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psnet.ahrq.gov/issue/addressing-veteran-health-related-social-needs-how-joint-commission-standards-accelerated
November 24, 2021 - Commentary
Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration.
Citation Text:
List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social n…
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psnet.ahrq.gov/issue/targeted-versus-universal-decolonization-prevent-icu-infection
November 16, 2022 - Study
Classic
Targeted versus universal decolonization to prevent ICU infection.
Citation Text:
Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa12…
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psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality
July 21, 2021 - Study
Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis.
Citation Text:
Liberman AL, Holl JL, Romo E, et al. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Acad Eme…
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psnet.ahrq.gov/issue/fable-reality-parkland-hospital-impact-evidence-based-design-strategies-patient-safety
September 09, 2020 - Commentary
From fable to reality at Parkland Hospital: the impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient environment.
Citation Text:
Rich RK, Jimenez FE, Puumala SE, et al. From Fable to Reality at Parkland Hospital: The Im…
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psnet.ahrq.gov/issue/implementation-peer-messengers-deliver-feedback-observational-study-promote-professionalism
October 28, 2020 - Study
Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing.
Citation Text:
Baldwin CA, Hanrahan K, Edmonds SW, et al. Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in…
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psnet.ahrq.gov/issue/structured-approach-ehr-surveillance-diagnostic-error-acute-care-exploratory-analysis-two
October 16, 2024 - Study
A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts.
Citation Text:
Malik MA, Motta-Calderon D, Piniella N, et al. A structured approach to EHR surveillance of diagnostic error in acute car…
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psnet.ahrq.gov/issue/evaluation-symptom-checkers-self-diagnosis-and-triage-audit-study
December 08, 2021 - Study
Classic
Evaluation of symptom checkers for self diagnosis and triage: audit study.
Citation Text:
Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h34…
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psnet.ahrq.gov/issue/performance-3-sets-criteria-potentially-inappropriate-prescribing-older-people-identify
December 21, 2022 - Study
Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug treatment.
Citation Text:
Wallerstedt SM, Svensson SA, Lönnbro J, et al. Performance of 3 sets of criteria for potentially inappropriate prescribing in older peop…
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psnet.ahrq.gov/issue/key-use-cases-artificial-intelligence-reduce-frequency-adverse-drug-events-scoping-review
May 20, 2020 - Review
Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review.
Citation Text:
Syrowatka A, Song W, Amato MG, et al. Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review. Lancet Digit…
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psnet.ahrq.gov/issue/institutional-covid-19-protocols-focused-preparation-safety-and-care-consolidation
September 30, 2020 - Commentary
Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation.
Citation Text:
DiSilvio B, Virani A, Patel S, et al. Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. Crit Care Nurs Q. 2020;43(4):413-427. doi:10…
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psnet.ahrq.gov/issue/qualitative-study-what-care-workers-do-provide-patient-safety-home-through-telecare
September 08, 2021 - Study
A qualitative study of what care workers do to provide patient safety at home through telecare.
Citation Text:
Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at home through telecare. BMC Health Serv Res. 2021;21(1):553. d…
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psnet.ahrq.gov/issue/doing-best-we-can-registered-nurses-experiences-and-perceptions-patient-safety-intensive-care
August 26, 2020 - Study
'Doing the best we can': Registered nurses' experiences and perceptions of patient safety in intensive care during COVID-19.
Citation Text:
Stayt LC, Merriman C, Bench S, et al. 'Doing the best we can': Registered nurses' experiences and perceptions of patient safety in intensive c…
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psnet.ahrq.gov/issue/diagnostic-trajectories-primary-care-12-months-observational-cohort-study
December 02, 2020 - Study
Diagnostic trajectories in primary care at 12 months: an observational cohort study.
Citation Text:
Fontil V, Khoong EC, Lyles C, et al. Diagnostic trajectories in primary care at 12 months: an observational cohort study. Jt Comm J Qual Patient Saf. 2022;48(8):395-402. doi:10.1016/…
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psnet.ahrq.gov/issue/identifying-potential-prescribing-safety-indicators-related-mental-health-disorders-and
July 22, 2020 - Review
Identifying potential prescribing safety indicators related to mental health disorders and medications: a systematic review.
Citation Text:
Khawagi WY, Steinke DT, Nguyen J, et al. Identifying potential prescribing safety indicators related to mental health disorders and medicatio…
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psnet.ahrq.gov/issue/technology-based-closed-loop-tracking-improving-communication-and-follow-pathology-results
May 25, 2022 - Study
Technology-based closed-loop tracking for improving communication and follow-up of pathology results.
Citation Text:
Rajan SS, Baldwin J, Giardina TD, et al. Technology-based closed-loop tracking for improving communication and follow-up of pathology results. J Patient Saf. 2022;18…
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psnet.ahrq.gov/issue/effect-prescriber-notifications-patients-fatal-overdose-opioid-prescribing-4-12-months
October 06, 2021 - Study
Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months: a randomized clinical trial.
Citation Text:
Doctor JN, Stewart E, Lev R, et al. Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 mo…
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psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors
October 20, 2021 - Study
Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years.
Citation Text:
Vacheron C-H, Acker A, Autran M, et al. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors:…
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psnet.ahrq.gov/issue/adding-automation-and-independent-dual-verification-reduce-wrong-blood-tube-wbit-events
October 21, 2020 - Study
Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events.
Citation Text:
Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;15…
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psnet.ahrq.gov/issue/effect-medication-reconciliation-hospital-admission-30-day-returns-hospital-randomized
September 15, 2021 - Study
Effect of medication reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical trial.
Citation Text:
Ceschi A, Noseda R, Pironi M, et al. Effect of medication reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical t…
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psnet.ahrq.gov/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors
June 24, 2009 - Study
Classic
Diagnostic error in medicine: analysis of 583 physician-reported errors.
Citation Text:
Schiff G, Hasan O, Kim S, et al. Diagnostic error in medicine: analysis of 583 physician-reported errors. Arch Intern Med. 2009;169(20):1881-1887. doi:10.1001/a…