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psnet.ahrq.gov/issue/risk-adverse-drug-events-patient-destination-after-hospital-discharge
March 04, 2020 - Study
Risk of adverse drug events by patient destination after hospital discharge.
Citation Text:
Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital discharge. Am J Health Syst Pharm. 2005;62(18):1883-9.
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psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor
January 31, 2024 - Study
Double checking medicines: defence against error or contributory factor?
Citation Text:
Armitage G. Double checking medicines: defence against error or contributory factor? J Eval Clin Pract. 2008;14(4):513-9.
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psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance
September 03, 2011 - Review
When doing wrong feels so right: normalization of deviance.
Citation Text:
Price MR, Williams TC. When Doing Wrong Feels So Right: Normalization of Deviance. J Patient Saf. 2018;14(1):1-2. doi:10.1097/PTS.0000000000000157.
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psnet.ahrq.gov/issue/utilization-seniors-falls-investigation-methodology-identify-system-wide-causes-falls
November 21, 2014 - Study
Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors.
Citation Text:
Zecevic AA, Salmoni AW, Lewko JH, et al. Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of f…
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psnet.ahrq.gov/issue/complying-acgme-resident-duty-hours-restrictions-restructuring-80-hour-workweek-enhance
August 04, 2021 - Study
Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.
Citation Text:
Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictio…
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psnet.ahrq.gov/issue/surgeon-fatigue-prospective-analysis-incidence-risk-and-intervals-predicted-fatigue-related
July 06, 2011 - Study
Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents.
Citation Text:
McCormick F, Kadzielski J, Landrigan CP, et al. Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predic…
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psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct
November 21, 2021 - Study
Hospital autopsy: endangered or extinct?
Citation Text:
Turnbull A, Osborn M, Nicholas N. Hospital autopsy: Endangered or extinct? J Clin Pathol. 2015;68(8):601-604. doi:10.1136/jclinpath-2014-202700.
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psnet.ahrq.gov/issue/prevalence-and-patterns-potentially-avoidable-hospitalizations-us-long-term-care-setting
August 04, 2021 - Study
Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting.
Citation Text:
Mcandrew RM, Grabowski DC, Dangi A, et al. Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. Int J Qual Health Care. …
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psnet.ahrq.gov/issue/diagnostic-excellence-us-rural-healthcare-call-action
December 22, 2018 - Book/Report
Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action.
Citation Text:
Ali KJ, Galvez NJ, Craig S, et al. Diagnostic Excellence In U.s. Rural Healthcare: A Call To Action. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Publication No…
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psnet.ahrq.gov/issue/communication-techniques-patients-low-health-literacy-survey-physicians-nurses-and
February 27, 2019 - Study
Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists.
Citation Text:
Schwartzberg JG, Cowett A, VanGeest J, et al. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharma…
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psnet.ahrq.gov/issue/work-hours-regulations-house-staff-psychiatry-bad-or-good-residency-training
August 04, 2021 - Review
Work hours regulations for house staff in psychiatry: bad or good for residency training?
Citation Text:
Rasminsky S, Lomonaco A, Auchincloss E. Work Hours Regulations for House Staff in Psychiatry: Bad or Good for Residency Training? Academic Psychiatry. 2008;32(1). doi:10.1176/a…
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psnet.ahrq.gov/issue/patient-safety-and-job-related-stress-focus-group-study
December 05, 2012 - Study
Patient safety and job-related stress: a focus group study.
Citation Text:
Berland A, Natvig GK, Gundersen D. Patient safety and job-related stress: A focus group study. Intensive and Critical Care Nursing. 2007;24(2). doi:10.1016/j.iccn.2007.11.001.
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psnet.ahrq.gov/issue/improved-patient-safety-reporting-system-increases-reports-disruptive-behavior-perioperative
October 15, 2014 - Study
An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting.
Citation Text:
Katz MG, Rockne WY, Braga R, et al. An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. A…
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psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-safety
July 02, 2019 - Study
Adverse event reporting: harnessing residents to improve patient safety.
Citation Text:
Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333.
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psnet.ahrq.gov/issue/development-medical-checklists-improved-quality-patient-care
March 23, 2011 - Review
Development of medical checklists for improved quality of patient care.
Citation Text:
Hales B, Terblanche M, Fowler R, et al. Development of medical checklists for improved quality of patient care. International Journal for Quality in Health Care. 2007;20(1). doi:10.1093/intqhc…
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psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety
December 18, 2017 - Commentary
A scholarly pathway in quality improvement and patient safety.
Citation Text:
Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772.
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psnet.ahrq.gov/issue/why-pediatricians-fail-diagnose-hypertension-multicenter-survey
August 26, 2020 - Study
Why pediatricians fail to diagnose hypertension: a multicenter survey.
Citation Text:
Bijlsma MW, Blufpand HN, Kaspers GJL, et al. Why pediatricians fail to diagnose hypertension: a multicenter survey. J Pediatr. 2014;164(1):173-177.e7. doi:10.1016/j.jpeds.2013.08.066.
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psnet.ahrq.gov/issue/predicting-patient-complaints-hospital-settings
February 27, 2008 - Study
Predicting patient complaints in hospital settings.
Citation Text:
Kline TJB, Willness C, Ghali WA. Predicting patient complaints in hospital settings. Qual Saf Health Care. 2008;17(5):346-50. doi:10.1136/qshc.2007.024281.
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psnet.ahrq.gov/issue/antibiotic-timing-and-errors-diagnosing-pneumonia
March 20, 2024 - Study
Antibiotic timing and errors in diagnosing pneumonia.
Citation Text:
Welker JA, Huston M, McCue JD. Antibiotic timing and errors in diagnosing pneumonia. Arch Intern Med. 2008;168(4):351-6. doi:10.1001/archinternmed.2007.84.
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psnet.ahrq.gov/issue/omitted-and-unjustified-medications-discharge-summary
May 18, 2022 - Study
Omitted and unjustified medications in the discharge summary.
Citation Text:
Perren A, Previsdomini M, Cerutti B, et al. Omitted and unjustified medications in the discharge summary. Qual Saf Health Care. 2009;18(3):205-8. doi:10.1136/qshc.2007.024588.
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