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psnet.ahrq.gov/issue/accountability-measures-using-measurement-promote-quality-improvement
January 23, 2012 - Commentary
Classic
Accountability measures—using measurement to promote quality improvement.
Citation Text:
Chassin MR, Loeb JM, Schmaltz SP, et al. Accountability measures--using measurement to promote quality improvement. N Engl J Med. 2010;363(7):683-8. doi…
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psnet.ahrq.gov/issue/prevalence-and-nature-medication-administration-errors-health-care-settings-systematic-review
April 01, 2015 - Review
Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence.
Citation Text:
Keers RN, Williams SD, Cooke J, et al. Prevalence and nature of medication administration errors in health care settings: a sys…
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psnet.ahrq.gov/issue/intervening-interruptions-what-exactly-risk-we-are-trying-manage
July 20, 2022 - Review
Intervening in interruptions: what exactly is the risk we are trying to manage?
Citation Text:
Gao J, Rae AJ, Dekker SWA. Intervening in Interruptions: What Exactly Is the Risk We Are Trying to Manage? J Patient Saf. 2021;17(7):e684-e688. doi:10.1097/PTS.0000000000000429.
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psnet.ahrq.gov/issue/open-disclosure-among-general-practitioners-second-victim-patient-safety-incident-cross
February 15, 2023 - Study
Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional study in Flanders (Belgium).
Citation Text:
Neyens L, Stouten E, Vanhaecht K, et al. Open disclosure among general practitioners as second victim of a patient safety inciden…
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psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
July 12, 2016 - Book/Report
Classic
Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.
Citation Text:
Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours…
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psnet.ahrq.gov/issue/narrative-review-high-quality-literature-effects-resident-duty-hours-reforms
May 12, 2021 - Review
A narrative review of high-quality literature on the effects of resident duty hours reforms.
Citation Text:
Lin H, Lin E, Auditore S, et al. A Narrative Review of High-Quality Literature on the Effects of Resident Duty Hours Reforms. Acad Med. 2016;91(1):140-50. doi:10.1097/ACM.00…
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psnet.ahrq.gov/issue/randomized-controlled-evaluation-insulin-pen-storage-policy
January 23, 2017 - Study
Randomized controlled evaluation of an insulin pen storage policy.
Citation Text:
Gibbs HG, McLernon T, Call R, et al. Randomized controlled evaluation of an insulin pen storage policy. Am J Health Syst Pharm. 2017;74(24):2054-2059. doi:10.2146/ajhp160348.
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psnet.ahrq.gov/issue/infusional-chemotherapy-and-medication-errors-tertiary-care-pediatric-cancer-unit-resource
October 29, 2012 - Study
Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting.
Citation Text:
Dhamija M, Kapoor G, Juneja A. Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. …
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psnet.ahrq.gov/issue/quality-life-after-maternal-near-miss-systematic-review
November 24, 2021 - Study
Quality of life after maternal near miss: a systematic review.
Citation Text:
Rosen IEW, Shiekh RM, Mchome B, et al. Quality of life after maternal near miss: a systematic review. Acta Obstet Gynecol Scand. 2021;100(4):704-714. doi:10.1111/aogs.14128.
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psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals
January 02, 2017 - Study
Inpatient suicide and suicide attempts in Veterans Affairs hospitals.
Citation Text:
Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488.
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Format:
Go…
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psnet.ahrq.gov/issue/education-initiatives-cognitive-debiasing-improve-diagnostic-accuracy-student-providers
October 21, 2020 - Review
Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review.
Citation Text:
Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scopin…
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psnet.ahrq.gov/node/40932/psn-pdf
July 05, 2016 - Health IT and Patient Safety: Building Safer Systems for
Better Care.
July 5, 2016
Committee on Patient Safety and Health Information Technology, Board on Health Care Services, Institute
of Medicine. Washington, DC: National Academies Press; 2011. ISBN: 9780309221122.
https://psnet.ahrq.gov/issue/health-it-and-pat…
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psnet.ahrq.gov/node/43140/psn-pdf
October 31, 2014 - The frequency of diagnostic errors in outpatient care:
estimations from three large observational studies
involving US adult populations.
October 31, 2014
Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimations from
three large observational studies involving US adult popu…
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psnet.ahrq.gov/node/72567/psn-pdf
December 16, 2020 - Transforming the medication regimen review process
using telemedicine to prevent adverse events.
December 16, 2020
Kane?Gill SL, Wong A, Culley CM, et al. Transforming the medication regimen review process using
telemedicine to prevent adverse events. J Am Geriatr Soc. 2020;69(2):530-538. doi:10.1111/jgs.16946.
ht…
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psnet.ahrq.gov/node/38886/psn-pdf
August 26, 2009 - Medication overdoses leading to emergency department
visits among children.
August 26, 2009
Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits
among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018.
https://psnet.ahrq.gov/issue/medication…
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psnet.ahrq.gov/node/40982/psn-pdf
March 23, 2012 - Emergency hospitalizations for adverse drug events in
older Americans.
March 23, 2012
Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older
Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10.1056/NEJMsa1103053.
https://psnet.ahrq.gov/issue/emergency-hospitali…
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psnet.ahrq.gov/node/46531/psn-pdf
January 24, 2019 - Tracking progress in improving diagnosis: a framework
for defining undesirable diagnostic events.
January 24, 2019
Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining
Undesirable Diagnostic Events. J Gen Intern Med. 2018;33(7):1187-1191. doi:10.1007/s11606-018-4304-2.
ht…
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psnet.ahrq.gov/node/45959/psn-pdf
June 29, 2017 - Impact of the Opioid Safety Initiative on opioid-related
prescribing in veterans.
June 29, 2017
Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in
veterans. Pain. 2017;158(5):833-839. doi:10.1097/j.pain.0000000000000837.
https://psnet.ahrq.gov/issue/impact…
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psnet.ahrq.gov/node/39063/psn-pdf
December 17, 2009 - Safety and risk management interventions in hospitals: a
systematic review of the literature.
December 17, 2009
Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a
systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):90S-119S.
doi:10.1177/10775587093…
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psnet.ahrq.gov/node/43176/psn-pdf
July 03, 2014 - Patient safety in the era of the 80-hour workweek.
July 3, 2014
Shelton J, Kummerow K, Phillips S, et al. Patient safety in the era of the 80-hour workweek. J Surg Educ.
2014;71(4):551-9. doi:10.1016/j.jsurg.2013.12.011.
https://psnet.ahrq.gov/issue/patient-safety-era-80-hour-workweek
Regulations intended to reduc…