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psnet.ahrq.gov/issue/prevalence-and-predictors-delayed-clinical-diagnosis-type-2-diabetes-longitudinal-cohort
August 04, 2021 - Study
Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study.
Citation Text:
Gopalan A, Mishra P, Alexeeff SE, et al. Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. Diabet Med. 2018…
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psnet.ahrq.gov/issue/racialethnic-inequities-pregnancy-related-morbidity-and-mortality
August 10, 2022 - Commentary
Emerging Classic
Racial/ethnic inequities in pregnancy-related morbidity and mortality.
Citation Text:
Minehart RD, Bryant AS, Jackson J, et al. Racial/ethnic inequities in pregnancy-related morbidity and mortality. Obstet Gynecol Clin North Am. 2021;…
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psnet.ahrq.gov/issue/multi-professional-simulation-based-team-training-obstetric-emergencies-improving-patient
July 29, 2020 - Review
Emerging Classic
Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance
Citation Text:
Fransen AF, van de Ven J, Banga FR, et al. Multi-professional simulation-based team trainin…
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psnet.ahrq.gov/issue/using-potentially-preventable-severe-maternal-morbidity-monitor-hospital-performance
February 02, 2022 - Study
Using potentially preventable severe maternal morbidity to monitor hospital performance.
Citation Text:
Fridman M, Korst LM, Reynen DJ, et al. Using potentially preventable severe maternal morbidity to monitor hospital performance. Jt Comm J Qual Patient Saf. 2023;49(3):129-137. do…
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psnet.ahrq.gov/issue/team-dynamics-clinical-work-satisfaction-and-patient-care-coordination-between-primary-care
May 18, 2022 - Study
Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study.
Citation Text:
Song H, Ryan M, Tendulkar S, et al. Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers…
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psnet.ahrq.gov/issue/racial-disparities-pain-management-children-appendicitis-emergency-departments
April 22, 2020 - Study
Racial disparities in pain management of children with appendicitis in emergency departments.
Citation Text:
Goyal MK, Kuppermann N, Cleary SD, et al. Racial disparities in pain management of children with appendicitis in emergency departments. JAMA Pediatr. 2015;169(11):996-1002. …
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psnet.ahrq.gov/issue/patient-safety-and-quality-outcomes-ed-patients-admitted-alternative-care-area-inpatient-beds
October 19, 2022 - Study
Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds.
Citation Text:
Lee MO, Arthofer R, Callagy P, et al. Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. Am J Emerg Med. 2019;38(…
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psnet.ahrq.gov/node/49816/psn-pdf
January 01, 2018 - A Painful Medication Reconciliation Mishap
January 1, 2018
Chou R. A Painful Medication Reconciliation Mishap. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
Case Objectives
Recognize that substance use disorders are common in patients with acute pain.
Understand th…
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psnet.ahrq.gov/node/33663/psn-pdf
September 15, 2008 - Implementing a Patient Safety Program at a Large
National Health System
January 1, 2008
Hauck LD, Jacob J. Implementing a Patient Safety Program at a Large National Health System. PSNet
[internet]. 2008.
https://psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
Perspectiv…
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psnet.ahrq.gov/issue/emergency-department-crowding-and-risk-preventable-medical-errors
November 23, 2011 - Study
Emergency department crowding and risk of preventable medical errors.
Citation Text:
Epstein SK, Huckins DS, Liu SW, et al. Emergency department crowding and risk of preventable medical errors. Intern Emerg Med. 2012;7(2):173-180. doi:10.1007/s11739-011-0702-8.
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…
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psnet.ahrq.gov/issue/medication-errors-hospitals-literature-review-disruptions-nursing-practice-during-medication
August 26, 2015 - Review
Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration.
Citation Text:
Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication …
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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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Format:
…
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psnet.ahrq.gov/issue/getting-teams-talk-development-and-pilot-implementation-checklist-promote-interprofessional
April 06, 2011 - Study
Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR.
Citation Text:
Lingard L, Espin S, Rubin B, et al. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessio…
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psnet.ahrq.gov/issue/investigating-teamwork-operating-room-engaging-stakeholders-and-setting-agenda
January 31, 2018 - Study
Investigating teamwork in the operating room: engaging stakeholders and setting the agenda.
Citation Text:
Frasier LL, Quamme SRP, Becker A, et al. Investigating Teamwork in the Operating Room: Engaging Stakeholders and Setting the Agenda. JAMA Surg. 2017;152(1):109-111. doi:10.100…
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psnet.ahrq.gov/issue/resident-hesitation-operating-room-does-uncertainty-equal-incompetence
September 24, 2016 - Study
Resident hesitation in the operating room: does uncertainty equal incompetence?
Citation Text:
Ott M, Schwartz A, Goldszmidt M, et al. Resident hesitation in the operating room: does uncertainty equal incompetence? Med Educ. 2018;52(8):851-860. doi:10.1111/medu.13530.
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psnet.ahrq.gov/issue/association-between-elements-electronic-health-record-systems-and-weekend-effect-urgent
November 04, 2015 - Study
Association between elements of electronic health record systems and the weekend effect in urgent general surgery.
Citation Text:
Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General S…
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2008-comparative-database-report
May 19, 2010 - Book/Report
Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report.
Citation Text:
Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report. Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality;…
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psnet.ahrq.gov/issue/july-phenomenon-trauma-exception
January 15, 2014 - Study
The "July phenomenon": is trauma the exception?
Citation Text:
Schroeppel TJ, Fischer PE, Magnotti LJ, et al. The "July phenomenon": is trauma the exception? J Am Coll Surg. 2009;209(3):378-84. doi:10.1016/j.jamcollsurg.2009.05.026.
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DOI Google …
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psnet.ahrq.gov/issue/can-structured-checklist-prevent-problems-laparoscopic-equipment
August 10, 2016 - Study
Can a structured checklist prevent problems with laparoscopic equipment?
Citation Text:
Verdaasdonk EGG, Stassen LPS, Hoffmann WF, et al. Can a structured checklist prevent problems with laparoscopic equipment? Surg Endosc. 2008;22(10):2238-43. doi:10.1007/s00464-008-0029-3.
Co…
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psnet.ahrq.gov/issue/multiple-interacting-factors-influence-adherence-and-outcomes-associated-surgical-safety
June 21, 2016 - Study
Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study.
Citation Text:
Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and outcomes associated with surgical safety…