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psnet.ahrq.gov/issue/wrong-patient-orders-obstetrics
September 23, 2020 - Study
Wrong-patient orders in obstetrics.
Citation Text:
Kern-Goldberger AR, Kneifati-Hayek J, Fernandes Y, et al. Wrong-patient orders in obstetrics. Obstet Gynecol. 2021;138(2):229-235. doi:10.1097/aog.0000000000004474.
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psnet.ahrq.gov/issue/impact-internal-service-quality-preventable-adverse-events-hospitals
September 24, 2016 - Study
The impact of internal service quality on preventable adverse events in hospitals.
Citation Text:
Zheng S, Tucker AL, Ren ZJ, et al. The Impact of Internal Service Quality on Preventable Adverse Events in Hospitals. Production Operations Manag. 2017;27(12):2201-2212. doi:10.1111/po…
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psnet.ahrq.gov/issue/patient-safety-and-satisfaction-fully-remote-management-radiation-oncology-care
October 19, 2022 - Study
Patient safety and satisfaction with fully remote management of radiation oncology care.
Citation Text:
Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570. doi:10.1001/jam…
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psnet.ahrq.gov/issue/resident-physicians-clinical-training-and-error-rate-roles-autonomy-consultation-and
July 13, 2010 - Study
Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature.
Citation Text:
Naveh E, Katz-Navon T, Stern Z. Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarit…
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psnet.ahrq.gov/issue/knowledge-attitudes-and-expectations-medical-staff-toward-medical-error-management-policies
December 23, 2020 - Study
Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study.
Citation Text:
Biquet J-M, Schopper D, Sprumont D, et al. Knowledge, attitudes, and Expectations of Medical Staff Toward Medical Error Ma…
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psnet.ahrq.gov/issue/interventions-primary-care-reduce-medication-related-adverse-events-and-hospital-admissions
April 06, 2011 - Review
Interventions in primary care to reduce medication related adverse events and hospital admissions: systematic review and meta-analysis.
Citation Text:
Royal S, Smeaton L, Avery A, et al. Interventions in primary care to reduce medication related adverse events and hospital admis…
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psnet.ahrq.gov/issue/caught-middle-resident-perspective-influences-learning-environment-perpetuate-mistreatment
September 04, 2019 - Commentary
Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment.
Citation Text:
Bynum WE, Lindeman B. Caught in the Middle: A Resident Perspective on Influences From the Learning Environment That Perpetuate Mistreatment. Ac…
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psnet.ahrq.gov/issue/coworker-abuse-healthcare-voices-mistreated-workers
March 22, 2023 - Study
Coworker abuse in healthcare: voices of mistreated workers.
Citation Text:
Evans WR, Mullen DM, Burke-Smalley L. Coworker abuse in healthcare: voices of mistreated workers. J Health Organ Manag. 2023;37(2):236-249. doi:10.1108/jhom-05-2022-0131.
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www.ahrq.gov/news/blog/ahrqviews/input-strategic-framework-pcortf.html
March 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
AHRQ Seeks Input on a Strategic Framework for Patient-Centered Outcomes Research Trust Fund Investments
MAR
3
2022
By
Karin Rhodes, M.D., M.S., and
David Meyers, M.D.
Karin Rhodes, M.D., M.S.
AHRQ’s updated request for inform…
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psnet.ahrq.gov/issue/resident-supervision-and-patient-safety-do-different-levels-resident-supervision-affect-rate
November 16, 2022 - Study
Resident supervision and patient safety: do different levels of resident supervision affect the rate of morbidity and mortality cases?
Citation Text:
Van Leer PE, Lavine EK, Rabrich JS, et al. Resident Supervision and Patient Safety: Do Different Levels of Resident Supervision Affe…
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psnet.ahrq.gov/issue/when-lights-go-down-delivery-room-lessons-ransomware-attack
September 02, 2020 - Commentary
When the lights go down in the delivery room: lessons from a ransomware attack.
Citation Text:
Gabbay‐Benziv R, Ben‐Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002…
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psnet.ahrq.gov/issue/thirty-day-all-cause-readmissions-elderly-patients-who-have-injury-related-inpatient-stay
August 03, 2017 - Study
Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.
Citation Text:
Spector WD, Mutter R, Owens P, et al. Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay. Med Care. 2012;50(10):863-9. …
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psnet.ahrq.gov/issue/field-test-world-health-organization-multi-professional-patient-safety-curriculum-guide
June 04, 2014 - Study
Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide.
Citation Text:
Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1…
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psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents
August 25, 2021 - Commentary
Classic
Human error and the problem of causality in analysis of accidents.
Citation Text:
Rasmussen J. Human error and the problem of causality in analysis of accidents. Philos Trans R Soc Lond B Biol Sci. 1990;327(1241):449-462.
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psnet.ahrq.gov/issue/involving-patients-andor-their-next-kin-serious-adverse-event-investigations-qualitative
September 25, 2024 - Study
Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives.
Citation Text:
Knap LJ, Dijkstra-Eijkemans RI, Friele RD, et al. Involving patients and/or their next of kin in serious adverse event investigations: a…
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psnet.ahrq.gov/issue/role-pediatric-nurses-during-preventable-adverse-event-disclosure-scoping-review
October 19, 2022 - Review
The role of pediatric nurses during preventable adverse event disclosure: a scoping review.
Citation Text:
Sexton JR, Kelly-Weeder S. The role of pediatric nurses during preventable adverse event disclosure: a scoping review. J Patient Saf. 2024;20(6):381-387. doi:10.1097/pts.0000…
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psnet.ahrq.gov/issue/leveraging-patient-safety-research-efforts-made-fifteen-years-err-human
March 24, 2019 - Study
Leveraging patient safety research: efforts made fifteen years since To Err Is Human.
Citation Text:
Liang C, Miao Q, Kang H, et al. Leveraging Patient Safety Research: Efforts Made Fifteen Years Since To Err Is Human. Stud Health Technol Inform. 2019;264:983-987. doi:10.3233/SHTI1…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-setting-insights
February 26, 2009 - Study
Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care.
Citation Text:
Rochon P, Field T, Bates DW, et al. Computerized physician order entry with clinical decision support in the long-t…
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psnet.ahrq.gov/issue/delayed-rapid-response-team-activation-associated-increased-hospital-mortality-morbidity-and
March 16, 2022 - Study
Delayed rapid response team activation is associated with increased hospital mortality, morbidity, and length of stay in a tertiary care institution.
Citation Text:
Barwise A, Thongprayoon C, Gajic O, et al. Delayed Rapid Response Team Activation Is Associated With Increased Hospit…
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psnet.ahrq.gov/issue/information-gathering-patterns-associated-higher-rates-diagnostic-error
June 27, 2018 - Study
Information-gathering patterns associated with higher rates of diagnostic error.
Citation Text:
Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007…