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psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm
October 05, 2022 - Study
Operating room to intensive care unit handoffs and the risks of patient harm.
Citation Text:
McElroy LM, Collins KM, Koller FL, et al. Operating room to intensive care unit handoffs and the risks of patient harm. Surgery. 2015;158(3):588-594. doi:10.1016/j.surg.2015.03.061.
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psnet.ahrq.gov/issue/discrepancy-between-emergency-department-admission-diagnosis-and-hospital-discharge-diagnosis
December 08, 2021 - Study
Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality.
Citation Text:
Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department adm…
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psnet.ahrq.gov/issue/disparities-after-discharge-association-limited-english-proficiency-and-postdischarge-patient
October 14, 2020 - Study
Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues.
Citation Text:
Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient…
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psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors
May 26, 2021 - Study
Classic
The $17.1 billion problem: the annual cost of measurable medical errors.
Citation Text:
Van Den Bos J, Rustagi K, Gray T, et al. The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Aff. 2011;30(4):596-603. doi:10.1377/hl…
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psnet.ahrq.gov/issue/promoting-psychological-well-being-healthcare-providers-facing-burden-adverse-events
February 15, 2023 - Review
Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a systematic review of second victim support resources.
Citation Text:
Busch IM, Moretti F, Campagna I, et al. Promoting the psychological well-being of healthcare providers facing …
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psnet.ahrq.gov/issue/improving-accuracy-handoff-implementing-electronic-health-record-generated-tool-improvement
January 01, 2022 - Study
Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit.
Citation Text:
Koo JK, Moyer L, Castello MA, et al. Improving accuracy of handoff by implementing an electronic health recor…
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psnet.ahrq.gov/issue/evidence-and-consensus-based-definition-second-victim-strategic-topic-healthcare-quality
September 13, 2023 - Commentary
An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management.
Citation Text:
Vanhaecht K, Seys D, Russotto S, et al. An evidence and consensus-based definition of second …
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psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
March 30, 2022 - Study
Emerging Classic
A systems approach to analyzing and preventing hospital adverse events.
Citation Text:
Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital adverse events. J Patient Saf. 2020;16(2):162-167. doi:1…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2012
January 01, 2012 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions Between Care Settings - 2012
Project Name
Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings
Prin…
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psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-patients-systematic-review-and
March 02, 2022 - Study
Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis.
Citation Text:
Murata M, Nakagawa N, Kawasaki T, et al. Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. …
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psnet.ahrq.gov/issue/psychological-and-mental-impact-coronavirus-disease-2019-covid-19-medical-staff-and-general
February 10, 2021 - Review
The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - a systematic review and meta-analysis.
Citation Text:
Luo M, Guo L, Yu M, et al. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical s…
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psnet.ahrq.gov/issue/impact-hospital-acquired-pneumonia-medicare-program
August 07, 2013 - Study
Impact of hospital-acquired pneumonia on the Medicare program.
Citation Text:
Baker DL, Giuliano KK, Desmarais M, et al. Impact of hospital-acquired pneumonia on the Medicare program. Infect Control Hosp Epidemiol. 2024;45(3):316-321. doi:10.1017/ice.2023.221.
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psnet.ahrq.gov/issue/clinical-and-economic-impacts-explicit-tools-detecting-prescribing-errors-systematic-review
January 12, 2022 - Review
Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review.
Citation Text:
Farhat A, Al‐Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing errors: A systematic review. J Clin Pharm Ther. 2021;46(4)…
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psnet.ahrq.gov/issue/developing-process-measure-actual-harm-medication-errors-paediatric-inpatients-design
January 18, 2023 - Study
Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation.
Citation Text:
Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to i…
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psnet.ahrq.gov/issue/understanding-factors-could-influence-patient-acceptability-use-pincer-intervention-primary
May 24, 2023 - Study
Understanding factors that could influence patient acceptability of the use of the PINCER intervention in primary care: a qualitative exploration using the Theoretical Framework of Acceptability.
Citation Text:
Laing L, Salema N-E, Jeffries M, et al. Understanding factors that coul…
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psnet.ahrq.gov/issue/hospital-staff-reports-coworker-positive-and-unprofessional-behaviours-across-eight-hospitals
May 01, 2024 - Study
Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom?
Citation Text:
Urwin R, Pavithra A, Mcmullan RD, et al. Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: w…
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psnet.ahrq.gov/issue/impact-multidisciplinary-team-huddles-patient-safety-systematic-review-and-proposed-taxonomy
November 10, 2015 - Review
Emerging Classic
Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy.
Citation Text:
Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
April 01, 2019 - CHIPRA 194: Overuse of Imaging for the Evaluation of Children With Primary Headache Report
1
Overuse of Imaging for the Evaluation of Children with
Primary Headache
Section 1. Basic Measure Information
1.A. Measure Name
Overuse of Imaging for the Evaluation of Children with Primary Headache
1.B. Measure Numbe…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
November 01, 2019 - Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Report
Overuse of Computed Tomography Scans for the
Evaluation of Children with a First Generalized
Afebrile, Atraumatic Seizure
Section 1. Basic Measure Information
1.A. Measure Name
Ove…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
November 01, 2019 - Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Final Report
Overuse of Imaging for the Evaluation of Children with
Simple Febrile Seizure
Section 1. Basic Measure Information
1.A. Measure Name
Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure
1.B. M…