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psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same
February 02, 2022 - Study
Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study.
Citation Text:
Harada Y, Otaka Y, Katsukura S, et al. Effect of contextual factors on the prevalence of…
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psnet.ahrq.gov/issue/dropping-baton-during-handoff-emergency-department-primary-care-pediatric-asthma-continuity
March 14, 2022 - Study
Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors.
Citation Text:
Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Jt Comm J …
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psnet.ahrq.gov/issue/assessing-state-safe-medication-practices-using-ismp-medication-safety-self-assessment
March 02, 2016 - Study
Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011.
Citation Text:
Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® …
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psnet.ahrq.gov/issue/maintaining-and-sustaining-cusp-stop-bsi-model-hawaii
March 21, 2012 - Study
Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.
Citation Text:
Lin D, Weeks K, Holzmueller CG, et al. Maintaining and Sustaining the On the CUSP: Stop BSI Model in Hawaii. Jt Comm J Qual Patient Saf. 2016;39(2):51-60, AP3. doi:10.1016/s1553-7250(13)39008-4. …
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psnet.ahrq.gov/issue/evidence-based-tool-pe-ps-healthcare-managers-assess-patient-engagement-patient-safety
June 08, 2010 - Study
An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations.
Citation Text:
Aho-Glele U, Pomey M-P, Gomes de Sousa MR, et al. An evidence-based tool (PE for PS) for healthcare managers to assess patient enga…
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psnet.ahrq.gov/issue/national-trends-safety-performance-electronic-health-record-systems-childrens-hospitals
July 29, 2020 - Study
Classic
National trends in safety performance of electronic health record systems in children's hospitals.
Citation Text:
Chaparro JD, Classen D, Danforth M, et al. National trends in safety performance of electronic health record systems in children's hos…
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psnet.ahrq.gov/issue/accreditation-council-graduate-medical-educations-limits-residents-work-hours-and-patient
July 10, 2008 - Study
Classic
The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety.
Citation Text:
Jagsi R, Weinstein DF, Shapiro J, et al. The Accreditation Council for Graduate Medical Education's limits on residents'…
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psnet.ahrq.gov/issue/are-adverse-events-related-completeness-clinical-records-results-retrospective-records-review
July 01, 2009 - Study
Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool.
Citation Text:
Scarpis E, Cautero P, Tullio A, et al. Are adverse events related to the completeness of clinical records? Results from a re…
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psnet.ahrq.gov/issue/improving-diagnostic-fidelity-approach-standardizing-process-patients-emerging-critical
August 04, 2021 - Journal Article
Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness
Citation Text:
Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Criti…
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psnet.ahrq.gov/issue/effectiveness-written-hospitalist-sign-outs-answering-overnight-inquiries
January 15, 2014 - Study
Effectiveness of written hospitalist sign-outs in answering overnight inquiries.
Citation Text:
Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090.
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psnet.ahrq.gov/issue/exposure-incivility-does-not-hinder-speaking-randomised-controlled-high-fidelity-simulation
August 24, 2022 - Study
Exposure to incivility does not hinder speaking up: a randomised controlled high-fidelity simulation-based study.
Citation Text:
Vauk S, Seelandt JC, Huber K, et al. Exposure to incivility does not hinder speaking up: a randomised controlled high-fidelity simulation-based study. Br…
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psnet.ahrq.gov/issue/icd-10-codes-used-identify-adverse-drug-events-administrative-data-systematic-review
September 14, 2016 - Review
ICD-10 codes used to identify adverse drug events in administrative data: a systematic review.
Citation Text:
Hohl CM, Karpov A, Reddekopp L, et al. ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. J Am Med Inform Assoc. 2014;21(3):547…
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psnet.ahrq.gov/issue/decrease-hospital-wide-mortality-rate-after-implementation-commercially-sold-computerized
December 07, 2016 - Study
Classic
Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system.
Citation Text:
Longhurst CA, Parast L, Sandborg CI, et al. Decrease in hospital-wide mortality rate after implementation…
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psnet.ahrq.gov/issue/call-application-patient-safety-culture-medical-humanitarian-action-literature-review
February 10, 2021 - Review
A call for the application of patient safety culture in medical humanitarian action: a literature review.
Citation Text:
Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical humanitarian action: a literature review. J Patient S…
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psnet.ahrq.gov/issue/monitoring-harm-associated-use-anticoagulants-pediatric-populations-through-trigger-based
November 11, 2015 - Study
Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event detection.
Citation Text:
Patregnani JT, Spaeder MC, Lemon V, et al. Monitoring the harm associated with use of anticoagulants in pediatric populations t…
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psnet.ahrq.gov/issue/can-residents-detect-errors-technique-while-observing-central-line-insertions
April 12, 2019 - Study
Can residents detect errors in technique while observing central line insertions?
Citation Text:
Pei K, Merola J, Davis KA, et al. Can residents detect errors in technique while observing central line insertions? Am J Surg. 2017;213(6):1166-1170.e1. doi:10.1016/j.amjsurg.2016.08.02…
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psnet.ahrq.gov/issue/national-costs-medical-liability-system
May 20, 2015 - Study
Classic
National costs of the medical liability system.
Citation Text:
Mello MM, Chandra A, Gawande AA, et al. National costs of the medical liability system. Health Aff (Millwood). 2010;29(9):1569-1577. doi:10.1377/hlthaff.2009.0807.
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psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi
August 17, 2022 - Study
Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis.
Citation Text:
Paulik O, Hallen J, Lapkin S, et al. Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analys…
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psnet.ahrq.gov/issue/patients-admitted-weekends-have-higher-hospital-mortality-those-admitted-weekdays-analysis
January 26, 2022 - Study
Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample.
Citation Text:
Manadan A, Arora S, Whittier M, et al. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekd…
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psnet.ahrq.gov/issue/association-adverse-effects-medical-treatment-mortality-united-states-secondary-analysis
November 11, 2020 - Study
Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study.
Citation Text:
Sunshine JE, Meo N, Kassebaum NJ, et al. Association of Adverse Effects of Medical Treatm…