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psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
February 26, 2025 - critical care staff and administrators began to analyze the problem using aggregate root-cause analysis, examining
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psnet.ahrq.gov/node/860015/psn-pdf
September 01, 2024 - RSI and RFO/RFB will identify different elements of causation and different
preventive strategies in examining
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psnet.ahrq.gov/node/49609/psn-pdf
October 01, 2010 - An annual yearly report is published including special studies
examining morbidity and mortality of
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - Examining the association between hemodialysis access type and mortality: the role of access complications
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - The estimated rate of wrong-site surgery varies widely when examining the literature and accessible databases
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psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - after the Physician Charter was written, Hafferty and Castellani, harkening back to Aristotle, began examining
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - July 15, 2020
Examining medication ordering errors using AHRQ Network of Patient Safety
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psnet.ahrq.gov/web-mm/picking-cause-stroke
August 07, 2024 - January 18, 2017
Examining the July Effect: a national survey of academic leaders in
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psnet.ahrq.gov/issue/impact-electronic-alert-notification-system-embedded-radiologists-workflow-closed-loop
November 26, 2014 - Study
Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis.
Citation Text:
Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in radiolo…
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psnet.ahrq.gov/issue/relationship-between-state-malpractice-environment-and-quality-health-care-united-states
June 21, 2017 - Study
Relationship between state malpractice environment and quality of health care in the United States.
Citation Text:
Bilimoria KY, Chung JW, Minami CA, et al. Relationship Between State Malpractice Environment and Quality of Health Care in the United States. Jt Comm J Qual Patient Sa…
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psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council
September 23, 2020 - Study
National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform.
Citation Text:
Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and Afte…
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psnet.ahrq.gov/issue/arrival-ambulance-explains-variation-mortality-time-admission-retrospective-study-admissions
January 29, 2018 - Study
Classic
Arrival by ambulance explains variation in mortality by time of admission: retrospective study of admissions to hospital following emergency department attendance in England.
Citation Text:
Anselmi L, Meacock R, Kristensen SR, et al. Arrival by amb…
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psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
August 18, 2021 - Study
Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.
Citation Text:
Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale ad…
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psnet.ahrq.gov/node/35770/psn-pdf
January 02, 2017 - Actions and implementation strategies to reduce suicidal
events in the Veterans Health Administration.
January 2, 2017
Mills PD, Neily J, Luan D, et al. Actions and Implementation Strategies to Reduce Suicidal Events in the
Veterans Health Administration. The Joint Commission Journal on Quality and Patient Safety. …
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psnet.ahrq.gov/node/35039/psn-pdf
February 24, 2019 - Managing unnecessary variability in patient demand to
reduce nursing stress and improve patient safety.
February 24, 2019
Litvak E, Buerhaus P, Davidoff F, et al. Managing unnecessary variability in patient demand to reduce
nursing stress and improve patient safety. Jt Comm J Qual Patient Saf. 2005;31(6):330-8.
ht…
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psnet.ahrq.gov/node/44467/psn-pdf
February 20, 2016 - The underappreciated role of habit in highly reliable
healthcare.
February 20, 2016
Vogus TJ, Hilligoss B. The underappreciated role of habit in highly reliable healthcare. BMJ Qual Saf.
2016;25(3):141-6. doi:10.1136/bmjqs-2015-004512.
https://psnet.ahrq.gov/issue/underappreciated-role-habit-highly-reliable-health…
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psnet.ahrq.gov/node/45254/psn-pdf
February 01, 2012 - Sleep, sleepiness, fatigue, and performance of 12-
hour–shift nurses.
February 1, 2012
Geiger-Brown J, Rogers VE, Trinkoff AM, et al. Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-
Shift Nurses. Chronobiol Int. 2012;29(2). doi:10.3109/07420528.2011.645752.
https://psnet.ahrq.gov/issue/sleep-sleepiness-fat…
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psnet.ahrq.gov/node/34912/psn-pdf
February 03, 2010 - Disruptive behavior and clinical outcomes: perceptions of
nurses and physicians.
February 3, 2010
Rosenstein AH, O'Daniel M. Disruptive behavior and clinical outcomes: perceptions of nurses and
physicians. Am J Nurs. 2005;105(1):54-64; quiz 64-5.
https://psnet.ahrq.gov/issue/disruptive-behavior-and-clinical-outcom…
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psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
July 20, 2009 - Resources From the Same Author(s)
Database construction for improving patient safety by examining
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psnet.ahrq.gov/issue/does-your-knee-make-more-click-or-clack-teaching-car-talk-new-docs
April 17, 2019 - November 4, 2014
Examining the diagnostic justification abilities of fourth-year medical