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psnet.ahrq.gov/issue/predicting-potential-postdischarge-adverse-drug-events-and-30-day-unplanned-hospital
December 09, 2009 - Study
Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from medication regimen complexity.
Citation Text:
Schoonover H, Corbett CF, Weeks DL, et al. Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readm…
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psnet.ahrq.gov/issue/double-checking-second-look
August 28, 2017 - Study
Double checking: a second look.
Citation Text:
Hewitt T, Chreim S, Forster AJ. Double checking: a second look. J Eval Clin Pract. 2016;22(2):267-74. doi:10.1111/jep.12468.
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psnet.ahrq.gov/issue/association-acute-covid-19-infection-patient-safety-indicator-12-events-multisite-healthcare
January 18, 2023 - Study
The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system.
Citation Text:
Bhakta S, Pollock BD, Erben YM, et al. The association of acute COVID‐19 infection with Patient Safety Indicator‐12 events in a multisite healthcare …
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psnet.ahrq.gov/issue/patient-perceptions-hospital-experiences-implications-innovations-patient-safety
May 04, 2022 - Study
Patient perceptions of hospital experiences: implications for innovations in patient safety.
Citation Text:
Butler JM, Gibson B, Schnock KO, et al. Patient perceptions of hospital experiences: implications for innovations in patient safety. J Patient Saf. 2022;18(2):e563-e567. doi:…
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psnet.ahrq.gov/issue/relationship-between-hospital-patient-safety-culture-and-performance-centers-medicare
December 11, 2024 - Study
The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Services value-based purchasing metrics.
Citation Text:
Noghrehchi P, Hefner JL, Walker DM. The relationship between hospital patient safety culture and performance on Center…
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psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter
December 16, 2020 - Study
The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study.
Citation Text:
Millan PD, Kleiman AM, Friedman JF, et al. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia pro…
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psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care
March 03, 2011 - Study
Factors influencing incident reporting in surgical care.
Citation Text:
Kreckler S, Catchpole K, McCulloch P, et al. Factors influencing incident reporting in surgical care. Qual Saf Health Care. 2009;18(2):116-20. doi:10.1136/qshc.2008.026534.
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psnet.ahrq.gov/issue/what-happens-medication-regimens-older-adults-during-and-after-acute-hospitalization
May 19, 2021 - Study
What happens to the medication regimens of older adults during and after an acute hospitalization?
Citation Text:
Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during and after an acute hospitalization? J Patient Saf. 2013;9(3):15…
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psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
June 24, 2020 - Study
Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003.
Citation Text:
Cook RI, Wreathall J, Smith A, et al. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 200…
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psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review
June 09, 2015 - Review
Teaching medical error disclosure to physicians-in-training: a scoping review.
Citation Text:
Stroud L, Wong BM, Hollenberg E, et al. Teaching medical error disclosure to physicians-in-training: a scoping review. Acad Med. 2013;88(6):884-92. doi:10.1097/ACM.0b013e31828f898f.
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psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician-phone-communication
December 30, 2014 - Study
Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial.
Citation Text:
Joffe E, Turley JP, Hwang KO, et al. Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a ra…
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-2
March 23, 2012 - Study
STOPP/START criteria for potentially inappropriate prescribing in older people: version 2.
Citation Text:
O'Mahony D, O'Sullivan D, Byrne S, et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Age Ageing. 2015;44(2):213-218. doi:10.1093…
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psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
June 08, 2022 - Study
Debrief it all: a tool for inclusion of Safety-II.
Citation Text:
Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3.
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psnet.ahrq.gov/issue/medical-diagnoses-commonly-associated-pediatric-malpractice-lawsuits-united-states
November 16, 2022 - Study
Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States.
Citation Text:
McAbee GN, Donn SM, Mendelson RA, et al. Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. Pediatrics. 2008;122(6):e1282-e1…
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psnet.ahrq.gov/issue/accountability-measures-using-measurement-promote-quality-improvement
January 23, 2012 - Commentary
Classic
Accountability measures—using measurement to promote quality improvement.
Citation Text:
Chassin MR, Loeb JM, Schmaltz SP, et al. Accountability measures--using measurement to promote quality improvement. N Engl J Med. 2010;363(7):683-8. doi…
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psnet.ahrq.gov/issue/effect-residency-duty-hour-limits-views-key-clinical-faculty
July 08, 2009 - Study
Effect of residency duty-hour limits: views of key clinical faculty.
Citation Text:
Schuster B. Tough times for teaching faculty. Arch Intern Med. 2007;167(14):1453-5.
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psnet.ahrq.gov/issue/defining-and-studying-errors-surgical-care-systematic-review
July 20, 2022 - Review
Defining and studying errors in surgical care: a systematic review.
Citation Text:
Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351.
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psnet.ahrq.gov/issue/development-and-content-validation-surgical-safety-checklist-operating-theatres-use-robotic
February 25, 2015 - Study
Development and content validation of a surgical safety checklist for operating theatres that use robotic technology.
Citation Text:
Ahmed K, Khan N, Khan MS, et al. Development and content validation of a surgical safety checklist for operating theatres that use robotic technolog…
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psnet.ahrq.gov/issue/methodological-variability-detecting-prescribing-errors-and-consequences-evaluation
March 05, 2010 - Study
Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions.
Citation Text:
Franklin BD, Birch S, Savage I, et al. Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. …
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psnet.ahrq.gov/issue/applying-medications-transitions-and-clinical-handoffs-toolkit-rural-primary-care-clinic
August 04, 2021 - Study
Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers.
Citation Text:
Jarrett T, Cochran J, Baus A. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural pr…