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psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among
March 02, 2022 - Study
Classic
Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery.
Citation Text:
Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse Postoperati…
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psnet.ahrq.gov/issue/delayed-or-failure-follow-abnormal-breast-cancer-screening-mammograms-primary-care-systematic
December 08, 2021 - Review
Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review.
Citation Text:
Reece JC, Neal EFG, Nguyen P, et al. Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. B…
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psnet.ahrq.gov/issue/relationship-between-hospital-adverse-events-and-hospital-performance-30-day-all-cause
June 22, 2022 - Study
Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure.
Citation Text:
Wang Y, Eldridge N, Metersky ML, et al. Relationship between in-hospital adverse events and hospital performance on…
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hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit4_4.jsp
January 01, 2009 - Facts and Figures Exhibit 4.4
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/pediatric-musculoskeletal-radiographs-anatomy-and-fractures-prone-diagnostic-error-among
March 24, 2021 - Study
Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians.
Citation Text:
Li W, Stimec J, Camp M, et al. Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians. J Emer…
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psnet.ahrq.gov/issue/identifying-adverse-events-patients-hospitalized-isolation-or-quarantine-due-covid-19
September 13, 2023 - Study
Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19.
Citation Text:
de Arriba Fernández A, Sánchez Medina R, Dorta Hung ME, et al. Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19. J Patient Sa…
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psnet.ahrq.gov/issue/changes-outcomes-internal-medicine-inpatients-after-work-hour-regulations
September 30, 2012 - Study
Classic
Changes in outcomes for internal medicine inpatients after work-hour regulations.
Citation Text:
Horwitz LI, Kosiborod M, Lin Z, et al. Changes in outcomes for internal medicine inpatients after work-hour regulations. Ann Intern Med. 2007;147(2):…
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www.ahrq.gov/es/tools/index.html?page=4
October 01, 2024 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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psnet.ahrq.gov/issue/residents-response-duty-hour-regulations-follow-national-survey
December 02, 2014 - Study
Classic
Residents' response to duty-hour regulations—a follow-up national survey.
Citation Text:
Drolet BC, Christopher DA, Fischer SA. Residents' response to duty-hour regulations--a follow-up national survey. N Engl J Med. 2012;366(24):e35. doi:10.1056…
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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/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/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/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/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/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
September 15, 2021 - Study
Central venous catheter guidewire retention: lessons from England's never event database.
Citation Text:
Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…
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psnet.ahrq.gov/issue/effects-2011-duty-hour-reforms-interns-and-their-patients-prospective-longitudinal-cohort
October 19, 2022 - Study
Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study.
Citation Text:
Sen S, Kranzler HR, Didwania AK, et al. Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study. JAMA In…
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psnet.ahrq.gov/issue/sustaining-gains-7-year-follow-through-hospital-wide-patient-safety-improvement-project
October 19, 2022 - Study
Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture.
Citation Text:
Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide …
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psnet.ahrq.gov/issue/physician-evaluation-after-medical-errors-does-having-computer-decision-aid-help-or-hurt
May 19, 2021 - Study
Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight?
Citation Text:
Pezzo M, Pezzo SP. Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? Med Decis Making. 2006;26(1):48-56…
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psnet.ahrq.gov/issue/delayed-workup-rectal-bleeding-adult-primary-care-examining-process-care-failures
April 24, 2018 - Study
Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures.
Citation Text:
Weingart SN, Stoffel EM, Chung DC, et al. Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures. The Joint Commission Journal on Quality…
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psnet.ahrq.gov/issue/types-and-effects-feedback-emergency-ambulance-staff-systematic-mixed-studies-review-and-meta
April 06, 2022 - Study
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis.
Citation Text:
Wilson C, Janes G, Lawton R, et al. Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. BMJ…