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psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice
February 21, 2015 - Study
Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice.
Citation Text:
Pakis I, Polat O, Yayci N, et al. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Am J Forensic Med Pathol. 2010;31(3):218-21. …
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psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients
March 13, 2019 - Study
Classic
A controlled trial of smart infusion pumps to improve medication safety in critically ill patients.
Citation Text:
Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill …
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psnet.ahrq.gov/issue/using-evidence-rigorous-measurement-and-collaboration-eliminate-central-catheter-associated
January 15, 2014 - Study
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.
Citation Text:
Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstr…
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psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality
July 19, 2023 - Commentary
Classic
A hospitalization from hell: a patient's perspective on quality.
Citation Text:
Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med. 2003;138(1):33-39.
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psnet.ahrq.gov/issue/resident-work-hour-limits-and-patient-safety
July 03, 2014 - Study
Classic
Resident work hour limits and patient safety.
Citation Text:
Poulose BK, Ray WA, Arbogast PG, et al. Resident work hour limits and patient safety. Ann Surg. 2005;241(6):847-56; discussion 856-60.
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psnet.ahrq.gov/issue/improving-nurse-patient-staffing-ratios-cost-effective-safety-intervention
May 14, 2008 - Study
Improving nurse-to-patient staffing ratios as a cost-effective safety intervention.
Citation Text:
Rothberg MB, Abraham I, Lindenauer PK, et al. Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Med Care. 2005;43(8):785-91.
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psnet.ahrq.gov/issue/measurement-performance-driver-case-national-measurement-system-improve-patient-safety
September 01, 2018 - Review
Measurement as a performance driver: the case for a national measurement system to improve patient safety.
Citation Text:
Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Sa…
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psnet.ahrq.gov/issue/plans-are-worthless-planning-everything-advancing-patient-safety-better-managing-paradox
September 23, 2020 - Commentary
"Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation.
Citation Text:
Call RC, Espiritu SG, Barrows DA. “Plans are worthless, but planning is everything”: advancing patient safety by better mana…
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psnet.ahrq.gov/issue/selecting-indicators-patient-safety-health-system-level-oecd-countries
June 28, 2011 - Study
Selecting indicators for patient safety at the health system level in OECD countries.
Citation Text:
McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20.
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psnet.ahrq.gov/issue/safety-climate-safety-climate-strength-and-length-stay-nicu
February 06, 2019 - Study
Safety climate, safety climate strength, and length of stay in the NICU.
Citation Text:
Tawfik DS, Thomas EJ, Vogus TJ, et al. Safety climate, safety climate strength, and length of stay in the NICU. BMC Health Serv Res. 2019;19(1):738. doi:10.1186/s12913-019-4592-1.
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psnet.ahrq.gov/issue/computerised-provider-order-entry-and-residency-education-academic-medical-centre
June 09, 2015 - Study
Computerised provider order entry and residency education in an academic medical centre.
Citation Text:
Wong BM, Kuper A, Robinson N, et al. Computerised provider order entry and residency education in an academic medical centre. Med Educ. 2012;46(8):795-806. doi:10.1111/j.1365-2…
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psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals
February 18, 2011 - Study
The costs of adverse drug events in community hospitals.
Citation Text:
Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6.
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psnet.ahrq.gov/issue/characterization-prescribing-errors-internal-medicine-clinic
March 04, 2011 - Study
Characterization of prescribing errors in an internal medicine clinic.
Citation Text:
Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70.
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psnet.ahrq.gov/issue/governing-quality-and-safety-healthcare-conceptual-framework
September 03, 2011 - Commentary
Governing the quality and safety of healthcare: a conceptual framework.
Citation Text:
Brown A, Dickinson H, Kelaher M. Governing the quality and safety of healthcare: A conceptual framework. Soc Sci Med. 2018;202:99-107. doi:10.1016/j.socscimed.2018.02.020.
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psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection
May 08, 2017 - Study
The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study.
Citation Text:
Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and pat…
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psnet.ahrq.gov/issue/role-emotion-patient-safety-are-we-brave-enough-scratch-beneath-surface
January 09, 2014 - Review
The role of emotion in patient safety: are we brave enough to scratch beneath the surface?
Citation Text:
Heyhoe J, Birks Y, Harrison R, et al. The role of emotion in patient safety: Are we brave enough to scratch beneath the surface? J R Soc Med. 2016;109(2):52-8. doi:10.1177/014…
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psnet.ahrq.gov/issue/monitoring-adverse-drug-reactions-children-using-community-pharmacies-pilot-study
July 01, 2017 - Study
Monitoring adverse drug reactions in children using community pharmacies: a pilot study.
Citation Text:
Stewart D, Helms P, McCaig D, et al. Monitoring adverse drug reactions in children using community pharmacies: a pilot study. Br J Clin Pharmacol. 2005;59(6):677-83.
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psnet.ahrq.gov/issue/development-patient-safety-measures-identify-inappropriate-diagnosis-common-infections
April 10, 2024 - Study
Development of patient safety measures to identify inappropriate diagnosis of common infections.
Citation Text:
White AT, Vaughn VM, Petty LA, et al. Development of patient safety measures to identify inappropriate diagnosis of common infections. Clin Infect Dis. 2024;78(6):1403-14…
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psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system
June 01, 2019 - Study
An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions.
Citation Text:
Hettinger Z, Fairbanks RJ, Hegde S, et al. An evidence-based toolkit for the development of effective and sustainable root cause analysis syste…
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psnet.ahrq.gov/issue/feedback-loop-failure-modes-medical-diagnosis-how-biases-can-emerge-and-be-reinforced
November 01, 2023 - Study
Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced.
Citation Text:
Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1…