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psnet.ahrq.gov/issue/implementing-warm-handoff-between-hospital-and-skilled-nursing-facility-clinicians
March 04, 2020 - Study
Implementing a warm handoff between hospital and skilled nursing facility clinicians.
Citation Text:
Britton MC, Hodshon B, Chaudhry SI. Implementing a Warm Handoff Between Hospital and Skilled Nursing Facility Clinicians. J Patient Saf. 2019;15(3):198-204. doi:10.1097/PTS.00000000…
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psnet.ahrq.gov/issue/association-hospitalist-years-experience-mortality-hospitalized-medicare-population
May 11, 2022 - Study
Association of hospitalist years of experience with mortality in the hospitalized Medicare population.
Citation Text:
Goodwin JS, Salameh H, Zhou J, et al. Association of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population. JAMA Intern Med. 2017;1…
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psnet.ahrq.gov/issue/improving-patient-safety-avoiding-unread-imaging-exams-national-va-enterprise-electronic
March 12, 2025 - Study
Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record.
Citation Text:
Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA Enterprise Electronic Health Record. J Digit Imaging. 20…
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psnet.ahrq.gov/issue/quality-improvement-approach-standardization-and-sustainability-hand-process
May 15, 2019 - Commentary
A quality improvement approach to standardization and sustainability of the hand-off process.
Citation Text:
Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1). doi:1…
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psnet.ahrq.gov/issue/explaining-unexplainable-impact-physicians-attitude-towards-litigation-their-incident
March 26, 2014 - Study
Explaining the unexplainable—the impact of physicians' attitude towards litigation on their incident disclosure behaviour.
Citation Text:
Renkema E, Broekhuis MH, Ahaus K. Explaining the unexplainable - the impact of physicians' attitude towards litigation on their incident disclos…
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psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication
June 29, 2022 - Study
Changes in prognosis after the first postoperative complication.
Citation Text:
Silber JH, Rosenbaum PR, Trudeau ME, et al. Changes in prognosis after the first postoperative complication. Med Care. 2005;43(2):122-31.
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psnet.ahrq.gov/issue/patients-experiences-dental-diagnostic-failures-qualitative-study-using-social-media
September 06, 2017 - Study
Patients' experiences of dental diagnostic failures: a qualitative study using social media.
Citation Text:
Obadan-Udoh E, Howard R, Valmadrid LC, et al. Patients' experiences of dental diagnostic failures: a qualitative study using social media. J Patient Saf. 2024;20(3):177-185. …
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psnet.ahrq.gov/issue/fundamental-use-surgical-energy-fuse-essential-educational-program-operating-room-safety
June 07, 2018 - Commentary
Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety.
Citation Text:
Jones SB, Munro MG, Feldman LS, et al. Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety. Perm J. 2017;21:1…
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psnet.ahrq.gov/issue/management-anesthesia-equipment-failure-simulation-based-resident-skill-assessment
December 20, 2017 - Study
Management of anesthesia equipment failure: a simulation-based resident skill assessment.
Citation Text:
Waldrop WB, Murray DJ, Boulet JR, et al. Management of Anesthesia Equipment Failure: A Simulation-Based Resident Skill Assessment. Anesthesia & Analgesia. 2009;109(2). doi:10.…
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psnet.ahrq.gov/issue/prevalence-and-sources-duplicate-information-electronic-medical-record
October 21, 2020 - Study
Prevalence and sources of duplicate information in the electronic medical record.
Citation Text:
Steinkamp J, Kantrowitz JJ, Airan-Javia S. Prevalence and sources of duplicate information in the electronic medical record. JAMA Netw Open. 2022;5(9):e2233348. doi:10.1001/jamanetworko…
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psnet.ahrq.gov/issue/ward-round-template-enhancing-patient-safety-ward-rounds
April 19, 2023 - Commentary
Ward round template: enhancing patient safety on ward rounds.
Citation Text:
Gilliland N, Catherwood N, Chen S, et al. Ward round template: enhancing patient safety on ward rounds. BMJ Open Qual. 2018;7(2):e000170. doi:10.1136/bmjoq-2017-000170.
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psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders
May 18, 2022 - Study
Overnight and postcall errors in medication orders.
Citation Text:
Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34.
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psnet.ahrq.gov/issue/patient-care-square-rigger-sailing-and-safety
November 16, 2022 - Commentary
Patient care, square-rigger sailing, and safety.
Citation Text:
Henkind SJ, Sinnett C. Patient care, square-rigger sailing, and safety. JAMA. 2008;300(14):1691-3. doi:10.1001/jama.300.14.1691.
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psnet.ahrq.gov/issue/frequency-expected-effects-obstacles-and-facilitators-disclosure-patient-safety-incidents
February 11, 2015 - Review
Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review.
Citation Text:
Ock M, Lim SY, Jo M-W, et al. Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A Systematic Re…
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psnet.ahrq.gov/issue/ehr-safety-way-forward-safe-and-effective-systems
December 12, 2012 - Commentary
EHR safety: the way forward to safe and effective systems.
Citation Text:
Walker JM, Carayon P, Leveson N, et al. EHR safety: the way forward to safe and effective systems. J Am Med Inform Assoc. 2008;15(3):272-7. doi:10.1197/jamia.M2618.
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psnet.ahrq.gov/issue/crib-horrors-one-hospitals-approach-promoting-culture-safety
December 22, 2018 - Commentary
Crib of horrors: one hospital's approach to promoting a culture of safety.
Citation Text:
Korah N, Zavalkoff S, Dubrovsky AS. Crib of Horrors: One Hospital's Approach to Promoting a Culture of Safety. Pediatrics. 2015;136(1):4-5. doi:10.1542/peds.2014-3843.
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psnet.ahrq.gov/issue/medical-emergency-team-system-two-hospital-comparison
January 15, 2009 - Study
The medical emergency team system: a two hospital comparison.
Citation Text:
Young L, Donald M, Parr M, et al. The Medical Emergency Team system: a two hospital comparison. Resuscitation. 2008;77(2):180-8. doi:10.1016/j.resuscitation.2007.11.016.
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psnet.ahrq.gov/issue/prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and
October 17, 2017 - Review
Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention.
Citation Text:
Olmsted RN. Prevention by Design: Construction and Renovation of Health Care Facilities for Patient Safety and Infection Prevention. Infect Dis C…
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psnet.ahrq.gov/issue/communication-gaps-and-readmissions-hospital-patients-aged-75-years-and-older-observational
July 19, 2023 - Study
Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study.
Citation Text:
Witherington EMA, Pirzada OM, Avery A. Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. Qual Saf Hea…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-education-cross-sectional-study-medical-students
September 23, 2020 - Study
Patient safety and quality improvement education: a cross-sectional study of medical students' preferences and attitudes.
Citation Text:
Teigland CL, Blasiak RC, Wilson LA, et al. Patient safety and quality improvement education: a cross-sectional study of medical students' prefer…