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psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time
May 19, 2021 - Study
Increased patient safety-related incidents following the transition into Daylight Savings Time.
Citation Text:
Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):…
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psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systematic-review
September 09, 2013 - Review
Classic
Clinical pharmacists and inpatient medical care: a systematic review.
Citation Text:
Kaboli PJ, Hoth AB, McClimon BJ, et al. Clinical pharmacists and inpatient medical care: a systematic review. Arch Intern Med. 2006;166(9):955-64.
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psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type-identified-differ
June 08, 2022 - Study
Monitoring preventable adverse events and near misses: number and type identified differ depending on method used.
Citation Text:
Isaksson S, Schwarz A, Rusner M, et al. Monitoring preventable adverse events and near misses: number and type identified differ depending on method use…
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psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after
June 16, 2021 - Study
Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.'
Citation Text:
Mitchell I, Schuster A, Smith K, et al. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after…
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psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care
April 13, 2022 - Study
Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care.
Citation Text:
de Vos MS, Hamming JF, Marang-van de Mheen PJ. Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. J Patient …
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psnet.ahrq.gov/issue/supplemental-perioperative-oxygen-and-risk-surgical-wound-infection-randomized-controlled
March 09, 2022 - Study
Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial.
Citation Text:
Belda J, Aguilera L, de la Asunción JG, et al. Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. JAMA…
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psnet.ahrq.gov/issue/computerized-prescribing-alerts-and-group-academic-detailing-reduce-use-potentially
July 10, 2008 - Study
Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people.
Citation Text:
Simon SR, Smith DH, Feldstein AC, et al. Computerized prescribing alerts and group academic detailing to reduce the use of poten…
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psnet.ahrq.gov/issue/turning-medical-gaze-upon-itself-root-cause-analysis-and-investigation-clinical-error
June 14, 2011 - Study
Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error.
Citation Text:
Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Soc Sci Med. 2006;62(7):16…
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psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise-seeking-measure
November 02, 2016 - Study
Classic
Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame.
Citation Text:
Armstrong N, Brewster L, Tarrant C, et al. Taking the heat or taking the temperature? A qualit…
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psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk
September 11, 2019 - Study
Classic
Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare.
Citation Text:
Liberati EG, Peerally MF, Dixon-Woods M. Learning from high risk industries may not be strai…
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psnet.ahrq.gov/issue/patient-awake-and-we-need-stay-calm-reconsidering-indirect-communication-face-medical-error
October 11, 2023 - Study
"The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses.
Citation Text:
Taylor T, Columbus L, Banner H, et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication…
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psnet.ahrq.gov/issue/improving-communication-primary-care-physicians-time-hospital-discharge
November 16, 2022 - Study
Improving communication with primary care physicians at the time of hospital discharge.
Citation Text:
Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. do…
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psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-intervention-patient
April 12, 2023 - Study
Emerging Classic
Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study.
Citation Text:
Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconcil…
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psnet.ahrq.gov/issue/electronic-health-records-communication-and-data-sharing-challenges-and-opportunities
October 13, 2018 - Study
Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process.
Citation Text:
Quinn M, Forman J, Harrod M, et al. Electronic health records, communication, and data sharing: challenges and opportunities for improving t…
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psnet.ahrq.gov/issue/evaluating-mobile-application-improving-clinical-laboratory-test-ordering-and-diagnosis
August 07, 2019 - Study
Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis.
Citation Text:
Meyer AND, Thompson PJ, Khanna A, et al. Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. J Am Med Inform Assoc. 2018;25(7):84…
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psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume
May 04, 2012 - Study
Relationship between patient safety and hospital surgical volume.
Citation Text:
Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x.
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psnet.ahrq.gov/issue/do-not-pimp-my-nursing-home-ride-impact-potentially-inappropriate-medications-prescribing
March 17, 2021 - Study
Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use.
Citation Text:
Rapp T, Sicsic J, Tavassoli N, et al. Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing…
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psnet.ahrq.gov/issue/financial-incentives-reduce-hospital-acquired-infections-under-alternative-payment
September 29, 2017 - Study
Financial incentives to reduce hospital-acquired infections under alternative payment arrangements.
Citation Text:
Cohen CC, Liu J, Cohen B, et al. Financial Incentives to Reduce Hospital-Acquired Infections Under Alternative Payment Arrangements. Infect Control Hosp Epidemiol. 201…
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psnet.ahrq.gov/issue/does-responsibility-affect-publics-valuation-health-care-interventions-relative-valuation
October 12, 2022 - Study
Does responsibility affect the public's valuation of health care interventions? A relative valuation approach to health care safety.
Citation Text:
Singh J, Lord J, Longworth L, et al. Does responsibility affect the public's valuation of health care interventions? A relative valuat…
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psnet.ahrq.gov/issue/doing-well-doing-good-evaluating-influence-patient-safety-performance-hospital-financial
September 11, 2024 - Study
Classic
Doing well by doing good: evaluating the influence of patient safety performance on hospital financial outcomes.
Citation Text:
Beauvais B, Richter J, Kim FS. Doing well by doing good: Evaluating the influence of patient safety performance on hospi…