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psnet.ahrq.gov/issue/data-driven-quality-improvement-culture-change-and-high-reliability-journey-special-hospital
March 24, 2021 - Commentary
Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities.
Citation Text:
Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high relia…
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psnet.ahrq.gov/issue/wrong-site-surgery-california-2007-2014
July 27, 2023 - Study
Wrong-site surgery in California, 2007–2014.
Citation Text:
Moshtaghi O, Haidar YM, Sahyouni R, et al. Wrong-site surgery in California, 2007-2014. Otolaryngol Head Neck Surg. 2017;157(1):48-52. doi:10.1177/0194599817693226.
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psnet.ahrq.gov/issue/emergency-medicine-physicians-perspectives-diagnostic-accuracy-neurology-qualitative-study
July 21, 2021 - Study
Emergency medicine physicians' perspectives on diagnostic accuracy in neurology: a qualitative study.
Citation Text:
Liberman AL, Cheng NT, Friedman BW, et al. Emergency medicine physicians’ perspectives on diagnostic accuracy in neurology: a qualitative study. Diagnosis (Berl). 20…
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psnet.ahrq.gov/issue/flow-information-contributing-medication-incidents-home-care-analysis-considering-incident
May 01, 2024 - Study
Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives.
Citation Text:
Vellonen M, Härkänen M, Välimäki T. Flow of information contributing to medication incidents in home care— an analysis considering inciden…
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psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts-medical-mishaps
February 12, 2020 - Study
Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps.
Citation Text:
Schlesinger M, Dhingra I, Fain BA, et al. Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. BMJ Open Qual. 2024;13(3):e002848. …
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psnet.ahrq.gov/issue/where-trust-flourishes-perceptions-clinicians-who-trust-their-organizations-and-are-trusted
March 15, 2023 - Study
Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients.
Citation Text:
Linzer M, Neprash HT, Brown RL, et al. Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients…
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-curriculum-outline-patient-safety-and
September 22, 2021 - Organizational Policy/Guidelines
Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows.
Citation Text:
Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and qua…
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psnet.ahrq.gov/issue/patterns-opioid-administration-among-opioid-naive-inpatients-and-associations-postdischarge
November 05, 2008 - Study
Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study.
Citation Text:
Donohue JM, Kennedy JN, Seymour CW, et al. Patterns of Opioid Administration Among Opioid-Naive Inpatients and Associations With Postdischa…
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psnet.ahrq.gov/issue/effect-warning-symbols-combination-education-frequency-erroneously-crushing-medication
March 04, 2011 - Study
Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study.
Citation Text:
van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on th…
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psnet.ahrq.gov/issue/demonstrating-value-postgraduate-fellowships-physicians-quality-improvement-and-patient
November 04, 2015 - Study
Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety.
Citation Text:
Myers JS, Lane-Fall MB, Perfetti AR, et al. Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. BMJ…
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psnet.ahrq.gov/issue/identifying-systems-failures-pathway-catastrophic-event-analysis-national-incident-report
January 22, 2014 - Study
Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids.
Citation Text:
Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic event: an analysis …
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psnet.ahrq.gov/issue/whistleblowing-over-patient-safety-and-care-quality-review-literature
April 08, 2019 - Review
Emerging Classic
Whistleblowing over patient safety and care quality: a review of the literature.
Citation Text:
Blenkinsopp J, Snowden N, Mannion R, et al. Whistleblowing over patient safety and care quality: a review of the literature. J Health Org Mana…
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psnet.ahrq.gov/issue/national-survey-effect-oncology-drug-shortages-cancer-care
April 22, 2015 - Study
National survey on the effect of oncology drug shortages on cancer care.
Citation Text:
McBride A, Holle LM, Westendorf C, et al. National survey on the effect of oncology drug shortages on cancer care. Am J Health Syst Pharm. 2013;70(7):609-17. doi:10.2146/ajhp120563.
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psnet.ahrq.gov/issue/validation-primary-care-patient-measure-safety-pc-pmos-questionnaire
June 25, 2014 - Study
Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire.
Citation Text:
Giles SJ, Parveen S, Hernan AL. Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. BMJ Qual Saf. 2019;28(5):389-396. doi:10.1136/bmjqs-2018-007988.
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psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology
July 23, 2014 - Study
Medication reconciliation in ambulatory oncology.
Citation Text:
Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual Patient Saf. 2007;33(12):750-7.
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psnet.ahrq.gov/issue/dilemma-patient-safety-work-perceptions-hospital-middle-managers
February 03, 2015 - Study
The dilemma of patient safety work: perceptions of hospital middle managers.
Citation Text:
Sanner M, Halford C, Vengberg S, et al. The dilemma of patient safety work: Perceptions of hospital middle managers. J Healthc Risk Manag. 2018;38(2):47-55. doi:10.1002/jhrm.21325.
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psnet.ahrq.gov/issue/residency-work-hours-reform-cost-analysis-including-preventable-adverse-events
August 05, 2015 - Study
Residency work-hours reform: a cost analysis including preventable adverse events.
Citation Text:
Nuckols TK, Escarce JJ. Residency work-hours reform. A cost analysis including preventable adverse events. J Gen Intern Med. 2005;20(10):873-8.
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psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study
March 04, 2020 - Study
Identifying unintended consequences of quality indicators: a qualitative study.
Citation Text:
Lester HE, Hannon KL, Campbell S. Identifying unintended consequences of quality indicators: a qualitative study. BMJ Qual Saf. 2011;20(12):1057-61. doi:10.1136/bmjqs.2010.048371.
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psnet.ahrq.gov/issue/swimming-against-tide-primary-care-physicians-views-deprescribing-everyday-practice
March 15, 2023 - Study
Swimming against the tide: primary care physicians' views on deprescribing in everyday practice.
Citation Text:
Wallis KA, Andrews A, Henderson M. Swimming Against the Tide: Primary Care Physicians’ Views on Deprescribing in Everyday Practice. Ann Fam Med. 2017;15(4):341-346. doi:1…
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psnet.ahrq.gov/issue/chemotherapy-errors-call-standardized-approach-measurement-and-reporting
October 28, 2020 - Commentary
Chemotherapy errors: a call for a standardized approach to measurement and reporting.
Citation Text:
Lennes IT, Bohlen N, Park ER, et al. Chemotherapy Errors: A Call for a Standardized Approach to Measurement and Reporting. J Oncol Pract. 2016;12(4):e495-501. doi:10.1200/JOP.2…