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psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-among-spine-surgeons
January 16, 2008 - Study
The prevalence of wrong level surgery among spine surgeons.
Citation Text:
Mody MG, Nourbakhsh A, Stahl DL, Gibbs M, Alfawareh M, Garges KJ. The prevalence of wrong level surgery among spine surgeons. Spine (Phila Pa 1976). 2008;33(2):194-198. doi:10.1097/BRS.0b013e31816043d…
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psnet.ahrq.gov/issue/safety-events-pediatric-out-hospital-cardiac-arrest
August 01, 2018 - Study
Safety events in pediatric out-of-hospital cardiac arrest.
Citation Text:
Hansen M, Eriksson C, Skarica B, et al. Safety events in pediatric out-of-hospital cardiac arrest. Am J Emerg Med. 2018;36(3):380-383. doi:10.1016/j.ajem.2017.08.028.
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psnet.ahrq.gov/issue/analysis-errors-enacted-surgical-trainees-during-skills-training-courses
November 15, 2006 - Study
Analysis of errors enacted by surgical trainees during skills training courses.
Citation Text:
Tang B, Hanna GB, Cuschieri A. Analysis of errors enacted by surgical trainees during skills training courses. Surgery. 2005;138(1):14-20.
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psnet.ahrq.gov/issue/deterrent-effect-tort-law-evidence-medical-malpractice-reform
July 26, 2017 - Study
The deterrent effect of tort law: evidence from medical malpractice reform.
Citation Text:
Zabinski Z, Black BS. The deterrent effect of tort law: Evidence from medical malpractice reform. J Health Econ. 2022;84:102638. Epub 20220609. 10.1016/j.jhealeco.2022.102638
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psnet.ahrq.gov/issue/effect-critical-access-hospital-conversion-patient-safety
February 17, 2010 - Study
Effect of critical access hospital conversion on patient safety.
Citation Text:
Li P, Schneider JE, Ward MM. Effect of critical access hospital conversion on patient safety. Health Serv Res. 2007;42(6 Pt 1):2089-108; discussion 2294-323.
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psnet.ahrq.gov/issue/potential-drug-interactions-and-duplicate-prescriptions-among-cancer-patients
September 14, 2005 - Study
Potential drug interactions and duplicate prescriptions among cancer patients.
Citation Text:
Riechelmann RP, Tannock IF, Wang L, et al. Potential drug interactions and duplicate prescriptions among cancer patients. J Natl Cancer Inst. 2007;99(8):592-600.
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psnet.ahrq.gov/issue/development-web-based-surgical-booking-and-informed-consent-system-reduce-potential-error-and
September 02, 2015 - Study
Development of a Web-based surgical booking and informed consent system to reduce the potential for error and improve communication.
Citation Text:
Siracuse JJ, Benoit E, Burke J, et al. Development of a Web-based surgical booking and informed consent system to reduce the potential…
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psnet.ahrq.gov/issue/use-patient-feedback-hospital-boards-directors-qualitative-study-two-nhs-hospitals-england
June 12, 2019 - Study
The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England.
Citation Text:
Lee R, Baeza JI, Fulop NJ. The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England. BMJ Qual Saf…
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psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents
August 23, 2023 - Study
A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles.
Citation Text:
Ogunyemi D, Hage N, Kim SK, et al. A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient Safety …
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psnet.ahrq.gov/issue/developing-critical-approach-patient-and-public-involvement-patient-safety-nhs-learning
July 21, 2010 - Commentary
Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons from other parts of the public sector?
Citation Text:
Ocloo JE, Fulop NJ. Developing a 'critical' approach to patient and public involvement in patient safety in…
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psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-adverse-events
August 08, 2012 - Study
Exploring relationships between hospital patient safety culture and adverse events.
Citation Text:
Mardon RE, Khanna K, Sorra J, et al. Exploring relationships between hospital patient safety culture and adverse events. J Patient Saf. 2010;6(4):226-32. doi:10.1097/PTS.0b013e3181fd1…
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psnet.ahrq.gov/issue/clinical-informatics-team-members-perspectives-health-information-technology-safety-after
November 06, 2019 - Study
Clinical informatics team members' perspectives on health information technology safety after experiential learning and safety process development: qualitative descriptive study.
Citation Text:
Recsky C, Rush KL, MacPhee M, et al. Clinical informatics team members' perspectives on …
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psnet.ahrq.gov/issue/thematic-analysis-womens-perspectives-meaning-safety-during-hospital-based-birth
May 08, 2019 - Study
Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth.
Citation Text:
Lyndon A, Malana J, Hedli LC, et al. Thematic Analysis of Women's Perspectives on the Meaning of Safety During Hospital-Based Birth. J Obstet Gynecol Neonatal Nurs. 2018;4…
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psnet.ahrq.gov/issue/patients-and-doctors-views-and-experiences-patient-safety-trajectory-breast-cancer-care
April 28, 2021 - Study
Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer care.
Citation Text:
Forrest C, O'Sullivan MJ, Ryan M, et al. Patients' and doctors’ views and experiences of the patient safety trajectory of breast cancer care. Breast. 2024;75:103699. …
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psnet.ahrq.gov/issue/opioid-prescribing-trends-and-physicians-role-responding-public-health-crisis
October 14, 2015 - Commentary
Opioid prescribing trends and the physician’s role in responding to the public health crisis.
Citation Text:
Adams JM, Giroir BP. Opioid Prescribing Trends and the Physician's Role in Responding to the Public Health Crisis. JAMA Intern Med. 2019;179(4):476-478. doi:10.1001/jam…
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psnet.ahrq.gov/issue/increasing-medication-error-reporting-rates-while-reducing-harm-through-simultaneous-cultural
July 13, 2005 - Study
Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit.
Citation Text:
Abstoss KM, Shaw BE, Owens TA, et al. Increasing medication error reporting rates while reducing harm through sim…
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psnet.ahrq.gov/issue/strategies-preventing-distractions-and-interruptions-or
April 19, 2017 - Study
Strategies for preventing distractions and interruptions in the OR.
Citation Text:
Clark GJ. Strategies for preventing distractions and interruptions in the OR. AORN J. 2013;97(6):702-707. doi:10.1016/j.aorn.2013.01.018
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psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
June 11, 2014 - Commentary
Will human factors restore faith in the GMC?
Citation Text:
Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/pdsa-worksheet.docx
March 01, 2017 - a PDSA cycle as one of many valuable performance or process improvement tools you may implement to systematically
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/pdsa-worksheet.docx
March 01, 2017 - a PDSA cycle as one of many valuable performance or process improvement tools you may implement to systematically