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  1. psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
    August 01, 2007 - In Conversation with...James L. Reinertsen, MD August 1, 2007  Also Read an Essay Citation Text: In Conversation with..James L. Reinertsen, MD. PSNet [internet]. 2007.In Conversation with...James L. Reinertsen, MD. PSNet [internet]. Rockville (MD): Agency for Heal…
  2. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
    January 01, 2021 - Spotlight Spotlight Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome Source and Credits • This presentation is based on the June 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Comm…
  3. psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
    March 09, 2022 - SPOTLIGHT CASE Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis Citation Text: Castillo JA, Price R, Kim KD. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis. PSNet [internet]. …
  4. psnet.ahrq.gov/issue/enhancing-teamwork-communication-and-patient-safety-responsiveness-paediatric-intensive-care
    March 10, 2021 - Study Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. Citation Text: Aldawood F, Kazzaz Y, AlShehri A, et al. Enhancing teamwork communication and patient safety responsiveness in a paediatric inte…
  5. psnet.ahrq.gov/issue/work-life-balance-behaviours-cluster-work-settings-and-relate-burnout-and-safety-culture
    September 14, 2022 - Study Emerging Classic Work–life balance behaviours cluster in work settings and relate to burnout and safety culture: a cross-sectional survey analysis. Citation Text: Schwartz SP, Adair KC, Bae J, et al. Work-life balance behaviours cluster in work settings an…
  6. psnet.ahrq.gov/issue/state-legal-restrictions-and-prescription-opioid-use-among-disabled-adults
    May 31, 2023 - Study Classic State legal restrictions and prescription-opioid use among disabled adults. Citation Text: Meara E, Horwitz JR, Powell W, et al. State Legal Restrictions and Prescription-Opioid Use among Disabled Adults. N Engl J Med. 2016;375(1):44-53. doi:10.105…
  7. psnet.ahrq.gov/issue/effect-standardized-handoff-curriculum-improved-clinician-preparedness-intensive-care-unit
    October 19, 2022 - Study Classic Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial. Citation Text: Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curr…
  8. psnet.ahrq.gov/issue/mitigation-patient-harm-testing-errors-family-medicine-offices-report-american-academy-family
    June 11, 2008 - Study Mitigation of patient harm from testing errors in family medicine offices: a report from the American Academy of Family Physicians National Research Network. Citation Text: Graham DG, Harris DM, Elder NC, et al. Mitigation of patient harm from testing errors in family medicine of…
  9. psnet.ahrq.gov/issue/leapfrog-hospital-safety-score-magnet-designation-and-healthcare-associated-infections-united
    July 27, 2022 - Study Leapfrog Hospital Safety Score, Magnet designation, and healthcare-associated infections in United States hospitals. Citation Text: Pakyz AL, Wang H, Ozcan YA, et al. Leapfrog Hospital Safety Score, Magnet Designation, and Healthcare-Associated Infections in United States Hospitals…
  10. psnet.ahrq.gov/issue/predictors-gaps-patient-safety-and-quality-us-hospitals
    December 23, 2020 - Study Predictors of gaps in patient safety and quality in U.S. hospitals. Citation Text: Unruh L, Hofler R. Predictors of Gaps in Patient Safety and Quality in U.S. Hospitals. Health Serv Res. 2016;51(6):2258-2281. doi:10.1111/1475-6773.12468. Copy Citation Format: DOI Goog…
  11. psnet.ahrq.gov/issue/association-between-complications-incidents-and-patient-experience-retrospective-linkage
    February 20, 2019 - Study The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. Citation Text: de Vos MS, Hamming JF, Boosman H, et al. The Association Between Complications, Incidents, and Patient Experience: R…
  12. psnet.ahrq.gov/issue/are-teaching-hospitals-treated-fairly-hospital-acquired-condition-reduction-program
    July 11, 2018 - Study Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program? Citation Text: Mohajer MA, Joiner KA, Nix DE. Are Teaching Hospitals Treated Fairly in the Hospital-Acquired Condition Reduction Program? Acad Med. 2018;93(12):1827-1832. doi:10.1097/ACM.000…
  13. psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reform-general-surgery-patient-outcomes-and
    September 09, 2015 - Study Classic Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. Citation Text: Rajaram R, Chung JW, Jones AT, et al. Association of the 2011 ACGME resident duty hour reform wi…
  14. psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reforms-mortality-and-readmissions-among
    November 26, 2014 - Study Classic Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. Citation Text: Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with mortali…
  15. psnet.ahrq.gov/issue/communication-between-primary-and-secondary-care-deficits-and-danger
    September 23, 2020 - Study Communication between primary and secondary care: deficits and danger. Citation Text: Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037. Copy Citation Format…
  16. psnet.ahrq.gov/issue/leaders-and-followers-individual-experiences-during-early-phase-simulation-based-team
    January 18, 2011 - Study Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study. Citation Text: Meurling L, Hedman L, Felländer-Tsai L, et al. Leaders' and followers' individual experiences during the early phase of simulation-based t…
  17. psnet.ahrq.gov/issue/prospective-controlled-trial-electronic-hand-hygiene-reminder-system
    April 07, 2021 - Study A prospective controlled trial of an electronic hand hygiene reminder system. Citation Text: Ellison RT, Barysauskas CM, Rundensteiner EA, et al. A Prospective Controlled Trial of an Electronic Hand Hygiene Reminder System. Open Forum Infect Dis. 2015;2(4):ofv121. doi:10.1093/ofid/…
  18. psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council
    September 23, 2020 - Study National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. Citation Text: Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and Afte…
  19. psnet.ahrq.gov/issue/engaging-patients-medication-reconciliation-patient-portal-following-hospital-discharge
    February 03, 2011 - Study Engaging patients in medication reconciliation via a patient portal following hospital discharge. Citation Text: Heyworth L, Paquin AM, Clark J, et al. Engaging patients in medication reconciliation via a patient portal following hospital discharge. J Am Med Inform Assoc. 2014;21(e…
  20. psnet.ahrq.gov/issue/effect-hospital-multifaceted-clinical-pharmacist-intervention-risk-readmission-randomized
    September 13, 2023 - Study Classic Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. Citation Text: Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist I…

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