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psnet.ahrq.gov/issue/unintentionally-retained-foreign-objects-descriptive-study-308-sentinel-events-and
March 20, 2019 - Study
Emerging Classic
Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors.
Citation Text:
Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of 308 Sentine…
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psnet.ahrq.gov/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart-surgeons
April 03, 2013 - Study
Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons.
Citation Text:
Lee S, Park J. Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. Strat Manage J…
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psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety
August 28, 2019 - Study
Infrequent physician use of implantable cardioverter-defibrillators risks patient safety.
Citation Text:
Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.2…
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psnet.ahrq.gov/issue/medication-errors-use-allopurinol-and-colchicine-retrospective-study-national-anonymous
December 21, 2014 - Study
Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system.
Citation Text:
Mikuls TR, Curtis JR, Allison JJ, et al. Medication errors with the use of allopurinol and colchicine: a retrosp…
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psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot-study
December 10, 2014 - Study
Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study.
Citation Text:
March CA, Steiger D, Scholl G, et al. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. BMJ Open. 2013;3(4). d…
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psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician-order-entry-systems
May 27, 2011 - Review
Evaluation and certification of computerized physician order entry systems.
Citation Text:
Classen D, Avery A, Bates DW. Evaluation and certification of computerized provider order entry systems. J Am Med Inform Assoc. 2007;14(1):48-55.
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psnet.ahrq.gov/issue/uptake-technologies-designed-influence-medication-safety-canadian-hospitals
March 10, 2021 - Study
The uptake of technologies designed to influence medication safety in Canadian hospitals.
Citation Text:
Saginur M, Graham ID, Forster AJ, et al. The uptake of technologies designed to influence medication safety in Canadian hospitals. J Eval Clin Pract. 2008;14(1):27-35. doi:10.…
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psnet.ahrq.gov/issue/can-incident-reporting-improve-safety-healthcare-practitioners-views-effectiveness-incident
August 10, 2011 - Study
Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting.
Citation Text:
Anderson JE, Kodate N, Walters R, et al. Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporti…
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psnet.ahrq.gov/issue/rapid-response-team-rural-hospital
October 19, 2022 - Study
Rapid response team in a rural hospital.
Citation Text:
Brown S, Anderson MA, Hill PD. Rapid response team in a rural hospital. Clin Nurse Spec. 2012;26(2):95-102. doi:10.1097/NUR.0b013e31824590fb.
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psnet.ahrq.gov/issue/computerized-ecg-friend-and-foe
December 04, 2024 - Review
Emerging Classic
The computerized ECG: friend and foe.
Citation Text:
Smulyan H. The Computerized ECG: Friend and Foe. Am J Med. 2019;132(2):153-160. doi:10.1016/j.amjmed.2018.08.025.
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psnet.ahrq.gov/issue/factors-associated-emergency-department-visits-and-hospital-admissions-after-invasive
August 17, 2018 - Study
Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures in the Veterans Health Administration.
Citation Text:
Mull HJ, Gellad ZF, Gupta RT, et al. Factors Associated With Emergency Department Visits and Hospital Admissions Af…
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psnet.ahrq.gov/issue/july-phenomenon-trauma-exception
January 15, 2014 - Study
The "July phenomenon": is trauma the exception?
Citation Text:
Schroeppel TJ, Fischer PE, Magnotti LJ, et al. The "July phenomenon": is trauma the exception? J Am Coll Surg. 2009;209(3):378-84. doi:10.1016/j.jamcollsurg.2009.05.026.
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psnet.ahrq.gov/issue/medical-students-raising-concerns
September 23, 2020 - Study
Medical students raising concerns.
Citation Text:
Druce MR, Hickey A, Warrens AN, et al. Medical Students Raising Concerns. J Patient Saf. 2021;17(5):e367-e372.
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psnet.ahrq.gov/issue/operating-room-clinicians-attitudes-and-perceptions-pediatric-surgical-safety-checklist-1
July 14, 2010 - Study
Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution.
Citation Text:
Norton EK, Singer SJ, Sparks W, et al. Operating Room Clinicians' Attitudes and Perceptions of a Pediatric Surgical Safety Checklist at 1 Institution. J Pa…
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psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality
July 19, 2023 - Study
Classic
The role of anesthesia in surgical mortality.
Citation Text:
DRIPPS RD, LAMONT A, ECKENHOFF JE. The role of anesthesia in surgical mortality. JAMA. 1961;178:261-6.
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psnet.ahrq.gov/issue/teaching-hospital-financial-status-and-patient-outcomes-following-acgme-duty-hour-reform
November 26, 2014 - Study
Teaching hospital financial status and patient outcomes following ACGME duty hour reform.
Citation Text:
Navathe AS, Silber JH, Small DS, et al. Teaching hospital financial status and patient outcomes following ACGME duty hour reform. Health Serv Res. 2013;48(2 Pt 1):476-98. doi:…
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psnet.ahrq.gov/issue/prolonged-hospital-stay-and-resident-duty-hour-rules-2003
February 18, 2011 - Study
Prolonged hospital stay and the resident duty hour rules of 2003.
Citation Text:
Silber JH, Rosenbaum PR, Rosen AK, et al. Prolonged Hospital Stay and the Resident Duty Hour Rules of 2003. Med Care. 2009;47(12). doi:10.1097/mlr.0b013e3181adcbff.
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psnet.ahrq.gov/issue/safer-and-more-appropriate-opioid-prescribing-large-healthcare-systems-comprehensive-approach
June 10, 2020 - Study
Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach.
Citation Text:
Losby JL, Hyatt JD, Kanter MH, et al. Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. J Eval Clin Pract. 2017;23(6):1…
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psnet.ahrq.gov/issue/hospital-and-procedure-incidence-pediatric-retained-surgical-items
December 02, 2020 - Study
Hospital and procedure incidence of pediatric retained surgical items.
Citation Text:
Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054.
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psnet.ahrq.gov/issue/effort-improve-electronic-health-record-medication-list-accuracy-between-visits-patients-and
May 15, 2024 - Study
An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response.
Citation Text:
Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list accuracy between visits: patients' a…