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psnet.ahrq.gov/issue/exploring-factors-drive-clinical-negligence-claims-stated-preferences-those-who-have
April 08, 2020 - Study
Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm.
Citation Text:
Wickramasekera N, Hole AR, Rowen D, et al. Exploring the factors that drive clinical negligence claims: stated preferences of those who have…
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psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-organizations-anesthesiology
March 07, 2018 - Commentary
Quality improvement and patient safety organizations in anesthesiology.
Citation Text:
Dutton RP. Quality improvement and patient safety organizations in anesthesiology. AMA J Ethics. 2015;17(3):248-52. doi:10.1001/journalofethics.2015.17.3.pfor1-1503.
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psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
June 19, 2024 - Commentary
Learning from mistakes and near mistakes: using root cause analysis as a risk management tool.
Citation Text:
Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.20…
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psnet.ahrq.gov/issue/overview-use-and-implementation-checklists-surgical-specialities-systematic-review
July 31, 2013 - Review
An overview of the use and implementation of checklists in surgical specialities - a systematic review.
Citation Text:
Patel J, Ahmed K, Guru KA, et al. An overview of the use and implementation of checklists in surgical specialities - a systematic review. Int J Surg. 2014;12(12):…
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www.ahrq.gov/es/programs/index.html?page=0
January 01, 2016 - Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
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psnet.ahrq.gov/issue/multi-professional-patterns-and-methods-communication-during-patient-handoffs
January 30, 2019 - Study
Multi-professional patterns and methods of communication during patient handoffs.
Citation Text:
Benham-Hutchins MM, Effken JA. Multi-professional patterns and methods of communication during patient handoffs. Int J Med Inform. 2010;79(4):252-67. doi:10.1016/j.ijmedinf.2009.12.00…
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psnet.ahrq.gov/issue/hospital-staffing-and-health-care-associated-infections-systematic-review-literature
December 23, 2020 - Review
Emerging Classic
Hospital staffing and health care–associated infections: a systematic review of the literature.
Citation Text:
Mitchell BG, Gardner A, Stone PW, et al. Hospital Staffing and Health Care-Associated Infections: A Systematic Review of the Li…
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psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients
September 27, 2023 - Study
Learning from no-fault treatment injury claims to improve the safety of older patients.
Citation Text:
Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam Med. 2015;13(5):472-4. doi:10.1370/afm.1810.
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www.ahrq.gov/news/blog/ahrqviews/making-patients-part-of-conversations.html
February 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
Making Patients Part of Conversations About Their Care: Integrating Patient-Generated Health Data into Electronic Health Records
FEB
15
2022
By
Chun-Ju (Janey) Hsiao, Ph.D.,
and Chris Dymek, Ed.D.
Janey Hsiao, Ph.D.
The 63-yea…
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psnet.ahrq.gov/issue/resident-perceptions-impact-work-hour-limitations
August 04, 2021 - Study
Resident perceptions of the impact of work hour limitations.
Citation Text:
Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22(7):969-75.
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psnet.ahrq.gov/issue/characterising-near-miss-events-complex-laparoscopic-surgery-through-video-analysis
October 09, 2013 - Study
Characterising 'near miss' events in complex laparoscopic surgery through video analysis.
Citation Text:
Bonrath EM, Gordon LE, Grantcharov T. Characterising 'near miss' events in complex laparoscopic surgery through video analysis. BMJ Qual Saf. 2015;24(8):516-21. doi:10.1136/bmjq…
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psnet.ahrq.gov/issue/bedside-shift-shift-handoffs-systematic-review-literature
January 23, 2017 - Review
Bedside shift-to-shift handoffs: a systematic review of the literature.
Citation Text:
Mardis T, Mardis M, Davis JJ, et al. Bedside Shift-to-Shift Handoffs: A Systematic Review of the Literature. J Nurs Care Qual. 2016;31(1):54-60. doi:10.1097/NCQ.0000000000000142.
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psnet.ahrq.gov/issue/outcomes-recent-patient-safety-education-interventions-trainee-physicians-and-medical
January 15, 2014 - Review
The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review.
Citation Text:
Kirkman MA, Sevdalis N, Arora S, et al. The outcomes of recent patient safety education interventions for trainee physicians and medical s…
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psnet.ahrq.gov/issue/key-performance-outcomes-patient-safety-curricula-root-cause-analysis-failure-mode-and
July 23, 2010 - Commentary
Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills.
Citation Text:
Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects …
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psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist
April 27, 2022 - Commentary
Time out! Rethinking surgical safety: more than just a checklist.
Citation Text:
Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf. 2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600.
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psnet.ahrq.gov/issue/clinical-staging-error-prostate-cancer-localization-and-relevance-undetected-tumour-areas
April 21, 2021 - Study
Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas.
Citation Text:
Bolenz C, Gierth M, Grobholz R, et al. Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. BJU Int. 2009;103(9):1184-9. d…
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psnet.ahrq.gov/issue/survival-hospital-cardiac-arrest-during-nights-and-weekends
February 18, 2011 - Study
Survival from in-hospital cardiac arrest during nights and weekends.
Citation Text:
Peberdy MA, Ornato JP, Larkin L, et al. Survival from in-hospital cardiac arrest during nights and weekends. JAMA. 2008;299(7):785-92. doi:10.1001/jama.299.7.785.
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psnet.ahrq.gov/issue/monitoring-during-sedation-given-non-anaesthetic-doctors
August 30, 2023 - Study
Monitoring during sedation given by non-anaesthetic doctors.
Citation Text:
Fanning RM. Monitoring during sedation given by non-anaesthetic doctors. Anaesthesia. 2008;63(4):370-374. doi:10.1111/j.1365-2044.2007.05378.x.
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psnet.ahrq.gov/issue/state-mandated-hospital-infection-reporting-not-associated-decreased-pediatric-health-care
February 17, 2010 - Study
State-mandated hospital infection reporting is not associated with decreased pediatric health care–associated infections.
Citation Text:
Rinke ML, Bundy DG, Abdullah F, et al. State-Mandated Hospital Infection Reporting Is Not Associated With Decreased Pediatric Health Care-Associa…
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psnet.ahrq.gov/issue/leveraging-continuum-novel-approach-meeting-quality-improvement-and-patient-safety-competency
August 02, 2015 - Commentary
Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine.
Citation Text:
Myers JS, Bellini LM. Leveraging the Continuum: A Novel Approach to Meeting Quality Improvement and Patien…