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psnet.ahrq.gov/issue/adverse-events-skilled-nursing-facilities-national-incidence-among-medicare-beneficiaries
February 15, 2017 - Book/Report
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries.
Citation Text:
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Department of Health and Human Services…
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psnet.ahrq.gov/issue/nursing-home-residents-dementia-association-between-place-death-and-patient-safety-culture
November 04, 2020 - Study
Nursing home residents with dementia: association between place of death and patient safety culture.
Citation Text:
Orth J, Li Y, Simning A, et al. Nursing Home Residents With Dementia: Association Between Place of Death and Patient Safety Culture. Gerontologist. 2021;61(8):1296-1…
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psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program
September 15, 2021 - Study
A system-wide hospital child maltreatment patient safety program.
Citation Text:
Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555.
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psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-death-process
March 02, 2022 - Study
Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation.
Citation Text:
Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. Wiig S, Haraldseid-Driftlan…
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psnet.ahrq.gov/issue/family-centered-rounds-pediatric-wards-pris-network-survey-us-and-canadian-hospitalists
April 24, 2018 - Study
Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists.
Citation Text:
Mittal VS, Sigrest T, Ottolini MC, et al. Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists. Pediatrics. 2010;126(1):37-43…
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psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery
August 02, 2015 - Study
Classic
Variation in hospital mortality associated with inpatient surgery.
Citation Text:
Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa090304…
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psnet.ahrq.gov/issue/design-and-trial-new-ambulance-emergency-department-handover-protocol-imist-ambo
March 14, 2022 - Study
Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.'
Citation Text:
Iedema R, Ball C, Daly B, et al. Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO'. BMJ Qual Saf. 2012;21(8):627-33. doi:10.1136/b…
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psnet.ahrq.gov/issue/improving-pediatric-electronic-health-record-usability-and-safety-through-certification-seize
November 28, 2018 - Commentary
Improving pediatric electronic health record usability and safety through certification: seize the day.
Citation Text:
Ratwani RM, Moscovitch B, Rising JP. Improving Pediatric Electronic Health Record Usability and Safety Through Certification: Seize the Day. JAMA Pediatr. 201…
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psnet.ahrq.gov/issue/do-professional-interpreters-improve-clinical-care-patients-limited-english-proficiency
November 30, 2016 - Review
Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature.
Citation Text:
Karliner LS, Jacobs EA, Chen AH, et al. Do professional interpreters improve clinical care for patients with limited English pr…
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psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient
July 25, 2018 - Study
Classic
Unexpected hypoglycemia in a critically ill patient.
Citation Text:
Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6.
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-and-their-causes-and-contributing-factors-analysis-register
August 01, 2016 - Study
Preventable adverse drug events and their causes and contributing factors: the analysis of register data.
Citation Text:
Jylhä V, Saranto K, Bates DW. Preventable adverse drug events and their causes and contributing factors: the analysis of register data. Int J Qual Health Care. 2…
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psnet.ahrq.gov/issue/opioids-chronic-noncancer-pain-position-paper-american-academy-neurology
November 19, 2018 - Commentary
Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology.
Citation Text:
Franklin GM, Neurology AA of. Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology. Neurology. 2014;83(14):1277-84. doi:10.1212/WNL.00…
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psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer
December 22, 2018 - Commentary
The successful anesthesia patient safety officer.
Citation Text:
Cohen JB, Patel SY. The successful anesthesia patient safety officer. Anesth Analg. 2021;133(3):816-820. doi:10.1213/ane.0000000000005637.
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psnet.ahrq.gov/issue/using-hfmea-assess-potential-patient-harm-tubing-misconnections
April 19, 2013 - Commentary
Using HFMEA to assess potential for patient harm from tubing misconnections.
Citation Text:
Kimehi-Woods J, Shultz JP. Using HFMEA to assess potential for patient harm from tubing misconnections. Jt Comm J Qual Patient Saf. 2006;32(7):373-381.
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psnet.ahrq.gov/issue/prevalence-polypharmacy-exposure-among-hospitalized-children-united-states
August 20, 2016 - Study
Prevalence of polypharmacy exposure among hospitalized children in the United States.
Citation Text:
Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/a…
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psnet.ahrq.gov/issue/antibiotic-shortages-pediatrics
September 13, 2017 - Commentary
Antibiotic shortages in pediatrics.
Citation Text:
Banerjee R, Thurm CW, Fox ER, et al. Antibiotic Shortages in Pediatrics. Pediatrics. 2018;142(5). doi:10.1542/peds.2018-0858.
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psnet.ahrq.gov/issue/relationship-safety-climate-and-safety-performance-hospitals
February 04, 2009 - Study
Relationship of safety climate and safety performance in hospitals.
Citation Text:
Singer SJ, Lin S, Falwell A, et al. Relationship of safety climate and safety performance in hospitals. Health Serv Res. 2009;44(2 Pt 1):399-421. doi:10.1111/j.1475-6773.2008.00918.x.
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psnet.ahrq.gov/issue/adverse-events-during-hospitalization-results-patient-survey
December 29, 2014 - Study
Adverse events during hospitalization: results of a patient survey.
Citation Text:
Fowler FJ, Epstein AM, Weingart SN, et al. Adverse events during hospitalization: results of a patient survey. Jt Comm J Qual Patient Saf. 2008;34(10):583-90.
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psnet.ahrq.gov/issue/expanding-what-we-know-about-peak-mortality-hospitals
July 09, 2008 - Study
Expanding what we know about off-peak mortality in hospitals.
Citation Text:
Hamilton P, Mathur S, Gemeinhardt G, et al. Expanding what we know about off-peak mortality in hospitals. J Nurs Adm. 2010;40(3):124-8. doi:10.1097/NNA.0b013e3181d0426e.
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psnet.ahrq.gov/issue/sleep-deprivation-and-error-nurses-who-work-night-shift
October 19, 2022 - Study
Sleep deprivation and error in nurses who work the night shift.
Citation Text:
Johnson AL, Jung L, Song Y, et al. Sleep deprivation and error in nurses who work the night shift. J Nurs Adm. 2014;44(1):17-22. doi:10.1097/NNA.0000000000000016.
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