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psnet.ahrq.gov/issue/factors-associated-malpractice-claim-payout-analysis-closed-emergency-department-claims
May 18, 2022 - Study
Factors associated with malpractice claim payout: an analysis of closed emergency department claims.
Citation Text:
Gupta K, Szymonifka J, Rivadeneira NA, et al. Factors associated with malpractice claim payout: an analysis of closed emergency department claims. Jt Comm J Qual Pati…
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psnet.ahrq.gov/issue/what-causes-medication-administration-errors-mental-health-hospital-qualitative-study-nursing
March 11, 2020 - Study
What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff.
Citation Text:
Keers RN, Plácido M, Bennett K, et al. What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. …
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psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-involving-opioid-overdoses-veterans-health-administration
November 17, 2021 - Study
Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration.
Citation Text:
Norris B, Soncrant C, Mills PD, et al. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. Jt Comm J Qual Patie…
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psnet.ahrq.gov/issue/comprehensive-departmental-care-review-model-requirements-structure-and-flow
July 06, 2022 - Commentary
A comprehensive departmental care review model: requirements, structure, and flow.
Citation Text:
Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model: requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509. d…
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psnet.ahrq.gov/issue/incomplete-ehr-adoption-late-uptake-patient-safety-and-cost-control-functions
July 25, 2011 - Commentary
Incomplete EHR adoption: late uptake of patient safety and cost control functions.
Citation Text:
Menachemi N, Ford E, Beitsch LM, et al. Incomplete EHR adoption: late uptake of patient safety and cost control functions. Am J Med Qual. 2007;22(5):319-26.
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psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient-safety
May 25, 2016 - Study
"Near miss": a mixed-methods analysis of medical student assignments in patient safety.
Citation Text:
Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000…
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psnet.ahrq.gov/issue/anticipated-consequences-2011-duty-hours-standards-views-internal-medicine-and-surgery
August 22, 2018 - Study
Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors.
Citation Text:
Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program dire…
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psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
November 30, 2022 - Study
Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE.
Citation Text:
Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.…
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psnet.ahrq.gov/issue/new-graduate-registered-nurses-risk-mitigation-strategies-ensure-safety-and-successful
September 28, 2022 - Commentary
New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice.
Citation Text:
Smith CJ, DesRoches SL, Street NW, et al. New graduate registered nurses: risk mitigation strategies to ensure safety and successful transition to …
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psnet.ahrq.gov/issue/implementation-patient-safety-structures-and-processes-patient-centered-medical-home
September 28, 2022 - Study
Implementation of patient safety structures and processes in the patient-centered medical home.
Citation Text:
Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in the patient-centered medical home. J Healthc Qual. 2021;43(6):…
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psnet.ahrq.gov/issue/prescribing-patterns-heart-failure-exacerbating-medications-following-heart-failure
January 26, 2022 - Study
Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization.
Citation Text:
Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. JACC H…
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psnet.ahrq.gov/issue/safety-participation-direct-care-level-results-patient-questionnaire
August 26, 2020 - Study
Safety participation at the direct care level: results of a patient questionnaire.
Citation Text:
Duhn L, Gumapac N, Medves J. Safety participation at the direct care level: results of a patient questionnaire. Patient Exp J. 2021;8(1):59-68. doi:10.35680/2372-0247.1506.
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psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
February 15, 2011 - Study
Detection of adverse events in surgical patients using the Trigger Tool approach.
Citation Text:
Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080.
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psnet.ahrq.gov/issue/laboratory-safety-monitoring-chronic-medications-ambulatory-care-settings
January 06, 2017 - Study
Laboratory safety monitoring of chronic medications in ambulatory care settings.
Citation Text:
Hurley JS, Roberts M, Solberg LI, et al. Brief report: Laboratory safety monitoring of chronic medications in ambulatory care settings. J Gen Intern Med. 2005;20(4). doi:10.1111/j.1525…
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psnet.ahrq.gov/issue/impact-80-hour-work-week-appropriate-resident-case-coverage
June 18, 2008 - Study
The impact of the 80-hour work week on appropriate resident case coverage.
Citation Text:
Shin S, Britt R, Doviak M, et al. The Impact of the 80-Hour Work Week on Appropriate Resident Case Coverage. Journal of Surgical Research. 2009;162(1). doi:10.1016/j.jss.2009.12.003.
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psnet.ahrq.gov/issue/health-care-quality-and-safety-correctional-system-creating-goals-and-performance-measures
May 18, 2022 - Commentary
Health care quality and safety in a correctional system: creating goals and performance measures for improvement.
Citation Text:
Neely J, Sampath R, Kirkbride G, et al. Health care quality and safety in a correctional system: creating goals and performance measures for improve…
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psnet.ahrq.gov/issue/surgical-teams-attitudes-about-surgical-safety-and-surgical-safety-checklist-10-years
March 17, 2021 - Study
Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey.
Citation Text:
Urban D, Burian BK, Patel K, et al. Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational s…
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psnet.ahrq.gov/issue/what-are-implications-patient-safety-and-experience-major-healthcare-it-breakdown-qualitative
December 14, 2022 - Study
What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study.
Citation Text:
Scantlebury A, Sheard L, Fedell C, et al. What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitativ…
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psnet.ahrq.gov/issue/tallman-lettering-strategy-differentiation-look-alike-sound-alike-drug-names-role-familiarity
May 27, 2020 - Study
Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers.
Citation Text:
DeHenau C, Becker MW, Bello NM, et al. Tallman lettering as a strategy for differentiation in look-alike, sound-a…
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psnet.ahrq.gov/issue/adverse-drug-events-and-medication-problems-hospital-home-patients
December 16, 2020 - Study
Adverse drug events and medication problems in "Hospital at Home" patients.
Citation Text:
Mann E, Zepeda O, Soones T, et al. Adverse drug events and medication problems in "Hospital at Home" patients. Home Health Care Serv Q. 2018;37(3):177-186. doi:10.1080/01621424.2018.1454372. …