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psnet.ahrq.gov/issue/association-surgeon-patient-sex-concordance-postoperative-outcomes
September 09, 2020 - Study
Association of surgeon-patient sex concordance with postoperative outcomes.
Citation Text:
Wallis CJD, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative outcomes. JAMA Surg. 2022;157(2):146-156. doi:10.1001/jamasurg.2021.6339.
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psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-use-older-adults-living-nursing-homes
May 04, 2022 - Review
Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic review.
Citation Text:
Morin L, Laroche M-L, Texier G, et al. Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic r…
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psnet.ahrq.gov/issue/rates-surgical-consultations-after-emergency-department-admission-black-and-white-medicare
February 10, 2021 - Study
Rates of surgical consultations after emergency department admission in Black and White Medicare patients.
Citation Text:
Roberts SE, Rosen CB, Keele LJ, et al. Rates of surgical consultations after emergency department admission in Black and White Medicare patients. JAMA Surg. 202…
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psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
February 15, 2023 - Study
Association of current opioid use with serious adverse events among older adult survivors of breast cancer.
Citation Text:
Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. JAMA Netw Open.…
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psnet.ahrq.gov/issue/risk-reduction-adverse-drug-events-through-sequential-implementation-patient-safety
June 03, 2020 - Study
Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital.
Citation Text:
Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiat…
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psnet.ahrq.gov/issue/opioid-prescribing-after-childbirth-and-risk-serious-opioid-related-events-cohort-study
September 23, 2020 - Study
Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study.
Citation Text:
Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid-Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414.…
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psnet.ahrq.gov/issue/association-between-hospital-acquired-harm-outcomes-and-membership-national-patient-safety
June 29, 2022 - Study
Association between hospital acquired harm outcomes and membership in a national patient safety collaborative.
Citation Text:
Coffey M, Marino M, Lyren A, et al. Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. JAMA Ped…
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psnet.ahrq.gov/issue/assessing-experiences-racism-among-black-and-white-patients-emergency-department
December 14, 2022 - Study
Assessing experiences of racism among Black and White patients in the emergency department.
Citation Text:
Agarwal AK, Sagan C, Gonzales R, et al. Assessing experiences of racism among Black and White patients in the emergency department. J Am Coll Emerg Physicians Open. 2022;3(6):…
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psnet.ahrq.gov/issue/quality-improvement-initiative-decrease-central-line-associated-bloodstream-infections-during
November 16, 2022 - Commentary
Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach.
Citation Text:
Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-associated bloodstrea…
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psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
August 24, 2022 - Study
Emerging Classic
Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare.
Citation Text:
Sanghavi P, Pan S, Caudry D. Assessment of nursing home reporting of major injury falls for quality measurement on n…
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psnet.ahrq.gov/issue/safety-implications-different-forms-understaffing-among-nurses-during-covid-19-pandemic
May 05, 2021 - Study
Emerging Classic
Safety implications of different forms of understaffing among nurses during the COVID-19 pandemic.
Citation Text:
Andel SA, Tedone AM, Shen W, et al. Safety implications of different forms of understaffing among nurses during the COVID‐19 …
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psnet.ahrq.gov/issue/objective-framework-evaluating-unrecognized-bias-medical-ai-models-predicting-covid-19
July 22, 2020 - Study
An objective framework for evaluating unrecognized bias in medical AI models predicting COVID-19 outcomes.
Citation Text:
Estiri H, Strasser ZH, Rashidian S, et al. An objective framework for evaluating unrecognized bias in medical AI models predicting COVID-19 outcomes. J Am Med I…
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psnet.ahrq.gov/issue/race-ethnicity-and-60-day-outcomes-after-hospitalization-covid-19
January 12, 2022 - Study
Race, ethnicity, and 60-day outcomes after hospitalization with COVID-19.
Citation Text:
Robinson-Lane SG, Sutton NR, Chubb H, et al. Race, ethnicity, and 60-day outcomes after hospitalization with COVID-19. J Am Med Dir Assoc. 2021;22(11):2245-2250. doi:10.1016/j.jamda.2021.08.023…
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psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
April 24, 2018 - Commentary
Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.
Citation Text:
Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…
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psnet.ahrq.gov/issue/mentoring-staff-members-patient-safety-leaders-clarian-safe-passage-program
January 10, 2011 - Commentary
Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program.
Citation Text:
Rapala K. Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. Crit Care Nurs Clin North Am. 2005;17(2):121-126, ix.
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psnet.ahrq.gov/issue/telling-cultures-cultural-issues-staff-reporting-concerns-about-colleagues-uk-national-health
July 08, 2015 - Commentary
Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service.
Citation Text:
Ehrich K. Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. Sociol Health Il…
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psnet.ahrq.gov/node/847732/psn-pdf
April 19, 2023 - Saving Moms.
April 19, 2023
Boswell B. KCET: April 2023.
https://psnet.ahrq.gov/issue/saving-moms
Increasing attention is being placed on addressing inequities in maternal health care. This video shares
stories of mothers experiencing harm during pregnancy and steps being taken to minimize the impact of
implicit …
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psnet.ahrq.gov/node/73711/psn-pdf
September 15, 2021 - A crisis within a crisis.
September 15, 2021
Ellis NT, Broaddus A. CNN. August 25, 2021.
https://psnet.ahrq.gov/issue/crisis-within-crisis
Maternal safety is an ongoing challenge worldwide. This news feature examines how the COVID pandemic
has revealed disparities and implicit biases that impact the mat…
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psnet.ahrq.gov/node/864372/psn-pdf
March 13, 2024 - To do no harm - and the most good - with AI in health
care.
March 13, 2024
Goldberg CB, Adams L, Blumenthal D, et al. To do no harm - and the most good - with AI in health care.
NEJM AI. 2024;1(3). doi:10.1056/aip2400036.
https://psnet.ahrq.gov/issue/do-no-harm-and-most-good-ai-health-care
Artificial intelligence…
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psnet.ahrq.gov/node/867237/psn-pdf
December 04, 2024 - Morbidity and mortality: delays in my patient’s cancer
care.
December 4, 2024
Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood).
2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513.
https://psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care
Sy…