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psnet.ahrq.gov/issue/framework-direct-observation-performance-and-safety-healthcare
November 15, 2023 - Commentary
Framework for direct observation of performance and safety in healthcare.
Citation Text:
Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407.
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psnet.ahrq.gov/issue/health-care-associated-invasive-mrsa-infections-2005-2008
February 17, 2011 - Study
Health care-associated invasive MRSA infections, 2005-2008.
Citation Text:
Kallen AJ, Mu Y, Bulens S, et al. Health care-associated invasive MRSA infections, 2005-2008. JAMA. 2010;304(6):641-8. doi:10.1001/jama.2010.1115.
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psnet.ahrq.gov/issue/why-patients-need-leaders-introducing-ward-safety-checklist
October 28, 2020 - Commentary
Why patients need leaders: introducing a ward safety checklist.
Citation Text:
Amin Y, Grewcock D, Andrews S, et al. Why patients need leaders: introducing a ward safety checklist. J R Soc Med. 2012;105(9):377-83. doi:10.1258/jrsm.2012.120098.
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psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine
March 13, 2019 - Study
Emerging Classic
Sleep and alertness in a duty-hour flexibility trial in internal medicine.
Citation Text:
Sleep and alertness in a duty-hour flexibility trial in internal medicine. Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. …
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psnet.ahrq.gov/issue/hhs-guide-clinicians-appropriate-dosage-reduction-or-discontinuation-long-term-opioid
October 15, 2008 - Book/Report
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics.
Citation Text:
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. HHS Guide for Clinicians on the App…
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psnet.ahrq.gov/issue/open-wide-looking-safety-culture-dental-school-clinics
September 06, 2017 - Study
Open wide: looking into the safety culture of dental school clinics.
Citation Text:
Ramoni R, Walji MF, Tavares A, et al. Open wide: looking into the safety culture of dental school clinics. J Dent Edu. 2014;78(5):745-756.
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www.ahrq.gov/es/programs/index.html?page=2
Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
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psnet.ahrq.gov/issue/ending-extra-payment-never-events-stronger-incentives-patients-safety
November 13, 2024 - Commentary
Ending extra payment for "never events"—stronger incentives for patients' safety.
Citation Text:
Milstein A. Ending extra payment for "never events"--stronger incentives for patients' safety. N Engl J Med. 2009;360(23):2388-90. doi:10.1056/NEJMp0809125.
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psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions
February 21, 2015 - Review
Patient safety movement: history and future directions.
Citation Text:
Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006.
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psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
October 02, 2024 - Special or Theme Issue
Life of the Mother. How Abortion Bans Lead to Preventable Deaths.
Citation Text:
Jaramillo C, Surana K, Presser L, et al. Life of the Mother. How Abortion Bans Lead to Preventable Deaths. ProPublica. 2024:September - November 2024.
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psnet.ahrq.gov/issue/evidence-and-efficacy-time-think-beyond-traditional-randomised-controlled-trial-patient
January 24, 2024 - Commentary
Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies.
Citation Text:
Webster CS. Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. Br J Anaesth. 2019;1…
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psnet.ahrq.gov/issue/venous-thromboembolism-after-trauma-never-event
January 12, 2022 - Study
Venous thromboembolism after trauma: a never event?
Citation Text:
Thorson CM, Ryan ML, Van Haren RM, et al. Venous thromboembolism after trauma: a never event?*. Crit Care Med. 2012;40(11):2967-73. doi:10.1097/CCM.0b013e31825bcb60.
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psnet.ahrq.gov/issue/ethical-and-legal-issues-use-health-information-technology-improve-patient-safety
July 30, 2014 - Review
Ethical and legal issues in the use of health information technology to improve patient safety.
Citation Text:
Berner ES. Ethical and legal issues in the use of health information technology to improve patient safety. HEC Forum. 2008;20(3):243-58. doi:10.1007/s10730-008-9074-5. …
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psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
January 14, 2011 - Study
The value of inking breast cores to reduce specimen mix-up.
Citation Text:
Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2.
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psnet.ahrq.gov/issue/multidisciplinary-crisis-simulations-way-forward-training-surgical-teams
July 31, 2008 - Study
Multidisciplinary crisis simulations: the way forward for training surgical teams.
Citation Text:
Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg. 2007;31(9):1843-53.
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psnet.ahrq.gov/issue/toward-safer-practice-otology-report-15-years-clinical-negligence-claims
January 21, 2015 - Study
Toward safer practice in otology: a report on 15 years of clinical negligence claims.
Citation Text:
Mathew R, Asimacopoulos E, Valentine P. Toward safer practice in otology: a report on 15 years of clinical negligence claims. Laryngoscope. 2011;121(10):2214-9. doi:10.1002/lary.2…
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psnet.ahrq.gov/issue/zero-suicide-initiative
July 03, 2013 - Grant Announcement
Zero Suicide Initiative.
Citation Text:
Zero Suicide Initiative. Office of the Federal Register, National Archives and Records Administration. Fed Register. November 3, 2021;(86):60883-60893.
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psnet.ahrq.gov/issue/outcomes-card-development-systems-based-practice-educational-tool
July 13, 2010 - Study
The outcomes card: development of a systems-based practice educational tool.
Citation Text:
Tomolo A, Caron A, Perz ML, et al. The outcomes card. J Gen Intern Med. 2005;20(8). doi:10.1111/j.1525-1497.2005.0168.x.
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psnet.ahrq.gov/issue/causes-preventable-drug-related-hospital-admissions-qualitative-study
October 16, 2012 - Study
Causes of preventable drug-related hospital admissions: a qualitative study.
Citation Text:
Howard R, Avery A, Bissell P. Causes of preventable drug-related hospital admissions: a qualitative study. Qual Saf Health Care. 2008;17(2):109-116. doi:10.1136/qshc.2007.022681.
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psnet.ahrq.gov/issue/when-err-inhuman-examination-influence-artificial-intelligence-driven-nursing-care-patient
October 19, 2022 - Commentary
When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety.
Citation Text:
Johnson EA, Dudding KM, Carrington JM. When to err is inhuman: an examination of the influence of artificial intelligence‐driven nursing car…