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psnet.ahrq.gov/issue/recognition-and-prevention-nosocomial-malnutrition-review-and-call-action
January 29, 2020 - Review
Recognition and prevention of nosocomial malnutrition: a review and a call to action!
Citation Text:
Kirkland LL, Shaughnessy E. Recognition and Prevention of Nosocomial Malnutrition: A Review and A Call to Action!. Am J Med. 2017;130(12):1345-1350. doi:10.1016/j.amjmed.2017.07.03…
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psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications
May 11, 2014 - Study
Implementation of standardized dosing units for I.V. medications.
Citation Text:
Jung B, Couldry R, Wilkinson S, et al. Implementation of standardized dosing units for i.v. medications. Am J Health Syst Pharm. 2014;71(24):2153-8. doi:10.2146/ajhp140046.
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psnet.ahrq.gov/issue/certified-registered-nurse-anesthetist-perceptions-factors-impacting-patient-safety
May 18, 2022 - Study
Certified registered nurse anesthetist perceptions of factors impacting patient safety.
Citation Text:
McMullan SP, Thomas-Hawkins C, Shirey MR. Certified Registered Nurse Anesthetist Perceptions of Factors Impacting Patient Safety. Nurs Adm Q. 2017;41(1):56-69.
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psnet.ahrq.gov/issue/opioid-medication-discontinuation-and-risk-adverse-opioid-related-health-care-events
November 16, 2022 - Study
Classic
Opioid medication discontinuation and risk of adverse opioid-related health care events.
Citation Text:
Mark TL, Parish W. Opioid medication discontinuation and risk of adverse opioid-related health care events. J Subst Abuse Treat. 2019;103:58-63.…
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psnet.ahrq.gov/issue/preventing-mistransfusions-evaluation-institutional-knowledge-and-response
June 06, 2018 - Study
Preventing mistransfusions: an evaluation of institutional knowledge and a response.
Citation Text:
MacDougall N, Dong F, Broussard L, et al. Preventing Mistransfusions: An Evaluation of Institutional Knowledge and a Response. Anesth Analg. 2018;126(1):247-251. doi:10.1213/ANE.0000…
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psnet.ahrq.gov/issue/how-patients-can-improve-accuracy-their-medical-records
July 20, 2022 - Study
How patients can improve the accuracy of their medical records.
Citation Text:
Dullabh P, Sondheimer N, Katsh E, et al. How Patients Can Improve the Accuracy of their Medical Records. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2014;2(3). doi:10.13063/2327-92…
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psnet.ahrq.gov/issue/characteristics-and-trends-medical-diagnostic-errors-united-states
December 14, 2022 - Study
Characteristics and trends of medical diagnostic errors in the United States.
Citation Text:
Ao HS, Matthews T. Characteristics and trends of medical diagnostic errors in the United States. Patient Safety. 2024;6(1):123603. doi:10.33940/001c.123603.
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psnet.ahrq.gov/issue/development-icu-safety-reporting-system
May 27, 2011 - Study
Development of the ICU safety reporting system.
Citation Text:
Development of the ICU safety reporting system. Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32.
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psnet.ahrq.gov/issue/healthcare-staff-wellbeing-burnout-and-patient-safety-systematic-review
November 13, 2024 - Review
Healthcare staff wellbeing, burnout, and patient safety: a systematic review.
Citation Text:
Hall LH, Johnson J, Watt I, et al. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS One. 2016;11(7):e0159015. doi:10.1371/journal.pone.0159015.
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psnet.ahrq.gov/issue/complexity-science-challenge-complexity-health-care
March 13, 2013 - Commentary
Classic
Complexity science: the challenge of complexity in health care.
Citation Text:
Plsek PE, Greenhalgh T. Complexity science: The challenge of complexity in health care. BMJ. 2001;323(7313):625-628.
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psnet.ahrq.gov/issue/learning-errors-and-resilience
December 18, 2019 - Review
Learning from errors and resilience.
Citation Text:
Arnal-Velasco D, Heras-Hernando V. Learning from errors and resilience. Curr Opin Anaesthesiol. 2023;36(3):376-381. doi:10.1097/aco.0000000000001257.
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psnet.ahrq.gov/issue/need-closed-loop-systems-management-abnormal-test-results
May 20, 2019 - Study
The need for closed-loop systems for management of abnormal test results.
Citation Text:
Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425.
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psnet.ahrq.gov/issue/medicaid-markets-and-pediatric-patient-safety-hospitals
August 02, 2012 - Study
Medicaid markets and pediatric patient safety in hospitals.
Citation Text:
Smith RB, Cheung R, Owens P, et al. Medicaid markets and pediatric patient safety in hospitals. Health Serv Res. 2007;42(5):1981-98.
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psnet.ahrq.gov/issue/same-behavior-different-provider-american-medical-students-attitudes-toward-reporting-risky
May 12, 2021 - Study
Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates.
Citation Text:
Aggarwal S, Kheriaty A. Same behavior, different provider: American medical students' attitudes toward reporting ris…
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psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review
January 22, 2016 - Review
Shift-to-shift handoff effects on patient safety and outcomes: a systematic review.
Citation Text:
Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923.
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psnet.ahrq.gov/issue/clean-care-safer-care-global-patient-safety-challenge-2005-2006
November 13, 2024 - Commentary
'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006.
Citation Text:
Pittet D, Allegranzi B, Storr J, et al. 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. Int J Infect Dis. 2006;10(6):419-24.
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psnet.ahrq.gov/issue/reactive-proactive-safety-approach-analysis-medication-errors-chemotherapy-using-general
November 02, 2022 - Study
From a reactive to a proactive safety approach. Analysis of medication errors in chemotherapy using general failure types.
Citation Text:
Fyhr A, Ternov S, Ek Å. From a reactive to a proactive safety approach. Analysis of medication errors in chemotherapy using general failure type…
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psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
August 09, 2018 - Study
A tool for the concise analysis of patient safety incidents.
Citation Text:
Pham JC, Hoffman C, Popescu I, et al. A Tool for the Concise Analysis of Patient Safety Incidents. Jt Comm J Qual Patient Saf. 2016;42(1):26-33.
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psnet.ahrq.gov/issue/accuracy-computer-aided-diagnosis-melanoma-meta-analysis
June 26, 2019 - Review
Emerging Classic
Accuracy of computer-aided diagnosis of melanoma: a meta-analysis.
Citation Text:
Dick V, Sinz C, Mittlböck M, et al. Accuracy of Computer-Aided Diagnosis of Melanoma. JAMA Dermatol. 2019;155(11):1291-1299. doi:10.1001/jamadermatol.2019.1…
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psnet.ahrq.gov/issue/relationship-between-high-reliability-practice-and-hospital-acquired-conditions-among
March 20, 2019 - Study
The relationship between high-reliability practice and hospital-acquired conditions among the Solutions for Patient Safety Collaborative.
Citation Text:
Randall KH, Slovensky D, Weech-Maldonado R, et al. The relationship between high-reliability practice and hospital-acquired condi…