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psnet.ahrq.gov/issue/older-adults-are-often-misdiagnosed-specialized-ers-and-trained-clinicians-can-help
July 28, 2021 - Newspaper/Magazine Article
Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help.
Citation Text:
Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024;
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psnet.ahrq.gov/issue/information-behavior-context-improving-patient-safety
March 24, 2019 - Commentary
Information behavior in the context of improving patient safety.
Citation Text:
MacIntosh-Murray A, Choo CW. Information behavior in the context of improving patient safety. Journal of the American Society for Information Science and Technology. 2005;56(12). doi:10.1002/asi.…
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psnet.ahrq.gov/issue/scoping-review-hidden-curriculum-pharmacy-education
November 16, 2022 - Review
A scoping review of the hidden curriculum in pharmacy education.
Citation Text:
Park SK, Chen AMH, Daugherty KK, et al. A scoping review of the hidden curriculum in pharmacy education. Am J Pharm Educ. 2023;87(3):ajpe8999. doi:10.5688/ajpe8999.
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psnet.ahrq.gov/node/846935/psn-pdf
March 29, 2023 - Maternal Safety and Perinatal Mental Health
March 29, 2023
Allen C, Van CM, Mossburg S. Maternal Safety and Perinatal Mental Health . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
Maternal patient safety is a critical aspect of healthcare given the complex pr…
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psnet.ahrq.gov/issue/predictors-healthcare-professionals-attitudes-towards-family-involvement-safety-relevant
November 05, 2013 - Study
Predictors of healthcare professionals' attitudes towards family involvement in safety-relevant behaviours: a cross-sectional factorial survey study.
Citation Text:
Davis R, Savvopoulou M, Shergill R, et al. Predictors of healthcare professionals' attitudes towards family involveme…
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psnet.ahrq.gov/issue/situ-simulation-method-experiential-learning-promote-safety-and-team-behavior
September 03, 2011 - Commentary
In situ simulation: a method of experiential learning to promote safety and team behavior.
Citation Text:
Miller KK, Riley W, Davis SE, et al. In situ simulation: a method of experiential learning to promote safety and team behavior. J Perinat Neonatal Nurs. 2008;22(2):105-1…
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psnet.ahrq.gov/issue/reducing-avoidable-readmissions-effectively-rare-campaign
January 31, 2018 - Award Recipient
Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative.
Citation Text:
McCoy KA, Bear-Pfaffendorf K, Foreman JK, et al. Reducing Avoidable Hospital Readmissions Effectively: A Statewide Campaign. Joint Comm J Qual Patient Saf. 2016;40(5):198-204,…
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psnet.ahrq.gov/issue/advancing-nursing-home-quality-through-quality-improvement-itself
November 28, 2018 - Commentary
Advancing nursing home quality through quality improvement itself.
Citation Text:
Werner RM, Konetzka RT. Advancing Nursing Home Quality Through Quality Improvement Itself. Health Aff. 2010;29(1):81-86. doi:10.1377/hlthaff.2009.0555.
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psnet.ahrq.gov/issue/identifying-hospital-organizational-strategies-reduce-readmissions
May 25, 2016 - Study
Identifying hospital organizational strategies to reduce readmissions.
Citation Text:
Ahmad FS, Metlay JP, Barg FK, et al. Identifying hospital organizational strategies to reduce readmissions. Am J Med Qual. 2013;28(4):278-85. doi:10.1177/1062860612464999.
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psnet.ahrq.gov/issue/reducing-specimen-identification-errors
October 12, 2016 - Commentary
Reducing specimen identification errors.
Citation Text:
Rees S, Stevens L, Mikelsons D, et al. Reducing specimen identification errors. J Nurs Care Qual. 2012;27(3):253-7. doi:10.1097/NCQ.0b013e3182510303.
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psnet.ahrq.gov/issue/frequency-prescribing-errors-medical-residents-various-training-programs
November 05, 2014 - Study
Frequency of prescribing errors by medical residents in various training programs.
Citation Text:
Honey BL, Bray WM, Gomez MR, et al. Frequency of prescribing errors by medical residents in various training programs. J Patient Saf. 2015;11(2):100-4. doi:10.1097/PTS.0000000000000048…
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psnet.ahrq.gov/issue/medication-safety-and-administration-intravenous-vincristine-international-survey-oncology
March 26, 2015 - Study
Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists.
Citation Text:
Gilbar P, Chambers C, Larizza M. Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. J On…
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psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-omission
April 24, 2018 - Study
The power of written word: reflection reduces errors of omission.
Citation Text:
Rao A, Heidemann LA, Hartley S, et al. The power of written word: reflection reduces errors of omission. Clin Teach. 2024;21(1):e13630. doi:10.1111/tct.13630.
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psnet.ahrq.gov/issue/patient-perspectives-adverse-event-investigations-health-care
December 18, 2024 - Study
Patient perspectives on adverse event investigations in health care.
Citation Text:
Dijkstra-Eijkemans RI, Knap LJ, Elbers NA, et al. Patient perspectives on adverse event investigations in health care. BMC Health Serv Res. 2024;24(1):1044. doi:10.1186/s12913-024-11522-x.
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psnet.ahrq.gov/issue/involving-patients-andor-their-next-kin-serious-adverse-event-investigations-qualitative
September 25, 2024 - Study
Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives.
Citation Text:
Knap LJ, Dijkstra-Eijkemans RI, Friele RD, et al. Involving patients and/or their next of kin in serious adverse event investigations: a…
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psnet.ahrq.gov/issue/last-person-youd-expect-die-childbirth
May 03, 2017 - Newspaper/Magazine Article
The last person you'd expect to die in childbirth.
Citation Text:
The last person you'd expect to die in childbirth. Martin N, Montagne R. ProPublica and National Public Radio. May 12, 2017.
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psnet.ahrq.gov/issue/association-between-hospital-reported-leapfrog-safe-practices-scores-and-inpatient-mortality
January 23, 2020 - Study
Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality.
Citation Text:
Werner RM, McNutt RA. A New Strategy to Improve Quality. JAMA. 2009;301(13). doi:10.1001/jama.2009.423.
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psnet.ahrq.gov/issue/team-experiences-root-cause-analysis-process-after-sentinel-event-qualitative-case-study
October 07, 2020 - Study
Team experiences of the root cause analysis process after a sentinel event: a qualitative case study.
Citation Text:
Liepelt S, Sundal H, Kirchhoff R. Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. BMC Health Serv Res. 2023;23(…
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psnet.ahrq.gov/issue/characteristics-and-patient-impact-boarding-pediatric-emergency-department-2018-2022
October 19, 2022 - Study
Characteristics and patient impact of boarding in the pediatric emergency department, 2018-2022.
Citation Text:
Kappy B, Berkowitz D, Isbey S, et al. Characteristics and patient impact of boarding in the pediatric emergency department, 2018–2022. Am J Emerg Med. 2023;77:139-146. do…
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psnet.ahrq.gov/issue/factors-influencing-hospital-prescribing-errors-systematic-review
March 23, 2022 - Review
Factors influencing in-hospital prescribing errors: a systematic review.
Citation Text:
Mahomedradja RF, Schinkel M, Sigaloff KCE, et al. Factors influencing in‐hospital prescribing errors: a systematic review. Br J Clin Pharmacol. 2023;89(6):1724-1735. doi:10.1111/bcp.15694.
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