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psnet.ahrq.gov/issue/seen-through-patients-eyes-surgical-safety-and-checklists
May 16, 2018 - Study
Seen through the patients' eyes: surgical safety and checklists.
Citation Text:
Bergs J, Lambrechts F, Desmedt M, et al. Seen through the patients' eyes: surgical safety and checklists. Int J Qual Health Care. 2018;30(2):118-123. doi:10.1093/intqhc/mzx180.
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psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports
September 29, 2017 - Study
Making the transition to nursing bedside shift reports.
Citation Text:
Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012;38(6):243-53.
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psnet.ahrq.gov/issue/do-professionalism-lapses-medical-school-predict-problems-residency-and-clinical-practice
February 15, 2017 - Study
Do professionalism lapses in medical school predict problems in residency and clinical practice?
Citation Text:
Krupat E, Dienstag JL, Padrino SL, et al. Do professionalism lapses in medical school predict problems in residency and clinical practice? Acad Med. 2020;95(6):888-895. d…
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psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned
April 20, 2022 - Commentary
Rooting an error review process in just culture: lessons learned.
Citation Text:
Neiswender K, Figueroa-Altmann A, Granahan K, et al. Rooting an error review process in just culture: lessons learned. Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5.
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psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery
February 17, 2011 - Study
Classic
Risk factors for retained instruments and sponges after surgery.
Citation Text:
Gawande AA, Studdert DM, Orav J, et al. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003;348(3):229-35.
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psnet.ahrq.gov/issue/why-there-another-persons-name-my-infusion-bag-patient-safety-chemotherapy-care-review
May 01, 2024 - Review
'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care—a review of the literature.
Citation Text:
Kullberg A, Larsen J, Sharp L. 'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care - a review of the l…
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psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009
April 21, 2010 - Study
How event reporting by US hospitals has changed from 2005 to 2009.
Citation Text:
Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114.
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psnet.ahrq.gov/issue/measuring-patient-safety-climate-review-surveys
June 14, 2011 - Review
Classic
Measuring patient safety climate: a review of surveys.
Citation Text:
Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care. 2005;14(5):364-6.
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psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospital-admission
March 18, 2015 - Study
Classic
Unintended medication discrepancies at the time of hospital admission.
Citation Text:
Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9.
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psnet.ahrq.gov/issue/uncertain-diagnoses-childrens-hospital-patient-characteristics-and-outcomes
March 17, 2021 - Study
Uncertain diagnoses in a children's hospital: patient characteristics and outcomes.
Citation Text:
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
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psnet.ahrq.gov/issue/medication-safety-events-after-acute-myocardial-infarction-among-veterans-treated-va-versus
April 07, 2022 - Study
Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals.
Citation Text:
Weeda ER, Ward R, Gebregziabher M, et al. Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals.…
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psnet.ahrq.gov/issue/differences-outcomes-between-icu-attending-and-senior-resident-physician-led-medical
October 15, 2014 - Study
Differences in outcomes between ICU attending and senior resident physician led medical emergency team responses.
Citation Text:
Morris DS, Schweickert W, Holena DN, et al. Differences in outcomes between ICU attending and senior resident physician led medical emergency team resp…
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psnet.ahrq.gov/issue/pain-states-opioid-epidemic-and-role-radiologists
September 01, 2013 - Review
Pain states, the opioid epidemic, and the role of radiologists.
Citation Text:
Jones MR, Kaye AD, Manchikanti L, et al. Pain States, the Opioid Epidemic, and the Role of Radiologists. Curr Pain Headache Rep. 2018;22(3):20. doi:10.1007/s11916-018-0672-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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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-section-5-table-3.pdf
June 17, 2014 - CHIPRA 235: Section 5, Table 3. Evidence Supporting the Importance of Access to Outpatient Specialty Care
Table 3. Evidence Supporting the Importance of Access to Outpatient Specialty Care for Children
Type of
Evidence
Key Findings Level of
Evidence
(USPSTF
Ranking*)
Citation(s)
Clinical
Guideline
The …
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psnet.ahrq.gov/issue/moving-towards-core-measures-set-patient-safety-perioperative-care-e-delphi-consensus-study
January 15, 2025 - Study
Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study.
Citation Text:
Dinis-Teixeira JP, Nunes AB, Leite A, et al. Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. PLoS ONE. …
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digital.ahrq.gov/health-care-theme/patient-engagement
January 01, 2023 - Patient Engagement
Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children
Description
This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregivers with real-ti…
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psnet.ahrq.gov/issue/good-bad-and-ugly-what-do-we-really-do-when-we-identify-best-and-worst-organisations
August 20, 2018 - Commentary
The good, the bad and the ugly: what do we really do when we identify the best and the worst organisations?.
Citation Text:
Abel GA, Agniel D, Elliott MN. The good, the bad and the ugly: what do we really do when we identify the best and the worst organisations? BMJ Qual Saf. …
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment
August 26, 2020 - Study
Reducing diagnostic errors in the emergency department at the time of patient treatment.
Citation Text:
Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…
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psnet.ahrq.gov/issue/using-co-design-develop-collective-leadership-intervention-healthcare-teams-improve-safety
October 02, 2019 - Commentary
Emerging Classic
Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture.
Citation Text:
Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for He…