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psnet.ahrq.gov/issue/health-system-wide-initiative-decrease-opioid-related-morbidity-and-mortality
November 16, 2022 - Commentary
Emerging Classic
A health system–wide initiative to decrease opioid-related morbidity and mortality.
Citation Text:
Weiner SG, Price CN, Atalay AJ, et al. A Health System-Wide Initiative to Decrease Opioid-Related Morbidity and Mortality. Jt Comm J Qu…
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psnet.ahrq.gov/issue/provider-interruptions-and-patient-perceptions-care-observational-study-emergency-department
June 26, 2024 - Study
Provider interruptions and patient perceptions of care: an observational study in the emergency department.
Citation Text:
Schneider A, Wehler M, Weigl M. Provider interruptions and patient perceptions of care: an observational study in the emergency department. BMJ Qual Saf. 2019;…
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psnet.ahrq.gov/issue/impact-implementation-family-initiated-escalation-care-deteriorating-patient-hospital
December 21, 2018 - Review
The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: a systematic review.
Citation Text:
Gill FJ, Leslie GD, Marshall AP. The Impact of Implementation of Family-Initiated Escalation of Care for the Deteriorating Patient in …
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psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis
January 29, 2018 - Review
Rapid response systems: a systematic review and meta-analysis.
Citation Text:
Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y.
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psnet.ahrq.gov/issue/outcomes-concurrent-operations-results-american-college-surgeons-national-surgical-quality
February 14, 2017 - Study
Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program.
Citation Text:
Liu JB, Berian JR, Ban KA, et al. Outcomes of Concurrent Operations: Results From the American College of Surgeons' National Surgical Qual…
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psnet.ahrq.gov/issue/clinical-pathway-adherence-and-missed-diagnostic-opportunities-among-children-musculoskeletal
November 08, 2023 - Study
Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections.
Citation Text:
Grubenhoff JA, Bakel LA, Dominguez F, et al. Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. …
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psnet.ahrq.gov/issue/how-teams-work-or-dont-primary-care-field-study-internal-medicine-practices
November 28, 2012 - Study
How teams work—or don’t—in primary care: a field study on internal medicine practices.
Citation Text:
Chesluk BJ, Holmboe ES. How teams work--or don't--in primary care: a field study on internal medicine practices. Health Aff (Millwood). 2010;29(5):874-879. doi:10.1377/hlthaff.2009…
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psnet.ahrq.gov/issue/health-apps-and-health-policy-what-needed
December 02, 2020 - Commentary
Emerging Classic
Health apps and health policy: what is needed?
Citation Text:
Bates DW, Landman A, Levine DM. Health Apps and Health Policy: What Is Needed? JAMA. 2018;320(19):1975-1976. doi:10.1001/jama.2018.14378.
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psnet.ahrq.gov/issue/exploring-impact-employee-engagement-and-patient-safety
July 27, 2022 - Review
Exploring the impact of employee engagement and patient safety.
Citation Text:
Scott G, Hogden A, Taylor R, et al. Exploring the impact of employee engagement and patient safety. Int J Qual Health Care. 2022;34(3):mzac059. doi:10.1093/intqhc/mzac059.
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psnet.ahrq.gov/issue/development-and-evaluation-observational-tool-assessing-surgical-flow-disruptions-and-their
June 17, 2009 - Study
Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance.
Citation Text:
Parker SEH, Laviana AA, Wadhera RK, et al. Development and evaluation of an observational tool for assessing surgical flow disruption…
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psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability
May 01, 2017 - Book/Report
Classic
Advances in Patient Safety and Medical Liability.
Citation Text:
Advances in Patient Safety and Medical Liability. Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2017. AHRQ Publication No…
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psnet.ahrq.gov/issue/patient-safety-error-reduction-and-pediatric-nurses-perceptions-smart-pump-technology
February 28, 2024 - Study
Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology.
Citation Text:
Mason JJ, Roberts-Turner R, Amendola V, et al. Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. J Pediatr Nurs. 2014;29(2):143-51.…
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psnet.ahrq.gov/issue/patients-do-not-always-complain-when-they-are-dissatisfied-implications-service-quality-and
April 11, 2011 - Study
Patients do not always complain when they are dissatisfied: implications for service quality and patient safety.
Citation Text:
Howard M, Fleming ML, Parker E. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. J Patien…
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psnet.ahrq.gov/issue/toward-development-perfect-medical-team-critical-components-adaptation
February 09, 2022 - Review
Emerging Classic
Toward the development of the perfect medical team: critical components for adaptation.
Citation Text:
Gregory ME, Hughes AM, Benishek LE, et al. Toward the development of the perfect medical team: critical components for adaptation. J Pa…
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psnet.ahrq.gov/issue/evidence-anchoring-bias-during-physician-decision-making
November 17, 2021 - Study
Evidence for anchoring bias during physician decision-making.
Citation Text:
Ly DP, Shekelle PG, Song Z. Evidence for anchoring bias during physician decision-making. JAMA Intern Med. 2023;183(8):818-823. doi:10.1001/jamainternmed.2023.2366.
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psnet.ahrq.gov/issue/patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic-based-education
March 17, 2021 - Commentary
Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education.
Citation Text:
Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. J Am Pharm Assoc (…
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psnet.ahrq.gov/issue/inappropriate-opioid-prescription-after-surgery
February 02, 2022 - Review
Classic
Inappropriate opioid prescription after surgery.
Citation Text:
Neuman MD, Bateman BT, Wunsch H. Inappropriate opioid prescription after surgery. Lancet. 2019;393(10180):1547-1557. doi:10.1016/S0140-6736(19)30428-3.
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psnet.ahrq.gov/issue/nurses-relate-contributing-factors-involved-medication-errors
February 18, 2009 - Study
Nurses relate the contributing factors involved in medication errors.
Citation Text:
Tang F-I, Sheu S-J, Yu S, et al. Nurses relate the contributing factors involved in medication errors. J Clin Nurs. 2007;16(3):447-57.
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psnet.ahrq.gov/issue/ashp-guidelines-minimum-standard-ambulatory-care-pharmacy-practice
September 23, 2020 - Commentary
ASHP guidelines: minimum standard for ambulatory care pharmacy practice.
Citation Text:
Buxton JA, Babbitt RM, Clegg CA, et al. ASHP guidelines: Minimum standard for ambulatory care pharmacy practice. Am J Health-Syst Pharm. 2015;72(14):1221-1236. doi:10.2146/sp150005.
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psnet.ahrq.gov/issue/experimental-study-medical-error-explanations-do-apology-empathy-corrective-action-and
October 07, 2020 - Study
An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes?
Citation Text:
Nazione S, Pace K. An Experimental Study of Medical Error Explanations: Do Apology, Empathy, Corrective Action, and Compensat…