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psnet.ahrq.gov/issue/top-six-standardized-safety-practices-us-army-medical-department-treatment-facilities
March 18, 2020 - Study
The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide.
Citation Text:
Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Car…
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psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis
February 23, 2019 - Study
Classic
The business case for quality: case studies and an analysis.
Citation Text:
Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis. Health Aff (Millwood). 2003;22(2):17-30.
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psnet.ahrq.gov/issue/medication-report-reduces-number-medication-errors-when-elderly-patients-are-discharged
February 04, 2009 - Study
Medication report reduces number of medication errors when elderly patients are discharged from hospital.
Citation Text:
Midlöv P, Holmdahl L, Eriksson T, et al. Medication report reduces number of medication errors when elderly patients are discharged from hospital. Pharm World…
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psnet.ahrq.gov/issue/pain-states-opioid-epidemic-and-role-radiologists
September 01, 2013 - Review
Pain states, the opioid epidemic, and the role of radiologists.
Citation Text:
Jones MR, Kaye AD, Manchikanti L, et al. Pain States, the Opioid Epidemic, and the Role of Radiologists. Curr Pain Headache Rep. 2018;22(3):20. doi:10.1007/s11916-018-0672-x.
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psnet.ahrq.gov/issue/how-do-patients-want-physicians-handle-mistakes-survey-internal-medicine-patients-academic
September 23, 2020 - Study
Classic
How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting.
Citation Text:
Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of internal medicine pat…
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psnet.ahrq.gov/issue/relationship-between-patient-safety-climate-and-standard-precaution-adherence-systematic
February 13, 2019 - Review
Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature.
Citation Text:
Hessels AJ, Larson EL. Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. J Hosp …
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psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medication-use-older-adults
September 02, 2015 - Commentary
Clinical alerts to decrease high-risk medication use in older adults.
Citation Text:
Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04.
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psnet.ahrq.gov/issue/postoperative-sepsis-united-states
January 12, 2022 - Study
Postoperative sepsis in the United States.
Citation Text:
Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg. 2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e.
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psnet.ahrq.gov/issue/seen-through-patients-eyes-surgical-safety-and-checklists
May 16, 2018 - Study
Seen through the patients' eyes: surgical safety and checklists.
Citation Text:
Bergs J, Lambrechts F, Desmedt M, et al. Seen through the patients' eyes: surgical safety and checklists. Int J Qual Health Care. 2018;30(2):118-123. doi:10.1093/intqhc/mzx180.
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psnet.ahrq.gov/issue/patient-safety-climate-us-hospitals-variation-management-level
November 18, 2009 - Study
Classic
Patient safety climate in US hospitals: variation by management level.
Citation Text:
Singer SJ, Falwell A, Gaba DM, et al. Patient safety climate in US hospitals: variation by management level. Med Care. 2008;46(11):1149-56. doi:10.1097/MLR.0b013e…
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psnet.ahrq.gov/issue/lawrence-d-dorr-surgical-techniques-technologies-award-running-two-rooms-does-not-compromise
July 29, 2020 - Study
The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty.
Citation Text:
Hamilton WG, Ho H, Parks NL, et al. The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running Two Ro…
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psnet.ahrq.gov/issue/increasing-medication-error-reporting-rates-while-reducing-harm-through-simultaneous-cultural
April 24, 2018 - Study
Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit.
Citation Text:
Abstoss KM, Shaw BE, Owens TA, et al. Increasing medication error reporting rates while reducing harm through sim…
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-intensive-care-units-prospective
March 29, 2012 - Study
Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter study.
Citation Text:
Benkirane RR, Abouqal R, R-Abouqal R, et al. Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter s…
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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/healthcare-professional-and-patient-codesign-and-validation-mechanism-service-users-feedback
January 08, 2020 - Study
Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study.
Citation Text:
Scott J, Heavey E, Waring J, et al. Healthcare professional and patient codesign and va…
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psnet.ahrq.gov/issue/improving-organizational-climate-quality-and-quality-care-does-membership-collaborative-help
December 14, 2016 - Study
Improving organizational climate for quality and quality of care: does membership in a collaborative help?
Citation Text:
Nembhard IM, Northrup V, Shaller D, et al. Improving organizational climate for quality and quality of care: does membership in a collaborative help? Med Car…
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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/patient-harm-events-and-associated-cost-outcomes-reported-patient-safety-organization
July 18, 2017 - Study
Patient harm events and associated cost outcomes reported to a patient safety organization.
Citation Text:
Miller S, Stockwell DC. Patient harm events and associated cost outcomes reported to a patient safety organization. J Patient Saf. 2024;20(7):e92-e96. doi:10.1097/pts.00000000…
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psnet.ahrq.gov/issue/graduating-pediatrics-residents-reports-impact-fatigue-over-past-decade-duty-hour-changes
July 21, 2010 - Study
Graduating pediatrics residents' reports on the impact of fatigue over the past decade of duty hour changes.
Citation Text:
Schumacher DJ, Frintner MP, Winn A, et al. Graduating Pediatrics Residents' Reports on the Impact of Fatigue Over the Past Decade of Duty Hour Changes. Acad P…
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psnet.ahrq.gov/issue/crossing-communication-chasm-challenges-and-opportunities-transitions-care-hospital-primary
October 23, 2024 - Study
Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic.
Citation Text:
Rattray NA, Sico JJ, Cox LAM, et al. Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hos…