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psnet.ahrq.gov/node/854381/psn-pdf
October 11, 2023 - Addressing bias in acute postoperative pain
management.
October 11, 2023
Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management.
Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0.
https://psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pa…
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psnet.ahrq.gov/node/46571/psn-pdf
October 25, 2017 - Incorporating nursing complexity in reimbursement
coding systems: the potential impact on missed care.
October 25, 2017
Sasso L, Bagnasco A, Aleo G, et al. Incorporating nursing complexity in reimbursement coding systems:
the potential impact on missed care. BMJ Qual Saf. 2017;26(11):929-932. doi:10.1136/bmjqs-2017…
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psnet.ahrq.gov/node/846709/psn-pdf
March 29, 2023 - The safety and acceptability of using telehealth for follow-
up of patients following cancer surgery: a systematic
review.
March 29, 2023
Xiao K, Yeung JC, Bolger JC. The safety and acceptability of using telehealth for follow-up of patients
following cancer surgery: a systematic review. Eur J Surg Oncol. 2023;49(…
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psnet.ahrq.gov/node/42621/psn-pdf
October 31, 2014 - The global burden of unsafe medical care: analytic
modelling of observational studies.
October 31, 2014
Jha AK, Larizgoitia I, Audera-Lopez C, et al. The global burden of unsafe medical care: analytic modelling
of observational studies. BMJ Qual Saf. 2013;22(10):809-15. doi:10.1136/bmjqs-2012-001748.
https://psnet…
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psnet.ahrq.gov/node/50613/psn-pdf
October 30, 2019 - The only difference between the labor and
delivery unit and the cardiac ICU is that our operating rooms … The second or third can be like operating on a melted box of crayons.
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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - this in the most hierarchical, tradition-bound, ritualized, entrenched environment in
medicine—the operating … The checklist is a tool for getting you to think about how to create a safe environment in an operating
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psnet.ahrq.gov/node/72737/psn-pdf
February 09, 2021 - Geisinger’s Outpatient Addiction Medicine Specialty
Program Uses Data-Driven Decision Making and MAT to
Reduce Mortality Rates
February 9, 2021
https://psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-
driven-decision
Summary
The team at Geisinger sought to develop a…
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psnet.ahrq.gov/node/41796/psn-pdf
January 18, 2013 - Retained surgical items: a problem yet to be solved.
January 18, 2013
Stawicki SPA, Moffatt-Bruce SD, Ahmed HM, et al. Retained surgical items: a problem yet to be solved. J
Am Coll Surg. 2013;216(1):15-22. doi:10.1016/j.jamcollsurg.2012.08.026.
https://psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-so…
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psnet.ahrq.gov/node/838318/psn-pdf
October 12, 2022 - Exposure to incivility does not hinder speaking up: a
randomised controlled high-fidelity simulation-based
study.
October 12, 2022
Vauk S, Seelandt JC, Huber K, et al. Exposure to incivility does not hinder speaking up: a randomised
controlled high-fidelity simulation-based study. Br J Anaesth. 2022;129(5):776-787…
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psnet.ahrq.gov/node/45954/psn-pdf
December 22, 2017 - Effectiveness of a 'Do not interrupt' bundled intervention
to reduce interruptions during medication administration:
a cluster randomised controlled feasibility study.
December 22, 2017
Westbrook JI, Li L, Hooper TD, et al. Effectiveness of a 'Do not interrupt' bundled intervention to reduce
interruptions during m…
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psnet.ahrq.gov/node/42944/psn-pdf
March 03, 2024 - Clinical Learning Environment Review (CLER) Program.
March 3, 2024
Accreditation Council for Graduate Medical Education.
https://psnet.ahrq.gov/issue/clinical-learning-environment-review-cler-program
Many graduate medical education programs have instituted patient safety didactics or online courses to
meet accredi…
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psnet.ahrq.gov/node/44866/psn-pdf
March 15, 2016 - Associations between attending physician workload,
teaching effectiveness, and patient safety.
March 15, 2016
Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching
effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:10.1002/jhm.2540.
https://psnet.a…
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psnet.ahrq.gov/node/848363/psn-pdf
May 03, 2023 - Impact of the percentage of overlapping surgery on
patient outcomes: a retrospective cohort study of 87,000
surgical cases.
May 3, 2023
Pitts CC, Ponce BA, Arguello AM, et al. Impact of the percentage of overlapping surgery on patient
outcomes: a retrospective cohort study of 87,000 surgical cases. Ann Surg. 2023;…
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psnet.ahrq.gov/node/35531/psn-pdf
May 27, 2011 - U.S. adoption of computerized physician order entry
systems.
May 27, 2011
Cutler DM, Feldman NE, Horwitz JR. U.S. adoption of computerized physician order entry systems. Health
Aff (Millwood). 2005;24(6):1654-63.
https://psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems
This study discov…
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psnet.ahrq.gov/node/34775/psn-pdf
February 07, 2019 - Escape Fire: Lessons for the Future of Health Care.
February 7, 2019
Berwick DM. Washington DC: Commonwealth Fund; 2002.
https://psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care
This report represents an edited version of Donald Berwick’s Plenary Address presented at the Institute for
Healthcare Improve…
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psnet.ahrq.gov/node/39753/psn-pdf
September 28, 2016 - Nursing care quality and adverse events in US hospitals.
September 28, 2016
Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in US hospitals. J Clin Nurs.
2010;19(15-16):2185-95. doi:10.1111/j.1365-2702.2010.03250.x.
https://psnet.ahrq.gov/issue/nursing-care-quality-and-adverse-events-us-hospit…
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psnet.ahrq.gov/node/38749/psn-pdf
April 08, 2011 - Parental misinterpretations of over-the-counter pediatric
cough and cold medication labels.
April 8, 2011
Lokker N, Sanders LM, Perrin EM, et al. Parental misinterpretations of over-the-counter pediatric cough
and cold medication labels. Pediatrics. 2009;123(6):1464-1471. doi:10.1542/peds.2008-0854.
https://psnet.…
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psnet.ahrq.gov/node/837200/psn-pdf
May 25, 2022 - Analysis of readmissions in a mobile integrated health
transitional care program using root cause analysis and
common cause analysis.
May 25, 2022
Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional
care program using root cause analysis and common cause ana…
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psnet.ahrq.gov/node/35407/psn-pdf
September 11, 2009 - Liability reform should make patients safer: "Avoidable
classes of events" are a key improvement.
September 11, 2009
Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a
key improvement. J Law Med Ethics. 2005;33(3):478-500.
https://psnet.ahrq.gov/issue/liabili…
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psnet.ahrq.gov/node/854822/psn-pdf
October 25, 2023 - Cognitive bias during clinical decision-making and its
influence on patient outcomes in the emergency
department: a scoping review.
October 25, 2023
Jala S, Fry M, Elliott R. Cognitive bias during clinical decision?making and its influence on patient
outcomes in the emergency department: a scoping review. J Clin N…