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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/biasing-influence-mental-shortcuts-diagnostic-decision-making-radiologists-can-overlook
April 07, 2021 - Study
Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available.
Citation Text:
Branch F, Santana I, Hegdé J. Biasing influence of 'mental shortcuts' on diagnostic decision-ma…
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psnet.ahrq.gov/issue/best-practices-chemotherapy-administration-pediatric-oncology-quality-and-safety-process
September 23, 2020 - Commentary
Best practices for chemotherapy administration in pediatric oncology: quality and safety process improvements (2015).
Citation Text:
Looper K, Winchester K, Robinson D, et al. Best Practices for Chemotherapy Administration in Pediatric Oncology: Quality and Safety Process Impr…
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psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
June 21, 2017 - Study
An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system.
Citation Text:
Hagley GW, Mills PD, Shiner B, et al. An Analysis of Adverse Events in the Rehabilitation Department: Using the Veterans Affairs Root Cause Analysis…
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psnet.ahrq.gov/issue/effects-enhanced-discharge-planning-intervention-hospitalized-older-adults-randomized-trial
September 21, 2016 - Study
Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial.
Citation Text:
Altfeld SJ, Shier GE, Rooney M, et al. Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Gerontologist.…
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psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative
June 14, 2023 - Study
Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care.
Citation Text:
Fredheim OMS, Klingenberg E, Lindahl AK. Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. J Palliat Med.…
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psnet.ahrq.gov/issue/disclosure-and-reporting-surgical-complications-double-edged-sword
December 21, 2014 - Study
Disclosure and reporting of surgical complications: a double-edged sword?
Citation Text:
Stahel PF, Flierl MA, Smith WR, et al. Disclosure and reporting of surgical complications: a double-edged sword? Am J Med Qual. 2010;25(5):398-401. doi:10.1177/1062860610370989.
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psnet.ahrq.gov/issue/overlapping-surgery-orthopaedics-review-efficacy-surgical-costs-surgical-outcomes-and-patient
November 03, 2021 - Review
Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety.
Citation Text:
Ahmed M, Suhrawardy A, Olszewski A, et al. Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient saf…
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psnet.ahrq.gov/issue/weekend-and-night-outcomes-statewide-trauma-system
November 16, 2022 - Study
Weekend and night outcomes in a statewide trauma system.
Citation Text:
Carr BG, Reilly PM, Schwab W, et al. Weekend and night outcomes in a statewide trauma system. Arch Surg. 2011;146(7):810-7. doi:10.1001/archsurg.2011.60.
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psnet.ahrq.gov/issue/ed-handoffs-observed-practices-and-communication-errors
October 19, 2022 - Study
ED handoffs: observed practices and communication errors.
Citation Text:
Maughan BC, Lei L, Cydulka RK. ED handoffs: observed practices and communication errors. Am J Emerg Med. 2011;29(5):502-11. doi:10.1016/j.ajem.2009.12.004.
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DOI Google Scho…
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psnet.ahrq.gov/issue/racialethnic-disparities-interhospital-transfer-conditions-mortality-benefit-transfer-among
April 14, 2021 - Study
Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare.
Citation Text:
Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare.…
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psnet.ahrq.gov/issue/defining-minimum-necessary-anticoagulation-related-communication-discharge-consensus-care
March 04, 2020 - Study
Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition.
Citation Text:
Triller D, Myrka A, Gassler J, et al. Defining Minimum Necessary Anticoagulation-Related Commu…
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psnet.ahrq.gov/issue/parental-preferences-error-disclosure-reporting-and-legal-action-after-medical-error-care
May 24, 2010 - Study
Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children.
Citation Text:
Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and legal action after medical error in the c…
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psnet.ahrq.gov/issue/survey-outpatient-internal-medicine-clinician-perceptions-diagnostic-error
February 12, 2020 - Study
A survey of outpatient internal medicine clinician perceptions of diagnostic error.
Citation Text:
Matulis JC, Kok SN, Dankbar EC, et al. A survey of outpatient Internal Medicine clinician perceptions of diagnostic error. Diagnosis. 2020;7(2):107-114. doi:10.1515/dx-2019-0070.
Co…
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psnet.ahrq.gov/issue/triad-xii-are-patients-aware-and-agree-dnr-or-polst-orders-their-medical-records
September 15, 2021 - Study
TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records.
Citation Text:
Mirarchi FL, Juhasz K, Cooney TE, et al. TRIAD XII: Are Patients Aware of and Agree With DNR or POLST Orders in Their Medical Records. J Patient Saf. 2019;15(3):230-237. doi…
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psnet.ahrq.gov/issue/impact-rapid-response-team-outcome-patients-transferred-ward-icu-single-center-study
May 27, 2011 - Study
The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-center study.
Citation Text:
Karpman C, Keegan MT, Jensen J, et al. The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-cent…
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psnet.ahrq.gov/issue/identifying-risks-and-opportunities-outpatient-surgical-patient-safety-qualitative-analysis
November 10, 2010 - Study
Identifying risks and opportunities in outpatient surgical patient safety: a qualitative analysis of Veterans Health Administration staff perceptions.
Citation Text:
Mull HJ, Rosen AK, Charns MP, et al. Identifying Risks and Opportunities in Outpatient Surgical Patient Safety: A Qu…
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psnet.ahrq.gov/issue/diagnostic-discrepancies-emergency-department-retrospective-study
October 04, 2023 - Study
Diagnostic discrepancies in the emergency department: a retrospective study.
Citation Text:
Schols LA, Maranus ME, Rood PPM, et al. Diagnostic discrepancies in the emergency department: a retrospective study. J Patient Saf. 2024;20(6):420-425. doi:10.1097/pts.0000000000001252.
Co…
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psnet.ahrq.gov/issue/expressing-concern-and-writing-it-down-experimental-study-investigating-transfer-information
November 17, 2014 - Study
Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover.
Citation Text:
Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing …
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psnet.ahrq.gov/issue/identifying-critically-ill-patients-risk-inappropriate-antibiotic-therapy-pilot-study-point
August 02, 2011 - Study
Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot study of a point-of-care decision support alert.
Citation Text:
Micek ST, Heard KM, Gowan M, et al. Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot st…