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psnet.ahrq.gov/issue/investigating-association-alerts-national-mortality-surveillance-system-subsequent-hospital
October 20, 2021 - Study
Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis.
Citation Text:
Cecil E, Bottle A, Esmail A, et al. Investigating the association of alerts from a national morta…
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psnet.ahrq.gov/issue/effectiveness-continuous-or-intermittent-vital-signs-monitoring-preventing-adverse-events
July 19, 2023 - Review
Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis.
Citation Text:
Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs monitorin…
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psnet.ahrq.gov/issue/multisource-evaluation-surgeon-behavior-associated-malpractice-claims
May 13, 2020 - Study
Multisource evaluation of surgeon behavior is associated with malpractice claims.
Citation Text:
Lagoo J, Berry WR, Miller K, et al. Multisource Evaluation of Surgeon Behavior Is Associated With Malpractice Claims. Ann Surg. 2019;270(1):84-90. doi:10.1097/SLA.0000000000002742.
Co…
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psnet.ahrq.gov/issue/nonfatal-opioid-overdoses-urban-emergency-department-during-covid-19-pandemic
March 24, 2021 - Study
Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic.
Citation Text:
Ochalek TA, Cumpston KL, Wills BK, et al. Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. JAMA. 2020;324(16):1673-1674. doi:10.1001/jama.…
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psnet.ahrq.gov/issue/dying-weekend-retrospective-cohort-study-association-between-day-hospital-presentation-and
April 18, 2012 - Study
Dying for the weekend: a retrospective cohort study on the association between day of hospital presentation and the quality and safety of stroke care.
Citation Text:
Palmer WL, Bottle A, Davie C, et al. Dying for the weekend: a retrospective cohort study on the association betwee…
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psnet.ahrq.gov/issue/clinical-informatics-team-members-perspectives-health-information-technology-safety-after
September 04, 2024 - Study
Clinical informatics team members' perspectives on health information technology safety after experiential learning and safety process development: qualitative descriptive study.
Citation Text:
Recsky C, Rush KL, MacPhee M, et al. Clinical informatics team members' perspectives on …
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psnet.ahrq.gov/issue/exposure-media-information-about-disease-can-cause-doctors-misdiagnose-similar-looking
July 03, 2014 - Study
Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases.
Citation Text:
Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases…
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psnet.ahrq.gov/issue/surgical-training-duty-hour-restrictions-and-implications-meeting-accreditation-council
July 03, 2014 - Study
Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors.
Citation Text:
Antiel RM, Van Arendonk K, Reed DA, et al. Surgical training…
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psnet.ahrq.gov/issue/controversy-and-quality-improvement-lingering-questions-about-ethics-oversight-and-patient
January 15, 2014 - Commentary
Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research.
Citation Text:
Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. …
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psnet.ahrq.gov/node/60864/psn-pdf
August 31, 2020 - Safety Across The Board
August 31, 2020
Fitall E, Hall KK, Gale B. Safety Across The Board . PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/safety-across-board
Defining Safety Across the Board
Safety Across The Board (SAB) is a concept originating from the Centers for Medicare & Medicaid Services
(CMS…
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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/harm-susceptibility-model-method-prioritise-risks-identified-patient-safety-reporting-systems
December 29, 2014 - Study
The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems.
Citation Text:
Pham JC, Colantuoni E, Dominici F, et al. The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. Qual Sa…
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psnet.ahrq.gov/issue/code-debriefing-department-veterans-affairs-va-medical-team-training-program-improves
August 18, 2010 - Study
Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process.
Citation Text:
Percarpio KB, Harris FS, Hatfield BA, et al. Code debriefing from the Department of Veterans Affairs (VA) Medical Tea…
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psnet.ahrq.gov/issue/associations-between-self-reported-healthcare-disruption-due-covid-19-and-avoidable-hospital
September 23, 2020 - Study
Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England.
Citation Text:
Green MA, McKee M, Hamilton OKL, et al. Associations between self-reported healthcare disruption du…
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psnet.ahrq.gov/issue/medication-administration-discrepancies-persist-despite-electronic-ordering
May 04, 2012 - Study
Medication administration discrepancies persist despite electronic ordering.
Citation Text:
FitzHenry F, Peterson JF, Arrieta M, et al. Medication Administration Discrepancies Persist Despite Electronic Ordering. J Am Med Inform Assoc. 2007;14(6):756-764. doi:10.1197/jamia.m2359.…
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psnet.ahrq.gov/issue/incidence-and-severity-prescribing-errors-parenteral-nutrition-pediatric-inpatients-neonatal
June 23, 2021 - Study
Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit.
Citation Text:
Hermanspann T, Schoberer M, Robel-Tillig E, et al. Incidence and Severity of Prescribing Errors in Parenteral Nutrition for …
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psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
January 23, 2019 - Study
Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach.
Citation Text:
Power M, Brewster L, Parry G, et al. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. BMJ Open. 2016;6(9):e0…
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psnet.ahrq.gov/issue/effects-online-personal-health-record-medication-accuracy-and-safety-cluster-randomized-trial
March 04, 2015 - Study
Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial.
Citation Text:
Schnipper JL, Gandhi TK, Wald JS, et al. Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. J Am Med Inf…
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psnet.ahrq.gov/issue/unintended-consequences-quantifying-benefits-iatrogenic-harms-and-downstream-cascade-costs
March 17, 2021 - Study
Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care.
Citation Text:
Sajid IM, Parkunan A, Frost K. Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs…
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psnet.ahrq.gov/issue/systematic-literature-review-effectiveness-and-safety-paediatric-hospital-home-care
December 12, 2014 - Review
Systematic literature review on the effectiveness and safety of paediatric hospital-at-home care as a substitute for hospital care.
Citation Text:
Detollenaere J, Van Ingelghem I, Van den Heede K, et al. Systematic literature review on the effectiveness and safety of paediatric ho…