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psnet.ahrq.gov/issue/electronic-health-record-use-and-quality-ambulatory-care-united-states
May 31, 2023 - Study
Electronic health record use and the quality of ambulatory care in the United States.
Citation Text:
Linder JA, Ma J, Bates DW, et al. Electronic health record use and the quality of ambulatory care in the United States. Arch Intern Med. 2007;167(13):1400-5.
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psnet.ahrq.gov/issue/doctors-stress-responses-and-poor-communication-performance-simulated-bad-news-consultations
July 19, 2023 - Study
Doctors' stress responses and poor communication performance in simulated bad-news consultations.
Citation Text:
Brown R, Dunn S, Byrnes K, et al. Doctors' stress responses and poor communication performance in simulated bad-news consultations. Acad Med. 2009;84(11):1595-602. doi…
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psnet.ahrq.gov/issue/reflection-adverse-event-disclosure-postsurgical-hospital-context
August 20, 2018 - Commentary
Reflection on adverse event disclosure in the postsurgical hospital context.
Citation Text:
Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016.
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psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work
July 11, 2018 - Commentary
Making the Patient Safety and Quality Improvement Act of 2005 work.
Citation Text:
Vemula R, Assaf R, Al-Assaf AF. Making the Patient Safety and Quality Improvement Act of 2005 work. J Healthc Qual. 2007;29(4):6-10.
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psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide-safe-acute-medical
December 21, 2017 - Commentary
Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care.
Citation Text:
Sabin J, Subbe CP, Vaughan L, et al. Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical…
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psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake
March 13, 2013 - Study
The Daily Plan: including patients for safety's sake.
Citation Text:
King BJ, Mills PD, Fore AM, et al. The Daily Plan®: Including patients for safety's sake. Nurs Manage. 2012;43(3):15-8. doi:10.1097/01.NUMA.0000412229.53136.3e.
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psnet.ahrq.gov/issue/impact-date-stamping-patient-safety-measurement-patients-undergoing-cabg-experience-ahrq
December 21, 2014 - Study
Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicators.
Citation Text:
Glance LG, Li Y, Osler T, et al. Impact of date stamping on patient safety measurement in patients undergoing CABG: experience wit…
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psnet.ahrq.gov/issue/hospital-staffing-and-health-care-associated-infections-systematic-review-literature
December 23, 2020 - Review
Emerging Classic
Hospital staffing and health care–associated infections: a systematic review of the literature.
Citation Text:
Mitchell BG, Gardner A, Stone PW, et al. Hospital Staffing and Health Care-Associated Infections: A Systematic Review of the Li…
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psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients
September 27, 2023 - Study
Learning from no-fault treatment injury claims to improve the safety of older patients.
Citation Text:
Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam Med. 2015;13(5):472-4. doi:10.1370/afm.1810.
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psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative
March 29, 2023 - Review
Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center.
Citation Text:
Cohen TN, Kanji FF, Wang AS, et al. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intra…
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psnet.ahrq.gov/issue/defining-landscape-patient-harm-after-osteopathic-manipulative-treatment-synthesis-adverse
October 19, 2022 - Review
Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model.
Citation Text:
Unger MD, Barr JN, Brower JA, et al. Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event …
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psnet.ahrq.gov/issue/oral-outpatient-chemotherapy-medication-errors-children-acute-lymphoblastic-leukemia
August 12, 2020 - Study
Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia.
Citation Text:
Taylor JA, Winter L, Geyer LJ, et al. Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. Cancer. 2006;107(6):1400-6.
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psnet.ahrq.gov/issue/hospital-readmission-after-noncardiac-surgery-role-major-complications
July 20, 2016 - Study
Hospital readmission after noncardiac surgery: the role of major complications.
Citation Text:
Glance LG, Kellermann AL, Osler T, et al. Hospital readmission after noncardiac surgery: the role of major complications. JAMA Surg. 2014;149(5):439-45.
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psnet.ahrq.gov/issue/developing-systematic-approach-safer-medication-use-during-pregnancy-summary-centers-disease
February 17, 2011 - Commentary
Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting.
Citation Text:
Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication use during p…
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psnet.ahrq.gov/issue/inaccuracies-assignment-clinical-stage-localized-prostate-cancer
April 06, 2022 - Study
Inaccuracies in assignment of clinical stage for localized prostate cancer.
Citation Text:
Reese AC, Sadetsky N, Carroll PR, et al. Inaccuracies in assignment of clinical stage for localized prostate cancer. Cancer. 2011;117(2):283-9. doi:10.1002/cncr.25596.
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psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality
August 20, 2018 - Study
Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care?
Citation Text:
Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? J Bu…
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psnet.ahrq.gov/issue/feedback-incident-reporting-information-and-action-improve-patient-safety
August 26, 2009 - Study
Feedback from incident reporting: information and action to improve patient safety.
Citation Text:
Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve patient safety. Qual Saf Health Care. 2009;18(1):11-21. doi:10.1136/qshc.2…
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psnet.ahrq.gov/issue/peer-feedback-learning-and-improvement-answering-call-institute-medicine-report-diagnostic
March 20, 2024 - Commentary
Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error.
Citation Text:
Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report o…
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psnet.ahrq.gov/issue/violations-behavioral-practices-revealed-closed-claims-reviews
August 26, 2011 - Study
Violations of behavioral practices revealed in closed claims reviews.
Citation Text:
Griffen FD, Stephens LS, Alexander JB, et al. Violations of behavioral practices revealed in closed claims reviews. Ann Surg. 2008;248(3):468-474. doi:10.1097/sla.0b013e318185e196.
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psnet.ahrq.gov/issue/cognitive-biases-and-moral-characteristics-healthcare-workers-and-their-treatment-approach
March 28, 2018 - Study
Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons with advanced dementia in acute care settings.
Citation Text:
Erel M, Marcus E-L, DeKeyser Ganz F. Cognitive biases and moral characteristics of healthcare workers and their tr…