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psnet.ahrq.gov/issue/algorithmic-prediction-failure-modes-healthcare
September 06, 2023 - Study
Algorithmic prediction of failure modes in healthcare.
Citation Text:
Kobo-Greenhut A, Sharlin O, Adler Y, et al. Algorithmic prediction of failure modes in healthcare. Int J Qual Health Care. 2021;33(1):mzaa151. doi:10.1093/intqhc/mzaa151.
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psnet.ahrq.gov/issue/medical-emergency-team-calls-radiology-department-patient-characteristics-and-outcomes
July 06, 2011 - Study
Medical emergency team calls in the radiology department: patient characteristics and outcomes.
Citation Text:
Ott LK, Pinsky MR, Hoffman LA, et al. Medical emergency team calls in the radiology department: patient characteristics and outcomes. BMJ Qual Saf. 2012;21(6):509-18. d…
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psnet.ahrq.gov/issue/increasing-use-smart-pump-drug-libraries-nurses-continuous-quality-improvement-project
September 09, 2020 - Commentary
Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project.
Citation Text:
Harding AD. Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project. Am J Nurs. 2012;112(1):26-37. doi:10.1097/…
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psnet.ahrq.gov/issue/leveraging-partnership-patients-initiative-improve-patient-safety-and-quality-within-military
September 23, 2020 - Commentary
Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System.
Citation Text:
King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the M…
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psnet.ahrq.gov/issue/time-change-injury-and-trauma-care-delivery-trauma-death-review-analysis
November 21, 2021 - Study
Time for a change in injury and trauma care delivery: a trauma death review analysis.
Citation Text:
Sugrue M, Caldwell E, D'Amours S, et al. Time for a change in injury and trauma care delivery: a trauma death review analysis. ANZ J Surg. 2008;78(11):949-954. doi:10.1111/j.1445-…
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psnet.ahrq.gov/issue/lessons-learned-use-event-reporting-nurses-improve-patient-safety-and-quality
May 19, 2013 - Study
Lessons learned: use of event reporting by nurses to improve patient safety and quality.
Citation Text:
Hession-Laband E, Mantell P. Lessons learned: use of event reporting by nurses to improve patient safety and quality. J Pediatr Nurs. 2011;26(2):149-55. doi:10.1016/j.pedn.2010…
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psnet.ahrq.gov/issue/promoting-culture-patient-safety-review-florida-moratoria-data-what-we-have-learned-6-years
August 04, 2021 - Review
Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education.
Citation Text:
Clayman MA, Clayman SM, Steele MH, et al. Promoting a culture of patient safety: a review of the Florida mo…
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psnet.ahrq.gov/issue/effect-50-hour-workweek-limitation-training-surgical-residents-switzerland
October 27, 2010 - Study
Effect of the 50-hour workweek limitation on training of surgical residents in Switzerland.
Citation Text:
Businger A, Guller U, Oertli D. Effect of the 50-hour workweek limitation on training of surgical residents in Switzerland. Arch Surg. 2010;145(6):558-63. doi:10.1001/archsurg…
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psnet.ahrq.gov/issue/prevalence-adverse-drug-events-ambulatory-care-systematic-review
July 29, 2020 - Review
Prevalence of adverse drug events in ambulatory care: a systematic review.
Citation Text:
Taché S, Sönnichsen A, Ashcroft DM. Prevalence of adverse drug events in ambulatory care: a systematic review. Ann Pharmacother. 2011;45(7-8):977-89. doi:10.1345/aph.1P627.
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psnet.ahrq.gov/issue/piece-my-mind-writing-wrong
January 24, 2024 - Commentary
A piece of my mind. Writing the wrong.
Citation Text:
Patel JJ. A PIECE OF MY MIND. Writing the Wrong. JAMA. 2015;314(7):671-2. doi:10.1001/jama.2015.5281.
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psnet.ahrq.gov/issue/patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient-handoff-methods
December 20, 2023 - Study
Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods.
Citation Text:
Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods. Am J Surg. 2017;…
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psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication
June 29, 2022 - Study
Changes in prognosis after the first postoperative complication.
Citation Text:
Silber JH, Rosenbaum PR, Trudeau ME, et al. Changes in prognosis after the first postoperative complication. Med Care. 2005;43(2):122-31.
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psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-safety
July 02, 2019 - Study
Adverse event reporting: harnessing residents to improve patient safety.
Citation Text:
Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333.
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psnet.ahrq.gov/issue/automated-detection-harm-healthcare-information-technology-systematic-review
April 11, 2011 - Review
Automated detection of harm in healthcare with information technology: a systematic review.
Citation Text:
Govindan M, Van Citters AD, Nelson EC, et al. Automated detection of harm in healthcare with information technology: a systematic review. Qual Saf Health Care. 2010;19(5):e…
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psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician-gender-race-and
June 22, 2022 - Study
Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study.
Citation Text:
doi:https://doi.org/10.1001/jamanetworkopen.2022.13234.
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psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
November 29, 2009 - Book/Report
Maximizing the Use of State Adverse Event Data to Improve Patient Safety.
Citation Text:
Maximizing the Use of State Adverse Event Data to Improve Patient Safety. Rosenthal J, Booth M. National Academy for State Health Policy; 2005.
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psnet.ahrq.gov/issue/patient-care-square-rigger-sailing-and-safety
November 16, 2022 - Commentary
Patient care, square-rigger sailing, and safety.
Citation Text:
Henkind SJ, Sinnett C. Patient care, square-rigger sailing, and safety. JAMA. 2008;300(14):1691-3. doi:10.1001/jama.300.14.1691.
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psnet.ahrq.gov/issue/using-met-service-manage-hemorrhage-post-percutaneous-liver-biopsy
January 05, 2017 - Study
Using an MET service to manage hemorrhage post-percutaneous liver biopsy.
Citation Text:
Jones D, Bellomo R, Leong T. Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Jt Comm J Qual Patient Saf. 2006;32(8):459-62, 417.
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psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role
August 10, 2010 - Study
"It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency.
Citation Text:
Wu MS, Rawal S. "It's the difference between life and death": The views of profession…
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psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management
October 19, 2022 - Study
Elopement: evidence-based mitigation and management.
Citation Text:
Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence‐based mitigation and management. Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683.
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