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psnet.ahrq.gov/node/864851/psn-pdf
March 20, 2024 - The Joint Commission's ongoing professional practice
evaluation process: costly, ineffective, and potentially
harmful to safety culture.
March 20, 2024
Donnelly LF, Podberesky DJ, Towbin AJ, et al. The Joint Commission's ongoing professional practice
evaluation process: costly, ineffective, and potentially harmful…
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psnet.ahrq.gov/issue/out-sight-out-mind-prospective-observational-study-estimate-duration-hawthorne-effect-hand
September 09, 2020 - Study
Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events.
Citation Text:
Vaisman A, Bannerman G, Matelski J, et al. Out of sight, out of mind: a prospective observational study to estimate the duration of t…
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psnet.ahrq.gov/issue/saving-lives-and-saving-money-hospital-acquired-conditions-update
May 01, 2017 - Government Resource
Saving Lives and Saving Money: Hospital-Acquired Conditions Update.
Citation Text:
Saving Lives and Saving Money: Hospital-Acquired Conditions Update. Rockville, MD: Agency for Healthcare Research and Quality; December 2015. AHRQ Publication No. 16-0009-EF.
Copy Cit…
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psnet.ahrq.gov/issue/clinical-features-and-preventability-delayed-diagnosis-pediatric-appendicitis
September 13, 2023 - Study
Clinical features and preventability of delayed diagnosis of pediatric appendicitis.
Citation Text:
Michelson KA, Reeves SD, Grubenhoff JA, et al. Clinical features and preventability of delayed diagnosis of pediatric appendicitis. JAMA Netw Open. 2021;4(8):e2122248. doi:10.1001/ja…
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psnet.ahrq.gov/node/865923/psn-pdf
May 22, 2024 - Undiagnosed cancer cases in the US during the first 10
months of the COVID-19 pandemic.
May 22, 2024
Burus T, Lei F, Huang B, et al. Undiagnosed cancer cases in the US during the first 10 months of the
COVID-19 pandemic. JAMA Oncol. 2024;10(4):500-507. doi:10.1001/jamaoncol.2023.6969.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/836744/psn-pdf
March 17, 2022 - Drug-related deaths among inpatients: a meta-analysis.
March 17, 2022
Patel TK, Patel PB, Bhalla HL, et al. Drug-related deaths among inpatients: a meta-analysis. Eur J Clin
Pharmacol. 2022;78(2):267-278. doi:10.1007/s00228-021-03214-w.
https://psnet.ahrq.gov/issue/drug-related-deaths-among-inpatients-meta-analysis…
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psnet.ahrq.gov/node/74761/psn-pdf
February 09, 2022 - Did the Hospital Readmissions Reduction Program
reduce readmissions? An assessment of prior evidence
and new estimates.
February 9, 2022
Ziedan E, Kaestner R. Did the Hospital Readmissions Reduction Program reduce readmissions? An
assessment of prior evidence and new estimates. Eval Rev. 2021;45(6):359-411.
doi:1…
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - units of transfused red blood cell units results in death due to acute
hemolytic reaction.17,18
When estimating
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - Learning Health Systems for Patient Safety
February 26, 2025
Estimating
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psnet.ahrq.gov/node/60528/psn-pdf
May 27, 2020 - The prevalence and impact of potentially inappropriate
prescribing among older persons in primary care
settings: multilevel meta-analysis.
May 27, 2020
Liew TM, Lee CS, Goh SKL, et al. The prevalence and impact of potentially inappropriate prescribing
among older persons in primary care settings: multilevel meta-a…
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psnet.ahrq.gov/node/60272/psn-pdf
April 29, 2020 - Prevalence of harmful diagnostic errors in hospitalised
adults: a systematic review and meta-analysis.
April 29, 2020
Gunderson CG, Bilan VP, Holleck JL, et al. Prevalence of harmful diagnostic errors in hospitalised adults: a
systematic review and meta-analysis. BMJ Qual Saf. 2020;29(12):1008-1018. doi:10.1136/bmj…
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psnet.ahrq.gov/node/46603/psn-pdf
April 12, 2019 - Comparison of internal medicine and general surgery
residents' assessments of risk of postsurgical
complications in surgically complex patients.
April 12, 2019
Healy JM, Davis KA, Pei KY. Comparison of Internal Medicine and General Surgery Residents'
Assessments of Risk of Postsurgical Complications in Surgically …
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psnet.ahrq.gov/node/836821/psn-pdf
March 30, 2022 - Biasing influence of 'mental shortcuts' on diagnostic
decision-making: radiologists can overlook breast cancer
in mamograms when prior diagnostic information is
available.
March 30, 2022
Branch F, Santana I, Hegdé J. Biasing influence of 'mental shortcuts' on diagnostic decision-making:
radiologists can overlook …
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psnet.ahrq.gov/issue/rate-preventable-mortality-hospitalized-patients-systematic-review-and-meta-analysis
July 27, 2022 - Review
Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis.
Citation Text:
Rodwin BA, Bilan VP, Merchant NB, et al. Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis. J Gen Intern Med. 2020;35(7):2099-2…
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - Because outpatient ambulatory health care delivery is a fragmented process, estimating medication errors
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psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay
December 23, 2011 - Study
A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay.
Citation Text:
Samore MH, Shen S, Greene T, et al. A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. Med C…
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psnet.ahrq.gov/node/842421/psn-pdf
January 11, 2023 - Weight and size descriptors for drug dosing: too many
options and too many errors.
January 11, 2023
Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too
many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zxac283.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/42636/psn-pdf
October 02, 2013 - How many die from medical mistakes in US hospitals?
October 2, 2013
Allen M.
https://psnet.ahrq.gov/issue/how-many-die-medical-mistakes-us-hospitals
Reporting on results of a recent study, this news article relates that the number of preventable errors
contributing to patient deaths may be much higher than previou…
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psnet.ahrq.gov/node/60790/psn-pdf
February 23, 2022 - Important research priorities may include estimating the costs and benefits of expanded PPE use (and … Estimating the number of dentists needed in 2040. J Dent Educ.
2017;81(8):eS146-eS152.
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psnet.ahrq.gov/issue/observational-study-associations-between-nurse-reported-hospital-characteristics-and
January 22, 2014 - Study
An observational study: associations between nurse-reported hospital characteristics and estimated 30-day survival probabilities.
Citation Text:
Tvedt C, Sjetne IS, Helgeland J, et al. An observational study: associations between nurse-reported hospital characteristics and estimate…