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psnet.ahrq.gov/issue/blending-evidence-and-innovation-improving-intershift-handoffs-multihospital-setting
September 23, 2017 - Commentary
Blending evidence and innovation: improving intershift handoffs in a multihospital setting.
Citation Text:
Thomas L, Donohue-Porter P. Blending evidence and innovation: improving intershift handoffs in a multihospital setting. J Nurs Care Qual. 2012;27(2):116-24. doi:10.1097…
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psnet.ahrq.gov/issue/interruptions-emergency-department-work-observational-and-interview-study
September 29, 2021 - Study
Interruptions in emergency department work: an observational and interview study.
Citation Text:
Berg LM, Källberg A-S, Göransson KE, et al. Interruptions in emergency department work: an observational and interview study. BMJ Qual Saf. 2013;22(8):656-63. doi:10.1136/bmjqs-2013-001…
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psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system-advanced-electronic
August 04, 2021 - Study
Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record.
Citation Text:
Gordon JRS, Wahls TL, Carlos RC, et al. Failure to recognize newly identified aortic dilations in a health care system with an advanced electro…
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psnet.ahrq.gov/issue/engaging-front-line-tapping-hospital-wide-quality-and-safety-initiatives
March 20, 2019 - Commentary
Engaging the front line: tapping into hospital-wide quality and safety initiatives.
Citation Text:
Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:1…
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psnet.ahrq.gov/issue/wrong-site-nerve-blocks-systematic-literature-review-guide-principles-prevention
July 22, 2020 - Review
Wrong-site nerve blocks: a systematic literature review to guide principles for prevention.
Citation Text:
Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.10…
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psnet.ahrq.gov/issue/matching-identifiers-electronic-health-records-implications-duplicate-records-and-patient
October 13, 2015 - Study
Matching identifiers in electronic health records: implications for duplicate records and patient safety.
Citation Text:
McCoy AB, Wright A, Kahn MG, et al. Matching identifiers in electronic health records: implications for duplicate records and patient safety. BMJ Qual Saf. 20…
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psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery
September 09, 2015 - Review
Applying fault tree analysis to the prevention of wrong-site surgery.
Citation Text:
Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062.
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psnet.ahrq.gov/issue/radiologist-age-and-diagnostic-errors
March 02, 2022 - Study
Radiologist age and diagnostic errors.
Citation Text:
Lamoureux C, Hanna TN, Callaway E, et al. Radiologist age and diagnostic errors. Emerg Radiol. 2023;30(5):577-587. doi:10.1007/s10140-023-02158-1.
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psnet.ahrq.gov/issue/every-error-treasure-improving-medication-use-nonpunitive-reporting-system
August 17, 2016 - Study
Every error a treasure: improving medication use with a nonpunitive reporting system.
Citation Text:
Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.…
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psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
November 14, 2011 - Regulation
Medical malpractice claims by members of the uniformed services.
Citation Text:
Medical malpractice claims by members of the uniformed services. Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215.
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psnet.ahrq.gov/issue/comparison-physician-and-computer-diagnostic-accuracy
November 03, 2015 - Study
Comparison of physician and computer diagnostic accuracy.
Citation Text:
Semigran HL, Levine DM, Nundy S, et al. Comparison of Physician and Computer Diagnostic Accuracy. JAMA Intern Med. 2016;176(12):1860-1861. doi:10.1001/jamainternmed.2016.6001.
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psnet.ahrq.gov/issue/sepsis-quality-safety-net-hospitals-analysis-medicares-sep-1-performance-measure
May 05, 2021 - Study
Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure.
Citation Text:
Barbash IJ, Kahn JM. Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance measure. J Crit Care. 2019;54:88-93. doi:10.1016/j.jcrc.2019.08.009. …
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psnet.ahrq.gov/issue/exploring-relationship-between-contact-frequency-leader-member-relationships-and-patient
February 10, 2021 - Study
Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture
Citation Text:
Anderson AD, Floegel TA, Hofler L, et al. Exploring the Relationship Between Contact Frequency, Leader-Member Relationships, and Patient Safety Culture. J Nu…
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psnet.ahrq.gov/issue/simulation-based-training-missing-link-lastingly-improved-patient-safety-and-health
January 17, 2024 - Review
Simulation-based training: the missing link to lastingly improved patient safety and health?
Citation Text:
Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/post…
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psnet.ahrq.gov/issue/iatrogenic-disease-management-moderating-medication-errors-and-risks-pharmacy-benefit
February 13, 2019 - Commentary
Iatrogenic disease management: moderating medication errors and risks in a pharmacy benefit management environment.
Citation Text:
Nair V, Salmon JW, Kaul AF. Iatrogenic Disease Management: Moderating Medication Errors and Risks in a Pharmacy Benefit Management Environment…
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psnet.ahrq.gov/issue/hospital-staffing-and-health-care-associated-infections-systematic-review-literature
December 23, 2020 - Review
Emerging Classic
Hospital staffing and health care–associated infections: a systematic review of the literature.
Citation Text:
Mitchell BG, Gardner A, Stone PW, et al. Hospital Staffing and Health Care-Associated Infections: A Systematic Review of the Li…
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psnet.ahrq.gov/issue/evolution-procedural-competency-internal-medicine-training
December 15, 2021 - Commentary
The evolution of procedural competency in internal medicine training.
Citation Text:
Sacks CA, Alba GA, Miloslavsky EM. The Evolution of Procedural Competency in Internal Medicine Training. JAMA Intern Med. 2017;177(12):1713-1714. doi:10.1001/jamainternmed.2017.5014.
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psnet.ahrq.gov/issue/evaluation-anonymous-system-report-medical-errors-pediatric-inpatients
April 30, 2014 - Study
Evaluation of an anonymous system to report medical errors in pediatric inpatients.
Citation Text:
Taylor JA, Brownstein D, Klein EJ, et al. Evaluation of an anonymous system to report medical errors in pediatric inpatients. J Hosp Med. 2007;2(4):226-33.
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psnet.ahrq.gov/issue/radiology-research-quality-and-safety-current-trends-and-future-needs
November 16, 2022 - Review
Radiology research in quality and safety: current trends and future needs.
Citation Text:
Zygmont ME, Itri JN, Rosenkrantz AB, et al. Radiology Research in Quality and Safety: Current Trends and Future Needs. Acad Radiol. 2017;24(3):263-272. doi:10.1016/j.acra.2016.07.021.
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psnet.ahrq.gov/issue/process-changes-increase-compliance-universal-protocol-bedside-procedures
December 01, 2014 - Study
Process changes to increase compliance with the Universal Protocol for bedside procedures.
Citation Text:
Barsuk JH, Brake H, Caprio T, et al. Process changes to increase compliance with the universal protocol for bedside procedures. Arch Intern Med. 2011;171(10):947-9. doi:10.10…