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psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-beneficiaries-first-2-years-following-acgme-resident
February 17, 2009 - Study
Classic
Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform.
Citation Text:
Meltzer DO, Arora VM. Evaluating Resident Duty Hour Reforms. JAMA. 2007;298(9). doi:10.1001/jama.298.9.1055.
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psnet.ahrq.gov/issue/cost-and-workforce-implications-subjecting-all-physicians-aviation-industry-work-hour
January 02, 2017 - Study
Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions.
Citation Text:
Payette M, Chatterjee A, Weeks WB. Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions. Am J Surg. 2009;…
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psnet.ahrq.gov/issue/predictors-and-outcomes-patient-safety-culture-cross-sectional-comparative-study
March 22, 2023 - Study
Predictors and outcomes of patient safety culture: a cross-sectional comparative study.
Citation Text:
Mrayyan MT. Predictors and outcomes of patient safety culture: a cross-sectional comparative study. BMJ Open Qual. 2022;11(3):e001889. doi:10.1136/bmjoq-2022-001889.
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psnet.ahrq.gov/issue/analysis-readmissions-mobile-integrated-health-transitional-care-program-using-root-cause
June 08, 2022 - Study
Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis.
Citation Text:
Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional care program using root …
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psnet.ahrq.gov/issue/prescription-errors-and-outcomes-related-inconsistent-information-transmitted-through
April 04, 2011 - Study
Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study.
Citation Text:
Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information transmitted through compu…
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psnet.ahrq.gov/issue/surgical-technology-and-operating-room-safety-failures-systematic-review-quantitative-studies
May 06, 2015 - Review
Surgical technology and operating-room safety failures: a systematic review of quantitative studies.
Citation Text:
Weerakkody RA, Cheshire NJ, Riga C, et al. Surgical technology and operating-room safety failures: a systematic review of quantitative studies. BMJ Qual Saf. 2013;…
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psnet.ahrq.gov/innovation/novel-approach-engagement-team-training-high-technology-surgery-robotic-assisted-surgery
June 21, 2023 - EMERGING INNOVATIONS
A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics.
Citation Text:
Cohen TN, Anger JT, Kanji FF, et al. A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery oly…
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psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis
December 06, 2023 - Study
A qualitative content analysis of retained surgical items: learning from root cause analysis investigations.
Citation Text:
Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Int J Qu…
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psnet.ahrq.gov/issue/qualitative-perspectives-emergency-nurses-electronic-health-record-behavioral-flags-promote
January 25, 2023 - Study
Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote workplace safety.
Citation Text:
Seeburger EF, Gonzales R, South EC, et al. Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote work…
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psnet.ahrq.gov/issue/evaluation-effectiveness-surgical-checklist-medicare-patients
January 13, 2016 - Study
Evaluation of the effectiveness of a surgical checklist in Medicare patients.
Citation Text:
Reames BN, Scally CP, Thumma JR, et al. Evaluation of the Effectiveness of a Surgical Checklist in Medicare Patients. Med Care. 2015;53(1):87-94. doi:10.1097/MLR.0000000000000277.
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psnet.ahrq.gov/issue/assessment-perioperative-outcomes-among-surgeons-who-operated-night
March 06, 2019 - Study
Assessment of perioperative outcomes among surgeons who operated the night before.
Citation Text:
Sun EC, Mello MM, Vaughn MT, et al. Assessment of perioperative outcomes among surgeons who operated the night before. JAMA Intern Med. 2022;182(7):720-728. doi:10.1001/jamainternmed.2…
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psnet.ahrq.gov/issue/characterisations-adverse-events-detected-university-hospital-4-year-study-using-global
December 09, 2020 - Study
Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method.
Citation Text:
Rutberg H, Risberg MB, Sjödahl R, et al. Characterisations of adverse events detected in a university hospital: a 4-year study using the Global…
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psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency
August 31, 2022 - Study
System factors affecting patient safety in the OR: an analysis of safety threats and resiliency.
Citation Text:
Adams-McGavin RC, Jung JJ, van Dalen ASHM, et al. System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Ann Surg. 2021;274(1):…
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psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
May 17, 2017 - Study
Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices.
Citation Text:
Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events: qualitative i…
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psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team
December 21, 2014 - Study
Clinical triggers: an alternative to a rapid response team.
Citation Text:
Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm J Qual Patient Saf. 2009;35(3):164-74.
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psnet.ahrq.gov/issue/hindsight-foresight-effect-outcome-knowledge-judgment-under-uncertainty
July 08, 2020 - Study
Classic
Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty.
Citation Text:
Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psycholo…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-kickoff.pdf
June 02, 2025 - Kick-off Visit Check List
KICK-OFF VISIT CHECK LIST
PRACTICE ENHANCEMENT ASSISTANT ACADEMIC DETAILER
Four weeks before visit
Contact AD and introduce yourself
Determine ABCS assignment
Print Baseline Reports & send to AD
Four weeks before visit
Negotiate with Nicole Travis date/time
Record ABCS …
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psnet.ahrq.gov/issue/multiprofessional-team-simulation-training-based-obstetric-model-can-improve-teamwork-other
January 12, 2022 - Study
Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care.
Citation Text:
van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an obstetric model, can improve teamwor…
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psnet.ahrq.gov/issue/health-care-associated-infections-among-critically-ill-children-us-2007-2012
April 05, 2013 - Study
Health care-associated infections among critically ill children in the US, 2007-2012.
Citation Text:
Patrick SW, Kawai AT, Kleinman K, et al. Health care-associated infections among critically ill children in the US, 2007-2012. Pediatrics. 2014;134(4):705-712. doi:10.1542/peds.2014…
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psnet.ahrq.gov/issue/do-patient-safety-indicators-explain-increased-weekend-mortality
June 01, 2011 - Study
Do patient safety indicators explain increased weekend mortality?
Citation Text:
Ricciardi R, Nelson J, Francone TD, et al. Do patient safety indicators explain increased weekend mortality? J Surg Res. 2016;200(1):164-70. doi:10.1016/j.jss.2015.07.030.
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