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psnet.ahrq.gov/issue/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
September 02, 2020 - Study
Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice?
Citation Text:
Kelcikova S, Mazuchova L, Bielena L, et al. Flawed self-assessment in hand hygiene: A major contributor to infections in clinical practice? J Clin Nurs. 2019;28(11-12):226…
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psnet.ahrq.gov/issue/incidence-and-severity-adverse-events-affecting-patients-after-discharge-hospital
March 11, 2019 - Study
Classic
The incidence and severity of adverse events affecting patients after discharge from the hospital.
Citation Text:
Forster AJ, Murff HJ, Peterson JF, et al. The incidence and severity of adverse events affecting patients after discharge from the hos…
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psnet.ahrq.gov/issue/four-years-experience-hospitalist-led-medical-emergency-team-interrupted-time-series
October 03, 2011 - Study
Four years' experience with a hospitalist-led medical emergency team: an interrupted time series.
Citation Text:
Rothberg MB, Belforti R, Fitzgerald J, et al. Four years' experience with a hospitalist-led medical emergency team: an interrupted time series. J Hosp Med. 2012;7(2):9…
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psnet.ahrq.gov/issue/refining-framework-enhance-communication-emergency-department-during-diagnostic-process
May 08, 2024 - Study
Refining a framework to enhance communication in the emergency department during the diagnostic process: an eDelphi approach.
Citation Text:
Manojlovich M, Bettencourt AP, Mangus CW, et al. Refining a framework to enhance communication in the emergency department during the diagnos…
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psnet.ahrq.gov/issue/evolution-apology
September 29, 2010 - Commentary
The evolution of the apology.
Citation Text:
Newfield JS. The Evolution of the Apology. Home Health Care Manag Pract. 2007;19(2). doi:10.1177/1084822306294456.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report-american-academy
July 14, 2010 - Study
Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN).
Citation Text:
Elder NC, Graham D, Brandt E, et al. Barriers and motivators for making error reports from f…
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psnet.ahrq.gov/issue/incivility-and-patient-safety-longitudinal-study-rudeness-protocol-compliance-and-adverse
June 21, 2016 - Study
Incivility and patient safety: a longitudinal study of rudeness, protocol compliance, and adverse events.
Citation Text:
Riskin A, Bamberger P, Erez A, et al. Incivility and Patient Safety: A Longitudinal Study of Rudeness, Protocol Compliance, and Adverse Events. Jt Comm J Qual Pa…
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psnet.ahrq.gov/issue/family-conferences-facilitate-deprescribing-older-outpatients-frailty-and-polypharmacy
July 29, 2020 - Study
Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial.
Citation Text:
Mortsiefer A, Löscher S, Pashutina Y, et al. Family conferences to facilitate deprescribing in older outpatients with frailty…
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psnet.ahrq.gov/issue/racial-bias-pulse-oximetry-measurement
January 19, 2022 - Study
Classic
Racial bias in pulse oximetry measurement.
Citation Text:
Sjoding MW, Dickson RP, Iwashyna TJ, et al. Racial bias in pulse oximetry measurement. N Engl J Med. 2020;383(25):2477-2478. doi:10.1056/nejmc2029240.
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psnet.ahrq.gov/issue/oncologist-perceptions-racial-disparity-racial-anxiety-and-unconscious-bias-clinical
October 19, 2022 - Study
Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment, and outcomes.
Citation Text:
Balanean A, Bland E, Gajra A, et al. Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical inter…
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psnet.ahrq.gov/issue/effect-staged-emergency-department-specific-rapid-response-system-reporting-clinical
March 24, 2021 - Study
The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration.
Citation Text:
Considine J, Rawet J, Currey J. The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration. Aus…
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psnet.ahrq.gov/issue/patient-safety-marginalised-groups-narrative-scoping-review
August 26, 2015 - Review
Patient safety in marginalised groups: a narrative scoping review
Citation Text:
Cheraghi-Sohi S, Panagioti M, Daker-White G, et al. Patient safety in marginalised groups: a narrative scoping review. Int J Equity Health. 2020;19(1):26. doi:10.1186/s12939-019-1103-2.
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psnet.ahrq.gov/node/865540/psn-pdf
April 11, 2024 - Misplaced Nasogastric Tube Resulting in Aspiration
April 11, 2024
Singh A, Huang C. Misplaced Nasogastric Tube Resulting in Aspiration. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
The Case
An 82-year-old woman presented to the Emergency Department (ED) for …
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psnet.ahrq.gov/issue/er-kicks-habit-opioids-pain
May 27, 2020 - Newspaper/Magazine Article
An E.R. kicks the habit of opioids for pain.
Citation Text:
An E.R. kicks the habit of opioids for pain. Hoffman J. New York Times. June 10, 2016.
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psnet.ahrq.gov/issue/aftercare-tips-patients-checking-out-hospital
February 09, 2011 - Newspaper/Magazine Article
Aftercare tips for patients checking out of the hospital.
Citation Text:
Aftercare tips for patients checking out of the hospital. Alderman L. New York Times. June 18, 2010;B6.
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psnet.ahrq.gov/issue/amia-annual-symposium-proceedings-2011
March 06, 2024 - Meeting/Conference Proceedings
AMIA Annual Symposium Proceedings: 2011.
Citation Text:
AMIA Annual Symposium Proceedings: 2011. AMIA Annu Symp Proc. 2011;19-1667.
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psnet.ahrq.gov/issue/minnesota-alliance-patient-safety-maps
October 31, 2023 - Multi-use Website
Minnesota Alliance for Patient Safety (MAPS).
Citation Text:
Minnesota Alliance for Patient Safety (MAPS). Minnesota Hospital and Healthcare Partnership.
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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records
Citation Text:
MacDonald S. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.
Citation Text:
Leiserowitz GS, Hedriana H. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …
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psnet.ahrq.gov/node/49492/psn-pdf
November 01, 2005 - for elective surgery patients will be different from that for patients admitted through the
ED or a nursing … home.