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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - These authors noted several opportunities to reduce the incidence of
missed tendon injuries including … The incidence of acute traumatic tendon injuries in the
hand and wrist: a 10-year population-based study
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
February 22, 2023 - includes an identification of systemic problems with policy, procedures, and inefficient processes. 3 The incidence … serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - and Development Process
After identifying an opportunity to improve surgical safety by reducing the incidence
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - smaller emboli in patients with severe underlying cardiopulmonary disease are associated with a higher incidence … consecutive orthopedic surgeries, repair of Achilles tendon rupture was associated with the highest incidence … High incidence of deep venous thrombosis after Achilles tendon rupture: a prospective study.
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psnet.ahrq.gov/node/72739/psn-pdf
February 10, 2021 - smaller emboli in patients with
severe underlying cardiopulmonary disease are associated with a higher incidence … consecutive orthopedic surgeries, repair of Achilles tendon rupture
was associated with the highest incidence … High incidence of deep venous thrombosis
after Achilles tendon rupture: a prospective study.
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psnet.ahrq.gov/issue/anaesthesia-patient-safety-symposium-2023
September 06, 2023 - International Meeting/Conference
Anaesthesia Patient Safety Symposium 2023.
Citation Text:
Anesthesia Patient Safety Foundation and American Society of Anesthesiologists. May 19-20, 2023. 7:50 PM (eastern)
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psnet.ahrq.gov/issue/selection-bias-and-perils-benchmarking
July 31, 2023 - Commentary
Selection bias and the perils of benchmarking.
Citation Text:
Denrell J. Selection bias and the perils of benchmarking. Harv Bus Rev. 2005;83(4):114-9, 134.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/issue/interdisciplinary-clinicians-attitudes-challenges-and-success-strategies-providing-care
November 30, 2022 - Study
Interdisciplinary clinicians' attitudes, challenges, and success strategies in providing care to transgender people: a qualitative descriptive study.
Citation Text:
Soled KRS, Dimant OE, Tanguay J, et al. Interdisciplinary clinicians’ attitudes, challenges, and success strategies i…
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psnet.ahrq.gov/issue/examination-relationship-between-management-and-clinician-perception-patient-safety-climate
November 07, 2018 - Study
Classic
Examination of the relationship between management and clinician perception of patient safety climate and patient satisfaction.
Citation Text:
Mazurenko O, Richter J, Kazley AS, et al. Examination of the relationship between management and clinicia…
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psnet.ahrq.gov/issue/deficiencies-emergency-preparedness-veterans-health-administration-telemental-health-care-va
August 02, 2023 - Book/Report
Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic.
Citation Text:
Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Location…
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psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
March 09, 2022 - Study
Healthcare failure mode and effect analysis in the chemotherapy preparation process.
Citation Text:
Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):15…
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psnet.ahrq.gov/issue/role-nursing-home-quality-covid-19-cases-and-deaths-evidence-florida-nursing-homes
August 12, 2020 - Study
Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes.
Citation Text:
Wang X, Wilson C, Holmes K. Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. J Gerontol Soc Work. 2021:1-17. doi:10.1080/016…
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psnet.ahrq.gov/issue/medical-teamwork-and-evolution-safety-science-critical-review
January 26, 2022 - Review
Medical teamwork and the evolution of safety science: a critical review.
Citation Text:
Neuhaus C, Lutnæs DE, Bergström J. Medical teamwork and the evolution of safety science: a critical review. Cogn Technol Work. 2020;22(1):13-27. doi:10.1007/s10111-019-00545-8.
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psnet.ahrq.gov/issue/rates-serious-surgical-errors-california-and-plans-prevent-recurrence
March 09, 2022 - Study
Rates of serious surgical errors in California and plans to prevent recurrence.
Citation Text:
Cohen AJ, Lui H, Zheng M, et al. Rates of serious surgical errors in California and plans to prevent recurrence. JAMA Netw Open. 2021;4(5):e217058. doi:10.1001/jamanetworkopen.2021.7058. …
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psnet.ahrq.gov/issue/validity-selected-ahrq-patient-safety-indicators-based-va-national-surgical-quality
July 14, 2009 - Study
Classic
Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data.
Citation Text:
Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA National Surg…
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psnet.ahrq.gov/issue/working-conditions-primary-care-physician-reactions-and-care-quality
July 13, 2010 - Study
Working conditions in primary care: physician reactions and care quality.
Citation Text:
Linzer M, Manwell LB, Williams E, et al. Working conditions in primary care: physician reactions and care quality. Ann Intern Med. 2009;151(1):28-36, W6-9.
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psnet.ahrq.gov/issue/patient-safety-culture-space-social-struggle-understanding-infection-prevention-practice-and
November 30, 2022 - Study
Patient safety culture as a space of social struggle: understanding infection prevention practice and patient safety culture within hospital isolation settings - a qualitative study.
Citation Text:
Hunt J, Gammon J, Williams S, et al. Patient safety culture as a space of social str…
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psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
July 13, 2022 - Study
Lessons learned in implementing a chronic opioid therapy management system.
Citation Text:
Carlile N, Fuller TE, Benneyan JC, et al. Lessons learned in implementing a chronic opioid therapy management system. J Patient Saf. 2022;18(8):e1142-e1149. doi:10.1097/pts.0000000000001039. …
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psnet.ahrq.gov/issue/patient-and-public-co-creation-healthcare-safety-and-healthcare-system-resilience-case-covid
February 16, 2022 - Study
Patient and public co-creation of healthcare safety and healthcare system resilience: the case of COVID-19.
Citation Text:
Albutt AK, Ramsey L, Fylan B, et al. Patient and public co‐creation of healthcare safety and healthcare system resilience: the case of COVID‐19. Health Expect.…
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psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
February 15, 2011 - Study
Classic
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Citation Text:
Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…