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psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national
March 04, 2011 - Review
The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop.
Citation Text:
Chou R, Turner JA, Devine EB, et al. The effectiveness and risks of long-term opioid therapy for chroni…
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psnet.ahrq.gov/issue/identifying-potential-predictors-safe-attending-physician-workload-survey-hospitalists
December 21, 2014 - Study
Identifying potential predictors of a safe attending physician workload: a survey of hospitalists.
Citation Text:
Michtalik HJ, Pronovost P, Marsteller JA, et al. Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. J Hosp Med. 2013;8…
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psnet.ahrq.gov/issue/us-internal-medicine-program-director-perceptions-alignment-graduate-medical-education-and
July 02, 2014 - Study
US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety.
Citation Text:
Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of Ali…
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psnet.ahrq.gov/issue/assessing-legislative-potential-institute-error-transparency-state-comparison-malpractice
March 12, 2014 - Study
Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates.
Citation Text:
Perez B, DiDona T. Assessing Legislative Potential to Institute Error Transparency: A State Comparison of Malpractice Claims Rates. Journal For Healthcare…
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psnet.ahrq.gov/issue/study-deaths-associated-anesthesia-and-surgery-based-study-599-548-anesthesias-ten
August 04, 2021 - Study
Classic
Study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias in ten institutions 1948-1952, inclusive.
Citation Text:
BEECHER HK, TODD DP. A study of the deaths associated with anesthesia and surgery: based…
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psnet.ahrq.gov/issue/identification-errors-involving-clinical-laboratories-college-american-pathologists-q-probes
February 15, 2010 - Study
Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions.
Citation Text:
Pathologists C of A, Valenstein PN, Raab SS, et al. Identification errors involving clinical …
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psnet.ahrq.gov/issue/specimen-labeling-errors-q-probes-analysis-147-clinical-laboratories
February 15, 2010 - Study
Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories.
Citation Text:
Wagar EA, Stankovic AK, Raab SS, et al. Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Arch Pathol Lab Med. 2008;132(10):1617-22. doi:10.1043/1543-2165(2008)…
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psnet.ahrq.gov/issue/establishing-multi-institutional-quality-and-patient-safety-consortium-collaboration-across
June 24, 2009 - Commentary
Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school.
Citation Text:
Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium: collab…
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psnet.ahrq.gov/issue/remote-assessment-real-world-surgical-safety-checklist-performance-using-or-black-box-multi
March 17, 2021 - Study
Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-institutional evaluation.
Citation Text:
Riley MS, Etheridge J, Palter V, et al. Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a mul…
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psnet.ahrq.gov/issue/using-online-quiz-based-reinforcement-system-teach-healthcare-quality-and-patient-safety-and
December 07, 2011 - Study
Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California.
Citation Text:
Shaikh U, Afsar-Manesh N, Amin AN, et al. Using an online quiz-based reinforcement system to teach healthcare quality …
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psnet.ahrq.gov/issue/promises-project
January 30, 2019 - Multi-use Website
The PROMISES Project.
Citation Text:
The PROMISES Project. Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health…
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psnet.ahrq.gov/issue/does-lean-management-improve-patient-safety-culture-extensive-evaluation-safety-culture
December 05, 2018 - Study
Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute.
Citation Text:
Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiot…
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psnet.ahrq.gov/issue/clinical-communities-johns-hopkins-medicine-emerging-approach-quality-improvement
November 16, 2022 - Commentary
Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement.
Citation Text:
Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;…
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psnet.ahrq.gov/node/40932/psn-pdf
July 05, 2016 - Health IT and Patient Safety: Building Safer Systems for
Better Care.
July 5, 2016
Committee on Patient Safety and Health Information Technology, Board on Health Care Services, Institute
of Medicine. Washington, DC: National Academies Press; 2011. ISBN: 9780309221122.
https://psnet.ahrq.gov/issue/health-it-and-pat…
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psnet.ahrq.gov/node/851053/psn-pdf
June 28, 2023 - In situ simulation as a quality improvement tool to identify
and mitigate latent safety threats for emergency
department SARS-CoV-2 airway management: a multi-
institutional initiative.
June 28, 2023
Yang CJ, Saggar V, Seneviratne N, et al. In situ simulation as a quality improvement tool to identify and
mitigate…
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psnet.ahrq.gov/node/41924/psn-pdf
April 05, 2013 - Disclosure-and-resolution programs that include
generous compensation offers may prompt a complex
patient response.
April 5, 2013
Murtagh L, Gallagher TH, Andrew P, et al. Disclosure-and-resolution programs that include generous
compensation offers may prompt a complex patient response. Health Aff (Millwood). 2012…
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psnet.ahrq.gov/node/41935/psn-pdf
December 19, 2012 - Results of an effort to integrate quality and safety into
medical and nursing school curricula and foster joint
learning.
December 19, 2012
Headrick LA, Barton AJ, Ogrinc G, et al. Results of an effort to integrate quality and safety into medical and
nursing school curricula and foster joint learning. Health Aff (…
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psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - Especially in a patient unknown to the institution, a comprehensive evaluation should be completed, including
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psnet.ahrq.gov/node/40048/psn-pdf
December 01, 2010 - Temporal trends in rates of patient harm resulting from
medical care.
December 1, 2010
Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical
care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJMsa1004404.
https://psnet.ahrq.gov/issue/temporal-trends-rates-pati…
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psnet.ahrq.gov/node/45395/psn-pdf
August 10, 2016 - Adverse inpatient outcomes during the transition to a new
electronic health record system: observational study.
August 10, 2016
Barnett ML, Mehrotra A, Jena AB. Adverse inpatient outcomes during the transition to a new electronic
health record system: observational study. BMJ. 2016;354:i3835. doi:10.1136/bmj.i3835.…