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psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance
September 03, 2011 - Review
When doing wrong feels so right: normalization of deviance.
Citation Text:
Price MR, Williams TC. When Doing Wrong Feels So Right: Normalization of Deviance. J Patient Saf. 2018;14(1):1-2. doi:10.1097/PTS.0000000000000157.
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psnet.ahrq.gov/issue/investigating-workplace-support-and-importance-psychological-safety-general-surgery-residency
July 16, 2015 - Study
Investigating workplace support and the importance of psychological safety in general surgery residency training.
Citation Text:
Ojute F, Gonzales PA, Berler M, et al. Investigating workplace support and the importance of psychological safety in general surgery residency training. …
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psnet.ahrq.gov/issue/practically-speaking-rethinking-hand-hygiene-improvement-programs-health-care-settings
September 03, 2011 - Study
Practically speaking: rethinking hand hygiene improvement programs in health care settings.
Citation Text:
Son C, Chuck T, Childers T, et al. Practically speaking: Rethinking hand hygiene improvement programs in health care settings. Am J Infect Control. 2011;39(9). doi:10.1016/j…
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psnet.ahrq.gov/issue/safety-using-computerized-rounding-and-sign-out-system-reduce-resident-duty-hours
June 23, 2009 - Study
Safety of using a computerized rounding and sign-out system to reduce resident duty hours.
Citation Text:
Van Eaton EG, McDonough K, Lober WB, et al. Safety of Using a Computerized Rounding and Sign-Out System to Reduce Resident Duty Hours. Academic Medicine. 2010;85(7). doi:10.1…
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psnet.ahrq.gov/issue/aging-physician-and-medical-profession-review
May 27, 2010 - Review
The aging physician and the medical profession: a review.
Citation Text:
Dellinger P, Pellegrini CA, Gallagher TH. The Aging Physician and the Medical Profession: A Review. JAMA Surg. 2017;152(10):967-971. doi:10.1001/jamasurg.2017.2342.
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psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
February 15, 2023 - Review
Surgical site infection prevention: a review.
Citation Text:
Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA. 2023;329(3):244-252. doi:10.1001/jama.2022.24075.
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psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication
December 04, 2013 - Study
A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions.
Citation Text:
Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…
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psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks
May 08, 2017 - Commentary
Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level.
Citation Text:
Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a…
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psnet.ahrq.gov/issue/prospective-observational-study-incidence-medication-errors-during-simulated-resuscitation
April 22, 2011 - Study
Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department.
Citation Text:
Kozer E, Seto W, Verjee Z, et al. Prospective observational study on the incidence of medication errors during simulated resus…
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psnet.ahrq.gov/issue/identifying-patient-safety-problems-during-team-rounds-ethnographic-study
May 11, 2022 - Study
Identifying patient safety problems during team rounds: an ethnographic study.
Citation Text:
Lamba R, Linn K, Fletcher KE. Identifying patient safety problems during team rounds: an ethnographic study. BMJ Qual Saf. 2014;23(8):667-9. doi:10.1136/bmjqs-2013-002324.
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digital.ahrq.gov/ahrq-funded-projects/complexity-incidence-and-costs-related-delayed-diagnosis-venous
September 01, 2024 - Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings
Project Description
Using a mixed method approach including machine learning (ML) to improve early detection of venous thromboembolism (VT…
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psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-reduce-emergency-department-boarding-and
November 12, 2008 - Press Release/Announcement
AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding.
Citation Text:
AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. Agency for Healt…
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psnet.ahrq.gov/issue/surviving-sepsis-campaign-international-guidelines-management-sepsis-and-septic-shock-2021
September 25, 2013 - Clinical Guideline
Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2021.
Citation Text:
Evans L, Rhodes A, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Crit Care Med.…
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psnet.ahrq.gov/issue/effect-automated-alerts-provider-ordering-behavior-outpatient-setting
November 23, 2016 - Study
The effect of automated alerts on provider ordering behavior in an outpatient setting.
Citation Text:
Steele AW, Eisert S, Witter J, et al. The effect of automated alerts on provider ordering behavior in an outpatient setting. PLoS Med. 2005;2(9):e255. doi:10.1371/journal.pmed.…
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psnet.ahrq.gov/issue/determinants-patient-reported-medication-errors-comparison-among-seven-countries
July 29, 2020 - Study
Determinants of patient-reported medication errors: a comparison among seven countries.
Citation Text:
Lu CY, Roughead E. Determinants of patient-reported medication errors: a comparison among seven countries. Int J Clin Pract. 2011;65(7):733-40. doi:10.1111/j.1742-1241.2011.0267…
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psnet.ahrq.gov/issue/achieving-institute-medicines-6-aims-quality-midst-opioid-crisis-considerations-emergency
June 24, 2015 - Commentary
Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department.
Citation Text:
Waszak DL, Fennimore LA. Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: consider…
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psnet.ahrq.gov/issue/lack-timely-follow-abnormal-imaging-results-and-radiologists-recommendations
April 13, 2017 - Study
Lack of timely follow-up of abnormal imaging results and radiologists' recommendations.
Citation Text:
Al-Mutairi A, Meyer AND, Chang P, et al. Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. J Am Coll Radiol. 2015;12(4):385-389. doi:10.1016/…
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psnet.ahrq.gov/issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals
June 18, 2014 - Study
Costs associated with surgical site infections in Veterans Affairs hospitals.
Citation Text:
Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663.
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psnet.ahrq.gov/issue/problem-preventable-deaths
July 24, 2024 - Commentary
The problem with preventable deaths.
Citation Text:
Hogan H. The problem with preventable deaths. BMJ Qual Saf. 2016;25(5):320-3. doi:10.1136/bmjqs-2015-004983.
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psnet.ahrq.gov/issue/general-internists-pursuit-diagnostic-excellence-primary-care-proudtobegim-thread-unites-us
April 03, 2024 - Commentary
General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all.
Citation Text:
Kwan JL, Singh H. General Internists in Pursuit of Diagnostic Excellence in Primary Care: a #ProudtobeGIM Thread That Unites Us All. J Gen Intern M…