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psnet.ahrq.gov/issue/identification-patient-safety-threats-post-intensive-care-clinic
November 21, 2021 - Study
Identification of patient safety threats in a post-intensive care clinic.
Citation Text:
Karlic KJ, Valley TS, Cagino LM, et al. Identification of patient safety threats in a post-intensive care clinic. Am J Med Qual. 2023;38(3):117-121. doi:10.1097/jmq.0000000000000118.
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psnet.ahrq.gov/issue/admission-conference-call-novel-approach-optimizing-pediatric-emergency-department-admitting
December 21, 2022 - Study
The admission conference call: a novel approach to optimizing pediatric emergency department to admitting floor communication.
Citation Text:
Hendrickson MA, Schempf EN, Furnival RA, et al. The Admission Conference Call: A Novel Approach to Optimizing Pediatric Emergency Department…
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psnet.ahrq.gov/issue/early-prognostic-value-medical-emergency-team-calling-criteria-patients-admitted-intensive
March 24, 2021 - Study
Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department.
Citation Text:
Etter R, Ludwig R, Lersch F, et al. Early prognostic value of the medical emergency team calling criteria in patients admitte…
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psnet.ahrq.gov/issue/deficiencies-inpatient-mental-health-care-coordination-and-processes-prior-patients-death
May 26, 2021 - Book/Report
Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri.
Citation Text:
Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a…
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psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-suicide-deaths
October 19, 2022 - Review
How health care systems let our patients down: a systematic review into suicide deaths.
Citation Text:
Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1…
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psnet.ahrq.gov/issue/reducing-risk-diagnostic-error-covid-19-era
September 23, 2020 - Commentary
Emerging Classic
Reducing the risk of diagnostic error in the COVID-19 era.
Citation Text:
Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J. Hosp Med. 2020;15(6):363-366. doi:10.12788/jhm.3461.
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psnet.ahrq.gov/issue/medication-rounds-tool-promote-medication-safety-children-medical-complexity
February 12, 2020 - Commentary
Medication rounds: a tool to promote medication safety for children with medical complexity.
Citation Text:
Rojas CR, Moore A, Coffin A, et al. Medication rounds: a tool to promote medication safety for children with medical complexity. Jt Comm J Qual Patient Saf. 2023;49(4):2…
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psnet.ahrq.gov/issue/inappropriateness-medication-prescriptions-elderly-patients-primary-care-setting-systematic
February 14, 2024 - Review
Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic review.
Citation Text:
Opondo D, Eslami S, Visscher S, et al. Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic r…
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psnet.ahrq.gov/issue/technical-evaluation-testing-and-validation-usability-electronic-health-records-empirically
March 01, 2017 - Book/Report
Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization.
Citation Text:
Technical Evaluation, Testing, and Validation of the Usability …
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psnet.ahrq.gov/issue/situ-simulation-program-quantitative-and-qualitative-prospective-study-identifying-latent
March 25, 2021 - Study
An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences.
Citation Text:
Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. An in situ simulation program: a quantitative and qualitativ…
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psnet.ahrq.gov/issue/health-system-leaders-role-addressing-racism-time-prioritize-eliminating-health-care
March 20, 2019 - Commentary
Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities.
Citation Text:
Austin JM, Weeks K, Pronovost PJ. Health System Leaders’ Role in Addressing Racism: Time to Prioritize Eliminating Health Care Disparities. Jt Comm J Qual …
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psnet.ahrq.gov/issue/measuring-adverse-events-and-levels-harm-pediatric-inpatients-global-trigger-tool
December 18, 2013 - Study
Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool.
Citation Text:
Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e12…
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psnet.ahrq.gov/issue/care-deficiencies-and-leaders-inadequate-reviews-patient-who-died-lt-col-luke-weathers-jr-va
April 10, 2024 - Book/Report
Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee.
Citation Text:
Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…
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psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all
September 23, 2020 - Study
Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates.
Citation Text:
Guru V, Tu J, Etchells E, et al. Relationship between preventability of death after coronary artery bypass graft surgery and all-cau…
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psnet.ahrq.gov/issue/engaging-residents-and-fellows-improve-institution-wide-quality-first-six-years-novel
May 05, 2010 - Study
Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program.
Citation Text:
Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide quality: the first six years of a no…
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psnet.ahrq.gov/issue/integrative-review-exploring-perceptions-patients-and-healthcare-professionals-towards
March 06, 2019 - Review
An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting.
Citation Text:
Alzyood M, Jackson D, Brooke J, et al. An integrative review exploring the perceptions …
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psnet.ahrq.gov/issue/quality-care-transition-patient-safety-incidents-and-patients-health-status-structural
October 02, 2024 - Study
Quality of care transition, patient safety incidents, and patients' health status: a structural equation model on the complexity of the discharge process.
Citation Text:
Marsall M, Hornung T, Bäuerle A, et al. Quality of care transition, patient safety incidents, and patients’ heal…
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psnet.ahrq.gov/issue/why-are-patients-not-more-involved-their-own-safety-questionnaire-based-survey-multi-ethnic
September 22, 2021 - Study
Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population.
Citation Text:
Yoong W, Assassi Z, Ahmedani I, et al. Why are patients not more involved in their own safety? A questionnaire-based survey in a m…
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psnet.ahrq.gov/issue/using-behavioral-insights-strengthen-strategies-change-practical-applications-quality
April 06, 2022 - Commentary
Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare.
Citation Text:
Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in…
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psnet.ahrq.gov/issue/experiences-diagnostic-delay-among-underserved-racial-and-ethnic-patients-systematic-review
November 03, 2015 - Review
Experiences with diagnostic delay among underserved racial and ethnic patients: a systematic review of the qualitative literature.
Citation Text:
Faugno E, Galbraith AA, Walsh KE, et al. Experiences with diagnostic delay among underserved racial and ethnic patients: a systematic r…