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psnet.ahrq.gov/issue/medicares-policy-not-pay-treating-hospital-acquired-conditions-impact
December 04, 2024 - Study
Classic
Medicare's policy not to pay for treating hospital-acquired conditions: the impact.
Citation Text:
McNair PD, Luft HS, Bindman AB. Medicare's policy not to pay for treating hospital-acquired conditions: the impact. Health Aff (Millwood). 2009;28(5)…
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psnet.ahrq.gov/issue/doing-well-doing-good-assessing-cost-savings-intervention-reduce-central-line-associated
March 21, 2012 - Study
Doing well by doing good: assessing the cost savings of an intervention to reduce central line-associated bloodstream infections in a Hawaii hospital.
Citation Text:
Hsu E, Lin D, Evans SJ, et al. Doing well by doing good: assessing the cost savings of an intervention to reduce c…
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psnet.ahrq.gov/issue/developing-and-implementing-standardized-process-global-trigger-tool-application-across-large
July 18, 2017 - Study
Developing and implementing a standardized process for Global Trigger Tool application across a large health system.
Citation Text:
Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health …
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psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences
June 22, 2022 - Study
'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds.
Citation Text:
Rotteau L, Shojania KG, Webster F. ‘I think we should just listen and get out’: a qualitative exploration of views and experiences of Patient…
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psnet.ahrq.gov/issue/evaluating-effect-safety-culture-error-reporting-comparison-managerial-and-staff-perspectives
January 20, 2016 - Study
Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives.
Citation Text:
Richter J, McAlearney AS, Pennell ML. Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. Am J Me…
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psnet.ahrq.gov/issue/incidence-and-nature-hospital-adverse-events-systematic-review
March 24, 2011 - Review
The incidence and nature of in-hospital adverse events: a systematic review.
Citation Text:
de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.20…
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psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-beneficiaries-first-2-years-following-acgme-resident
February 17, 2009 - Study
Classic
Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform.
Citation Text:
Meltzer DO, Arora VM. Evaluating Resident Duty Hour Reforms. JAMA. 2007;298(9). doi:10.1001/jama.298.9.1055.
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psnet.ahrq.gov/issue/how-reliable-are-clinical-systems-uk-nhs-study-seven-nhs-organisations
November 26, 2008 - Study
How reliable are clinical systems in the UK NHS? A study of seven NHS organisations.
Citation Text:
Burnett S, Franklin BD, Moorthy K, et al. How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. BMJ Qual Saf. 2012;21(6):466-72. doi:10.1136/bmjqs-2011…
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psnet.ahrq.gov/issue/factors-associated-wrong-blood-tube-errors-international-case-series-best-collaborative-study
September 29, 2021 - Study
Factors associated with wrong blood in tube errors: an international case series - The BEST collaborative study.
Citation Text:
Dunbar NM, Kaufman RM. Factors associated with wrong blood in tube errors: an international case series – The BEST collaborative study. Transfusion (Paris…
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psnet.ahrq.gov/issue/qualitative-perspectives-emergency-nurses-electronic-health-record-behavioral-flags-promote
January 25, 2023 - Study
Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote workplace safety.
Citation Text:
Seeburger EF, Gonzales R, South EC, et al. Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote work…
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psnet.ahrq.gov/issue/observer-based-tools-non-technical-skills-assessment-simulated-and-real-clinical-environments
September 02, 2015 - Review
Emerging Classic
Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review.
Citation Text:
Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills…
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psnet.ahrq.gov/issue/surgical-training-duty-hour-restrictions-and-implications-meeting-accreditation-council
July 03, 2014 - Study
Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors.
Citation Text:
Antiel RM, Van Arendonk K, Reed DA, et al. Surgical training…
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psnet.ahrq.gov/issue/graded-autonomy-medical-education-managing-things-go-bump-night
July 22, 2020 - Commentary
Graded autonomy in medical education—managing things that go bump in the night.
Citation Text:
Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night. N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408.
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psnet.ahrq.gov/issue/surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical
July 28, 2021 - Study
Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows.
Citation Text:
Gabrysz-Forget F, Young M, Zahabi S, et al. Surgical errors happen, but are learners trained to recover from them? A survey of North Amer…
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psnet.ahrq.gov/issue/evaluation-outcomes-national-patient-initiated-second-opinion-program
July 15, 2015 - Study
Evaluation of outcomes from a national patient-initiated second-opinion program.
Citation Text:
Meyer AND, Singh H, Graber ML. Evaluation of Outcomes From a National Patient-initiated Second-opinion Program. Am J Med. 2015;128(10). doi:10.1016/j.amjmed.2015.04.020.
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psnet.ahrq.gov/issue/patient-safety-general-practice-during-covid-19-descriptive-analysis-38-countries-pricov-19
November 16, 2022 - Study
Patient safety in general practice during COVID-19: a descriptive analysis in 38 countries (PRICOV-19).
Citation Text:
Van Poel E, Vanden Bussche P, Collins C, et al. Patient safety in general practice during COVID-19: a descriptive analysis in 38 countries (PRICOV-19). Fam Pract. …
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psnet.ahrq.gov/issue/unlocking-potential-free-text-electronic-health-records-large-language-models-llm-enhancing
October 01, 2014 - Commentary
Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions.
Citation Text:
Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records w…
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psnet.ahrq.gov/issue/closing-loop-test-results-reduce-communication-failures-rapid-review-evidence-practice-and
March 11, 2020 - Review
Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.
Citation Text:
Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a rapid review of evidence, pra…
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psnet.ahrq.gov/issue/implicit-bias-patient-descriptor-homeless-and-its-association-emergency-department-opioid
December 15, 2021 - Study
Implicit bias in the patient descriptor "homeless" and its association with emergency department opioid administration and disposition.
Citation Text:
Lauricella M, Nene RV, Coyne CJ, et al. Implicit bias in the patient descriptor “homeless” and its association with emergency depar…
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psnet.ahrq.gov/issue/trends-diagnostic-adverse-events-hospital-deaths-longitudinal-analyses-four-retrospective
May 18, 2022 - Study
Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record review studies.
Citation Text:
Hooftman J, Zwaan L, Sikkens JJ, et al. Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective reco…