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psnet.ahrq.gov/issue/american-college-surgeons-closed-claims-study-new-insights-improving-care
March 02, 2011 - Study
The American College of Surgeons' closed claims study: new insights for improving care.
Citation Text:
Griffen FD, Stephens LS, Alexander JB, et al. The American College of Surgeons’ Closed Claims Study: New Insights for Improving Care. J Am Coll Surg. 2007;204(4). doi:10.1016/j.…
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psnet.ahrq.gov/issue/use-situ-simulation-investigate-latent-safety-threats-prior-opening-new-emergency-department
January 20, 2021 - Study
Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department.
Citation Text:
Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Safety Sci. 2015;77:19-…
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psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks
February 16, 2022 - Study
Information flow during pediatric trauma care transitions: things falling through the cracks.
Citation Text:
Hoonakker PLT, Wooldridge AR, Hose B-Z, et al. Information flow during pediatric trauma care transitions: things falling through the cracks. Intern Emerg Med. 2019;14(5):797…
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psnet.ahrq.gov/issue/adverse-events-patients-transitioning-emergency-department-inpatient-setting
September 07, 2022 - Study
Adverse events in patients transitioning from the emergency department to the inpatient setting.
Citation Text:
Tsilimingras D, Schnipper JL, Zhang L, et al. Adverse events in patients transitioning from the emergency department to the inpatient setting. J Patient Saf. 2024;20(8):5…
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psnet.ahrq.gov/issue/exploring-clinical-lessons-learned-experienced-hospitalists-diagnostic-errors-and-successes
January 15, 2025 - Study
Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes.
Citation Text:
Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. J Gen Intern Med. 2024;39(8):…
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psnet.ahrq.gov/issue/systematic-review-interventions-improve-safety-and-quality-anticoagulant-prescribing
January 12, 2022 - Review
Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indications for hospital inpatients
Citation Text:
Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indication…
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psnet.ahrq.gov/issue/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event-analysis-and
December 31, 2014 - Study
Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis and medication safety management.
Citation Text:
Hackl WO, Ammenwerth E, Marcilly R, et al. Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug e…
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psnet.ahrq.gov/issue/does-racism-impact-healthcare-quality-perspectives-black-and-hispaniclatino-patients
October 19, 2022 - Study
Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients.
Citation Text:
Findling MG, Zephyrin L, Bleich SN, et al. Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients. Healthc (Amst). 2022;10(2):100630. doi:10.…
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psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury
August 26, 2011 - Study
Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients.
Citation Text:
Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategie…
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psnet.ahrq.gov/issue/using-video-assess-and-improve-patient-safety-during-simulated-and-actual-neonatal
July 29, 2020 - Study
Using video to assess and improve patient safety during simulated and actual neonatal resuscitation.
Citation Text:
Leone TA. Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. Semin Perinatol. 2019;43(8):151179. doi:10.1053/j.semp…
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psnet.ahrq.gov/issue/hospital-home-setting-regulatory-course-ensure-safe-high-quality-care
June 30, 2021 - Commentary
Hospital at Home: setting a regulatory course to ensure safe, high-quality care.
Citation Text:
DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/…
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psnet.ahrq.gov/issue/clinical-and-economic-impact-medication-reconciliation-cancer-patients-systematic-review
January 27, 2019 - Review
Clinical and economic impact of medication reconciliation in cancer patients: a systematic review.
Citation Text:
Herledan C, Baudouin A, Larbre V, et al. Clinical and economic impact of medication reconciliation in cancer patients: a systematic review. Support Care Cancer. 2020;2…
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psnet.ahrq.gov/issue/association-between-hospital-reported-leapfrog-safe-practices-scores-and-inpatient-mortality
January 23, 2020 - Study
Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality.
Citation Text:
Werner RM, McNutt RA. A New Strategy to Improve Quality. JAMA. 2009;301(13). doi:10.1001/jama.2009.423.
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psnet.ahrq.gov/issue/impact-missed-nursing-care-or-care-not-done-adults-health-care-rapid-review-consensus
October 27, 2021 - Review
The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project.
Citation Text:
Willis E, Brady C. The impact of “missed nursing care” or “care not done” on adults in health care: A rapid review for the Consensu…
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psnet.ahrq.gov/issue/implementation-online-reporting-system-identify-unprofessional-behaviors-and-mistreatment
July 13, 2022 - Study
Implementation of an online reporting system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center.
Citation Text:
Leitman IM, Muller D, Miller S, et al. Implementation of an online reporting system to identify unprofessional behav…
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psnet.ahrq.gov/issue/cognitive-bias-impact-management-postoperative-complications-medical-error-and-standard-care
March 09, 2022 - Study
Cognitive bias impact on management of postoperative complications, medical error, and standard of care.
Citation Text:
Antonacci AC, Dechario SP, Antonacci C, et al. Cognitive bias impact on management of postoperative complications, medical error, and standard of care. J Surg Res…
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psnet.ahrq.gov/issue/effect-pharmacist-led-multicomponent-intervention-focusing-medication-monitoring-phase
June 29, 2011 - Study
Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.
Citation Text:
Lapane KL, Hughes C, Daiello LA, et al. Effect of a pharmacist-led multicomponent intervention focusing on …
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psnet.ahrq.gov/issue/roles-and-role-ambiguity-patient-and-caregiver-performed-outpatient-parenteral-antimicrobial
November 20, 2024 - Study
Roles and role ambiguity in patient- and caregiver-performed outpatient parenteral antimicrobial therapy.
Citation Text:
Keller SC, Cosgrove SE, Arbaje AI, et al. Roles and Role Ambiguity in Patient- and Caregiver-Performed Outpatient Parenteral Antimicrobial Therapy. Jt Comm J Qua…
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psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
March 03, 2011 - Study
Fatal flaws in clinical decision making.
Citation Text:
Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955.
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psnet.ahrq.gov/issue/types-and-patterns-safety-concerns-home-care-staff-perspectives
November 23, 2016 - Study
Types and patterns of safety concerns in home care: staff perspectives.
Citation Text:
Craven CK, Byrne K, Sims-Gould J, et al. Types and patterns of safety concerns in home care: staff perspectives. Int J Qual Health Care. 2012;24(5):525-31. doi:10.1093/intqhc/mzs047.
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