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psnet.ahrq.gov/issue/did-i-do-best-system-would-let-me-healthcare-professional-views-hospital-home-care
January 12, 2022 - Study
"Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions.
Citation Text:
Davis MM, Devoe M, Kansagara D, et al. "Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions…
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psnet.ahrq.gov/issue/competencies-patient-safety-and-quality-improvement-synthesis-recommendations-influential
March 31, 2022 - Review
Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers.
Citation Text:
Moran KM, Harris IB, Valenta AL. Competencies for Patient Safety and Quality Improvement: A Synthesis of Recommendations in Influential Position P…
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psnet.ahrq.gov/issue/association-between-paediatric-intraoperative-anaesthesia-handover-and-adverse-postoperative
July 21, 2021 - Study
Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes.
Citation Text:
Kannampallil TG, Lew D, Pfeifer EE, et al. Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. BMJ Qual Saf. 2021…
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psnet.ahrq.gov/issue/patient-preferences-participation-patient-care-and-safety-activities-hospitals
July 17, 2024 - Study
Patient preferences for participation in patient care and safety activities in hospitals.
Citation Text:
Ringdal M, Chaboyer W, Ulin K, et al. Patient preferences for participation in patient care and safety activities in hospitals. BMC Nurs. 2017;16:69. doi:10.1186/s12912-017-0266…
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psnet.ahrq.gov/issue/what-ring-tone-should-be-used-patient-safety-early-results-blackberry-based-telementoring
February 28, 2011 - Study
What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution.
Citation Text:
Parker A, Rubinfeld IS, Azuh O, et al. What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety…
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psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era
September 16, 2020 - Commentary
Patient safety and ethical implications of healthcare sick leave policies in the pandemic era.
Citation Text:
Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Jt Comm J Qual Patient Saf. 202…
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psnet.ahrq.gov/issue/emergency-department-adverse-events-detected-using-emergency-department-trigger-tool
September 30, 2020 - Study
Emergency department adverse events detected using the emergency department trigger tool.
Citation Text:
Griffey RT, Schneider RM, Todorov AA. Emergency department adverse events detected using the emergency department trigger tool. Ann Emerg Med. 2022;80(6):528-538. doi:10.1016/j.…
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psnet.ahrq.gov/issue/implementing-error-disclosure-coaching-model-multicenter-case-study
May 11, 2016 - Study
Implementing an error disclosure coaching model: a multicenter case study.
Citation Text:
White AA, Brock DM, McCotter PI, et al. Implementing an error disclosure coaching model: A multicenter case study. J Healthc Risk Manag. 2017;36(3):34-45. doi:10.1002/jhrm.21260.
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psnet.ahrq.gov/issue/inpatient-suicide-mental-health-units-veterans-affairs-va-hospitals-avoiding-environmental
September 05, 2018 - Study
Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards.
Citation Text:
Mills PD, King LA, Watts B, et al. Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. Gen Hosp Psych…
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psnet.ahrq.gov/issue/incidence-prescription-errors-patients-discharged-emergency-department
March 30, 2022 - Study
Incidence of prescription errors in patients discharged from the emergency department.
Citation Text:
Gregory H, Cantley M, Calhoun C, et al. Incidence of prescription errors in patients discharged from the emergency department. Am J Emerg Med. 2021;46:266-270. doi:10.1016/j.ajem.2…
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psnet.ahrq.gov/issue/validity-selected-patient-safety-indicators-opportunities-and-concerns
June 04, 2014 - Study
Validity of selected patient safety indicators: opportunities and concerns.
Citation Text:
Kaafarani HMA, Borzecki AM, Itani KMF, et al. Validity of Selected Patient Safety Indicators: Opportunities and Concerns. J Am Coll Surg. 2010;212(6):924-934. doi:10.1016/j.jamcollsurg.2010…
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psnet.ahrq.gov/issue/facility-level-variation-potentially-inappropriate-prescribing-older-veterans
February 17, 2017 - Study
Facility-level variation in potentially inappropriate prescribing for older veterans.
Citation Text:
Gellad WF, Good CB, Amuan ME, et al. Facility-level variation in potentially inappropriate prescribing for older veterans. J Am Geriatr Soc. 2012;60(7):1222-9. doi:10.1111/j.1532-5…
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psnet.ahrq.gov/issue/safer-care-improving-caregiver-comprehension-discharge-instructions
October 26, 2022 - Study
SAFER Care: improving caregiver comprehension of discharge instructions.
Citation Text:
Uong A, Philips K, Hametz P, et al. SAFER care: improving caregiver comprehension of discharge instructions. Pediatrics. 2021;147(4):e20200031. doi:10.1542/peds.2020-0031.
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psnet.ahrq.gov/issue/operating-room-organization-and-surgical-performance-systematic-review
March 05, 2025 - Review
Operating room organization and surgical performance: a systematic review.
Citation Text:
Pasquer A, Ducarroz S, Lifante JC, et al. Operating room organization and surgical performance: a systematic review. Patient Saf Surg. 2024;18(1):5. doi:10.1186/s13037-023-00388-3.
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psnet.ahrq.gov/issue/current-state-diagnostic-safety-implications-research-practice-and-policy
August 07, 2024 - Book/Report
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy.
Citation Text:
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Khan S, Cholankeril R, Sloane J, et al. Rockville, MD: Agency for Healthcare Research and Q…
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psnet.ahrq.gov/issue/honest-communication-and-social-asymmetries-inside-hospital-pitfalls-clinicians
March 02, 2022 - Commentary
Honest communication and social asymmetries inside a hospital: pitfalls for clinicians.
Citation Text:
Redelmeier DA, Etchells EE, Najeeb U. Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. J Hosp Med. 2022;17(5):405-409. doi:10.1002/jhm.…
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psnet.ahrq.gov/issue/preventable-and-non-preventable-adverse-drug-events-hospitalized-patients-prospective-chart
March 04, 2011 - Study
Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review in the Netherlands.
Citation Text:
Dequito AB, Mol PGM, van Doormaal J, et al. Preventable and non-preventable adverse drug events in hospitalized patients: a prospective char…
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psnet.ahrq.gov/issue/specificity-computerized-physician-order-entry-has-significant-effect-efficiency-workflow
March 14, 2022 - Study
Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients.
Citation Text:
Ali NA, Mekhjian HS, Kuehn L, et al. Specificity of computerized physician order entry has a significant effect on the efficiency o…
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psnet.ahrq.gov/issue/changes-practice-among-physicians-malpractice-claims
February 14, 2017 - Study
Changes in practice among physicians with malpractice claims.
Citation Text:
Studdert DM, Spittal MJ, Zhang Y, et al. Changes in Practice among Physicians with Malpractice Claims. N Engl J Med. 2019;380(13):1247-1255. doi:10.1056/NEJMsa1809981.
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psnet.ahrq.gov/issue/building-bridge-quality-urgent-call-integrate-quality-improvement-and-patient-safety
January 14, 2014 - Commentary
Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care
Citation Text:
Wong BM, Baum KD, Headrick LA, et al. Building the bridge to quality: an urgent call to integrate quality improvement and patient safe…