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psnet.ahrq.gov/issue/prevalence-medical-error-related-end-life-communication-canadian-hospitals-results
November 23, 2016 - Study
Classic
The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study.
Citation Text:
Heyland DK, Ilan R, Jiang X, et al. The prevalence of medical error related to end-of-life comm…
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psnet.ahrq.gov/issue/identifying-and-characterizing-preventable-adverse-drug-events-prioritizing-pharmacist
July 15, 2010 - Study
Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals.
Citation Text:
Jeon N, Staley B, Johns T, et al. Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospital…
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psnet.ahrq.gov/issue/exploring-approaches-patient-safety-case-spinal-manipulation-therapy
September 11, 2024 - Study
Exploring approaches to patient safety: the case of spinal manipulation therapy.
Citation Text:
Rozmovits L, Mior S, Boon H. Exploring approaches to patient safety: the case of spinal manipulation therapy. BMC Complement Altern Med. 2016;16:164. doi:10.1186/s12906-016-1149-2.
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psnet.ahrq.gov/issue/safety-and-acceptability-using-telehealth-follow-patients-following-cancer-surgery-systematic
December 23, 2020 - Review
The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review.
Citation Text:
Xiao K, Yeung JC, Bolger JC. The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic r…
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psnet.ahrq.gov/issue/skillset-obtained-surgical-simulation-transferable-operating-theatre
August 25, 2011 - Review
Is the skillset obtained in surgical simulation transferable to the operating theatre?
Citation Text:
Buckley CE, Kavanagh DO, Traynor O, et al. Is the skillset obtained in surgical simulation transferable to the operating theatre? Am J Surg. 2014;207(1):146-57. doi:10.1016/j.amj…
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psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration
August 17, 2018 - Study
Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration.
Citation Text:
Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration. Health Serv Res…
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psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
March 28, 2012 - Study
Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review.
Citation Text:
Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retro…
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psnet.ahrq.gov/issue/infections-and-interaction-rituals-organisation-clinician-accounts-speaking-or-remaining
November 03, 2015 - Study
Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety.
Citation Text:
Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/tool-examples.docx
March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Modules
Examples of Technical and Adaptive
Solutions for Change
Purpose: To provide senior leaders with a deeper explanation of technical and adaptive solutions for change
Who should use this tool? Senior leaders (long-term care facility a…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1tab1-1.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Table 1-1. Categories and Definitions Promulgated by the Office of Management and Budget (OMB) and the U.S. Bureau of the Census
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Table of Contents
Race, Ethnicity, and Language Data: Stand…
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psnet.ahrq.gov/issue/empowerment-failure-how-shortcomings-physician-communication-unwittingly-undermine-patient
January 17, 2019 - Study
Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy.
Citation Text:
Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):…
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psnet.ahrq.gov/issue/safety-implications-different-forms-understaffing-among-nurses-during-covid-19-pandemic
May 05, 2021 - Study
Emerging Classic
Safety implications of different forms of understaffing among nurses during the COVID-19 pandemic.
Citation Text:
Andel SA, Tedone AM, Shen W, et al. Safety implications of different forms of understaffing among nurses during the COVID‐19 …
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psnet.ahrq.gov/issue/how-does-work-environment-relate-diagnostic-quality-prospective-mixed-methods-study-primary
September 07, 2022 - Study
How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care.
Citation Text:
Khazen M, Sullivan EE, Arabadjis S, et al. How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. BMJ Open…
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psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
July 16, 2015 - Study
Wrong-side thoracentesis: lessons learned from root cause analysis.
Citation Text:
Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146.
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psnet.ahrq.gov/issue/do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic
January 31, 2024 - Study
Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study.
Citation Text:
Bell SK, Amat MJ, Anderson TS, et al. Do patients who read visit notes on the patient portal h…
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psnet.ahrq.gov/issue/learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety
May 20, 2020 - Study
Emerging Classic
Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety.
Citation Text:
Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essent…
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psnet.ahrq.gov/issue/patient-safety-after-implementation-coproduced-family-centered-communication-programme
April 24, 2018 - Study
Emerging Classic
Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.
Citation Text:
Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a copr…
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psnet.ahrq.gov/issue/advanced-medication-reconciliation-systematic-review-impact-medication-errors-and-adverse
December 18, 2017 - Review
Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care.
Citation Text:
Killin L, Hezam A, Anderson KK, et al. Advanced medication reconciliation: a systematic review of the impact on me…
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psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients
August 25, 2021 - Study
Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States.
Citation Text:
Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in adverse events among patients with p…
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psnet.ahrq.gov/issue/impact-initial-response-covid-19-long-term-care-people-intellectual-disability-interrupted
May 11, 2022 - Study
Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports.
Citation Text:
Schuengel C, Tummers J, Embregts PJCM, et al. Impact of the initial response to COVID‐19 on long‐term care f…