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psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective-assessment
November 11, 2020 - Study
Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement.
Citation Text:
Danielis M, Destrebecq A, Terzoni S, et al. Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcar…
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psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event
November 23, 2014 - Study
Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts.
Citation Text:
Kennerly DA, Saldaña M, Kudyakov R, et al. Description and evaluation of adaptations to the global trigger tool to enhance value to adverse eve…
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psnet.ahrq.gov/issue/emergency-department-visits-adverse-events-related-dietary-supplements
December 19, 2017 - Study
Classic
Emergency department visits for adverse events related to dietary supplements.
Citation Text:
Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary Supplements. N Engl J Med. 2015;373(16):1531-40. …
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psnet.ahrq.gov/issue/pediatric-adhd-medication-exposures-reported-us-poison-control-centers
November 28, 2018 - Study
Pediatric ADHD medication exposures reported to US poison control centers.
Citation Text:
King SA, Casavant MJ, Spiller HA, et al. Pediatric ADHD Medication Exposures Reported to US Poison Control Centers. Pediatrics. 2018;141(6). doi:10.1542/peds.2017-3872.
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psnet.ahrq.gov/issue/systematic-literature-review-effectiveness-and-safety-paediatric-hospital-home-care
December 12, 2014 - Review
Systematic literature review on the effectiveness and safety of paediatric hospital-at-home care as a substitute for hospital care.
Citation Text:
Detollenaere J, Van Ingelghem I, Van den Heede K, et al. Systematic literature review on the effectiveness and safety of paediatric ho…
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psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
May 17, 2017 - Study
Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices.
Citation Text:
Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events: qualitative i…
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psnet.ahrq.gov/issue/weekly-variation-health-care-quality-day-and-time-admission-nationwide-registry-based
September 24, 2014 - Study
Weekly variation in health-care quality by day and time of admission: a nationwide, registry-based, prospective cohort study of acute stroke care.
Citation Text:
Bray BD, Cloud GC, James MA, et al. Weekly variation in health-care quality by day and time of admission: a nationwide, …
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psnet.ahrq.gov/issue/design-and-evaluation-simulation-scenarios-program-introducing-patient-safety-teamwork-safety
February 08, 2017 - Study
Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers.
Citation Text:
Cooper JB, Singer SJ, Hayes J, et al. Design and evaluation of simulation scenarios for a program…
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www.ahrq.gov/data/resources/index.html?page=4
Data Resources
The Agency for Healthcare Research and Quality (AHRQ) offers practical, research-based tools and other resources to help a variety of health care organizations, providers and others make care safer in all health care settings. Results
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digital.ahrq.gov/ahrq-funded-projects/improving-meaningful-access-internet-health-information-older-adults
January 01, 2023 - Improving Meaningful Access of Internet Health Information for Older Adults
Project Final Report ( PDF , 439.18 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repres…
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psnet.ahrq.gov/issue/readmission-rates-after-passage-hospital-readmissions-reduction-program-pre-post-analysis
October 30, 2010 - Study
Classic
Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis.
Citation Text:
Wasfy JH, Zigler CM, Choirat C, et al. Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre-Post An…
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psnet.ahrq.gov/issue/unscheduled-returns-emergency-department-outcome-medical-errors
November 12, 2014 - Study
Unscheduled returns to the emergency department: an outcome of medical errors?
Citation Text:
Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8.
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psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported
December 09, 2020 - Study
Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers.
Citation Text:
Öhrn A, Elfström J, Liedgren C, et al. Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by …
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psnet.ahrq.gov/issue/impact-perioperative-catastrophes-anesthesiologists-results-national-survey
August 27, 2009 - Study
The impact of perioperative catastrophes on anesthesiologists: results of a national survey.
Citation Text:
Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10…
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psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role-morbidity-and
May 22, 2019 - Study
Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference.
Citation Text:
Berman L, Ottosen M, Renaud E, et al. Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and…
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psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents
February 15, 2011 - Study
Classic
A July spike in fatal medication errors: a possible effect of new medical residents.
Citation Text:
Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. …
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psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
October 31, 2011 - Study
The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals.
Citation Text:
Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communi…
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psnet.ahrq.gov/issue/implementation-and-impact-rapid-response-team-childrens-hospital
April 24, 2018 - Study
Implementation and impact of a rapid response team in a children's hospital.
Citation Text:
Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425.
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psnet.ahrq.gov/node/33653/psn-pdf
June 01, 2007 - In response to "Failure to Report" (March 2007)
June 1, 2007
Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/response-failure-report-march-2007
In response to "Failure to Report" (March 2007)
Letter
To the editors:
Dr. Sp…
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psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit
November 03, 2015 - Study
Discontinuity of chronic medications in patients discharged from the intensive care unit.
Citation Text:
Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41.
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