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psnet.ahrq.gov/issue/perioperative-safety-determinants-ethnic-patient-groups
February 09, 2022 - Study
Perioperative safety determinants in ethnic patient groups.
Citation Text:
Bloo G, Calsbeek H, Westert GP, et al. Perioperative safety determinants in ethnic patient groups. J Patient Saf Risk Manag. 2023;28(1):31-46. doi:10.1177/25160435231151545.
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psnet.ahrq.gov/issue/reducing-preventable-adverse-events-obstetrics-improving-interprofessional-communication
February 16, 2022 - Study
Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study.
Citation Text:
Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by improving interprofessional commun…
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psnet.ahrq.gov/issue/examining-validity-ahrqs-patient-safety-indicators-psis-variation-psi-composite-score-related
November 10, 2010 - Study
Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors?
Citation Text:
Shin MH, Sullivan JL, Rosen AK, et al. Examining the validity of AHRQ's patient safety indicators (PSIs): is variation i…
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psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
September 16, 2020 - Commentary
Medical error—the third leading cause of death in the US.
Citation Text:
Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139.
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psnet.ahrq.gov/issue/prevalence-and-economic-burden-medication-errors-nhs-england
September 11, 2018 - Book/Report
Prevalence and Economic Burden of Medication Errors in the NHS England.
Citation Text:
Prevalence and Economic Burden of Medication Errors in the NHS England. Elliott RA, Camacho E, Campbell F, et al. Policy Research Unit in Economic Evaluation of Health and Care Intervention…
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psnet.ahrq.gov/issue/evaluation-laboratory-monitoring-alerts-within-computerized-physician-order-entry-system
October 06, 2011 - Study
Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders.
Citation Text:
Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication o…
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psnet.ahrq.gov/issue/role-informal-dimensions-safety-high-volume-organisational-routines-ethnographic-study-test
August 01, 2018 - Study
The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice.
Citation Text:
Grant S, Checkland K, Bowie P, et al. The role of informal dimensions of safety in high-volume organisational rout…
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psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis
December 06, 2023 - Study
A qualitative content analysis of retained surgical items: learning from root cause analysis investigations.
Citation Text:
Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Int J Qu…
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psnet.ahrq.gov/issue/effects-two-commercial-electronic-prescribing-systems-prescribing-error-rates-hospital
September 01, 2016 - Study
Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.
Citation Text:
Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on prescribing error rates in hos…
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psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial
November 30, 2016 - Study
Support from hospital to home for elders: a randomized trial.
Citation Text:
Goldman E, Sarkar U, Kessell E, et al. Support from hospital to home for elders: a randomized trial. Ann Intern Med. 2014;161(7):472-81. doi:10.7326/M14-0094.
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psnet.ahrq.gov/issue/identifying-safe-care-processes-when-gps-work-or-alongside-emergency-departments-realist
January 12, 2022 - Study
Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation.
Citation Text:
Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Br J Ge…
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psnet.ahrq.gov/issue/resilience-view-health-system-resilience-scoping-review-empirical-studies-and-reviews
March 11, 2013 - Review
A resilience view on health system resilience: a scoping review of empirical studies and reviews.
Citation Text:
Copeland S, Hinrichs-Krapels S, Fecondo F, et al. A resilience view on health system resilience: a scoping review of empirical studies and reviews. BMC Health Serv Res.…
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psnet.ahrq.gov/issue/adverse-events-hospitalized-pediatric-patients
July 11, 2017 - Study
Emerging Classic
Adverse events in hospitalized pediatric patients.
Citation Text:
Stockwell DC, Landrigan CP, Toomey SL, et al. Adverse Events in Hospitalized Pediatric Patients. Pediatrics. 2018;142(2):e20173360. doi:10.1542/peds.2017-3360.
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psnet.ahrq.gov/issue/do-clinicians-know-which-their-patients-have-central-venous-catheters-multicenter
June 08, 2016 - Study
Do clinicians know which of their patients have central venous catheters?: A multicenter observational study.
Citation Text:
Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous catheters?: a multicenter observational study. Ann Intern…
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psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused
April 11, 2011 - Study
Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs.
Citation Text:
Sharek PJ, Horbar JD, Mason W, et al. Adverse events in the neonatal intensive care unit: development, t…
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psnet.ahrq.gov/issue/examining-causes-and-prevention-strategies-adverse-events-deceased-hospital-patients
June 08, 2022 - Study
Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands.
Citation Text:
Smits M, Langelaan M, de Groot J, et al. Examining causes and prevention strategies of adverse events in deceas…
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psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify-adverse-events-among
June 11, 2010 - Study
Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients.
Citation Text:
Sarkar U, Handley MA, Gupta R, et al. Use of an interactive, telephone-based self-management support program to identify adverse ev…
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-alerts-prescribing-older-patients
September 23, 2020 - Study
Impact of computerized physician order entry alerts on prescribing in older patients.
Citation Text:
Lester PE, Rios-Rojas L, Islam S, et al. Impact of computerized physician order entry alerts on prescribing in older patients. Drugs Aging. 2015;32(3):227-33. doi:10.1007/s40266-015…
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psnet.ahrq.gov/issue/racial-disparities-diagnostic-delay-among-women-breast-cancer
November 10, 2021 - Study
Racial disparities in diagnostic delay among women with breast cancer.
Citation Text:
Miller-Kleinhenz JM, Collin LJ, Seidel R, et al. Racial disparities in diagnostic delay among women with breast cancer. J Am Coll Radiol. 2021;18(10):1384-1393. doi:10.1016/j.jacr.2021.06.019.
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psnet.ahrq.gov/issue/what-return-investment-implementation-crew-resource-management-program-academic-medical
April 24, 2018 - Study
What is the return on investment for implementation of a crew resource management program at an academic medical center?
Citation Text:
Moffatt-Bruce SD, Hefner JL, Mekhjian H, et al. What Is the Return on Investment for Implementation of a Crew Resource Management Program at an Ac…