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psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
December 22, 2021 - Study
Surgical specimen management: a descriptive study of 648 adverse events and near misses.
Citation Text:
Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/minn.jsp
July 01, 2016 - Enhancing the Clinical Content of Administrative Data - Pilot and Planning Projects: Minnesota
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hcup-us.ahrq.gov/datainnovations/clinicaldata/va.jsp
July 01, 2016 - Enhancing the Clinical Content of Administrative Data - Pilot and Planning Projects: Virginia
An official website of the Department of Health & Human Services
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hcup-us.ahrq.gov/datainnovations/hi.jsp
October 01, 2010 - Enhanced State Data for Analysis and Tracking of Comparative Effectiveness Impact
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hcup-us.ahrq.gov/datainnovations/ny.jsp
October 01, 2010 - Enhanced State Data for Analysis and Tracking of Comparative Effectiveness Impact
An official website of the Department of Health & Human Services
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca3.jsp
November 01, 2014 - Why Should Hospitals Collect Patient Race, Ethnicity, and Language?
An official website of the Department of Health & Human Services
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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/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/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/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/cost-benefit-analysis-medical-emergency-team-childrens-hospital
November 06, 2015 - Study
Cost-benefit analysis of a medical emergency team in a children's hospital.
Citation Text:
Bonafide CP, Localio R, Song L, et al. Cost-benefit analysis of a medical emergency team in a children's hospital. Pediatrics. 2014;134(2):235-41. doi:10.1542/peds.2014-0140.
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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/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/role-informal-and-formal-organisation-voice-about-concerns-healthcare-qualitative-interview
September 29, 2021 - Study
The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study.
Citation Text:
Wu F, Dixon-Woods M, Aveling E-L, et al. The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative inter…
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psnet.ahrq.gov/issue/circumstances-involved-unsupervised-solid-dose-medication-exposures-among-young-children
February 23, 2018 - Study
Circumstances involved in unsupervised solid dose medication exposures among young children.
Citation Text:
Agarwal M, Lovegrove MC, Geller RJ, et al. Circumstances involved in unsupervised solid dose medication exposures among young children. J Pediatr. 2020;219. doi:10.1016/j.jpe…
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psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation-scoping-review
March 18, 2020 - Review
Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes.
Citation Text:
Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and medication reconciliatio…
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psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review
March 08, 2023 - Review
Sitters as a patient safety strategy to reduce hospital falls: a systematic review.
Citation Text:
Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628.
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psnet.ahrq.gov/issue/analysis-pharmacist-identified-medication-related-problems-two-united-kingdom-hospitals
July 31, 2019 - Study
Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study.
Citation Text:
Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospectiv…
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psnet.ahrq.gov/issue/patient-mortality-during-unannounced-accreditation-surveys-us-hospitals
August 03, 2022 - Study
Patient mortality during unannounced accreditation surveys at US hospitals.
Citation Text:
Barnett ML, Olenski AR, Jena AB. Patient Mortality During Unannounced Accreditation Surveys at US Hospitals. JAMA Intern Med. 2017;177(5):693-700. doi:10.1001/jamainternmed.2016.9685.
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psnet.ahrq.gov/issue/critical-care-clinicians-experiences-patient-safety-during-covid-19-pandemic
February 22, 2023 - Study
Critical care clinicians' experiences of patient safety during the COVID-19 pandemic.
Citation Text:
Rosen A, Carter D, Applebaum JR, et al. Critical care clinicians' experiences of patient safety during the COVID-19 pandemic. J Patient Saf. 2022;18(8):e1219-e1225. doi:10.1097/pts.…