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psnet.ahrq.gov/issue/preventability-and-causes-readmissions-national-cohort-general-medicine-patients
January 25, 2017 - Study
Classic
Preventability and causes of readmissions in a national cohort of general medicine patients.
Citation Text:
Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National Cohort of General Medicine Patients…
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psnet.ahrq.gov/issue/exploring-situational-awareness-diagnostic-errors-primary-care
September 20, 2011 - Study
Exploring situational awareness in diagnostic errors in primary care.
Citation Text:
Singh H, Giardina TD, Petersen LA, et al. Exploring situational awareness in diagnostic errors in primary care. BMJ Qual Saf. 2011;21(1):30-38. doi:10.1136/bmjqs-2011-000310.
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psnet.ahrq.gov/issue/why-test-results-are-still-getting-lost-follow-qualitative-study-implementation-gaps
June 22, 2022 - Study
Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps.
Citation Text:
Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;3…
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psnet.ahrq.gov/issue/power-and-conflict-effect-superiors-interpersonal-behaviour-trainees-ability-challenge
December 13, 2017 - Study
Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency.
Citation Text:
Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on…
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psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time
March 10, 2021 - Study
An analysis of incident reports related to electronic medication management: how they change over time.
Citation Text:
Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication management: how they change over time. J Patient Saf. 2024;20(…
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psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality
September 08, 2021 - Study
Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project.
Citation Text:
Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality i…
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psnet.ahrq.gov/issue/effects-leadership-curricula-and-without-implicit-bias-training-graduate-medical-education
January 31, 2024 - Study
The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial.
Citation Text:
Hansen M, Harrod T, Bahr N, et al. The effects of leadership curricula with and without implicit bias training on graduate medic…
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psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
May 26, 2016 - Review
Inpatient fall prevention programs as a patient safety strategy: a systematic review.
Citation Text:
Miake-Lye IM, Hempel S, Ganz DA, et al. Inpatient fall prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):390-396. doi:10.732…
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psnet.ahrq.gov/issue/caring-our-own-deploying-systemwide-second-victim-rapid-response-team
September 19, 2016 - Study
Classic
Caring for our own: deploying a systemwide second victim rapid response team.
Citation Text:
Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Saf. 2010;36(5):233-2…
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psnet.ahrq.gov/issue/evaluating-prevalence-four-recommended-practices-suicide-prevention-following-hospital
June 07, 2023 - Study
Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge.
Citation Text:
Chitavi SO, Patrianakos J, Williams SC, et al. Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. Jt…
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psnet.ahrq.gov/issue/impact-80-hour-resident-workweek-surgical-residents-and-attending-surgeons
January 04, 2010 - Study
The impact of the 80-hour resident workweek on surgical residents and attending surgeons.
Citation Text:
Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 8…
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psnet.ahrq.gov/issue/patient-safety-cardiac-operating-room-human-factors-and-teamwork-scientific-statement
October 19, 2022 - Review
Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association.
Citation Text:
Wahr JA, Prager RL, Abernathy JH, et al. Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork. Circulation. 20…
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psnet.ahrq.gov/issue/hospital-readmission-and-parent-perceptions-their-childs-hospital-discharge
July 03, 2016 - Study
Hospital readmission and parent perceptions of their child's hospital discharge.
Citation Text:
Berry JG, Ziniel SI, Freeman L, et al. Hospital readmission and parent perceptions of their child's hospital discharge. Int J Qual Health Care. 2013;25(5):573-81. doi:10.1093/intqhc/mzt0…
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psnet.ahrq.gov/issue/mortality-among-patients-va-hospitals-first-2-years-following-acgme-resident-duty-hour-reform
February 18, 2011 - Study
Classic
Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform.
Citation Text:
Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years following ACGME residen…
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psnet.ahrq.gov/issue/i-think-medicine-actually-killed-my-wife-patient-and-family-perspectives-shared-decision
October 05, 2022 - Study
'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications and safety.
Citation Text:
Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family perspectives on s…
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psnet.ahrq.gov/issue/registration-associated-patient-misidentification-academic-medical-center-causes-and
September 02, 2020 - Study
Registration-associated patient misidentification in an academic medical center: causes and corrections.
Citation Text:
Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic medical center: causes and corrections. Jt Comm J Qual Pat…
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psnet.ahrq.gov/issue/prevalence-and-factors-associated-patient-requested-corrections-medical-record-through-use
October 02, 2024 - Study
Prevalence and factors associated with patient-requested corrections to the medical record through use of a patient portal: findings from a national survey.
Citation Text:
Nguyen OT, Hong Y-R, Alishahi Tabriz A, et al. Prevalence and factors associated with patient-requested correc…
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psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest
April 12, 2023 - Study
Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival.
Citation Text:
McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qua…
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psnet.ahrq.gov/issue/observing-sources-system-resilience-using-situ-alarm-simulations
August 30, 2023 - Study
Observing sources of system resilience using in situ alarm simulations.
Citation Text:
McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217.
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psnet.ahrq.gov/issue/optimization-drug-drug-interaction-alert-rules-pediatric-hospitals-electronic-health-record
May 20, 2019 - Study
Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard.
Citation Text:
Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electro…