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psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
November 11, 2015 - Study
Quality gaps identified through mortality review.
Citation Text:
Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735.
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psnet.ahrq.gov/issue/improving-follow-high-risk-psychiatry-outpatients-resident-year-end-transfer
January 27, 2016 - Study
Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer.
Citation Text:
Young JQ, Pringle Z, Wachter R. Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. Jt Comm J Qual Patient Saf. 2011;37(7):300-308.
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psnet.ahrq.gov/issue/associations-between-communication-climate-and-frequency-medical-error-reporting-among
July 18, 2016 - Study
Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting.
Citation Text:
Patterson ME, Pace HA, Fincham JE. Associations between communication climate and the frequency of medical error reporting among ph…
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psnet.ahrq.gov/issue/interprofessional-care-intensive-care-settings-and-factors-impact-it-results-scoping-review
August 15, 2018 - Review
Interprofessional care in intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies.
Citation Text:
Paradis E, Leslie M, Gropper MA, et al. Interprofessional care in intensive care settings and the factors that impact it: resul…
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psnet.ahrq.gov/issue/registered-nurses-perceptions-safe-care-overcrowded-emergency-departments
March 23, 2022 - Study
Emerging Classic
Registered nurses' perceptions of safe care in overcrowded emergency departments.
Citation Text:
Eriksson J, Gellerstedt L, Hillerås P, et al. Registered nurses' perceptions of safe care in overcrowded emergency departments. J Clin Nurs. 2…
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psnet.ahrq.gov/issue/physician-staffing-models-and-patient-safety-icu
May 27, 2011 - Commentary
Physician staffing models and patient safety in the ICU.
Citation Text:
Gajic O, Afessa B. Physician staffing models and patient safety in the ICU. Chest. 2009;135(4):1038-1044. doi:10.1378/chest.08-1544.
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psnet.ahrq.gov/issue/clinical-outcomes-use-medication-report-when-elderly-patients-are-discharged-hospital
January 27, 2012 - Study
Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital.
Citation Text:
Midlöv P, Deierborg E, Holmdahl L, et al. Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital. Pharm World S…
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psnet.ahrq.gov/issue/improving-quality-and-safety-care-medical-ward-review-and-synthesis-evidence-base
November 03, 2015 - Review
Improving the quality and safety of care on the medical ward: a review and synthesis of the evidence base.
Citation Text:
Pannick S, Beveridge I, Wachter R, et al. Improving the quality and safety of care on the medical ward: A review and synthesis of the evidence base. Eur J Inte…
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psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
November 26, 2014 - Study
An initiative to improve the management of clinically significant test results in a large health care network.
Citation Text:
Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt …
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psnet.ahrq.gov/issue/effect-cluster-randomised-team-training-intervention-adverse-perinatal-and-maternal-outcomes
April 04, 2018 - Study
Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study.
Citation Text:
Romijn A, Ravelli A, de Bruijne MC, et al. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcome…
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psnet.ahrq.gov/issue/exploring-association-between-organizational-safety-climate-failure-rescue-and-mortality
January 26, 2022 - Study
Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units.
Citation Text:
Bacon CT, McCoy TP, Henshaw DS. Exploring the Association Between Organizational Safety Climate, Failure to Rescue, and Mortality in Inpatie…
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psnet.ahrq.gov/issue/understanding-heterogeneity-labor-and-delivery-units-using-design-thinking-methodology-assess
August 15, 2018 - Study
Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth.
Citation Text:
Sherman J, Hedli LC, Kristensen-Cabrera AI, et al. Understanding the Heterogeneity of Labor and Del…
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psnet.ahrq.gov/issue/integrating-ethics-and-patient-safety-role-clinical-ethics-consultants-quality-improvement
October 04, 2011 - Commentary
Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement.
Citation Text:
Opel DJ, Brownstein D, Diekema DS, et al. Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. J Clin Ethic…
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psnet.ahrq.gov/issue/whom-bell-commission-tolls-unintended-effects-limiting-residents-hours
April 20, 2011 - Commentary
For whom the Bell Commission tolls: unintended effects of limiting residents' hours.
Citation Text:
Millard WB. For whom the bell commission tolls: unintended effects of limiting residents' hours. Ann Emerg Med. 2009;54(4):A25-9.
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psnet.ahrq.gov/issue/medication-error-prevention-pharmacists
August 04, 2021 - Study
Classic
Medication error prevention by pharmacists.
Citation Text:
Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-3.
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psnet.ahrq.gov/issue/prescribing-errors-hospital-practice
July 01, 2017 - Review
Prescribing errors in hospital practice.
Citation Text:
Tully MP. Prescribing errors in hospital practice. Br J Clin Pharmacol. 2012;74(4):668-75. doi:10.1111/j.1365-2125.2012.04313.x.
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psnet.ahrq.gov/issue/detection-analysis-and-significance-physician-clustering-medical-malpractice-lawsuit-payouts
June 22, 2022 - Study
The detection, analysis, and significance of physician clustering in medical malpractice lawsuit payouts.
Citation Text:
Oshel RE, Levitt P. The Detection, Analysis, and Significance of Physician Clustering in Medical Malpractice Lawsuit Payouts. J Patient Saf. 2016;16(4):274-278. …
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psnet.ahrq.gov/issue/rates-and-characteristics-paid-malpractice-claims-among-us-physicians-specialty-1992-2014
December 19, 2014 - Study
Classic
Rates and characteristics of paid malpractice claims among US physicians by specialty, 1992–2014.
Citation Text:
Schaffer A, Jena AB, Seabury SA, et al. Rates and Characteristics of Paid Malpractice Claims Among US Physicians by Specialty, 1992-201…
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psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation
June 18, 2013 - Commentary
A case of the birth and death of a high reliability healthcare organisation.
Citation Text:
Roberts KH, Madsen P, Desai V, et al. A case of the birth and death of a high reliability healthcare organisation. Qual Saf Health Care. 2005;14(3):216-20.
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psnet.ahrq.gov/issue/supporting-structures-team-situation-awareness-and-decision-making-insights-four-delivery
October 13, 2010 - Study
Supporting structures for team situation awareness and decision making: insights from four delivery suites.
Citation Text:
Mackintosh N, Berridge E-J, Freeth D. Supporting structures for team situation awareness and decision making: insights from four delivery suites. J Eval Cl…