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psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
July 01, 2012 - RW : In terms of the business case, why were federal incentives necessary to stimulate IT adoption in … RW : Where do you project it will be in the next 5 or 7 years in terms of adoption rates, both inpatient
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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - this was an error and therefore that's the appropriate focus, but today people are thinking more in terms … MM : In terms of institutional programs, the current parlance for those is communication-and-resolution
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psnet.ahrq.gov/issue/polypharmacy
May 07, 2008 - Special or Theme Issue
Polypharmacy.
Citation Text:
Polypharmacy. Zagaria MAE, ed. Clin Geriatr Med. 2017;33:153-292.
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psnet.ahrq.gov/issue/safety-climate-associated-adverse-events-nursing-homes-national-va-study
September 08, 2021 - Study
Safety climate associated with adverse events in nursing homes: a national VA study.
Citation Text:
Quach ED, Kazis LE, Zhao S, et al. Safety climate associated with adverse events in nursing homes: a national VA study. J Am Med Dir Assoc. 2021;22(2):388-392. doi:10.1016/j.jamda.20…
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psnet.ahrq.gov/issue/nursing-home-staff-turnover-and-perceived-patient-safety-culture-results-national-survey
June 30, 2021 - Study
Nursing home staff turnover and perceived patient safety culture: results from a national survey.
Citation Text:
Temkin-Greener H, Cen X, Li Y. Nursing home staff turnover and perceived patient safety culture: results from a national survey. Gerontologist. 2020;60(7):1303-1311. doi…
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psnet.ahrq.gov/issue/communication-disparities-between-nursing-home-team-members
May 25, 2022 - Study
Communication disparities between nursing home team members.
Citation Text:
Farrell TW, Butler JM, Towsley GL, et al. Communication disparities between nursing home team members. Int J Environ Res Public Health. 2022;19(10):5975. doi:10.3390/ijerph19105975.
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psnet.ahrq.gov/issue/how-do-we-know-when-we-have-done-enough-ensuring-sufficient-patient-notification-efforts
August 18, 2021 - Commentary
How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event.
Citation Text:
Alfandre D, Foglia MB, Holodniy M, et al. How do we know when we have done enough? Ensuring sufficient patient notification efforts after…
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psnet.ahrq.gov/issue/health-care-quality-and-safety-correctional-system-creating-goals-and-performance-measures
May 18, 2022 - Commentary
Health care quality and safety in a correctional system: creating goals and performance measures for improvement.
Citation Text:
Neely J, Sampath R, Kirkbride G, et al. Health care quality and safety in a correctional system: creating goals and performance measures for improve…
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psnet.ahrq.gov/issue/impact-missed-nursing-care-or-care-not-done-adults-health-care-rapid-review-consensus
October 27, 2021 - Review
The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project.
Citation Text:
Willis E, Brady C. The impact of “missed nursing care” or “care not done” on adults in health care: A rapid review for the Consensu…
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psnet.ahrq.gov/issue/postsurgical-prescriptions-opioid-naive-patients-and-association-overdose-and-misuse
October 19, 2022 - Study
Classic
Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study.
Citation Text:
Brat GA, Agniel D, Beam A, et al. Postsurgical prescriptions for opioid naive patients and association with ov…
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psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts-medical-mishaps
February 12, 2020 - Study
Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps.
Citation Text:
Schlesinger M, Dhingra I, Fain BA, et al. Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. BMJ Open Qual. 2024;13(3):e002848. …
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psnet.ahrq.gov/issue/patient-safety-and-quality-outcomes-ed-patients-admitted-alternative-care-area-inpatient-beds
October 19, 2022 - Study
Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds.
Citation Text:
Lee MO, Arthofer R, Callagy P, et al. Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. Am J Emerg Med. 2019;38(…
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psnet.ahrq.gov/issue/persistent-opioid-use-among-pediatric-patients-after-surgery
January 29, 2020 - Study
Classic
Persistent opioid use among pediatric patients after surgery.
Citation Text:
Harbaugh CM, Lee JS, Hu HM, et al. Persistent Opioid Use Among Pediatric Patients After Surgery. Pediatrics. 2018;141(1):e20172439. doi:10.1542/peds.2017-2439.
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psnet.ahrq.gov/issue/impact-pharmacist-administered-deprescribing-intervention-nursing-home-residents-randomized
September 09, 2020 - Study
Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial.
Citation Text:
Balsom C, Pittman N, King R, et al. Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized control…
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psnet.ahrq.gov/issue/aging-stigma-and-health-us-adults-over-65-what-do-we-know
December 23, 2020 - Review
Aging stigma and the health of US adults over 65: what do we know?
Citation Text:
Allen J, Sikora N. Aging stigma and the health of US adults over 65: what do we know? Clin Interv Aging. 2023;18:2093-2116. doi:10.2147/cia.s396833.
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psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
October 19, 2022 - Review
Incivility in healthcare: the impact of poor communication.
Citation Text:
Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717.
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psnet.ahrq.gov/issue/drug-related-problems-among-older-people-dementia-systematic-review
January 12, 2022 - Review
Drug-related problems among older people with dementia: a systematic review.
Citation Text:
Xue Qin QN, Ming LC, Abd Wahab MS, et al. Drug-related problems among older people with dementia: a systematic review. Res Social Adm Pharm. 2023;19(6):873-881. doi:10.1016/j.sapharm.2023.0…
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psnet.ahrq.gov/issue/deprescribing-clinical-improvement-focus
April 08, 2011 - Study
Deprescribing as a clinical improvement focus.
Citation Text:
Dharmarajan TS, Choi H, Hossain N, et al. Deprescribing as a Clinical Improvement Focus. J Am Med Dir Assoc. 2020;21(3):355-360. doi:10.1016/j.jamda.2019.08.031.
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psnet.ahrq.gov/primer/root-cause-analysis
March 30, 2022 - Root Cause Analysis
Citation Text:
Root Cause Analysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/issue/risk-science-perspective-discussion-concerning-safety-i-safety-ii-and-safety-iii
August 19, 2013 - Commentary
A risk science perspective on the discussion concerning Safety I, Safety II and Safety III.
Citation Text:
Aven T. A risk science perspective on the discussion concerning Safety I, Safety II and Safety III. Reliability Eng System Saf. 2022;217:108077. doi:10.1016/j.ress.2021.1…