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psnet.ahrq.gov/issue/unscheduled-returns-emergency-department-outcome-medical-errors
November 12, 2014 - Study
Unscheduled returns to the emergency department: an outcome of medical errors?
Citation Text:
Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8.
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psnet.ahrq.gov/issue/report-information-technology-and-health-deficiencies-us-nursing-homes
October 28, 2020 - Study
A report of information technology and health deficiencies in U.S. nursing homes.
Citation Text:
Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390.
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psnet.ahrq.gov/issue/prognosis-undiagnosed-chest-pain-linked-electronic-health-record-cohort-study
March 19, 2018 - Study
Prognosis of undiagnosed chest pain: linked electronic health record cohort study.
Citation Text:
Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194.
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psnet.ahrq.gov/issue/morning-handover-call-issues-opportunities-improvement
September 26, 2012 - Study
Morning handover of on-call issues: opportunities for improvement.
Citation Text:
Devlin MK, Kozij NK, Kiss A, et al. Morning handover of on-call issues: opportunities for improvement. JAMA Intern Med. 2014;174(9):1479-85. doi:10.1001/jamainternmed.2014.3033.
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psnet.ahrq.gov/issue/factors-contributing-increase-duplicate-medication-order-errors-after-cpoe-implementation
December 31, 2014 - Study
Factors contributing to an increase in duplicate medication order errors after CPOE implementation.
Citation Text:
Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc. …
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psnet.ahrq.gov/issue/second-victim-experiences-health-care-learners-and-influence-training-environment-postevent
January 31, 2024 - Study
Second victim experiences of health care learners and the influence of the training environment on postevent adaptation.
Citation Text:
Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the influence of the training environment on postev…
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psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
February 15, 2011 - Study
Classic
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Citation Text:
Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…
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psnet.ahrq.gov/issue/reporting-and-using-near-miss-events-improve-patient-safety-diverse-primary-care-practices
June 22, 2011 - Study
Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes.
Citation Text:
Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Pr…
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psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu
June 16, 2011 - Study
Classic
An intervention to decrease catheter-related bloodstream infections in the ICU.
Citation Text:
Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(2…
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psnet.ahrq.gov/issue/adverse-events-and-emergency-department-opioid-prescriptions-adolescents
December 21, 2022 - Study
Adverse events and emergency department opioid prescriptions in adolescents.
Citation Text:
Worsham CM, Woo J, Jena AB, et al. Adverse events and emergency department opioid prescriptions in adolescents. Health Aff (Millwood). 2021;40(6):970-978. doi:10.1377/hlthaff.2020.01762.
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-10-references
July 10, 2017 - Procedure Manual Section 10. References
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References
Butler M, Talley KM, Burns R, Ripley A, Rothman A, Johnson P, et al. Values of Older Adults Related to Primary and Second…
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psnet.ahrq.gov/issue/methodological-variations-and-their-effects-reported-medication-administration-error-rates
January 15, 2025 - Review
Methodological variations and their effects on reported medication administration error rates.
Citation Text:
McLeod MC, Barber N, Franklin BD. Methodological variations and their effects on reported medication administration error rates. BMJ Qual Saf. 2013;22(4):278-89. doi:10.…
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psnet.ahrq.gov/issue/emergency-hospitalizations-adverse-drug-events-older-americans
October 20, 2021 - Study
Classic
Emergency hospitalizations for adverse drug events in older Americans.
Citation Text:
Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10…
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psnet.ahrq.gov/issue/interprofessional-clinical-event-debriefing-does-it-make-difference-attitudes-emergency
April 06, 2022 - Study
Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings.
Citation Text:
Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? At…
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psnet.ahrq.gov/issue/return-investment-vendor-computerized-physician-order-entry-four-community-hospitals
November 26, 2014 - Study
Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support.
Citation Text:
Zimlichman E, Keohane C, Franz C, et al. Return on investment for vendor computerized physician order entry in four community hospita…
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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…
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psnet.ahrq.gov/issue/harnessing-implementation-science-improve-care-quality-and-patient-safety-systematic-review
October 20, 2014 - Review
Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature.
Citation Text:
Braithwaite J, Marks D, Taylor N. Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted …
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psnet.ahrq.gov/issue/malpractice-claims-related-diagnostic-errors-hospital
September 16, 2020 - Study
Classic
Malpractice claims related to diagnostic errors in the hospital.
Citation Text:
Gupta A, Snyder A, Kachalia A, et al. Malpractice claims related to diagnostic errors in the hospital. BMJ Qual Saf. 2017;27(1):53-60. doi:10.1136/bmjqs-2017-006774.
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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/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. …