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psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - A Real Heartache
December 1, 2012
Polevoi SK. A Real Heartache. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/real-heartache
The Case
A 60-year-old man presented to the emergency department (ED) with 2 hours of burning chest pain. The
pain began at rest, and it radiated to his back and left axilla. He had…
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psnet.ahrq.gov/node/40153/psn-pdf
November 26, 2014 - The effect of workload reduction on the quality of
residents' discharge summaries.
November 26, 2014
Coit MH, Katz JT, McMahon GT. The effect of workload reduction on the quality of residents' discharge
summaries. J Gen Intern Med. 2011;26(1):28-32. doi:10.1007/s11606-010-1465-z.
https://psnet.ahrq.gov/issue/effec…
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psnet.ahrq.gov/node/40134/psn-pdf
February 17, 2011 - Sleep deprivation, elective surgical procedures, and
informed consent.
February 17, 2011
Nurok M, Czeisler CA, Lehmann LS. Sleep deprivation, elective surgical procedures, and informed
consent. N Engl J Med. 2010;363(27):2577-9. doi:10.1056/NEJMp1007901.
https://psnet.ahrq.gov/issue/sleep-deprivation-elective-surg…
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psnet.ahrq.gov/node/43675/psn-pdf
April 18, 2016 - Patient Safety 2015: Final Technical Report.
April 18, 2016
Washington, DC: National Quality Forum; 2016.
https://psnet.ahrq.gov/issue/patient-safety-2015-final-technical-report
The value of current measures to track patient safety has been called into question. This technical report
provides information about a c…
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psnet.ahrq.gov/node/36056/psn-pdf
September 27, 2010 - Path to safety: benefits of the 2005 Patient Safety and
Quality Improvement Act.
September 27, 2010
McBride D, Greening A, Redmond D. Path to safety: benefits of the 2005 Patient Safety and Quality
Improvement Act. Healthc Financ Manage. 2006;60(6):84-8.
https://psnet.ahrq.gov/issue/path-safety-benefits-2005-patie…
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psnet.ahrq.gov/node/35331/psn-pdf
July 15, 2009 - Risk of adverse drug events by patient destination after
hospital discharge.
July 15, 2009
Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital
discharge. Am J Health Syst Pharm. 2005;62(18):1883-9.
https://psnet.ahrq.gov/issue/risk-adverse-drug-events-patient-desti…
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psnet.ahrq.gov/node/844756/psn-pdf
September 18, 2019 - Emerging Concepts in Patient Safety.
September 18, 2019
Shapiro FE, ed. Int Anesthesiol Clin. 2019;57:1-162.
https://psnet.ahrq.gov/issue/emerging-concepts-patient-safety
This publication presents patient safety concepts for anesthesia practice, including decision aids to educate
and empower patients about anesthe…
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psnet.ahrq.gov/node/37124/psn-pdf
December 04, 2016 - Mortality as a measure of quality: implications for
palliative and end-of-life care.
December 4, 2016
Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care.
JAMA. 2007;298(7):802-804.
https://psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative…
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psnet.ahrq.gov/node/47352/psn-pdf
February 13, 2019 - When is the surgeon too old to operate?
February 13, 2019
Span P. New York Times. February 1, 2019.
https://psnet.ahrq.gov/issue/when-surgeon-too-old-operate
Cognitive and functional decline can occur as individuals age. Concerns have been raised regarding the
need to assess skills of aging physicians. This newspa…
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psnet.ahrq.gov/node/36816/psn-pdf
August 26, 2011 - Embedding quality improvement and patient safety - the
UCLA value analysis experience.
August 26, 2011
Gambone JC, Broder MS. Embedding quality improvement and patient safety: the UCLA value analysis
experience. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):581-92.
https://psnet.ahrq.gov/issue/embedding-quality-…
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psnet.ahrq.gov/node/42216/psn-pdf
June 28, 2013 - Simulation for ward processes of surgical care.
June 28, 2013
Pucher PH, Darzi A, Aggarwal R. Simulation for ward processes of surgical care. Am J Surg.
2013;206(1):96-102. doi:10.1016/j.amjsurg.2012.08.013.
https://psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care
This commentary describes one hospital…
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psnet.ahrq.gov/node/44198/psn-pdf
July 01, 2016 - Safety and diagnostic accuracy of tumor biopsies in
children with cancer.
July 1, 2016
Interiano RB, Loh AHP, Hinkle N, et al. Safety and diagnostic accuracy of tumor biopsies in children with
cancer. Cancer. 2015;121(7):1098-107. doi:10.1002/cncr.29167.
https://psnet.ahrq.gov/issue/safety-and-diagnostic-accuracy-…
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psnet.ahrq.gov/node/37854/psn-pdf
May 28, 2014 - Workplace empowerment and magnet hospital
characteristics as predictors of patient safety climate.
May 28, 2014
Armstrong K, Laschinger H, Wong C. Workplace empowerment and magnet hospital characteristics as
predictors of patient safety climate. J Nurs Care Qua. 2009;24(1):55-62.
doi:10.1097/NCQ.0b013e31818f5506.
…
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psnet.ahrq.gov/node/37161/psn-pdf
January 20, 2010 - Attitudes of health sciences faculty members towards
interprofessional teamwork and education.
January 20, 2010
Curran VR, Sharpe D, Forristall J. Attitudes of health sciences faculty members towards interprofessional
teamwork and education. Med Educ. 2007;41(9):892-896.
https://psnet.ahrq.gov/issue/attitudes-heal…
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psnet.ahrq.gov/node/37350/psn-pdf
January 05, 2012 - How safe is my intensive care unit? Methods for
monitoring and measurement.
January 5, 2012
Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for
monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8.
https://psnet.ahrq.gov/issue/how-safe-my-intensive-care-un…
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psnet.ahrq.gov/node/36157/psn-pdf
September 29, 2010 - Adverse drug event reporting in intensive care units: a
survey of current practices.
September 29, 2010
Kane-Gill SL, Devlin JW. Adverse drug event reporting in intensive care units: a survey of current practices.
Ann Pharmacother. 2006;40(7-8):1267-73.
https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-int…
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psnet.ahrq.gov/issue/special-issue-health-information-technology
August 22, 2007 - June 29, 2022
Scoping review of studies evaluating frailty and its association with medication
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psnet.ahrq.gov/issue/digital-healthcare-research
December 24, 2008 - August 19, 2020
Novel, High-Impact Studies Evaluating Health System and Healthcare Professional
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psnet.ahrq.gov/issue/grants-line-database-gold
December 24, 2008 - September 22, 2021
Novel, High-Impact Studies Evaluating Health System and Healthcare
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psnet.ahrq.gov/issue/hospital-mistakes-kept-secret
September 30, 2009 - June 21, 2017
Medication safety at the interface: evaluating risks associated with discharge