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psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim
June 06, 2018 - Commentary
The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better.
Citation Text:
Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths…
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psnet.ahrq.gov/issue/automated-dispensing-cabinet-overrides-evaluation-necessity-pediatric-emergency-department
October 21, 2020 - Study
Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department.
Citation Text:
Paterson EP, Manning KB, Schmidt MD, et al. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. J Emerg Nurs. 202…
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psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour
March 17, 2010 - Commentary
Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.
Citation Text:
Bernstein J, MacCourt DC, Jacob DM, et al. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Clin …
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psnet.ahrq.gov/issue/examining-meaning-language-used-communicate-nursing-hand
July 07, 2021 - Study
Examining the meaning of the language used to communicate the nursing hand-off.
Citation Text:
Galatzan BJ, Carrington JM. Examining the meaning of the language used to communicate the nursing hand‐off. Res Nurs Health. 2021;44(5):833-843. doi:10.1002/nur.22175.
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psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident-reports
March 16, 2022 - Commentary
Qualitative content analysis: a framework for the substantive review of hospital incident reports.
Citation Text:
Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/…
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psnet.ahrq.gov/issue/health-care-huddles-managing-complexity-achieve-high-reliability
November 17, 2015 - Study
Health care huddles: managing complexity to achieve high reliability.
Citation Text:
Provost SM, Lanham H, Leykum LK, et al. Health care huddles: managing complexity to achieve high reliability. Health Care Manage Rev. 2015;40(1):2-12. doi:10.1097/HMR.0000000000000009.
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psnet.ahrq.gov/issue/coronavirus-can-california-prison-save-itself-covid-19
July 01, 2020 - Newspaper/Magazine Article
Coronavirus: can this California prison save itself from Covid-19?
Citation Text:
Honderich H, Popat S. Coronavirus: Can this California prison save itself from Covid-19? BBC News, Washington. 2020;Jul 27.
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psnet.ahrq.gov/issue/psych-mnemonic-help-psychiatric-residents-decrease-patient-handoff-communication-errors
November 16, 2022 - Study
PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors.
Citation Text:
Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316…
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psnet.ahrq.gov/issue/surgical-team-training-northwestern-memorial-hospital-experience
March 03, 2011 - Study
Surgical team training: the Northwestern Memorial Hospital experience.
Citation Text:
Halverson AL, Andersson JL, Anderson K, et al. Surgical team training: the Northwestern Memorial Hospital experience. Arch Surg. 2009;144(2):107-12. doi:10.1001/archsurg.2008.545.
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psnet.ahrq.gov/issue/who-makes-prescribing-decisions-hospital-inpatients-observational-study
January 30, 2013 - Study
Who makes prescribing decisions in hospital inpatients? An observational study.
Citation Text:
Ross S, Hamilton L, Ryan C, et al. Who makes prescribing decisions in hospital inpatients? An observational study. Postgrad Med J. 2012;88(1043):507-10. doi:10.1136/postgradmedj-2011-13…
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psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
July 13, 2010 - Study
A patient reported approach to identify medical errors and improve patient safety in the emergency department.
Citation Text:
Glickman SW, Mehrotra A, Shea CM, et al. A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department. J Pa…
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psnet.ahrq.gov/issue/building-collaborative-teams-neonatal-intensive-care
August 14, 2019 - Study
Building collaborative teams in neonatal intensive care.
Citation Text:
Brodsky D, Gupta M, Quinn M, et al. Building collaborative teams in neonatal intensive care. BMJ Qual Saf. 2013;22(5):374-82. doi:10.1136/bmjqs-2012-000909.
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psnet.ahrq.gov/issue/anaesthetic-drug-administration-potential-contributor-healthcare-associated-infections
January 07, 2015 - Study
Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs.
Citation Text:
Gargiulo DA, Sheridan J, Webster CS, et al. Anaesthetic drug …
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psnet.ahrq.gov/issue/traditions-research-interruptions-healthcare-conceptual-review
April 19, 2017 - Review
Traditions of research into interruptions in healthcare: a conceptual review.
Citation Text:
McCurdie T, Sanderson P, Aitken LM. Traditions of research into interruptions in healthcare: A conceptual review. Int J Nurs Stud. 2017;66:23-36. doi:10.1016/j.ijnurstu.2016.11.005.
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-patients-2-outpatient-settings
November 18, 2009 - Study
Potentially inappropriate prescribing for elderly patients in 2 outpatient settings.
Citation Text:
Maio V, Hartmann CW, Poston S, et al. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Am J Med Qual. 2006;21(3):162-8.
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psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
November 14, 2011 - Regulation
Medical malpractice claims by members of the uniformed services.
Citation Text:
Medical malpractice claims by members of the uniformed services. Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215.
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psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge
November 03, 2015 - Study
Last orders: follow-up of tests ordered on the day of hospital discharge.
Citation Text:
Ong M-S, Magrabi F, Jones G, et al. Last Orders: Follow-up of Tests Ordered on the Day of Hospital Discharge. Arch Intern Med. 2012;172(17):1347-9. doi:10.1001/archinternmed.2012.2836.
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psnet.ahrq.gov/issue/you-just-want-feel-safe-when-you-go-healthcare-professional-intimate-partner-violence-and
January 27, 2019 - Study
"You just want to feel safe when you go to a healthcare professional:" intimate partner violence and patient safety.
Citation Text:
Maras SA. “You just want to feel safe when you go to a healthcare professional:” Intimate partner violence and patient safety. Soc Sci Med. 2023;331:1…
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psnet.ahrq.gov/issue/outcomes-are-worse-us-patients-undergoing-surgery-weekends-compared-weekdays
August 02, 2015 - Study
Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays.
Citation Text:
Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.00000000000…
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psnet.ahrq.gov/issue/primary-care-pediatricians-interest-diagnostic-error-reduction
March 19, 2018 - Study
Primary care pediatricians' interest in diagnostic error reduction.
Citation Text:
Rinke ML, Singh H, Ruberman S, et al. Primary care pediatricians' interest in diagnostic error reduction. Diagnosis (Berl). 2016;3(2):65-69. doi:10.1515/dx-2015-0033.
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