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psnet.ahrq.gov/issue/use-multidisciplinary-rounds-simultaneously-improve-quality-outcomes-enhance-resident
December 18, 2014 - Study
Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay.
Citation Text:
O'Mahony S, Mazur E, Charney P, et al. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident e…
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psnet.ahrq.gov/issue/influence-state-laws-mandating-reporting-healthcare-associated-infections-case-central-line
December 21, 2017 - Study
Influence of state laws mandating reporting of healthcare-associated infections: the case of central line–associated bloodstream infections.
Citation Text:
Pakyz AL, Edmond MB. Influence of state laws mandating reporting of healthcare-associated infections: the case of central lin…
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psnet.ahrq.gov/issue/hand-hygiene-and-healthcare-system-change-within-multi-modal-promotion-narrative-review
January 05, 2012 - Review
Hand hygiene and healthcare system change within multi-modal promotion: a narrative review.
Citation Text:
Allegranzi B, Sax H, Pittet D. Hand hygiene and healthcare system change within multi-modal promotion: a narrative review. J Hosp Infect. 2013;83 Suppl 1:S3-10. doi:10.1016…
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psnet.ahrq.gov/issue/fighting-mrsa-infections-hospital-care-how-organizational-factors-matter
July 10, 2008 - Study
Fighting MRSA infections in hospital care: how organizational factors matter.
Citation Text:
Salge TO, Vera A, Antons D, et al. Fighting MRSA Infections in Hospital Care: How Organizational Factors Matter. Health Serv Res. 2016;52(3):959-983. doi:10.1111/1475-6773.12521.
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psnet.ahrq.gov/node/33844/psn-pdf
October 01, 2017 - Health Care Worker Presenteeism: A Challenge for Patient
Safety
October 1, 2017
Szymczak JE. Health Care Worker Presenteeism: A Challenge for Patient Safety. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/health-care-worker-presenteeism-challenge-patient-safety
Perspective
Introduction
Health care–as…
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psnet.ahrq.gov/node/33824/psn-pdf
January 01, 2016 - Patient Safety and Opioid Medications
January 1, 2016
Sarkar U, Shojania KG. Patient Safety and Opioid Medications. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
Annual Perspective 2016
Opioid medications confer significant risks of harm, including overdose death …
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psnet.ahrq.gov/issue/evaluation-organizational-culture-among-different-levels-healthcare-staff-participating
February 01, 2012 - Study
Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign.
Citation Text:
Sinkowitz-Cochran R, Garcia-Williams A, Hackbarth AD, et al. Evaluation of organizational culture amo…
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psnet.ahrq.gov/issue/patient-participation-current-knowledge-and-applicability-patient-safety
February 01, 2011 - Commentary
Classic
Patient participation: current knowledge and applicability to patient safety.
Citation Text:
Longtin Y, Sax H, Leape L, et al. Patient participation: current knowledge and applicability to patient safety. Mayo Clin Proc. 2010;85(1):53-62. doi:…
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psnet.ahrq.gov/issue/active-surveillance-vaccine-safety-system-detect-early-signs-adverse-events
March 29, 2010 - Study
Active surveillance of vaccine safety: a system to detect early signs of adverse events.
Citation Text:
Davis RL, Kolczak M, Lewis E, et al. Active surveillance of vaccine safety: a system to detect early signs of adverse events. Epidemiology. 2005;16(3):336-41.
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psnet.ahrq.gov/issue/communication-and-collaboration-its-about-pharmacists-well-physicians-and-nurses
November 25, 2009 - Study
Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses.
Citation Text:
Holden LM, Watts DD, Walker PH. Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. Qual Saf Health Care. 2010;19(3):16…
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psnet.ahrq.gov/issue/association-between-hospital-penalty-status-under-hospital-readmission-reduction-program-and
August 15, 2018 - Study
Association between hospital penalty status under the Hospital Readmission Reduction Program and readmission rates for target and nontarget conditions.
Citation Text:
Desai NR, Ross JS, Kwon JY, et al. Association Between Hospital Penalty Status Under the Hospital Readmission Reduc…
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psnet.ahrq.gov/issue/iatrogenic-events-admitted-neonates-prospective-cohort-study
December 18, 2014 - Study
Iatrogenic events in admitted neonates: a prospective cohort study.
Citation Text:
Ligi I, Arnaud F, Jouve E, et al. Iatrogenic events in admitted neonates: a prospective cohort study. Lancet. 2008;371(9610):404-10. doi:10.1016/S0140-6736(08)60204-4.
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psnet.ahrq.gov/issue/strategies-prevent-healthcare-associated-infections-through-hand-hygiene
July 03, 2014 - Commentary
Strategies to prevent healthcare-associated infections through hand hygiene.
Citation Text:
Ellingson K, Haas JP, Aiello AE, et al. Strategies to prevent healthcare-associated infections through hand hygiene. Infect Control Hosp Epidemiol. 2014;35(8):937-960. doi:10.1086/67714…
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psnet.ahrq.gov/issue/icu-admittance-rapid-response-team-versus-conventional-admittance-characteristics-and-outcome
January 28, 2010 - Study
ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome.
Citation Text:
Jäderling G, Bell M, Martling C-R, et al. ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome. Crit Care Med. 2013…
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-medication-prescription-errors-intensive-care-unit
May 15, 2013 - Study
Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled cross-sectional trial.
Citation Text:
Colpaert K, Claus B, Somers A, et al. Impact of computerized physician order entry on medication prescription errors in th…
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psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide
December 06, 2017 - Commentary
What happens when healthcare innovations collide?
Citation Text:
Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441.
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psnet.ahrq.gov/issue/under-reporting-deaths-coroner-doctors-retrospective-review-deaths-two-hospitals-melbourne
April 24, 2018 - Study
Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hospitals in Melbourne, Australia.
Citation Text:
Charles A, Ranson D, Bohensky M, et al. Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hosp…
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psnet.ahrq.gov/issue/do-house-officers-learn-their-mistakes
April 19, 2011 - Study
Classic
Do house officers learn from their mistakes?
Citation Text:
Wu AW, Folkman S, McPhee SJ, et al. Do house officers learn from their mistakes? JAMA. 1991;265(16):2089-94.
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psnet.ahrq.gov/issue/nurses-perceptions-error-communication-and-reporting-intensive-care-unit
February 20, 2008 - Study
Nurses' perceptions of error communication and reporting in the intensive care unit.
Citation Text:
Elder NC, Brungs SM, Nagy M, et al. Nurses' Perceptions of Error Communication and Reporting in the Intensive Care Unit. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e3181839b48.…
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psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug-administration-2014
September 25, 2008 - Study
Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014.
Citation Text:
Moore TJ, Furberg CD, Mattison DR, et al. Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. Pharmacoe…