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psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery
August 02, 2015 - Study
Classic
Surgical skill and complication rates after bariatric surgery.
Citation Text:
Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625.…
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psnet.ahrq.gov/issue/prescription-errors-and-outcomes-related-inconsistent-information-transmitted-through
April 04, 2011 - Study
Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study.
Citation Text:
Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information transmitted through compu…
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psnet.ahrq.gov/issue/how-often-do-prescribers-include-indications-drug-orders-analysis-4-million-outpatient
May 01, 2019 - Study
How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions.
Citation Text:
Salazar A, Karmiy SJ, Forsythe KJ, et al. How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. Am J H…
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psnet.ahrq.gov/issue/learning-errors-analysis-medication-order-voiding-cpoe-systems
May 29, 2019 - Study
Learning from errors: analysis of medication order voiding in CPOE systems.
Citation Text:
Kannampallil TG, Abraham J, Solotskaya A, et al. Learning from errors: analysis of medication order voiding in CPOE systems. J Am Med Inform Assoc. 2017;24(4):762-768. doi:10.1093/jamia/ocw18…
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psnet.ahrq.gov/issue/randomized-trial-reducing-ambulatory-malpractice-and-safety-risk-results-massachusetts
February 25, 2015 - Study
Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project.
Citation Text:
Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Proje…
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psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital
November 16, 2022 - Study
Classic
Systematic root cause analysis of adverse drug events in a tertiary referral hospital.
Citation Text:
Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…
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psnet.ahrq.gov/issue/use-unit-based-interventions-improve-quality-care-hospitalized-medical-patients-national
November 01, 2023 - Study
Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey.
Citation Text:
O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of Care for Hospitalized Medical Patients: A Natio…
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psnet.ahrq.gov/issue/impact-2011-acgme-resident-duty-hour-reform-hospital-patient-experience-and-processes-care
September 07, 2016 - Study
Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care.
Citation Text:
Rajaram R, Saadat L, Chung JW, et al. Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. BMJ Qual Saf. 2016;…
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psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume
May 04, 2012 - Study
Relationship between patient safety and hospital surgical volume.
Citation Text:
Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x.
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psnet.ahrq.gov/issue/deficiencies-emergency-preparedness-veterans-health-administration-telemental-health-care-va
August 02, 2023 - Book/Report
Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic.
Citation Text:
Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Location…
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psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-systems
October 04, 2011 - Study
Classic
The long road to patient safety: a status report on patient safety systems.
Citation Text:
Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65.
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psnet.ahrq.gov/issue/do-clinicians-know-which-their-patients-have-central-venous-catheters-multicenter
June 08, 2016 - Study
Do clinicians know which of their patients have central venous catheters?: A multicenter observational study.
Citation Text:
Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous catheters?: a multicenter observational study. Ann Intern…
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psnet.ahrq.gov/issue/risk-adjusted-survival-adults-following-hospital-cardiac-arrest-day-week-and-time-day
July 01, 2017 - Study
Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study.
Citation Text:
Robinson EJ, Smith GB, Power GS, et al. Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time o…
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psnet.ahrq.gov/issue/evaluation-electronic-health-record-structured-discharge-summary-provide-real-time-adverse
December 29, 2014 - Study
Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery.
Citation Text:
Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge summary to provide real ti…
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psnet.ahrq.gov/issue/pca-safety-data-review-after-clinical-decision-support-and-smart-pump-technology
October 08, 2016 - Study
PCA safety data review after clinical decision support and smart pump technology implementation.
Citation Text:
Prewitt J, Schneider S, Horvath M, et al. PCA safety data review after clinical decision support and smart pump technology implementation. J Patient Saf. 2013;9(2):103-9…
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psnet.ahrq.gov/issue/observer-based-tools-non-technical-skills-assessment-simulated-and-real-clinical-environments
September 02, 2015 - Review
Emerging Classic
Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review.
Citation Text:
Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills…
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psnet.ahrq.gov/issue/adverse-events-hospitalized-pediatric-patients
July 11, 2017 - Study
Emerging Classic
Adverse events in hospitalized pediatric patients.
Citation Text:
Stockwell DC, Landrigan CP, Toomey SL, et al. Adverse Events in Hospitalized Pediatric Patients. Pediatrics. 2018;142(2):e20173360. doi:10.1542/peds.2017-3360.
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psnet.ahrq.gov/issue/are-world-health-organizations-patient-safety-learning-objectives-still-date-group-concept
February 16, 2022 - Study
Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study.
Citation Text:
Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mappin…
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psnet.ahrq.gov/issue/physician-attitudes-toward-family-activated-medical-emergency-teams-hospitalized-children
April 06, 2012 - Study
Physician attitudes toward family-activated medical emergency teams for hospitalized children.
Citation Text:
Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;…
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psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
January 02, 2017 - Study
Rates and types of events reported to established incident reporting systems in two US hospitals.
Citation Text:
Nuckols TK, Bell D, Liu H, et al. Rates and types of events reported to established incident reporting systems in two US hospitals. Qual Saf Health Care. 2007;16(3):16…