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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/introduction-surgical-safety-checklist-tertiary-referral-obstetric-centre
October 04, 2023 - Study 
 
 
 
 
 
 
 
 
 
 The introduction of a surgical safety checklist in a tertiary referral obstetric centre.   
 
 
 
 
 Citation Text: 
 Kearns RJ, Uppal V, Bonner J, et al. The introduction of a surgical safety checklist in a tertiary referral obstetric centre. BMJ Qual Saf. 2011;20(9):818-22. doi:10.1136/bmjqs… 
                                     
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psnet.ahrq.gov/issue/accuracy-radiographic-readings-emergency-department
November 18, 2016 - Study 
 
 
 
 
 
 
 
 
 
 Accuracy of radiographic readings in the emergency department.   
 
 
 
 
 Citation Text: 
 Petinaux B, Bhat R, Boniface K, et al. Accuracy of radiographic readings in the emergency department. Am J Emerg Med. 2011;29(1):18-25. doi:10.1016/j.ajem.2009.07.011. 
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psnet.ahrq.gov/issue/nurses-and-nursing-students-second-victims-scoping-review
March 08, 2023 - Review 
 
 
 
 
 
 
 
 
 
 Nurses and nursing students as second victims: a scoping review. 
 
 
 
 
 Citation Text: 
 Sahay A, McKenna L. Nurses and nursing students as second victims: a scoping review. Nurs Outlook. 2023;71(4):101992. doi:10.1016/j.outlook.2023.101992. 
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psnet.ahrq.gov/issue/strategies-reduce-risk-iatrogenic-illness-complex-older-adults
January 12, 2022 - Review 
 
 
 
 
 
 
 
 
 
 Strategies to reduce the risk of iatrogenic illness in complex older adults.  
 
 
 
 
 Citation Text: 
 Onder G, van der Cammen TJM, Petrovic M, et al. Strategies to reduce the risk of iatrogenic illness in complex older adults. Age Ageing. 2013;42(3):284-91. doi:10.1093/ageing/aft038. 
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psnet.ahrq.gov/issue/nursing-home-residents-dementia-association-between-place-death-and-patient-safety-culture
November 04, 2020 - Study 
 
 
 
 
 
 
 
 
 
 Nursing home residents with dementia: association between place of death and patient safety culture.  
 
 
 
 
 Citation Text: 
 Orth J, Li Y, Simning A, et al. Nursing Home Residents With Dementia: Association Between Place of Death and Patient Safety Culture. Gerontologist. 2021;61(8):1296-1… 
                                     
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psnet.ahrq.gov/issue/association-between-implementing-comprehensive-learning-collaborative-strategies-statewide
September 02, 2020 - Study 
 
 
 
 
 
 
 
 
 
 Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. 
 
 
 
 
 Citation Text: 
 Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning collaborative strategies… 
                                     
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psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
January 18, 2013 - Study 
 
 
 
 
 
 
 
 
 
 Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. 
 
 
 
 
 Citation Text: 
 Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(… 
                                     
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psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperative-arena
February 03, 2010 - Study 
 
 
 
 
 
 
 
 
 
 Impact and implications of disruptive behavior in the perioperative arena.   
 
 
 
 
 Citation Text: 
 Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am Coll Surg. 2006;203(1):96-105. 
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psnet.ahrq.gov/issue/time-now-addressing-implicit-bias-obstetrics-and-gynecology-education
November 16, 2022 - Commentary 
 
 
 
 
 
 
 
 
 
 The time is now: addressing implicit bias in obstetrics and gynecology education. 
 
 
 
 
 Citation Text: 
 Royce CS, Morgan HK, Baecher-Lind L, et al. The time is now: addressing implicit bias in obstetrics and gynecology education. Am J Obstet Gynecol. 2023;228(4):369-381. doi:10.1016/… 
                                     
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psnet.ahrq.gov/issue/scaffolding-our-systems-patients-and-families-reaching-source-healthcare-resilience
February 23, 2022 - Commentary 
 
 
 
 
 
 
 
 
 
 Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. 
 
 
 
 
 Citation Text: 
 O'Hara JK, Aase K, Waring J. Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. BMJ Qual Saf. 2019;28(1):3-6. doi:1… 
                                     
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psnet.ahrq.gov/issue/institute-medicine-report-medical-errors-could-it-do-harm
February 18, 2011 - Commentary 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 The Institute of Medicine report on medical errors—could it do harm?   
 
 
 
 
 Citation Text: 
 Brennan TA. The Institute of Medicine report on medical errors--could it do harm? N Engl J Med. 2002;342(15):1123-1125. doi:10.1056/nejm200004133421510. 
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psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical
November 16, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.  
 
 
 
 
 Citation Text: 
 Kiran RP, Ahmed Ali U, Coffey JC, et al. Impact of Resident Participation in Surgical Operations on Postoperative Outcomes. Ann Surg. 20… 
                                     
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psnet.ahrq.gov/issue/liability-impact-hospitalist-model-care
July 09, 2018 - Study 
 
 
 
 
 
 
 
 
 
 Liability impact of the hospitalist model of care. 
 
 
 
 
 Citation Text: 
 Schaffer A, Puopolo AL, Raman S, et al. Liability impact of the hospitalist model of care. J Hosp Med. 2014;9(12):750-5. doi:10.1002/jhm.2244. 
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psnet.ahrq.gov/issue/medication-errors-use-allopurinol-and-colchicine-retrospective-study-national-anonymous
December 21, 2014 - Study 
 
 
 
 
 
 
 
 
 
 Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system.   
 
 
 
 
 Citation Text: 
 Mikuls TR, Curtis JR, Allison JJ, et al. Medication errors with the use of allopurinol and colchicine: a retrosp… 
                                     
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psnet.ahrq.gov/issue/seips-101-and-seven-simple-seips-tools
October 03, 2013 - Commentary 
 
 
 
 
 
 
 
 
 
 SEIPS 101 and seven simple SEIPS tools. 
 
 
 
 
 Citation Text: 
 Holden RJ, Carayon P. SEIPS 101 and seven simple SEIPS tools. BMJ Qual Saf. 2021;30(11):901-910. doi:10.1136/bmjqs-2020-012538. 
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www.ahrq.gov/topics/catheter-associated-urinary-tract-infection-cauti.html
January 01, 2013 - Catheter-Associated Urinary Tract Infection (CAUTI) 
 
 
 
 
 
 
 
 
 
 
  Catheter-associated urinary tract infections (CAUTIs) are among the most common types of healthcare-associated infections. Most cases of CAUTI are preventable. Since October 2008, the Centers for Medicare & Medicaid Services no longer reimburses… 
                                     
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psnet.ahrq.gov/issue/revisiting-duty-hour-limits-iom-recommendations-patient-safety-and-resident-education
February 17, 2011 - Commentary 
 
 
 
 
 
 
 
 
 
 Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.   
 
 
 
 
 Citation Text: 
 Iglehart JK. Revisiting duty-hour limits--IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359(25):2633-5. doi:10.1056/NEJMp0808736. 
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www.ahrq.gov/patient-safety/news-events/psaw-2024/index.html
March 01, 2024 - Patient Safety Awareness Week 2024 
 
 
 
 
 As we celebrate Patient Safety Awareness Week 2024, the Agency for Healthcare Research and Quality (AHRQ) also marks its 35th anniversary. This milestone, under the banner "Today's Research, Tomorrow's Healthcare," highlights our dedication to transforming healthcare through… 
                                     
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psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
February 15, 2023 - Review 
 
 
 
 
 
 
 
 
 
 Surgical site infection prevention: a review. 
 
 
 
 
 Citation Text: 
 Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA. 2023;329(3):244-252. doi:10.1001/jama.2022.24075. 
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