating-room-surgical-outcomes-systematic-review-and
April 03, 2019 - Review
Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis.
Citation Text:
Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with surgical outcomes: a systematic revie…
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psnet.ahrq.gov/issue/do-patient-engagement-interventions-work-all-patients-systematic-review-and-realist-synthesis
May 25, 2022 - Review
Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety.
Citation Text:
Newman B, Joseph K, Chauhan A, et al. Do patient engagement interventions work for all patients? A systematic review and …
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psnet.ahrq.gov/issue/influence-doctor-patient-conversations-behaviours-patients-presenting-primary-care-new-or
February 17, 2021 - Study
Influence of doctor–patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study.
Citation Text:
Amelung D, Whitaker KL, Lennard D, et al. Influence of doctor-patient conversations on behaviours of patients pr…
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psnet.ahrq.gov/issue/healthcare-system-wide-implementation-opioid-safety-guideline-recommendations-case-urine-drug
August 11, 2021 - Study
Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration.
Citation Text:
Brennan PL, Del Re AC, Henderson PT, et al. Healthcare sy…
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psnet.ahrq.gov/issue/critical-care-teamwork-future-role-teamstepps-covid-19-pandemic-and-implications-future
December 14, 2022 - Study
Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future.
Citation Text:
Terregino CA, Jagpal S, Parikh P, et al. Critical Care Teamwork in the Future: The Role of Critical care teamwork in the future: the role of TeamSTE…
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psnet.ahrq.gov/issue/implicit-racial-bias-health-care-provider-attitudes-and-perceptions-health-care-quality-among
March 31, 2021 - Study
Implicit racial bias, health care provider attitudes, and perceptions of health care quality among African American college students in Georgia, USA.
Citation Text:
Armstrong-Mensah E, Rasheed N, Williams D, et al. Implicit racial bias, health care provider attitudes, and perceptio…
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psnet.ahrq.gov/issue/improving-appropriate-use-peripherally-inserted-central-catheters-through-statewide
April 14, 2021 - Study
Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hospital initiative: a cost-effectiveness analysis.
Citation Text:
Heath M, Bernstein SJ, Paje D, et al. Improving appropriate use of peripherally inserted central catheters throu…
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psnet.ahrq.gov/issue/information-technology-interventions-improve-medication-safety-primary-care-systematic-review
July 29, 2020 - Review
Information technology interventions to improve medication safety in primary care: a systematic review.
Citation Text:
Lainer M, Mann E, Sönnichsen A. Information technology interventions to improve medication safety in primary care: a systematic review. Int J Qual Health Care. 20…
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psnet.ahrq.gov/issue/professional-structural-and-organisational-interventions-primary-care-reducing-medication
December 16, 2020 - Review
Professional, structural and organisational interventions in primary care for reducing medication errors.
Citation Text:
Khalil H, Bell BG, Chambers H, et al. Professional, structural and organisational interventions in primary care for reducing medication errors. Cochrane Databas…
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psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening
May 21, 2009 - Study
Validation of hospital administrative dataset for adverse event screening.
Citation Text:
Verelst S, Jacques J, Van den Heede K, et al. Validation of Hospital Administrative Dataset for adverse event screening. Qual Saf Health Care. 2010;19(5):e25. doi:10.1136/qshc.2009.034306.
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psnet.ahrq.gov/issue/does-implementation-electronic-prescribing-system-create-unintended-medication-errors-study
August 24, 2016 - Study
Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.
Citation Text:
Redwood S, Rajakumar A, Hodson J, et al. Does the implementation of an elec…
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psnet.ahrq.gov/issue/processes-identifying-and-reviewing-adverse-events-and-near-misses-academic-medical-center
September 25, 2024 - Study
Processes for identifying and reviewing adverse events and near misses at an academic medical center.
Citation Text:
Martinez W, Lehmann LS, Hu Y-Y, et al. Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center. Jt Comm J Qual Patient S…