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psnet.ahrq.gov/issue/impact-rapid-response-system-implementation-critical-deterioration-events-children
November 06, 2015 - Study
Impact of rapid response system implementation on critical deterioration events in children.
Citation Text:
Bonafide CP, Localio R, Roberts KE, et al. Impact of rapid response system implementation on critical deterioration events in children. JAMA Pediatr. 2014;168(1):25-33. doi:1…
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psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department
November 29, 2023 - Study
Emerging Classic
Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial.
Citation Text:
Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking …
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psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care
November 07, 2012 - Study
Classic
Consequences of inadequate sign-out for patient care.
Citation Text:
Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755.
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psnet.ahrq.gov/issue/indication-specific-opioid-prescribing-us-patients-medicaid-or-private-insurance-2017
August 02, 2017 - Study
Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017
Citation Text:
Mikosz CA, Zhang K, Haegerich TM, et al. Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017. JAMA Netw Open. 2020;3(5). doi:10…
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psnet.ahrq.gov/issue/outsourcing-health-care-services-private-sector-and-treatable-mortality-rates-england-2013-20
October 21, 2020 - Study
Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation.
Citation Text:
Goodair B, Reeves A. Outsourcing health-care services to the private sector and treatable mortality rates in England…
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psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health
June 04, 2014 - Study
Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration.
Citation Text:
Mull HJ, Borzecki A, Chen Q, et al. Using AHRQ patient safety indicators to detect postdischarge adverse events in the Veterans Health Administration. A…
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psnet.ahrq.gov/issue/impact-contact-isolation-multidrug-resistant-organisms-occurrence-medical-errors-and-adverse
July 08, 2008 - Study
Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events.
Citation Text:
Zahar JR, Garrouste-Orgeas M, Vesin A, et al. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and…
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psnet.ahrq.gov/issue/undertaking-risk-and-relational-work-manage-vulnerability-acute-medical-patients-involvement
September 29, 2021 - Study
Undertaking risk and relational work to manage vulnerability: acute medical patients' involvement in patient safety in the NHS.
Citation Text:
Sutton E, Martin G, Eborall H, et al. Undertaking risk and relational work to manage vulnerability: acute medical patients’ involvement in …
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psnet.ahrq.gov/issue/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
May 18, 2022 - Study
The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.
Citation Text:
Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication ad…
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psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event
November 23, 2014 - Study
Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts.
Citation Text:
Kennerly DA, Saldaña M, Kudyakov R, et al. Description and evaluation of adaptations to the global trigger tool to enhance value to adverse eve…
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psnet.ahrq.gov/issue/validation-new-icd-10-based-patient-safety-indicators-identification-hospital-complications
April 19, 2023 - Study
Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy.
Citation Text:
McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for iden…
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psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
August 13, 2014 - Study
Analysis of adverse events associated with adult moderate procedural sedation outside the operating room.
Citation Text:
Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…
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psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample
November 04, 2020 - Study
Classic
The July effect: an analysis of never events in the nationwide inpatient sample.
Citation Text:
Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:1…
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psnet.ahrq.gov/issue/organizational-culture-team-climate-and-diabetes-care-small-office-based-practices
April 01, 2010 - Study
Organizational culture, team climate and diabetes care in small office-based practices.
Citation Text:
Bosch M, Dijkstra R, Wensing M, et al. Organizational culture, team climate and diabetes care in small office-based practices. BMC Health Serv Res. 2008;8:180. doi:10.1186/1472-…
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psnet.ahrq.gov/issue/mortality-due-hospital-acquired-infection-after-cardiac-surgery
February 12, 2020 - Study
Mortality due to hospital-acquired infection after cardiac surgery.
Citation Text:
Massart N, Mansour A, Ross JT, et al. Mortality due to hospital-acquired infection after cardiac surgery. J Thorac Cardiovasc Surg. 2022;163(6):2131-2140.e3. doi:10.1016/j.jtcvs.2020.08.094.
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psnet.ahrq.gov/issue/impact-automated-notification-follow-actionable-tests-pending-discharge-cluster-randomized
March 04, 2015 - Study
Classic
The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster-randomized controlled trial.
Citation Text:
Dalal A, Schaffer A, Gershanik EF, et al. The Impact of Automated Notification on Follow-up of Actiona…
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psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
November 18, 2016 - Study
Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program.
Citation Text:
Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…
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psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
May 17, 2017 - Study
Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices.
Citation Text:
Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events: qualitative i…
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psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
February 15, 2011 - Study
Patient characteristics and the occurrence of never events.
Citation Text:
Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277.
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psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop
September 01, 2016 - Study
Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode.
Citation Text:
Hwang Y, Yoon D, Ahn EK, et al. Provider risk factors for medication administration error alerts: analyses…