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psnet.ahrq.gov/issue/patient-suicide-locked-mental-health-unit-west-palm-beach-va-medical-center-florida
January 24, 2024 - Book/Report
Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida.
Citation Text:
Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. Washington, DC: Department of Veterans Affairs, Office of Inspect…
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psnet.ahrq.gov/issue/economic-analysis-prevalence-and-clinical-and-economic-burden-medication-error-england
April 17, 2024 - Study
Economic analysis of the prevalence and clinical and economic burden of medication error in England.
Citation Text:
Elliott RA, Camacho E, Jankovic D, et al. Economic analysis of the prevalence and clinical and economic burden of medication error in England. BMJ Qual Saf. 2021;30(2…
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psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
August 04, 2021 - Study
Classic
Reducing adverse drug events: lessons from a breakthrough series collaborative.
Citation Text:
Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…
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psnet.ahrq.gov/issue/family-support-role-hospital-rapid-response-teams-scoping-review
September 16, 2020 - Review
Family support role in hospital rapid response teams: a scoping review.
Citation Text:
Howlett O, Gleeson R, Jackson L, et al. Family support role in hospital rapid response teams: a scoping review. JBI Evid Synth. 2022;20(8):2001-2024. doi:10.11124/jbies-21-00189.
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psnet.ahrq.gov/issue/do-healthcare-professionals-work-around-safety-standards-and-should-we-be-worried-scoping
December 21, 2016 - Review
Do healthcare professionals work around safety standards, and should we be worried? A scoping review.
Citation Text:
Clark D, Lawton R, Baxter R, et al. Do healthcare professionals work around safety standards, and should we be worried? A scoping review. BMJ Qual Saf. 2024;Epub Se…
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psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic
September 18, 2019 - Study
Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital.
Citation Text:
Mathukia C, Fan WQ, Vadyak K, et al. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. J Commun…
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psnet.ahrq.gov/issue/electronic-health-record-legal-settlements-us-2009-health-information-technology-economic-and
August 24, 2022 - Study
Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act.
Citation Text:
Apathy NC, Howe JL, Krevat S, et al. Electronic health record legal settlements in the US since the 2009 Health Information Technol…
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psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative
December 16, 2015 - Study
Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis.
Citation Text:
Mossburg SE, Weaver SJ, Pillari MS, et al. Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles: A Qualitativ…
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psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event
September 19, 2016 - Study
Qualitative study about the experiences of colleagues of health professionals involved in an adverse event.
Citation Text:
Ferrús L, Silvestre C, Olivera G, et al. Qualitative Study About the Experiences of Colleagues of Health Professionals Involved in an Adverse Event. J Patient …
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psnet.ahrq.gov/issue/reduction-opioid-prescribing-through-evidence-based-prescribing-guidelines
January 27, 2019 - Study
Reduction in opioid prescribing through evidence-based prescribing guidelines.
Citation Text:
Howard R, Waljee JF, Brummett CM, et al. Reduction in Opioid Prescribing Through Evidence-Based Prescribing Guidelines. JAMA Surg. 2018;153(3):285-287. doi:10.1001/jamasurg.2017.4436.
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psnet.ahrq.gov/issue/lessons-learned-reducing-negative-impact-adverse-events-patients-health-professionals-and
September 19, 2016 - Study
Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations.
Citation Text:
Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health profession…
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psnet.ahrq.gov/issue/breast-cancer-missed-screening-hindsight-or-mistakes
November 15, 2023 - January 29, 2020
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/discrepancies-between-clinical-and-autopsy-diagnosis-and-value-post-mortem-histology-meta
September 22, 2021 - March 23, 2012
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
April 21, 2011 - October 4, 2011
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
November 03, 2015 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis-electronic-health
January 19, 2012 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
May 01, 2013 - December 27, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
March 28, 2012 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
May 05, 2010 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
October 04, 2011 - June 18, 2013
Why Current Breast Pathology Practices Must Be Evaluated.