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psnet.ahrq.gov/issue/early-death-after-discharge-emergency-departments-analysis-national-us-insurance-claims-data
June 25, 2018 - Study
Classic
Early death after discharge from emergency departments: analysis of national US insurance claims data.
Citation Text:
Obermeyer Z, Cohn B, Wilson M, et al. Early death after discharge from emergency departments: analysis of national US insurance cl…
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psnet.ahrq.gov/issue/differences-hospitals-workplace-violence-incident-reporting-practices-mixed-methods-study
January 19, 2022 - Study
Differences in hospitals' workplace violence incident reporting practices: a mixed methods study.
Citation Text:
Odes R, Chapman SM, Ackerman SL, et al. Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. Policy Polit Nurs Pract. 2022;2…
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psnet.ahrq.gov/issue/engaging-patients-and-informal-caregivers-improve-safety-and-facilitate-person-and-family
March 08, 2023 - Study
Engaging patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital to home: a qualitative descriptive study.
Citation Text:
Backman C, Cho-Young D. Engaging patients and informal caregivers to improve safety …
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psnet.ahrq.gov/issue/pilot-testing-model-insurer-driven-large-scale-multicenter-simulation-training-operating-room
July 25, 2011 - Study
Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams.
Citation Text:
Arriaga AF, Gawande AA, Raemer D, et al. Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room t…
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psnet.ahrq.gov/issue/medication-administration-errors-assisted-living-scope-characteristics-and-importance-staff
July 29, 2015 - Study
Medication administration errors in assisted living: scope, characteristics, and the importance of staff training.
Citation Text:
Zimmerman S, Love K, Sloane PD, et al. Medication administration errors in assisted living: scope, characteristics, and the importance of staff traini…
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psnet.ahrq.gov/issue/locating-errors-through-networked-surveillance-multimethod-approach-peer-assessment-hazard
May 24, 2012 - Study
Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery.
Citation Text:
Thompson DA, Marsteller JA, Pronovost P, et al. Locating Errors Through Networked Survei…
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psnet.ahrq.gov/issue/improving-health-care-quality-and-patient-safety-through-peer-peer-assessment-demonstration
March 14, 2018 - Study
Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers.
Citation Text:
Mort E, Bruckel J, Donelan K, et al. Improving Health Care Quality and Patient Safety Through Peer-to-Peer Assessment: Demonstrati…
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-and-neonatal-icu-systematic-review
October 29, 2012 - Review
Diagnostic errors in the pediatric and neonatal ICU: a systematic review.
Citation Text:
Custer JW, Winters BD, Goode V, et al. Diagnostic errors in the pediatric and neonatal ICU: a systematic review. Pediatr Crit Care Med. 2015;16(1):29-36. doi:10.1097/PCC.0000000000000274.
Co…
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psnet.ahrq.gov/issue/paid-malpractice-claims-adverse-events-inpatient-and-outpatient-settings
June 24, 2009 - Study
Paid malpractice claims for adverse events in inpatient and outpatient settings.
Citation Text:
Bishop TF, Ryan AM, Ryan AK, et al. Paid malpractice claims for adverse events in inpatient and outpatient settings. JAMA. 2011;305(23):2427-31. doi:10.1001/jama.2011.813.
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psnet.ahrq.gov/issue/primary-care-closed-claims-experience-massachusetts-malpractice-insurers
August 14, 2017 - Study
Classic
Primary care closed claims experience of Massachusetts malpractice insurers.
Citation Text:
Schiff G, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013;173(22):206…
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psnet.ahrq.gov/issue/negligent-care-and-malpractice-claiming-behavior-utah-and-colorado
June 23, 2015 - Study
Classic
Negligent care and malpractice claiming behavior in Utah and Colorado.
Citation Text:
Studdert DM, Thomas EJ, Burstin HR, et al. Negligent care and malpractice claiming behavior in Utah and Colorado. Med Care. 2000;38(3):250-60.
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psnet.ahrq.gov/issue/opioid-prescribing-after-childbirth-and-risk-serious-opioid-related-events-cohort-study
September 23, 2020 - Study
Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study.
Citation Text:
Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid-Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414.…
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psnet.ahrq.gov/issue/using-potentially-aggressiveviolent-patient-huddle-improve-health-care-safety
November 16, 2022 - Commentary
Using a potentially aggressive/violent patient huddle to improve health care safety.
Citation Text:
Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
October 01, 2014 - Module 3: Falls Prevention and Management
Conclusion
Previous Page Next Page
Table of Contents
Module 3: Falls Prevention and Management
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Appendix. Additional Tools and Resources
In Summary
Falls prevention…
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www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
October 01, 2014 - Project Overview: Designing Consumer Reporting Systems for Patient Safety Events
Current patient safety event reporting systems are aimed at obtaining information from health care providers. However, patients and their family members are in a unique position to identify gaps in care that may have co…
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psnet.ahrq.gov/issue/exposure-leadership-walkrounds-neonatal-intensive-care-units-associated-better-patient-safety
December 12, 2014 - Study
Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout.
Citation Text:
Sexton B, Sharek PJ, Thomas EJ, et al. Exposure to Leadership WalkRounds in neonatal intensive care units is associated w…
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psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light-use-satisfaction-and-safety
September 01, 2021 - Study
Effects of nursing rounds on patients' call light use, satisfaction, and safety.
Citation Text:
Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and safety. Am J Nurs. 2006;106(9):58-71.
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psnet.ahrq.gov/issue/impact-incorporating-pharmacy-claims-data-electronic-medication-reconciliation
September 01, 2016 - Study
Impact of incorporating pharmacy claims data into electronic medication reconciliation.
Citation Text:
Phansalkar S, Her QL, Tucker AD, et al. Impact of incorporating pharmacy claims data into electronic medication reconciliation. Am J Health Syst Pharm. 2015;72(3):212-7. doi:10.21…
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psnet.ahrq.gov/issue/potential-unintended-consequences-due-medicares-no-pay-errors-rule-randomized-controlled
July 02, 2014 - Study
Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.
Citation Text:
Mookherjee S, Vidyarthi AR, Ranji SR, et al. Potential Unintended Consequences Due to Medica…
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psnet.ahrq.gov/issue/association-between-treatment-locum-tenens-internal-medicine-physicians-and-30-day-mortality
September 29, 2017 - Study
Association between treatment by locum tenens internal medicine physicians and 30-day mortality among hospitalized Medicare beneficiaries.
Citation Text:
Blumenthal DM, Olenski AR, Tsugawa Y, et al. Association Between Treatment by Locum Tenens Internal Medicine Physicians and 30-D…