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psnet.ahrq.gov/node/42068/psn-pdf
April 09, 2013 - Wisdom through adversity: learning and growing in the
wake of an error.
April 9, 2013
Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an
error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006.
https://psnet.ahrq.gov/issue/wisdom-through-adversity-l…
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psnet.ahrq.gov/node/45889/psn-pdf
August 16, 2017 - New persistent opioid use after minor and major surgical
procedures in US adults.
August 16, 2017
Brummett CM, Waljee JF, Goesling J, et al. New Persistent Opioid Use After Minor and Major Surgical
Procedures in US Adults. JAMA Surg. 2017;152(6):e170504. doi:10.1001/jamasurg.2017.0504.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/73130/psn-pdf
January 01, 2022 - Improving peripherally inserted central catheter
appropriateness and reducing device-related
complications: a quasiexperimental study in 52 Michigan
hospitals.
April 14, 2021
Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness
and reducing device-related compl…
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psnet.ahrq.gov/node/45870/psn-pdf
March 25, 2017 - Improving communication with primary care physicians at
the time of hospital discharge.
March 25, 2017
Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the
Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. doi:10.1016/j.jcjq.2016.11.005.
htt…
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psnet.ahrq.gov/node/44411/psn-pdf
May 09, 2017 - Separating residents' inpatient and outpatient
responsibilities: improving patient safety, learning
environments, and relationships with continuity patients.
May 9, 2017
Bates CK, Yang J, Huang GC, et al. Separating Residents' Inpatient and Outpatient Responsibilities:
Improving Patient Safety, Learning Environmen…
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psnet.ahrq.gov/node/38206/psn-pdf
January 15, 2009 - The medical emergency team system and not-for-
resuscitation orders: results from the MERIT Study.
January 15, 2009
Chen J, Flabouris A, Bellomo R, et al. The Medical Emergency Team System and not-for-resuscitation
orders: results from the MERIT study. Resuscitation. 2008;79(3):391-7.
doi:10.1016/j.resuscitation.2…
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psnet.ahrq.gov/node/45831/psn-pdf
January 25, 2017 - Incident and long-term opioid therapy among patients
with psychiatric conditions and medications: a national
study of commercial health care claims.
January 25, 2017
Quinn PD, Hur K, Chang Z, et al. Incident and long-term opioid therapy among patients with psychiatric
conditions and medications: a national study o…
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psnet.ahrq.gov/node/46709/psn-pdf
December 22, 2018 - Association between treatment by locum tenens internal
medicine physicians and 30-day mortality among
hospitalized Medicare beneficiaries.
December 22, 2018
Blumenthal DM, Olenski AR, Tsugawa Y, et al. Association Between Treatment by Locum Tenens Internal
Medicine Physicians and 30-Day Mortality Among Hospitalize…
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psnet.ahrq.gov/node/45778/psn-pdf
April 26, 2017 - Long-term outcomes of medication intervention using the
screening tool of older persons potentially inappropriate
prescriptions screening tool to alert doctors to right
treatment criteria.
April 26, 2017
Frankenthal D, Israeli A, Caraco Y, et al. Long-Term Outcomes of Medication Intervention Using the
Screening T…
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psnet.ahrq.gov/node/44827/psn-pdf
February 14, 2017 - Using coworker observations to promote accountability
for disrespectful and unsafe behaviors by physicians and
advanced practice professionals.
February 14, 2017
Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for
Disrespectful and Unsafe Behaviors by Physicians and A…
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psnet.ahrq.gov/node/866248/psn-pdf
July 10, 2024 - Did the organization of primary care practices during the
COVID-19 pandemic influence quality and safety? - an
international survey.
July 10, 2024
Eriksson M, Blomberg K, Arvidsson E, et al. Did the organization of primary care practices during the
COVID-19 pandemic influence quality and safety? – an international…
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psnet.ahrq.gov/node/41327/psn-pdf
November 27, 2012 - Multiple patient safety events within a single
hospitalization: a national profile in US hospitals.
November 27, 2012
Yu H, Greenberg MD, Haviland AM, et al. Multiple patient safety events within a single hospitalization: a
national profile in US hospitals. Am J Med Qual. 2012;27(6):472-479. doi:10.1177/10628606124…
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psnet.ahrq.gov/node/47357/psn-pdf
October 03, 2018 - Impact of fatigue and insufficient sleep on physician and
patient outcomes: a systematic review.
October 3, 2018
Gates M, Wingert A, Featherstone R, et al. Impact of fatigue and insufficient sleep on physician and patient
outcomes: a systematic review. BMJ Open. 2018;8(9):e021967. doi:10.1136/bmjopen-2018-021967.
…
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psnet.ahrq.gov/node/39056/psn-pdf
April 04, 2011 - Rate of undesirable events at beginning of academic year:
retrospective cohort study.
April 4, 2011
Haller G, Myles PS, Taffé P, et al. Rate of undesirable events at beginning of academic year: retrospective
cohort study. BMJ. 2009;339:b3974. doi:10.1136/bmj.b3974.
https://psnet.ahrq.gov/issue/rate-undesirable-eve…
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psnet.ahrq.gov/node/38075/psn-pdf
February 03, 2011 - Association of workload of on-call medical interns with
on-call sleep duration, shift duration, and participation in
educational activities.
February 3, 2011
Arora V, Georgitis E, Siddique J, et al. Association of workload of on-call medical interns with on-call sleep
duration, shift duration, and participation in…
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psnet.ahrq.gov/node/73134/psn-pdf
April 14, 2021 - Management and patient safety of complex elderly
patients in primary care during the COVID-19 pandemic in
the UK-Qualitative assessment.
April 14, 2021
Alboksmaty A, Kumar S, Parekh R, et al. Management and patient safety of complex elderly patients in
primary care during the COVID-19 pandemic in the UK - qualitat…
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psnet.ahrq.gov/node/836780/psn-pdf
March 23, 2022 - Prescribing errors in post-COVID-19 patients: prevalence,
severity, and risk factors in patients visiting a post-
COVID-19 outpatient clinic.
March 23, 2022
Mahomedradja RF, van den Beukel TO, van den Bos M, et al. Prescribing errors in post - COVID-19
patients: prevalence, severity, and risk factors in patients v…
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psnet.ahrq.gov/node/42177/psn-pdf
November 23, 2016 - Failure to engage hospitalized elderly patients and their
families in advance care planning.
November 23, 2016
Heyland DK, Barwich D, Pichora D, et al. Failure to engage hospitalized elderly patients and their families
in advance care planning. JAMA Intern Med. 2013;173(9):778-787. doi:10.1001/jamainternmed.2013.18…
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psnet.ahrq.gov/node/45333/psn-pdf
September 21, 2016 - Association of inpatient hospital experience with patient
safety indicators: a cross-sectional, Canadian study.
September 21, 2016
Kemp KA, Santana MJ, Southern DA, et al. Association of inpatient hospital experience with patient safety
indicators: a cross-sectional, Canadian study. BMJ Open. 2016;6(7):e011242. doi…
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psnet.ahrq.gov/node/845631/psn-pdf
March 08, 2023 - Evaluation of policies limiting opioid exposure on opioid
prescribing and patient pain in opioid-naive patients
undergoing elective surgery in a large American health
system.
March 8, 2023
Rennert L, Howard KA, Walker KB, et al. Evaluation of policies limiting opioid exposure on opioid
prescribing and patient pai…