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psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient
December 01, 2011 - Study
Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes.
Citation Text:
DiCuccio MH, Colbert AM, Triolo PK, et al. Cracking the Code for Quality. J Nurs Admin. 2020;50(3):152-158. doi:10.1097/nna.0000000000000859.
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psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during-hospitalization
February 27, 2009 - Study
Classic
Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization.
Citation Text:
Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. …
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psnet.ahrq.gov/issue/organization-specific-and-modifiable-inpatient-safety-composite-measure
June 14, 2023 - Commentary
An organization-specific and modifiable inpatient safety composite measure.
Citation Text:
Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005.
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psnet.ahrq.gov/issue/perceptual-gaps-between-clinicians-and-technologists-health-information-technology-related
March 11, 2020 - Study
Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study.
Citation Text:
Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.html
August 01, 2022 - CANDOR Event Checklist
AHRQ Communication and Optimal Resolution Toolkit
Purpose: To provide a checklist for the required actions that need to be taken following an event.
Who should use this tool? The Communication and Optimal Resolution (CANDOR) Response Team or designee, unless otherwise indicated.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
April 01, 2016 - Purpose: To provide a checklist for the required actions that need to be taken following an event.
Who should use this tool? The Communication and Optimal Resolution Toolkit (CANDOR) Response Team or
designee, unless otherwise indicated.
How to use this tool: Use the checklist to ensure that appropriate action is t…
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psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical-errors
June 07, 2023 - Study
Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors.
Citation Text:
Lederman R, Dreyfus S, Matchan J, et al. Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Nurs Outlook. 2013…
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psnet.ahrq.gov/issue/exploring-organizational-context-and-structure-predictors-medication-errors-and-patient-falls
January 22, 2020 - Study
Exploring organizational context and structure as predictors of medication errors and patient falls.
Citation Text:
Mark BA, Hughes LC, Belyea M, et al. Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls. J Patient Saf. 2008;4(2). …
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psnet.ahrq.gov/issue/diagnostic-delays-among-covid-19-patients-second-concurrent-diagnosis
March 08, 2023 - Study
Diagnostic delays among COVID-19 patients with a second concurrent diagnosis.
Citation Text:
Freund O, Azolai L, Sror N, et al. Diagnostic delays among COVID‐19 patients with a second concurrent diagnosis. J Hosp Med. 2023;18(4):321-328. doi:10.1002/jhm.13063.
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psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals
October 31, 2011 - Study
Extent of diagnostic agreement among medical referrals.
Citation Text:
Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747.
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psnet.ahrq.gov/issue/working-influenza-illness-presenteeism-among-us-health-care-personnel-during-2014-2015
July 19, 2023 - Study
Working with influenza-like illness: presenteeism among US health care personnel during the 2014–2015 influenza season.
Citation Text:
Chiu S, Black CL, Yue X, et al. Working with influenza-like illness: Presenteeism among US health care personnel during the 2014-2015 influenza sea…
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psnet.ahrq.gov/issue/unplanned-return-theater-quality-care-and-risk-management-index
August 20, 2018 - Study
Unplanned return to theater: a quality of care and risk management index?
Citation Text:
Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013.
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psnet.ahrq.gov/node/73874/psn-pdf
September 29, 2021 - The generalizability of a medication administration
discrepancy detection system: quantitative comparative
analysis
September 29, 2021
Kirkendall E, Huth H, Rauenbuehler B, et al. The generalizability of a medication administration
discrepancy detection system: quantitative comparative analysis. JMIR Med Inform. 2…
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psnet.ahrq.gov/issue/using-risk-stratification-reduce-medical-errors-cervical-cancer-prevention
September 05, 2012 - Commentary
Using risk stratification to reduce medical errors in cervical cancer prevention.
Citation Text:
Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed…
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psnet.ahrq.gov/issue/are-online-patient-reviews-associated-health-care-outcomes-systematic-review-literature
September 16, 2020 - Review
Are online patient reviews associated with health care outcomes? A systematic review of the literature.
Citation Text:
Placona AM, Rathert C. Are online patient reviews associated with health care outcomes? A systematic review of the literature. Med Care Res Rev. 2022;79(1):3-16. …
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psnet.ahrq.gov/issue/establishing-ambulatory-medicine-quality-and-safety-oversight-structure-leveraging-fractal
July 01, 2017 - Commentary
Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model.
Citation Text:
Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model. Acad Med. 20…
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psnet.ahrq.gov/issue/medication-errors-care-transition-trauma-patients
September 02, 2020 - Study
Medication errors in the care transition of trauma patients
Citation Text:
Martín Mª ÁP, García MM, Silveira ED, et al. Medication errors in the care transition of trauma patients. Eur J Clin Pharmacol. 2019;75(12):1739-1746. doi:10.1007/s00228-019-02757-3.
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psnet.ahrq.gov/issue/hospital-admissions-associated-medication-non-adherence-systematic-review-prospective
August 28, 2013 - Review
Emerging Classic
Hospital admissions associated with medication non-adherence: a systematic review of prospective observational studies.
Citation Text:
Mongkhon P, Ashcroft DM, Scholfield N, et al. Hospital admissions associated with medication non-adhere…
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psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system
December 20, 2023 - Study
A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice.
Citation Text:
Pan D, Nilsson E, Rahman Jabin MS. A review of incidents related to health information technology in Sw…
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psnet.ahrq.gov/issue/patient-safety-strategies-psychiatry-and-how-they-construct-notion-preventable-harm-scoping
November 10, 2021 - Review
Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review.
Citation Text:
Svensson J. Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. J Patient Saf. 2022;18(3):24…