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psnet.ahrq.gov/node/49724/psn-pdf January 01, 2015 - Bowel Injury After Laparoscopic Surgery
January 1, 2015
Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
The Case
A 30-year-old man presented to the hospital for a scheduled laparoscopic inguinal hernia repair with mes…  
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psnet.ahrq.gov/web-mm/pca-overdose April 01, 2017 - PCA Overdose 
 
 
 
 
 Citation Text: 
 Doyle JD. PCA Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. 
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psnet.ahrq.gov/node/865454/psn-pdf March 27, 2024 - While respondents rated nursing home
culture highly on some measures, such as communication about incidents 
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psnet.ahrq.gov/issue/mortality-risks-associated-emergency-admissions-during-weekends-and-public-holidays-analysis September 02, 2020 - Study 
 
 
 
 
 
 
 
 
 
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 Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records. 
 
 
 
 
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 Walker S, Mason A, Quan P, et al. Mortality risks associated with emergency admissions during weekend…  
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psnet.ahrq.gov/issue/mitigation-patient-harm-testing-errors-family-medicine-offices-report-american-academy-family June 11, 2008 - Study 
 
 
 
 
 
 
 
 
 
 Mitigation of patient harm from testing errors in family medicine offices: a report from the American Academy of Family Physicians National Research Network.   
 
 
 
 
 Citation Text: 
 Graham DG, Harris DM, Elder NC, et al. Mitigation of patient harm from testing errors in family medicine of…  
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psnet.ahrq.gov/issue/relationship-between-state-malpractice-environment-and-quality-health-care-united-states June 21, 2017 - Study 
 
 
 
 
 
 
 
 
 
 Relationship between state malpractice environment and quality of health care in the United States. 
 
 
 
 
 Citation Text: 
 Bilimoria KY, Chung JW, Minami CA, et al. Relationship Between State Malpractice Environment and Quality of Health Care in the United States. Jt Comm J Qual Patient Sa…  
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psnet.ahrq.gov/issue/effect-postdischarge-virtual-ward-readmission-or-death-high-risk-patients-randomized-clinical October 31, 2011 - Study 
 
 
 
 
 
 
 
 
 
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 Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical trial. 
 
 
 
 
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 Dhalla IA, O'Brien T, Morra D, et al. Effect of a postdischarge virtual ward on readmission or death for high-risk pa…  
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psnet.ahrq.gov/issue/do-medical-inpatients-who-report-poor-service-quality-experience-more-adverse-events-and July 14, 2021 - Study 
 
 
 
 
 
 
 
 
 
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 Do medical inpatients who report poor service quality experience more adverse events and medical errors?   
 
 
 
 
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 Taylor BB, Marcantonio ER, Pagovich O, et al. Do medical inpatients who report poor service quality experience more adverse ev…  
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psnet.ahrq.gov/issue/association-between-end-rotation-resident-transition-care-and-mortality-among-hospitalized August 15, 2018 - Study 
 
 
 
 
 
 
 
 
 
 Association between end-of-rotation resident transition in care and mortality among hospitalized patients. 
 
 
 
 
 Citation Text: 
 Denson JL, Jensen A, Saag HS, et al. Association Between End-of-Rotation Resident Transition in Care and Mortality Among Hospitalized Patients. JAMA. 2016;316(2…  
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psnet.ahrq.gov/issue/interdisciplinary-collaboration-across-secondary-and-primary-care-improve-medication-safety December 21, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) - a randomized controlled trial. 
 
 
 
 
 Citation Text: 
 Johansen JS, Halvorsen KH, Svendsen K, et al. Interdisciplinary collaboration across secondary and prima…  
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psnet.ahrq.gov/issue/clinician-perspectives-electronic-health-records-communication-and-patient-safety-across September 23, 2020 - Study 
 
 
 
 
 
 
 
 
 
 Clinician perspectives on electronic health records, communication, and patient safety across diverse medical oncology practices. 
 
 
 
 
 Citation Text: 
 Patel MR, Friese CR, Mendelsohn-Victor K, et al. Clinician Perspectives on Electronic Health Records, Communication, and Patient Safety A…  
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psnet.ahrq.gov/issue/evaluating-safety-mental-health-related-prescribing-uk-primary-care-cross-sectional-study August 14, 2019 - Study 
 
 
 
 
 
 
 
 
 
 Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD). 
 
 
 
 
 Citation Text: 
 Khawagi WY, Steinke DT, Carr MJ, et al. Evaluating the safety of mental health-related prescribing in UK prima…  
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psnet.ahrq.gov/issue/us-public-opinion-regarding-proposed-limits-resident-physician-work-hours February 18, 2011 - Study 
 
 
 
 
 
 
 
 
 
 US public opinion regarding proposed limits on resident physician work hours.   
 
 
 
 
 Citation Text: 
 Blum AB, Raiszadeh F, Shea S, et al. US public opinion regarding proposed limits on resident physician work hours. BMC Med. 2010;8:33. doi:10.1186/1741-7015-8-33. 
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psnet.ahrq.gov/issue/resource-based-view-safety-cultures-influence-hospital-performance-moderating-role-electronic November 17, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Resource-based view on safety culture's influence on hospital performance: the moderating role of electronic health record implementation. 
 
 
 
 
 Citation Text: 
 Upadhyay S, Weech-Maldonado R, Lemak CH, et al. Resource-based view on safety culture’s influence on hospital performance: The m…  
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psnet.ahrq.gov/issue/ethical-considerations-and-patient-safety-concerns-cancelling-non-urgent-surgeries-during June 23, 2021 - Commentary 
 
 
 
 
 
 
 
 
 
 Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review. 
 
 
 
 
 Citation Text: 
 Brown NJ, Wilson B, Szabadi S, et al. Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the…  
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psnet.ahrq.gov/issue/perception-patient-safety-alternate-site-care-elective-surgery-during-first-wave-novel May 12, 2021 - Study 
 
 
 
 
 
 
 
 
 
 The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients. 
 
 
 
 
 Citation Text: 
 Lee G, Clough OT, Walker JA, et al. The perception of patient safety in an alte…  
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psnet.ahrq.gov/issue/association-icu-or-hospital-admission-unintentional-discontinuation-medications-chronic November 06, 2015 - Study 
 
 
 
 
 
 
 
 
 
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 Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases.   
 
 
 
 
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 Bell CM, Brener SS, Gunraj N, et al. Association of ICU or hospital admission with unintentional discontinuation of me…  
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psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis September 23, 2020 - Study 
 
 
 
 
 
 
 
 
 
 "SWARMing" to improve patient care: a novel approach to root cause analysis. 
 
 
 
 
 Citation Text: 
 Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501. 
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psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute August 10, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses. 
 
 
 
 
 Citation Text: 
 Maierhofer CN, Ran…  
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psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre January 11, 2023 - Study 
 
 
 
 
 
 
 
 
 
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 A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis.   
 
 
 
 
 Citation Text: 
 Avery A, Rodgers S, Cantrill JA, et al. A pharmacist-led info…