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psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook-2019
October 23, 2019 - Book/Report
Network of Patient Safety Databases Chartbook, 2019
Citation Text:
Network of Patient Safety Databases Chartbook, 2019 Rockville, MD: Agency for Healthcare Research and Quality; December 2019. AHRQ Pub No 20-0023.
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psnet.ahrq.gov/issue/prevalence-and-causes-diagnostic-errors-hospitalized-patients-under-investigation-covid-19
September 23, 2020 - Study
Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19.
Citation Text:
Auerbach AD, Astik GJ, O’Leary KJ, et al. Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. J Gen Intern Med. 202…
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psnet.ahrq.gov/issue/lack-association-between-intraoperative-handoff-care-and-postoperative-complications
March 14, 2022 - Study
Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observational study.
Citation Text:
O'Reilly-Shah VN, Melanson VG, Sullivan CL, et al. Lack of association between intraoperative handoff of care and postoperative complicat…
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psnet.ahrq.gov/issue/closing-loop-process-evaluation-inpatient-care-team-communication
March 09, 2019 - Study
Closing the loop: a process evaluation of inpatient care team communication.
Citation Text:
Broman KK, Kensinger C, Hart H, et al. Closing the loop: a process evaluation of inpatient care team communication. BMJ Qual Saf. 2017;26(1):30-32. doi:10.1136/bmjqs-2015-004580.
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psnet.ahrq.gov/issue/relationship-between-patient-safety-climate-and-standard-precaution-adherence-systematic
February 13, 2019 - Review
Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature.
Citation Text:
Hessels AJ, Larson EL. Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. J Hosp …
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psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine
June 05, 2019 - Study
Medical error: using storytelling and reflection to impact error response factors in family medicine residents.
Citation Text:
Adkins S, Alta’any R, Brar K, et al. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. J Med …
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psnet.ahrq.gov/issue/sources-medication-omissions-among-hospitalized-older-adults-polypharmacy
January 18, 2023 - Study
Sources of medication omissions among hospitalized older adults with polypharmacy.
Citation Text:
Shah AS, Hollingsworth EK, Shotwell MS, et al. Sources of medication omissions among hospitalized older adults with polypharmacy. J Am Geriatr Soc. 2022;70(4):1180-1189. doi:10.1111/jg…
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psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hospital-mixed-methods-evaluation-newly-implemented
August 30, 2023 - Study
Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system.
Citation Text:
Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised prov…
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - Federal Interagency Forum on Aging-Related Statistics.
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psnet.ahrq.gov/issue/last-person-youd-expect-die-childbirth
May 03, 2017 - Newspaper/Magazine Article
The last person you'd expect to die in childbirth.
Citation Text:
The last person you'd expect to die in childbirth. Martin N, Montagne R. ProPublica and National Public Radio. May 12, 2017.
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psnet.ahrq.gov/issue/commentary-sentinel-serious-events-reported-district-health-boards-200607
March 05, 2008 - Book/Report
Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07.
Citation Text:
Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07. National Health Epidemiology and Quality Assurance Advisory Committee. Wellington, Ne…
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psnet.ahrq.gov/issue/medical-mistakes-are-more-likely-women-and-minorities
November 01, 2017 - Newspaper/Magazine Article
Medical mistakes are more likely in women and minorities.
Citation Text:
Medical mistakes are more likely in women and minorities. Szabo L. NBC News. January 15, 2024.
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psnet.ahrq.gov/issue/canada-continues-lag-behind-other-oecd-countries-measures-patient-safety
March 26, 2014 - Fact Sheet/FAQs
Canada continues to lag behind other OECD countries on measures of patient safety
Citation Text:
Canada continues to lag behind other OECD countries on measures of patient safety Canadian Institute for Health Information. Ottawa, ON: Canadian Institute for Health Informat…
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psnet.ahrq.gov/issue/requires-dhss-make-reported-information-about-certain-adverse-events-publicly-available
January 31, 2018 - Legislation/Case Law
Requires DHSS to make reported information about certain adverse events publicly available.
Citation Text:
Requires DHSS to make reported information about certain adverse events publicly available. 212 New Jersey Legislature. Assembly, No. 4327. June 11, 2017.
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psnet.ahrq.gov/issue/application-global-trigger-tool-systematic-review
December 06, 2023 - Review
The application of the Global Trigger Tool: a systematic review.
Citation Text:
Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115.
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psnet.ahrq.gov/issue/patient-safety-climate-study-southern-california-healthcare-organizations
June 26, 2019 - Study
Patient safety climate: a study of Southern California healthcare organizations.
Citation Text:
Avramchuk AS, McGuire SJJ. Patient Safety Climate: A Study of Southern California Healthcare Organizations. J Healthc Manag. 2018;63(3):175-192. doi:10.1097/JHM-D-16-00004.
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psnet.ahrq.gov/node/50689/psn-pdf
November 20, 2019 - States Targeting Reduction in Infections via Engagement
(STRIVE).
November 20, 2019
Ann Intern Med. 2019;171(7_Suppl):s1-s82.
https://psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
The States Targeting Reduction in Infections via Engagement (STRIVE) initiative was 3-year hospital-
ba…
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psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety
March 29, 2023 - Study
Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports.
Citation Text:
Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incid…
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psnet.ahrq.gov/issue/scoping-review-real-time-automated-clinical-deterioration-alerts-and-evidence-impacts
February 16, 2022 - Review
A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes.
Citation Text:
Blythe R, Parsons R, White NM, et al. A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hos…