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psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events
September 23, 2020 - Study
An improvement approach to integrate teaching teams in the reporting of safety events.
Citation Text:
Dunbar AE, Cupit M, Vath RJ, et al. An Improvement Approach to Integrate Teaching Teams in the Reporting of Safety Events. Pediatrics. 2017;139(2). doi:10.1542/peds.2015-3807.
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psnet.ahrq.gov/issue/medication-related-emergency-department-visits-and-hospital-admissions-pediatric-patients
March 13, 2015 - Review
Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review.
Citation Text:
Zed PJ, Haughn C, Black KJL, et al. Medication-related emergency department visits and hospital admissions in pediatric patients: a quali…
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psnet.ahrq.gov/issue/achieving-diagnostic-excellence-roadmaps-develop-and-use-patient-reported-measures-equity
November 02, 2022 - Commentary
Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens.
Citation Text:
McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. Int…
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psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance
July 29, 2020 - Study
Adverse event rates as measures of hospital performance.
Citation Text:
Hauck K, Zhao X, Jackson T. Adverse event rates as measures of hospital performance. Health Policy (New York). 2012;104(2):146-154. doi:10.1016/j.healthpol.2011.06.010.
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psnet.ahrq.gov/issue/quantifying-discharge-medication-reconciliation-errors-2-pediatric-hospitals
October 20, 2021 - Study
Quantifying discharge medication reconciliation errors at 2 pediatric hospitals.
Citation Text:
Morse KE, Chadwick WA, Paul W, et al. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Pediatr Qual Saf. 2021;6(4):e436. doi:10.1097/pq9.0000000000000436.…
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psnet.ahrq.gov/issue/follow-outpatient-test-results-survey-house-staff-practices-and-perceptions
July 14, 2010 - Study
Follow-up of outpatient test results: a survey of house-staff practices and perceptions.
Citation Text:
Lin JJ, Dunn A, Moore C. Follow-up of outpatient test results: a survey of house-staff practices and perceptions. Am J Med Qual. 2006;21(3):178-84.
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psnet.ahrq.gov/issue/technical-rationality-and-decentring-patients-and-care-delivery-critique-unavoidable-context
October 08, 2016 - Commentary
Technical rationality and the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm.
Citation Text:
Hutchinson M, Jackson D, Wilson S. Technical rationality and the decentring of patients and care delivery: A critique of 'unavoida…
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psnet.ahrq.gov/issue/understanding-whistleblowing-qualitative-insights-nurse-whistleblowers
April 24, 2018 - Study
Understanding whistleblowing: qualitative insights from nurse whistleblowers.
Citation Text:
Jackson D, Peters K, Andrew S, et al. Understanding whistleblowing: qualitative insights from nurse whistleblowers. J Adv Nurs. 2010;66(10):2194-201. doi:10.1111/j.1365-2648.2010.05365.x.…
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psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical
March 16, 2016 - Study
Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents.
Citation Text:
Mitchell RJ, Williamson A, Molesworth B. Use of a human factors classification framework to identify causal factors for me…
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psnet.ahrq.gov/issue/can-social-media-be-used-hospital-quality-improvement-tool
May 27, 2011 - Study
Can social media be used as a hospital quality improvement tool?
Citation Text:
Lagu T, Goff SL, Craft B, et al. Can social media be used as a hospital quality improvement tool? J Hosp Med. 2016;11(1):52-5. doi:10.1002/jhm.2486.
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psnet.ahrq.gov/issue/experimental-study-medical-error-explanations-do-apology-empathy-corrective-action-and
October 07, 2020 - Study
An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes?
Citation Text:
Nazione S, Pace K. An Experimental Study of Medical Error Explanations: Do Apology, Empathy, Corrective Action, and Compensat…
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psnet.ahrq.gov/issue/patient-perspectives-patient-provider-communication-after-adverse-events
March 28, 2011 - Study
Patient perspectives of patient–provider communication after adverse events.
Citation Text:
Duclos CW, Eichler M, Taylor L, et al. Patient perspectives of patient-provider communication after adverse events. Int J Qual Health Care. 2005;17(6):479-86.
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psnet.ahrq.gov/issue/how-teams-work-or-dont-primary-care-field-study-internal-medicine-practices
November 28, 2012 - Study
How teams work—or don’t—in primary care: a field study on internal medicine practices.
Citation Text:
Chesluk BJ, Holmboe ES. How teams work--or don't--in primary care: a field study on internal medicine practices. Health Aff (Millwood). 2010;29(5):874-879. doi:10.1377/hlthaff.2009…
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psnet.ahrq.gov/issue/surrogate-decision-makers-perspectives-preventable-breakdowns-care-among-critically-ill
June 07, 2016 - Study
Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: a qualitative study.
Citation Text:
Fisher K, Ahmad S, Jackson M, et al. Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients:…
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psnet.ahrq.gov/issue/survival-hospital-cardiac-arrest-during-nights-and-weekends
February 18, 2011 - Study
Survival from in-hospital cardiac arrest during nights and weekends.
Citation Text:
Peberdy MA, Ornato JP, Larkin L, et al. Survival from in-hospital cardiac arrest during nights and weekends. JAMA. 2008;299(7):785-92. doi:10.1001/jama.299.7.785.
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psnet.ahrq.gov/issue/adverse-events-hospitals-care-study-incidence-among-medicare-beneficiaries-two-selected
January 14, 2009 - Book/Report
Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties.
Citation Text:
Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Levinson DR. Washington, DC: US Departmen…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/lvcomm.jsp
February 01, 2025 - Enhancing the Clinical Content of Administrative Data - Laboratory Data Toolkit: Communication Tools
An official website of the Department of Health & Human Services
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hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section5_8.pdf
January 01, 2007 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2007 68
EXHIBIT 5.8 Growth in Discharges for Selected Conditions: Medicare
Number of Discharges and Cumulative Growth for Principal CCS Conditions Contributing to
Body System Change, Medicare, 1997-2007
CUMULATIVE
GROWTH
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psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-patient-focused-care-time-has-come
April 05, 2023 - Commentary
Changing the work environment in ICUs to achieve patient-focused care: the time has come.
Citation Text:
McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time has come. Chest. 2006;130(5):1571-8.
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psnet.ahrq.gov/issue/increasing-reporting-adverse-events-improve-educational-value-morbidity-and-mortality
February 04, 2016 - Study
Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference.
Citation Text:
McVeigh TP, Waters PS, Murphy R, et al. Increasing reporting of adverse events to improve the educational value of the morbidity and mortality confere…