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Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. | PSNet

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April 27, 2019 - Commentary Emerging Classic Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. Citation Text: Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience…

Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. | PSNet

psnet.ahrq.gov/issue/clinicians-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review

May 05, 2021 - Review Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. Citation Text: Hoffmann TC, Del Mar C. Clinicians' Expectations of the Benefits and Harms of Treatments, Screening, and Tests: A Systematic Review. JAMA Intern Med. 2017;17…

Checking all the boxes: a checklist for when and how to use checklists effectively. | PSNet

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June 29, 2022 - Commentary Checking all the boxes: a checklist for when and how to use checklists effectively. Citation Text: Alfred M, Barg-Walkow LH, Keebler JR, et al. Checking all the boxes: a checklist for when and how to use checklists effectively. BMJ Qual Saf. 2024;33(10):673-681. doi:10.1136/bm…

The use of a standard design medication room to promote medication safety: organizational implications. | PSNet

psnet.ahrq.gov/issue/use-standard-design-medication-room-promote-medication-safety-organizational-implications

July 27, 2022 - Study The use of a standard design medication room to promote medication safety: organizational implications. Citation Text: Rozenbaum H, Gordon L, Brezis M, et al. The use of a standard design medication room to promote medication safety: organizational implications. Int J Qual Health C…

Reducing pediatric emergency department prescription errors. | PSNet

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October 26, 2022 - Study Reducing pediatric emergency department prescription errors. Citation Text: Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors. Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696. Copy Citation Format: …

Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. | PSNet

psnet.ahrq.gov/issue/cognitive-and-implicit-biases-nurses-judgment-and-decision-making-scoping-review

October 20, 2021 - Review Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. Citation Text: Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j…

Physician practice patterns resemble ACGME duty hours. | PSNet

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November 15, 2018 - Study Physician practice patterns resemble ACGME duty hours. Citation Text: Anim M, Markert RJ, Wood VC, et al. Physician practice patterns resemble ACGME duty hours. Am J Med. 2009;122(6):587-93. doi:10.1016/j.amjmed.2009.02.015. Copy Citation Format: DOI Google Scholar P…

Experimental evidence for structured information-sharing networks reducing medical errors. | PSNet

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December 15, 2021 - Study Experimental evidence for structured information-sharing networks reducing medical errors. Citation Text: Centola D, Becker J, Zhang J, et al. Experimental evidence for structured information–sharing networks reducing medical errors. Proc Natl Acad Sci U S A. 2023;120(31):e21082901…

Gender biases in estimation of others' pain. | PSNet

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March 25, 2020 - Study Classic Gender biases in estimation of others' pain. Citation Text: Zhang L, Losin EAR, Ashar YK, et al. Gender biases in estimation of others' pain. J Pain. 2021;22(9):1048-1059. doi:10.1016/j.jpain.2021.03.001. Copy Citation Format: DOI Goo…

Adolescent Diabetes: A Routine Visit? | PSNet

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November 18, 2016 - estimated incidence rates (per 100,000 person-years) of T2DM among 15- to 19-year-old youth by race/ethnicity … ( 25-27 ) Pregnancy rates in 2007 per 1000 females aged 15-19 years varied nearly threefold by race/ethnicity

Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults. | PSNet

psnet.ahrq.gov/issue/racial-disparities-preventable-adverse-events-attributed-poor-care-coordination-reported

January 18, 2023 - Study Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults. Citation Text: Pinheiro LC, Reshetnyak E, Safford MM, et al. Racial disparities in preventable adverse events attributed to poor care coordination …

Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes | PSNet

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April 10, 2024 - Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes Citation Text: Bakerjian D. Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health…

Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. | PSNet

psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports-71-hospitals

July 24, 2024 - Study Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. Citation Text: Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvan…

Safely implementing health information and converging technologies. | PSNet

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May 14, 2018 - Sentinel Event Alerts Safely implementing health information and converging technologies. Citation Text: Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

Preventing falls and fall-related injuries in health care facilities. | PSNet

psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities

December 23, 2016 - Sentinel Event Alerts Preventing falls and fall-related injuries in health care facilities. Citation Text: Preventing falls and fall-related injuries in health care facilities. Sentinel Event Alert. September 28, 2015;(55):1-5. Copy Citation Save Save to your li…

Leadership committed to safety. | PSNet

psnet.ahrq.gov/issue/leadership-committed-safety

December 23, 2016 - Sentinel Event Alerts Leadership committed to safety. Citation Text: Leadership committed to safety. Sentinel Event Alert. August 27, 2009;(43):1-3. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

A nurse-driven system for improving patient quality outcomes. | PSNet

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October 12, 2011 - Commentary A nurse-driven system for improving patient quality outcomes. Citation Text: Johnson K, Hallsey D, Meredith RL, et al. A nurse-driven system for improving patient quality outcomes. J Nurs Care Qual. 2006;21(2):168-175. Copy Citation Format: Google Scholar PubMe…

Patient safety in the emergency department. | PSNet

psnet.ahrq.gov/issue/patient-safety-emergency-department

July 13, 2016 - Commentary Patient safety in the emergency department. Citation Text: Farmer B. Patient Safety in the Emergency Department. Emerg Med (N Y). 2016;48(9). doi:10.12788/emed.2016.0052. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. | PSNet

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August 20, 2018 - Organizational Policy/Guidelines Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. Citation Text: Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. Obstet Gynecol. 2016;128(3):e54-60. doi:10.1097/AOG.0000000000001642. Copy C…

Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. | PSNet

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September 12, 2018 - Book/Report Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. Citation Text: Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC…

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