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psnet.ahrq.gov/issue/information-transfer-hospital-discharge-systematic-review
February 21, 2015 - Review
Classic
Information transfer at hospital discharge: a systematic review.
Citation Text:
Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.000000000000…
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psnet.ahrq.gov/issue/implementing-universal-suicide-risk-screening-pediatric-hospital
May 12, 2021 - Study
Implementing universal suicide risk screening in a pediatric hospital.
Citation Text:
Sullivant SA, Brookstein D, Camerer M, et al. Implementing universal suicide risk screening in a pediatric hospital. Jt Comm J Qual Patient Saf. 2021;47(8):496-502. doi:10.1016/j.jcjq.2021.05.001.…
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psnet.ahrq.gov/issue/predictors-nursing-home-nurses-willingness-report-medication-near-misses
July 31, 2024 - Study
Predictors of nursing home nurses' willingness to report medication near-misses.
Citation Text:
Farag A, Vogelsmeier A, Knox K, et al. Predictors of nursing home nurses' willingness to report medication near-misses. J Gerontol Nurs. 2020;46(4):21-30. doi:10.3928/00989134-20200303-0…
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psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
July 11, 2012 - Commentary
Classic
Effectiveness and efficiency of root cause analysis in medicine.
Citation Text:
Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685.
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psnet.ahrq.gov/issue/role-theory-research-develop-and-evaluate-implementation-patient-safety-practices
September 20, 2011 - Commentary
The role of theory in research to develop and evaluate the implementation of patient safety practices.
Citation Text:
Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. …
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psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers
March 29, 2023 - Study
Anesthesia-related closed claims in free-standing ambulatory surgery centers.
Citation Text:
Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700.
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psnet.ahrq.gov/issue/accuracy-trigger-tools-detect-preventable-adverse-events-primary-care-systematic-review
January 22, 2016 - Review
The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review.
Citation Text:
Davis JJ, Harrington N, Fagan HB, et al. The Accuracy of Trigger Tools to Detect Preventable Adverse Events in Primary Care: A Systematic Review. J Am Board Fam …
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psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent
April 10, 2024 - Study
Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center.
Citation Text:
Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality Impr…
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psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va
October 14, 2009 - Study
Hospital safety climate and safety outcomes: is there a relationship in the VA?
Citation Text:
Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703.
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psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
June 22, 2022 - Study
Care transition of trauma patients: processes with articulation work before and after handoff.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Care transition of trauma patients: processes with articulation work before and after handoff. Appl Ergon. 2022;98:103606. d…
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psnet.ahrq.gov/issue/collective-intelligence-meets-medical-decision-making-collective-outperforms-best-radiologist
August 17, 2016 - Study
Classic
Collective intelligence meets medical decision-making: the collective outperforms the best radiologist.
Citation Text:
Wolf M, Krause J, Carney PA, et al. Collective intelligence meets medical decision-making: the collective outperforms the best ra…
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psnet.ahrq.gov/issue/implementing-patient-safety-interventions-your-hospital-what-try-and-what-avoid
June 03, 2010 - Review
Implementing patient safety interventions in your hospital: what to try and what to avoid.
Citation Text:
Ranji SR, Shojania KG. Implementing patient safety interventions in your hospital: what to try and what to avoid. Med Clin North Am. 2008;92(2):275-93, vii-viii. doi:10.1016…
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psnet.ahrq.gov/issue/relationship-between-professional-burnout-and-quality-and-safety-healthcare-meta-analysis
April 24, 2018 - Review
Classic
The relationship between professional burnout and quality and safety in healthcare: a meta-analysis.
Citation Text:
Salyers MP, Bonfils KA, Luther L, et al. The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta…
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psnet.ahrq.gov/issue/scoping-review-adverse-incidents-research-aged-care-homes-learnings-gaps-and-challenges
November 18, 2020 - Review
A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges.
Citation Text:
St Clair B, Jorgensen M, Nguyen A, et al. A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Gerontol Geriatr Med. 20…
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psnet.ahrq.gov/issue/implicit-bias-healthcare-clinical-practice-research-and-decision-making
May 25, 2022 - Review
Classic
Implicit bias in healthcare: clinical practice, research and decision making.
Citation Text:
Gopal DP, Chetty U, O'Donnell P, et al. Implicit bias in healthcare: clinical practice, research and decision making. Future Healthc J. 2021;8(1):40-48. d…
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psnet.ahrq.gov/issue/making-business-case-patient-safety
March 04, 2011 - Commentary
Making the business case for patient safety.
Citation Text:
Weeks WB, Bagian JP. Making the business case for patient safety. Jt Comm J Qual Saf. 2003;29(1):51-4, 1.
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psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
October 16, 2012 - Review
Classic
Cognitive interventions to reduce diagnostic error: a narrative review.
Citation Text:
Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjq…
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psnet.ahrq.gov/issue/teamwork-climate-safety-climate-and-physician-burnout-national-cross-sectional-study
October 26, 2022 - Study
Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study.
Citation Text:
Rotenstein L, Wang H, West CP, et al. Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. Jt Comm J Qual Patient Saf. 2024;50(6):458-46…
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psnet.ahrq.gov/issue/safety-inpatient-health-care
May 15, 2024 - Study
The safety of inpatient health care.
Citation Text:
Bates DW, Levine DM, Salmasian H, et al. The safety of inpatient health care. New Engl J Med. 2023;388(2):142-153. doi:10.1056/nejmsa2206117.
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psnet.ahrq.gov/issue/patient-safety-resident-education-and-resident-well-being-following-implementation-2003-acgme
June 20, 2012 - Review
Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules.
Citation Text:
Fletcher KE, Reed DA, Arora V. Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rule…