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psnet.ahrq.gov/issue/correlation-between-24-hour-predischarge-opioid-use-and-amount-opioids-prescribed-hospital
November 13, 2024 - Study
Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge.
Citation Text:
Chen EY, Marcantonio A, Tornetta P. Correlation Between 24-Hour Predischarge Opioid Use and Amount of Opioids Prescribed at Hospital Discharge. JAMA Surg. 2018…
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psnet.ahrq.gov/issue/improving-safety-operating-room-systematic-literature-review-retained-surgical-sponges
March 05, 2025 - Review
Improving safety in the operating room: a systematic literature review of retained surgical sponges.
Citation Text:
Wan W, Le T, Riskin L, et al. Improving safety in the operating room: a systematic literature review of retained surgical sponges. Curr Opin Anaesthesiol. 2009;22(…
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psnet.ahrq.gov/issue/hassle-dispensary-pilot-study-proactive-risk-monitoring-tool-organisational-learning-based
January 21, 2015 - Study
Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning based on narratives and staff perceptions.
Citation Text:
Sujan M-A, Ingram C, McConkey T, et al. Hassle in the dispensary: pilot study of a proactive risk monitoring tool for or…
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psnet.ahrq.gov/issue/error-traps-pediatric-patient-blood-management-perioperative-period
January 12, 2022 - Commentary
Error traps in pediatric patient blood management in the perioperative period.
Citation Text:
Tan GM, Murto K, Downey LA, et al. Error traps in pediatric patient blood management in the perioperative period. Paediatr Anaesth. 2023;33(8):609-619. doi:10.1111/pan.14683.
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psnet.ahrq.gov/issue/hospital-quality-and-patient-safety-competencies-development-description-and-recommendations
January 10, 2018 - Commentary
Hospital quality and patient safety competencies: development, description, and recommendations for use.
Citation Text:
O'Leary KJ, Afsar-Manesh N, Budnitz T, et al. Hospital quality and patient safety competencies: Development, description, and recommendations for use. J Ho…
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psnet.ahrq.gov/issue/role-language-barriers-efficacy-rapid-response-teams
April 13, 2022 - Study
The role of language barriers on efficacy of rapid response teams.
Citation Text:
Raff L, Moore C, Raff E. The role of language barriers on efficacy of rapid response teams. Hosp Pract (1995). 2023;51(1):29-34. doi:10.1080/21548331.2022.2150416.
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psnet.ahrq.gov/issue/medication-safety-operating-room-survey-preparation-methods-and-drug-concentration
December 22, 2018 - Study
Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States.
Citation Text:
Shaw RE, Litman RS. Medication Safety in the Operating Room: A Survey of Preparation Methods and Drug Concentra…
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psnet.ahrq.gov/issue/impact-major-intraoperative-adverse-events-hospital-readmissions
July 01, 2017 - Study
The impact of major intraoperative adverse events on hospital readmissions.
Citation Text:
Nandan AR, Bohnen JD, Chang DC, et al. The impact of major intraoperative adverse events on hospital readmissions. Am J Surg. 2017;213(1):10-17. doi:10.1016/j.amjsurg.2016.03.018.
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psnet.ahrq.gov/issue/track-trigger-and-teamwork-communication-deterioration-acute-medical-and-surgical-wards
August 06, 2014 - Study
Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards.
Citation Text:
Donohue LA, Endacott R. Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards. Intensive Crit Care Nurs. 2010;26(1):10-7. doi:…
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psnet.ahrq.gov/issue/post-event-debriefings-during-neonatal-care-why-are-we-not-doing-them-and-how-can-we-start
January 15, 2014 - Commentary
Post-event debriefings during neonatal care: why are we not doing them, and how can we start?
Citation Text:
Sawyer T, Loren D, Halamek LP. Post-event debriefings during neonatal care: why are we not doing them, and how can we start? J Perinatol. 2016;36(6):415-9. doi:10.1038/…
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psnet.ahrq.gov/issue/effect-opioid-prescribing-guidelines-prescriptions-emergency-physicians-ohio
April 24, 2018 - Study
The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio.
Citation Text:
Weiner SG, Baker O, Poon SJ, et al. The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio. Ann Emerg Med. 2017;70(6):799-808.e1. doi:1…
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psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine
July 26, 2023 - Commentary
The spectrum of harm associated with modern medicine.
Citation Text:
Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-667. doi:10.1007/s11606-021-06997-x.
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psnet.ahrq.gov/issue/general-practitioners-attitudes-toward-reporting-and-learning-adverse-events-results-survey
September 13, 2023 - Study
General practitioners' attitudes toward reporting and learning from adverse events: results from a survey.
Citation Text:
Mikkelsen TH, Sokolowski I, Olesen F. General practitioners' attitudes toward reporting and learning from adverse events: results from a survey. Scand J Prim …
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psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer-outpatient-opioid
August 05, 2015 - Commentary
National Action Plan for Adverse Drug Event Prevention: recommendations for safer outpatient opioid use.
Citation Text:
Ducoffe AR, York A, Hu DJ, et al. National Action Plan for Adverse Drug Event Prevention: Recommendations for Safer Outpatient Opioid Use. Pain Med. 2016;17(…
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psnet.ahrq.gov/issue/medical-improv-novel-approach-teaching-communication-and-professionalism-skills
November 25, 2020 - Commentary
Medical improv: a novel approach to teaching communication and professionalism skills.
Citation Text:
Watson K, Fu B. Medical Improv: A Novel Approach to Teaching Communication and Professionalism Skills. Ann Intern Med. 2016;165(8):591-592. doi:10.7326/M15-2239.
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psnet.ahrq.gov/issue/switch-safety-perioperative-hand-tools
October 18, 2023 - Commentary
SWITCH for safety: perioperative hand-off tools.
Citation Text:
Johnson F, Logsdon P, Fournier K, et al. SWITCH for safety: Perioperative hand-off tools. AORN J. 2013;98(5):494-504; quiz 505-7. doi:10.1016/j.aorn.2013.08.016.
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psnet.ahrq.gov/issue/cost-effective-enhancement-claims-data-improve-comparisons-patient-safety
December 21, 2014 - Study
Cost-effective enhancement of claims data to improve comparisons of patient safety.
Citation Text:
Jordan HS, Pine M, Elixhauser A, et al. Cost-Effective Enhancement of Claims Data to Improve Comparisons of Patient Safety. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242988.0…
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psnet.ahrq.gov/issue/implementing-human-factors-clinical-practice
June 28, 2023 - Study
Implementing human factors in clinical practice.
Citation Text:
Timmons S, Baxendale B, Buttery A, et al. Implementing human factors in clinical practice. Emerg Med J. 2015;32(5):368-72. doi:10.1136/emermed-2013-203203.
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psnet.ahrq.gov/issue/taking-patients-narratives-about-clinicians-anecdote-science
March 20, 2019 - Commentary
Taking patients' narratives about clinicians from anecdote to science.
Citation Text:
Schlesinger M, Grob R, Shaller D, et al. Taking Patients' Narratives about Clinicians from Anecdote to Science. New Engl J Med. 2015;373(7):675-679. doi:10.1056/NEJMsb1502361.
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psnet.ahrq.gov/issue/prospective-memory-icu-effect-visual-cues-task-execution-representative-simulation
April 24, 2018 - Study
Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation.
Citation Text:
Grundgeiger T, Sanderson PM, Orihuela B, et al. Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation. Ergo…