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psnet.ahrq.gov/issue/predictive-value-alert-triggers-identification-developing-adverse-drug-events
October 19, 2022 - Study
Predictive value of alert triggers for identification of developing adverse drug events.
Citation Text:
Moore C, Li J, Hung C-C, et al. Predictive Value of Alert Triggers for Identification of Developing Adverse Drug Events. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181bc0…
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psnet.ahrq.gov/issue/failures-communication-and-information-transfer-across-surgical-care-pathway-interview-study
August 09, 2013 - Study
Failures in communication and information transfer across the surgical care pathway: interview study.
Citation Text:
Nagpal K, Arora S, Vats A, et al. Failures in communication and information transfer across the surgical care pathway: interview study. BMJ Qual Saf. 2012;21(10):8…
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psnet.ahrq.gov/issue/safety-culture-and-care-program-prevent-surgical-errors
March 25, 2020 - Commentary
Safety culture and care: a program to prevent surgical errors.
Citation Text:
Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002.
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psnet.ahrq.gov/issue/improving-follow-high-risk-psychiatry-outpatients-resident-year-end-transfer
January 27, 2016 - Study
Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer.
Citation Text:
Young JQ, Pringle Z, Wachter R. Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. Jt Comm J Qual Patient Saf. 2011;37(7):300-308.
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psnet.ahrq.gov/issue/urban-outpatient-views-quality-and-safety-primary-care
May 18, 2019 - Study
Urban outpatient views on quality and safety in primary care.
Citation Text:
Dowell D, Manwell LB, Maguire A, et al. Urban outpatient views on quality and safety in primary care. Healthc Q. 2005;8(2):suppl 2-8.
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psnet.ahrq.gov/issue/computerized-rounding-report-implementation-model-system-support-transitions-care
October 19, 2022 - Study
The computerized rounding report: implementation of a model system to support transitions of care.
Citation Text:
Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7.…
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psnet.ahrq.gov/issue/time-out-and-checklists-survey-rural-and-urban-operating-room-personnel
January 09, 2014 - Study
Time-out and checklists: a survey of rural and urban operating room personnel.
Citation Text:
Lyons VE, Popejoy LL. Time-Out and Checklists: A Survey of Rural and Urban Operating Room Personnel. J Nurs Care Qual. 2017;32(1):E3-E10.
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psnet.ahrq.gov/issue/inattentional-blindness-and-failures-rescue-deteriorating-patient-critical-care-emergency-and
October 12, 2016 - Study
Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings: four case scenarios.
Citation Text:
Jones A, Johnstone M-J. Inattentional blindness and failures to rescue the deteriorating patient in critical care, em…
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psnet.ahrq.gov/issue/patient-preferences-cases-inter-system-medical-error-discovery-imed
November 02, 2018 - Study
Patient preferences in cases of Inter-system Medical Error Discovery (IMED).
Citation Text:
Antunez AG, Saari A, Miller J, et al. Patient Preferences in Cases of Inter-system Medical Error Discovery (IMED). Ann Surg. 2021;273(3):516-522. doi:10.1097/SLA.0000000000003507.
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psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-academic-medical
October 19, 2022 - Study
Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center.
Citation Text:
Ramanathan R, Leavell P, Stockslager G, et al. Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical cen…
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psnet.ahrq.gov/issue/tipping-point-relationship-between-volume-and-patient-harm
September 10, 2014 - Study
The tipping point: the relationship between volume and patient harm.
Citation Text:
Pedroja AT. The tipping point: the relationship between volume and patient harm. Am J Med Qual. 2008;23(5):336-41. doi:10.1177/1062860608320628.
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psnet.ahrq.gov/issue/evolution-procedural-competency-internal-medicine-training
December 15, 2021 - Commentary
The evolution of procedural competency in internal medicine training.
Citation Text:
Sacks CA, Alba GA, Miloslavsky EM. The Evolution of Procedural Competency in Internal Medicine Training. JAMA Intern Med. 2017;177(12):1713-1714. doi:10.1001/jamainternmed.2017.5014.
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psnet.ahrq.gov/issue/vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999-2008
February 27, 2019 - Study
Vital signs: overdoses of prescription opioid pain relievers- United States, 1999-2008.
Citation Text:
Prevention C for DC and. Vital signs: overdoses of prescription opioid pain relievers---United States, 1999--2008. MMWR Morb Mortal Wkly Rep. 2011;60(43):1487-92.
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psnet.ahrq.gov/issue/perspective-ten-thousand-hours-patient-safety-sooner-or-later
June 23, 2009 - Commentary
Perspective: ten thousand hours to patient safety, sooner or later.
Citation Text:
Pellegrini VD. Perspective: ten thousand hours to patient safety, sooner or later. Acad Med. 2012;87(2):164-7. doi:10.1097/ACM.0b013e31823f7202.
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psnet.ahrq.gov/issue/utility-clinical-examination-diagnosis-emergency-department-patients-admitted-department
April 06, 2022 - Study
Utility of clinical examination in the diagnosis of emergency department patients admitted to the department of medicine of an academic hospital.
Citation Text:
Paley L, Zornitzki T, Cohen J, et al. Utility of clinical examination in the diagnosis of emergency department patients…
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psnet.ahrq.gov/issue/liability-impact-hospitalist-model-care
July 09, 2018 - Study
Liability impact of the hospitalist model of care.
Citation Text:
Schaffer A, Puopolo AL, Raman S, et al. Liability impact of the hospitalist model of care. J Hosp Med. 2014;9(12):750-5. doi:10.1002/jhm.2244.
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psnet.ahrq.gov/issue/operating-room-clinicians-attitudes-and-perceptions-pediatric-surgical-safety-checklist-1
July 14, 2010 - Study
Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution.
Citation Text:
Norton EK, Singer SJ, Sparks W, et al. Operating Room Clinicians' Attitudes and Perceptions of a Pediatric Surgical Safety Checklist at 1 Institution. J Pa…
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psnet.ahrq.gov/issue/prevention-opioid-overdose
July 18, 2018 - Review
Emerging Classic
Prevention of opioid overdose.
Citation Text:
Babu KM, Brent J, Juurlink DN. Prevention of opioid overdose. N Engl J Med. 2019;380(23):2246-2255. doi:10.1056/NEJMra1807054.
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psnet.ahrq.gov/issue/using-medical-emergency-team-manage-anaphylactic-shock
June 26, 2024 - Commentary
Using a medical emergency team to manage anaphylactic shock.
Citation Text:
Burns B, Beckett J, Jones D, et al. Using a medical emergency team to manage anaphylactic shock. Jt Comm J Qual Patient Saf. 2008;34(6):360-3.
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psnet.ahrq.gov/issue/reducing-potentially-fatal-errors-associated-high-doses-insulin-successful-multifaceted
August 17, 2016 - Study
Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy.
Citation Text:
Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of insulin: a successful mul…