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psnet.ahrq.gov/issue/world-federation-chiropractic-global-patient-safety-task-force-call-action
December 23, 2020 - Review
The World Federation of Chiropractic Global Patient Safety Task Force: a call to action.
Citation Text:
Coleman BC, Rubinstein SM, Salsbury SA, et al. The World Federation of Chiropractic Global Patient Safety Task Force: a call to action. Chiropr Man Therap. 2024;32(1):15. doi:10…
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psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and-harm
June 19, 2019 - Study
Health care provider factors associated with patient-reported adverse events and harm.
Citation Text:
Giardina TD, Royse KE, Khanna A, et al. Health care provider factors associated with patient-reported adverse events and harm. Jt Comm J Qual Patient Saf. 2020;46(5):282-290. doi:…
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psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hospital-grounds-and-clinic-areas
October 29, 2017 - Study
Suicide and suicide attempts on hospital grounds and clinic areas.
Citation Text:
Mills PD, Watts BV, Hemphill RR. Suicide and suicide attempts on hospital grounds and clinic areas. J Patient Saf. 2021;17(5):e423-e428. doi:10.1097/pts.0000000000000356.
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psnet.ahrq.gov/issue/measuring-adverse-events-and-levels-harm-pediatric-inpatients-global-trigger-tool
December 18, 2013 - Study
Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool.
Citation Text:
Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e12…
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psnet.ahrq.gov/issue/description-development-and-validation-canadian-paediatric-trigger-tool
January 25, 2017 - Study
Description of the development and validation of the Canadian Paediatric Trigger Tool.
Citation Text:
Matlow A, Cronin CMG, Flintoft V, et al. Description of the development and validation of the Canadian Paediatric Trigger Tool. BMJ Qual Saf. 2011;20(5):416-23. doi:10.1136/bmjqs…
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psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure
July 20, 2022 - Study
Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries.
Citation Text:
Abela G. Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. J Tissue Viability. 2021;30(3):3…
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psnet.ahrq.gov/issue/development-core-drug-list-towards-improving-prescribing-education-and-reducing-errors-uk
April 13, 2022 - Study
Development of a core drug list towards improving prescribing education and reducing errors in the UK.
Citation Text:
Baker E, Pryce Roberts A, Wilde K, et al. Development of a core drug list towards improving prescribing education and reducing errors in the UK. Br J Clin Pharmac…
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psnet.ahrq.gov/issue/espen-guideline-hospital-nutrition
February 17, 2015 - Organizational Policy/Guidelines
ESPEN guideline on hospital nutrition.
Citation Text:
Thibault R, Abbasoglu O, Ioannou E, et al. ESPEN guideline on hospital nutrition. Clin Nutr. 2021;40(12):5684-5709. doi:10.1016/j.clnu.2021.09.039.
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psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-devices-womens
September 01, 2021 - Press Release/Announcement
FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy.
Citation Text:
FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…
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psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach
November 03, 2015 - Study
Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events.
Citation Text:
Harvey B, Dhalla IA, O'Neill C, et al. Building a resilient patient safety culture: a large healthcare organization's approach to …
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psnet.ahrq.gov/issue/covid-19-emerging-threat-antibiotic-stewardship-emergency-department
October 21, 2020 - Commentary
COVID-19: an emerging threat to antibiotic stewardship in the emergency department.
Citation Text:
Pulia M, Wolf I, Schulz L, et al. COVID-19: an emerging threat to antibiotic stewardship in the emergency department. West J Emerg Med. 2020;21(5):1283-1286. doi:10.5811/westjem.…
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psnet.ahrq.gov/issue/transparency-public-reporting-and-culture-change-quality-and-safety-cardiac-surgery
February 17, 2021 - Commentary
Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery.
Citation Text:
Ibrahim M, Szeto WY, Gutsche J, et al. Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. Ann Thorac Surg. 2022;114(3…
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psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their-successful
December 05, 2012 - Study
How to make medication error reporting systems work—factors associated with their successful development and implementation.
Citation Text:
Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work--Factors associated with their successful develo…
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psnet.ahrq.gov/issue/national-mixed-methods-evaluation-preparedness-general-surgery-residency-and-association
September 02, 2020 - Study
A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout.
Citation Text:
Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for general surgery residency and the asso…
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psnet.ahrq.gov/issue/emergency-department-monitor-alarms-rarely-change-clinical-management-observational-study
September 30, 2020 - Study
Emergency department monitor alarms rarely change clinical management: an observational study.
Citation Text:
Fleischman W, Ciliberto B, Rozanski N, et al. Emergency department monitor alarms rarely change clinical management: an observational study. Am J Emerg Med. 2020;38(6):1072…
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psnet.ahrq.gov/issue/development-emergency-department-trigger-tool-using-systematic-search-and-modified-delphi
August 30, 2017 - Study
Development of an emergency department trigger tool using a systematic search and modified Delphi process.
Citation Text:
Griffey RT, Schneider RM, Adler L, et al. Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process. J Patient S…
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psnet.ahrq.gov/issue/how-physicians-implicit-prejudice-against-obese-and-mentally-ill-moderated-specialty-and
January 19, 2022 - Study
How is physicians' implicit prejudice against the obese and mentally ill moderated by specialty and experience?
Citation Text:
FitzGerald C, Mumenthaler C, Berner D, et al. How is physicians’ implicit prejudice against the obese and mentally ill moderated by specialty and experienc…
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psnet.ahrq.gov/issue/care-deficiencies-and-leaders-inadequate-reviews-patient-who-died-lt-col-luke-weathers-jr-va
April 10, 2024 - Book/Report
Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee.
Citation Text:
Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…
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psnet.ahrq.gov/issue/evaluating-patient-safety-learning-laboratory-create-interdisciplinary-ecosystem-health-care
December 21, 2022 - Study
Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation.
Citation Text:
Atkinson MK, Benneyan JC, Bambury EA, et al. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care …
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psnet.ahrq.gov/issue/prescribing-patterns-heart-failure-exacerbating-medications-following-heart-failure
January 26, 2022 - Study
Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization.
Citation Text:
Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. JACC H…