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psnet.ahrq.gov/issue/july-effect-podiatric-medicine-and-surgery-residency
July 14, 2021 - Study
The July Effect in podiatric medicine and surgery residency.
Citation Text:
Casciato DJ, Thompson J, Law R, et al. The July Effect in podiatric medicine and surgery residency. J Foot Ankle Surg. 2021;60(6):1152-1157. doi:10.1053/j.jfas.2021.04.020.
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psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed
January 29, 2018 - Study
Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy.
Citation Text:
Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report analysis using a newly…
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psnet.ahrq.gov/issue/detecting-unapproved-abbreviations-electronic-medical-record
August 08, 2018 - Study
Detecting unapproved abbreviations in the electronic medical record.
Citation Text:
Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9.
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psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-improve-employee-safety
December 16, 2015 - Commentary
When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality.
Citation Text:
Jones A, Neal A, Bailey S, et al. When work harms: how better understanding of avoidable employee harm can improve employee s…
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psnet.ahrq.gov/issue/effects-adverse-drug-event-alert-system-cost-and-quality-outcomes-community-hospitals
February 17, 2021 - Study
Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals.
Citation Text:
Piontek F, Kohli R, Conlon P, et al. Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Am J Health Syst Pharm. 2010;6…
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psnet.ahrq.gov/issue/incidence-preventability-and-consequences-adverse-events-older-people-results-retrospective
March 03, 2011 - Study
Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review.
Citation Text:
Sari ABA, Cracknell A, Sheldon T. Incidence, preventability and consequences of adverse events in older people: results of a retrospective cas…
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psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room
October 12, 2009 - Commentary
A novel ICU hand-over tool: the glass door of the patient room.
Citation Text:
Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947.
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psnet.ahrq.gov/issue/what-attributes-patients-affect-their-involvement-safety-key-opinion-leaders-perspective
June 02, 2010 - Study
What attributes of patients affect their involvement in safety? A key opinion leaders' perspective.
Citation Text:
Buetow S, Davis R, Callaghan K, et al. What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. BMJ Open. 2013;3(8):e003104.…
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psnet.ahrq.gov/issue/can-preventable-adverse-events-be-predicted-among-hospitalized-older-patients-development-and
March 18, 2013 - Study
Can preventable adverse events be predicted among hospitalized older patients? The development and validation of a predictive model.
Citation Text:
Van De Steeg L, Langelaan M, Wagner C. Can preventable adverse events be predicted among hospitalized older patients? The development …
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psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
September 27, 2023 - Recurrent problematic alcohol use accompanied by suicidal ideation increases the risk of death by suicide
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psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhances
November 15, 2023 - February 2, 2022
Patient Safety Innovations
Project BOOST Increases
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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - 28, 2021
Patient Safety Innovations
Project BOOST Increases
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psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
January 01, 2018 - eight times higher in non-Hispanic blacks and three times higher in Hispanics.( 1 ) Particularly large increases
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psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
February 01, 2006 - The common belief that apologizing increases the risk of a malpractice suit is probably not true; in
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psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
February 01, 2006 - The common belief that apologizing increases the risk of a malpractice suit is probably not true; in
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psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - Exaggerated lithotomy position also increases strain on the lumbar spine.
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - than traditional care.( 5 ) Follow-up telephone contact with a pharmacist after hospital discharge increases
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - Mandatory x-rays can be used in lieu of counting instruments, although this strategy
increases cumulative
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psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - The hectic nature of the ED environment increases the
risk for communication errors.
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psnet.ahrq.gov/node/49720/psn-pdf
December 01, 2014 - Take-Home Points
Timely neurological assessment of patients with suspected stroke increases the probability