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psnet.ahrq.gov/node/37114/psn-pdf
October 04, 2011 - A descriptive study of morbidity and mortality
conferences and their conformity to medical incident
analysis models: results of the morbidity and mortality
conference improvement study, phase 1.
October 4, 2011
Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of morbidity and mortality conference…
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psnet.ahrq.gov/node/37768/psn-pdf
April 27, 2010 - The wisdom and justice of not paying for "preventable
complications."
April 27, 2010
Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable
complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.18.2197.
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-prevent…
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psnet.ahrq.gov/node/41694/psn-pdf
September 19, 2012 - Effect of nonpayment for hospital-acquired,
catheter–associated urinary tract infection: a statewide
analysis.
September 19, 2012
Meddings JA, Reichert H, Rogers MAM, et al. Effect of nonpayment for hospital-acquired, catheter-
associated urinary tract infection: a statewide analysis. Ann Intern Med. 2012;157(5):3…
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psnet.ahrq.gov/node/43157/psn-pdf
May 07, 2014 - Governing board, C-suite, and clinical management
perceptions of quality and safety structures, processes,
and priorities in US hospitals.
May 7, 2014
Vaughn T, Koepke M, Levey S, et al. Governing board, C-suite, and clinical management perceptions of
quality and safety structures, processes, and priorities in U.S…
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psnet.ahrq.gov/node/45556/psn-pdf
June 29, 2017 - Readmission rates after passage of the Hospital
Readmissions Reduction Program: a pre–post analysis.
June 29, 2017
Wasfy JH, Zigler CM, Choirat C, et al. Readmission Rates After Passage of the Hospital Readmissions
Reduction Program: A Pre-Post Analysis. Ann Intern Med. 2017;166(5):324-331. doi:10.7326/M16-0185.
h…
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psnet.ahrq.gov/issue/practice-advisory-anesthetic-care-magnetic-resonance-imaging-report-american-society
August 09, 2023 - Commentary
Practice advisory on anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging.
Citation Text:
Practice advisory on anesthetic care for magnetic resonance imaging: an updat…
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psnet.ahrq.gov/node/41941/psn-pdf
February 11, 2013 - A cross-sectional study on the relationship between
utilization of root cause analysis and patient safety at 139
Department of Veterans Affairs medical centers.
February 11, 2013
Percarpio KB, Watts V. A cross-sectional study on the relationship between utilization of root cause
analysis and patient safety at 139 …
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psnet.ahrq.gov/node/39837/psn-pdf
September 15, 2010 - The efficacy of medical team training: improved team
performance and decreased operating room delays: a
detailed analysis of 4863 cases.
September 15, 2010
Wolf FA, Way LW, Stewart L. The efficacy of medical team training: improved team performance and
decreased operating room delays: a detailed analysis of 4863 c…
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psnet.ahrq.gov/node/40024/psn-pdf
December 21, 2014 - Risk factors and outcomes for foreign body left during a
procedure: analysis of 413 incidents after 1,946,831
operations in children.
December 21, 2014
Camp M, Chang DC, Zhang Y, et al. Risk factors and outcomes for foreign body left during a procedure:
analysis of 413 incidents after 1 946 831 operations in child…
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psnet.ahrq.gov/node/47261/psn-pdf
August 15, 2018 - The association between professional burnout and
engagement with patient safety culture and outcomes: a
systematic review.
August 15, 2018
Mossburg SE, Himmelfarb CD. The Association Between Professional Burnout and Engagement With
Patient Safety Culture and Outcomes: A Systematic Review. J Patient Saf. 2018;17(8)…
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psnet.ahrq.gov/node/43589/psn-pdf
November 17, 2014 - Exploring new avenues to assess the sharp end of patient
safety: an analysis of nationally aggregated peer review
data.
November 17, 2014
Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety:
an analysis of nationally aggregated peer review data. BMJ Qual Saf. 2014;23…
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psnet.ahrq.gov/node/38761/psn-pdf
July 15, 2009 - Effect of bar-code–assisted medication administration on
medication administration errors and accuracy in multiple
patient care areas.
July 15, 2009
Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication
administration errors and accuracy in multiple patient care are…
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psnet.ahrq.gov/node/43862/psn-pdf
March 20, 2015 - The Iatroref study: medical errors are associated with
symptoms of depression in ICU staff but not burnout or
safety culture.
March 20, 2015
Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with
symptoms of depression in ICU staff but not burnout or safety culture. I…
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - https://psnet.ahrq.gov/web-mm/signout-fallout
Case Objectives
Understand the role of communication
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psnet.ahrq.gov/node/44084/psn-pdf
November 03, 2015 - Can staff and patient perspectives on hospital safety
predict harm-free care? An analysis of staff and patient
survey data and routinely collected outcomes.
November 3, 2015
Lawton R, O'Hara JK, Sheard L, et al. Can staff and patient perspectives on hospital safety predict harm-
free care? An analysis of staff and…
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psnet.ahrq.gov/node/49798/psn-pdf
July 01, 2017 - https://psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
Case Objectives
Recognize acute colonic
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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - https://psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
Case Objectives
List
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psnet.ahrq.gov/issue/leapfrog-hospital-safety-scores-depressing
November 13, 2013 - Newspaper/Magazine Article
Leapfrog hospital safety scores 'depressing.'
Citation Text:
Leapfrog hospital safety scores 'depressing.' Clark C. HealthLeaders Media. May 9, 2013.
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psnet.ahrq.gov/node/41909/psn-pdf
December 12, 2012 - Effect of a protected sleep period on hours slept during
extended overnight in-hospital duty hours among medical
interns: a randomized trial.
December 12, 2012
Volpp KG, Shea JA, Small DS, et al. Effect of a protected sleep period on hours slept during extended
overnight in-hospital duty hours among medical intern…
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psnet.ahrq.gov/issue/simulation-surgical-training-and-practice
February 15, 2012 - Special or Theme Issue
Simulation in Surgical Training and Practice.
Citation Text:
Simulation in Surgical Training and Practice. Brown KM, Paige JT, eds. Surg Clin North Am. 2015;95:695-918.
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