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psnet.ahrq.gov/issue/compliance-central-line-maintenance-bundle-and-infection-rates
August 16, 2023 - Study
Compliance with central line maintenance bundle and infection rates.
Citation Text:
Tripathi S, McGarvey J, Lee K, et al. Compliance with central line maintenance bundle and infection rates. Pediatrics. 2023;152(3):e2022059688. doi:10.1542/peds.2022-059688.
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psnet.ahrq.gov/issue/using-simulation-improve-root-cause-analysis-adverse-surgical-outcomes
May 19, 2021 - Study
Using simulation to improve root cause analysis of adverse surgical outcomes.
Citation Text:
Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011.
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psnet.ahrq.gov/issue/things-we-carry-scope-and-impact-second-victim-syndrome
November 12, 2014 - Commentary
The things we carry: the scope and impact of second victim syndrome.
Citation Text:
Nosanov L, Elseth AJ, Maxwell J, et al. The things we carry: the scope and impact of second victim syndrome. Am J Surg. 2023;226(5):726-728. doi:10.1016/j.amjsurg.2023.06.035.
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psnet.ahrq.gov/issue/there-july-phenomenon-pediatric-neurosurgery-teaching-hospitals
May 23, 2018 - Study
Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals?
Citation Text:
Smith ER, Butler WE, Barker FG. Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? J Neurosurg. 2006;105(3 Suppl):169-76.
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psnet.ahrq.gov/issue/trends-and-patterns-reporting-patient-safety-situations-transplantation
October 19, 2022 - Study
Trends and patterns in reporting of patient safety situations in transplantation.
Citation Text:
Stewart DE, Tlusty SM, Taylor KH, et al. Trends and Patterns in Reporting of Patient Safety Situations in Transplantation. Am J Transplant. 2015;15(12):3123-33. doi:10.1111/ajt.13528.
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psnet.ahrq.gov/issue/engaging-patients-improve-quality-care-systematic-review
May 26, 2021 - Review
Classic
Engaging patients to improve quality of care: a systematic review.
Citation Text:
Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review. Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z.…
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psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department
October 30, 2019 - Study
Types of diagnostic errors in neurological emergencies in the emergency department.
Citation Text:
Dubosh NM, Edlow JA, Lefton M, et al. Types of diagnostic errors in neurological emergencies in the emergency department. Diagnosis (Berl). 2015;2(1):21-28. doi:10.1515/dx-2014-0040. …
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psnet.ahrq.gov/issue/beyond-clinical-engagement-pragmatic-model-quality-improvement-interventions-aligning
April 24, 2018 - Review
Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities.
Citation Text:
Pannick S, Sevdalis N, Athanasiou T. Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clini…
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digital.ahrq.gov/principal-investigator/ward-marcia
January 01, 2023 - Ward, Marcia
Patient safety outcomes in small urban and small rural hospitals.
Citation
Vartak S, Ward MM, Vaughn TE. Patient safety outcomes in small urban and small rural hospitals. J Rural Health 2010 Winter; 26(1):58-66.
Principal Investigator
Ward, Marcia
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psnet.ahrq.gov/issue/prevention-wrong-location-misadministration-through-use-intradepartmental-incident-learning
January 22, 2017 - Study
Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system.
Citation Text:
Ford E, Smith K, Harris K, et al. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. M…
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psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-adverse-event
January 24, 2018 - Commentary
Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.
Citation Text:
Bellandi T, Albolino S, Tartaglia R, et al. Unintended transplantation of three organs from an HIV-posi…
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psnet.ahrq.gov/issue/surgical-team-training-northwestern-memorial-hospital-experience
March 03, 2011 - Study
Surgical team training: the Northwestern Memorial Hospital experience.
Citation Text:
Halverson AL, Andersson JL, Anderson K, et al. Surgical team training: the Northwestern Memorial Hospital experience. Arch Surg. 2009;144(2):107-12. doi:10.1001/archsurg.2008.545.
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psnet.ahrq.gov/issue/effect-using-safety-checklist-patient-complications-after-surgery-systematic-review-and-meta
December 08, 2021 - Review
Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis.
Citation Text:
Gillespie BM, Chaboyer W, Thalib L, et al. Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analy…
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psnet.ahrq.gov/issue/comparison-traditional-trigger-tool-data-warehouse-based-screening-identifying-hospital
June 11, 2010 - Study
Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events.
Citation Text:
O'Leary KJ, Devisetty VK, Patel AR, et al. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse ev…
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digital.ahrq.gov/2020-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care-emerging-research
January 01, 2020 - Supporting Clinicians to Improve Decision Making and Patients’ Care - Emerging Research
Applying Digital Healthcare Solutions in Acute Settings
Emergency departments (EDs) deliver high-volume patient care in hazardous decision-making environments fraught with excessive cognitive load…
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psnet.ahrq.gov/issue/comparative-evaluation-llms-clinical-oncology
April 24, 2018 - Study
Comparative evaluation of LLMs in clinical oncology.
Citation Text:
Rydzewski NR, Dinakaran D, Zhao SG, et al. Comparative evaluation of LLMs in clinical oncology. NEJM AI. 2024;1(5):AIoa2300151. doi:10.1056/aioa2300151.
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psnet.ahrq.gov/issue/decision-fatigue-hospital-settings-scoping-review
November 16, 2022 - Review
Decision fatigue in hospital settings: a scoping review.
Citation Text:
Perry K, Jones S, Stumpff JC, et al. Decision fatigue in hospital settings: a scoping review. J Hosp Med. 2024;Epub Nov 11. doi:10.1002/jhm.13550.
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psnet.ahrq.gov/issue/clinical-case-electronic-health-record-drug-alert-fatigue-consequences-patient-outcome
August 02, 2023 - Commentary
A clinical case of electronic health record drug alert fatigue: consequences for patient outcome.
Citation Text:
Carspecken W, Sharek PJ, Longhurst CA, et al. A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. Pediatrics. 2013;131…
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psnet.ahrq.gov/issue/long-term-sustainability-and-adaptation-i-pass-handovers
September 09, 2020 - Study
Long-term sustainability and adaptation of I-PASS handovers.
Citation Text:
Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007.
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digital.ahrq.gov/principal-investigator/jack-brian
February 28, 2023 - Jack, Brian
Implementation and Dissemination of 'Gabby,' a Health Information Technology System for Young Women, into Community-Based Clinical Sites - Final Report
Citation
Jack B. Implementation and Dissemination of 'Gabby,' a Health Information Technology System for Young Wo…