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psnet.ahrq.gov/issue/use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k
April 13, 2022 - Study
Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls.
Citation Text:
Kramer DB, Yeh RW. Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) …
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psnet.ahrq.gov/issue/developing-strategic-recommendations-implementing-smart-pumps-advanced-healthcare-systems
August 24, 2022 - Commentary
Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety.
Citation Text:
Sutherland A, Jones MD, Howlett M, et al. Developing strategic recommendations for implementing smart pumps in advanced hea…
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psnet.ahrq.gov/issue/why-do-systems-responding-concerns-and-complaints-so-often-fail-patients-families-and
June 16, 2021 - Study
Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff?
Citation Text:
Martin GP, Chew S, Dixon-Woods M. Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? A qualita…
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psnet.ahrq.gov/issue/bedside-clinicians-perceptions-contributing-role-diagnostic-errors-acutely-ill-patient
May 26, 2021 - Study
Bedside clinicians' perceptions on the contributing role of diagnostic errors in acutely ill patient presentation: a survey of academic and community practice.
Citation Text:
Huang C, Barwise A, Soleimani J, et al. Bedside clinicians' perceptions on the contributing role of diagnos…
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psnet.ahrq.gov/issue/examining-causes-and-prevention-strategies-adverse-events-deceased-hospital-patients
June 08, 2022 - Study
Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands.
Citation Text:
Smits M, Langelaan M, de Groot J, et al. Examining causes and prevention strategies of adverse events in deceas…
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psnet.ahrq.gov/issue/perception-patient-safety-climate-health-professionals-during-covid-19-pandemic-international
February 15, 2023 - Study
The perception of the patient safety climate by health professionals during the COVID-19 pandemic-international research.
Citation Text:
Kosydar-Bochenek J, Krupa S, Religa D, et al. The Perception of the Patient Safety Climate by Health Professionals during the COVID-19 Pandemic—I…
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psnet.ahrq.gov/issue/medically-necessary-time-sensitive-procedures-scoring-system-ethically-and-efficiently-manage
October 11, 2017 - Commentary
Emerging Classic
Medically-necessary, time-sensitive procedures: a scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic.
Citation Text:
Prachand VN, Milner R, Angelos P, et al. Medically-n…
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psnet.ahrq.gov/issue/we-asked-experts-who-surgical-safety-checklist-and-covid-19-pandemic-recommendations-content
May 19, 2021 - Commentary
We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations.
Citation Text:
Panda N, Etheridge JC, Singh T, et al. The WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for…
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psnet.ahrq.gov/issue/hospital-acquired-infections-surgical-patients-impact-covid-19-related-infection-prevention
March 17, 2021 - Study
Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures.
Citation Text:
Tham N, Fazio T, Johnson D, et al. Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures. World J Surg. …
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psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
September 23, 2020 - Study
Classic
Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system.
Citation Text:
Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a commerciall…
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psnet.ahrq.gov/issue/enhancing-departmental-preparedness-covid-19-using-rapid-cycle-situ-simulation
October 07, 2020 - Study
Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation.
Citation Text:
Dharamsi A, Hayman K, Yi S, et al. Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation. J Hosp Infect. 2020;105(4):604-607. doi:10.1016/j.jhin.202…
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psnet.ahrq.gov/issue/preparedness-covid-19-situ-simulation-enhance-infection-control-systems-intensive-care-unit
June 29, 2011 - Commentary
Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit.
Citation Text:
Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br …
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psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences
August 04, 2015 - Study
Classic
Discussion of medical errors in morbidity and mortality conferences.
Citation Text:
Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA. 2003;290(21):2838-2842.
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psnet.ahrq.gov/issue/leveraging-redesigned-morbidity-and-mortality-conference-incorporates-clinical-and
April 24, 2018 - Commentary
Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety.
Citation Text:
Tad-Y DB, Pierce RG, Pell JM, et al. Leveraging a Redesigned Morbidity and Mortality Conference That Incor…
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psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care
January 12, 2022 - Study
Getting the whole story: integrating patient complaints and staff reports of unsafe care.
Citation Text:
van Dael J, Gillespie A, Reader TW, et al. Getting the whole story: Integrating patient complaints and staff reports of unsafe care. J Health Serv Res Policy. 2022;27(1):41-49. …
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psnet.ahrq.gov/issue/national-cross-sectional-cohort-study-relationship-between-quality-mental-healthcare-and
May 04, 2022 - Study
National cross-sectional cohort study of the relationship between quality of mental healthcare and death by suicide.
Citation Text:
Shiner B, Gottlieb DJ, Levis M, et al. National cross-sectional cohort study of the relationship between quality of mental healthcare and death by sui…
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psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise-seeking-measure
November 02, 2016 - Study
Classic
Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame.
Citation Text:
Armstrong N, Brewster L, Tarrant C, et al. Taking the heat or taking the temperature? A qualit…
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psnet.ahrq.gov/issue/improving-peripherally-inserted-central-catheter-appropriateness-and-reducing-device-related
October 27, 2021 - Study
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals.
Citation Text:
Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness a…
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psnet.ahrq.gov/issue/ensuring-successful-implementation-communication-and-resolution-programmes
November 11, 2020 - Study
Ensuring successful implementation of communication-and-resolution programmes.
Citation Text:
Mello MM, Roche S, Greenberg Y, et al. Ensuring successful implementation of communication-and-resolution programmes. BMJ Qual Saf. 2020;29(11):895-904. doi:10.1136/bmjqs-2019-010296.
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psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education
June 02, 2021 - Study
Improving resident and fellow engagement in patient safety through a graduate medical education incentive program.
Citation Text:
Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J …