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  1. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201419.html
    November 01, 2014 - Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety Search All Impact Case Studies November 2014 Peterson Regional Medical Center, a 125-bed rural hospital in Kerrville, TX, is using AHRQ's Comprehensive Unit-based Safety Program (CUSP) to eliminate central-line…

  2. Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis | PSNet

    psnet.ahrq.gov/issue/association-between-physician-depressive-symptoms-and-medical-errors-systematic-review-and
    January 12, 2022 - Review Emerging Classic Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis Citation Text: Pereira-Lima K, Mata DA, Loureiro SR, et al. Association Between Physician Depressive Symptoms and Medical Errors: …

  3. Systematic review of clinical debriefing tools: attributes and evidence for use. | PSNet

    psnet.ahrq.gov/issue/systematic-review-clinical-debriefing-tools-attributes-and-evidence-use
    March 20, 2024 - Review Systematic review of clinical debriefing tools: attributes and evidence for use. Citation Text: Phillips EC, Smith SE, Tallentire VR, et al. Systematic review of clinical debriefing tools: attributes and evidence for use. BMJ Qual Saf. 2024;33(3):187-198. doi:10.1136/bmjqs-2022-01…

  4. Using potentially preventable severe maternal morbidity to monitor hospital performance. | PSNet

    psnet.ahrq.gov/issue/using-potentially-preventable-severe-maternal-morbidity-monitor-hospital-performance
    February 02, 2022 - Study Using potentially preventable severe maternal morbidity to monitor hospital performance. Citation Text: Fridman M, Korst LM, Reynen DJ, et al. Using potentially preventable severe maternal morbidity to monitor hospital performance. Jt Comm J Qual Patient Saf. 2023;49(3):129-137. do…

  5. Teaching medical error disclosure to physicians-in-training: a scoping review. | PSNet

    psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review
    June 09, 2015 - Review Teaching medical error disclosure to physicians-in-training: a scoping review. Citation Text: Stroud L, Wong BM, Hollenberg E, et al. Teaching medical error disclosure to physicians-in-training: a scoping review. Acad Med. 2013;88(6):884-92. doi:10.1097/ACM.0b013e31828f898f. Cop…

  6. Ambulatory Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/ambulatory/tools.html
    February 01, 2018 - Ambulatory Care AHRQ is committed to improving the safety and quality of ambulatory care in the United States. Ambulatory care is care provided by health care professionals in outpatient settings. These settings include medical offices and clinics, ambulatory surgery centers, hospital outpatient departments, an…

  7. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. | PSNet

    psnet.ahrq.gov/issue/deprescribing-medicines-older-people-living-multimorbidity-and-polypharmacy-tailor-evidence
    April 03, 2005 - Review Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. Citation Text: Reeve J, Maden M, Hill R, et al. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. H…

  8. Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. | PSNet

    psnet.ahrq.gov/issue/medical-diagnoses-commonly-associated-pediatric-malpractice-lawsuits-united-states
    November 16, 2022 - Study Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. Citation Text: McAbee GN, Donn SM, Mendelson RA, et al. Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. Pediatrics. 2008;122(6):e1282-e1…

  9. Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. | PSNet

    psnet.ahrq.gov/issue/personality-traits-and-traumatic-outcome-symptoms-registered-nurses-aftermath-patient-safety
    October 06, 2021 - Study Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. Citation Text: Stovall MC, Firkins J, Hansen L, et al. Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety i…

  10. Cognitive interventions to reduce diagnostic error: a narrative review. | PSNet

    psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
    October 16, 2012 - Review Classic Cognitive interventions to reduce diagnostic error: a narrative review. Citation Text: Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjq…

  11. A narrative review of high-quality literature on the effects of resident duty hours reforms. | PSNet

    psnet.ahrq.gov/issue/narrative-review-high-quality-literature-effects-resident-duty-hours-reforms
    May 12, 2021 - Review A narrative review of high-quality literature on the effects of resident duty hours reforms. Citation Text: Lin H, Lin E, Auditore S, et al. A Narrative Review of High-Quality Literature on the Effects of Resident Duty Hours Reforms. Acad Med. 2016;91(1):140-50. doi:10.1097/ACM.00…

  12. Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules. | PSNet

    psnet.ahrq.gov/issue/patient-safety-resident-education-and-resident-well-being-following-implementation-2003-acgme
    June 20, 2012 - Review Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules. Citation Text: Fletcher KE, Reed DA, Arora V. Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rule…

  13. Choosing your words carefully: how physicians would disclose harmful medical errors to patients. | PSNet

    psnet.ahrq.gov/issue/choosing-your-words-carefully-how-physicians-would-disclose-harmful-medical-errors-patients
    February 16, 2011 - Study Classic Choosing your words carefully: how physicians would disclose harmful medical errors to patients. Citation Text: Gallagher TH, Garbutt J, Waterman AD, et al. Choosing your words carefully: how physicians would disclose harmful medical errors to pa…

  14. "Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. | PSNet

    psnet.ahrq.gov/issue/sorry-never-enough-how-state-apology-laws-fail-reduce-medical-malpractice-liability-risk
    January 07, 2022 - Study "Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. Citation Text: McMichael BJ, Van Horn L, Viscusi K. "Sorry” Is Never Enough: How State Apology Laws Fail to Reduce Medical Malpractice Liability Risk. Stanford Law Rev. 2019;71(2):341…

  15. Classification of patient-safety incidents in primary care. | PSNet

    psnet.ahrq.gov/issue/classification-patient-safety-incidents-primary-care
    October 12, 2016 - Review Emerging Classic Classification of patient-safety incidents in primary care. Citation Text: Cooper J, Williams H, Hibbert P, et al. Classification of patient-safety incidents in primary care. Bull World Health Organ. 2018;96(7):498-505. doi:10.2471/BLT.17…

  16. Risk of unintentional overdose with non-prescription acetaminophen products. | PSNet

    psnet.ahrq.gov/issue/risk-unintentional-overdose-non-prescription-acetaminophen-products
    January 22, 2014 - Study Risk of unintentional overdose with non-prescription acetaminophen products. Citation Text: Wolf MS, King J, Jacobson K, et al. Risk of unintentional overdose with non-prescription acetaminophen products. J Gen Intern Med. 2012;27(12):1587-93. doi:10.1007/s11606-012-2096-3. Copy …

  17. Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist. | PSNet

    psnet.ahrq.gov/issue/characterising-physician-listening-behaviour-during-hospitalist-handoffs-using-hear-checklist
    March 11, 2013 - Study Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist. Citation Text: Greenstein EA, Arora V, Staisiunas PG, et al. Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist. BMJ Qual Saf. 2013;22…

  18. Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/impact-laws-aimed-healthcare-associated-infection-reduction-qualitative-study
    December 23, 2020 - Study Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. Citation Text: Stone PW, Pogorzelska-Maziarz M, Reagan J, et al. Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. BMJ Qual Saf. 2015;24(10):637-44. doi:10.…

  19. Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-nature-medication-administration-errors-health-care-settings-systematic-review
    April 01, 2015 - Review Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. Citation Text: Keers RN, Williams SD, Cooke J, et al. Prevalence and nature of medication administration errors in health care settings: a sys…

  20. Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic. | PSNet

    psnet.ahrq.gov/issue/moving-beyond-misuse-and-diversion-urgent-need-consider-role-iatrogenic-addiction-current
    July 18, 2012 - Commentary Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic. Citation Text: Beauchamp GA, Winstanley EL, Ryan SA, et al. Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic a…
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