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psnet.ahrq.gov/issue/pediatric-anesthesiology-fellows-perception-quality-attending-supervision-and-medical-errors
September 07, 2016 - Study
Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors.
Citation Text:
Benzon HA, Hajduk J, De Oliveira GS, et al. Pediatric Anesthesiology Fellows' Perception of Quality of Attending Supervision and Medical Errors. Anesth Analg. 2018;12…
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psnet.ahrq.gov/issue/war-two-fronts-cancer-care-time-covid-19
March 12, 2025 - Commentary
A war on two fronts: cancer care in the time of COVID-19.
Citation Text:
Kutikov A, Weinberg DS, Edelman MJ, et al. A war on two fronts: cancer care in the time of COVID-19. Ann Intern Med. 2020;172(11):756-758. doi:10.7326/m20-1133.
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program
June 29, 2022 - Study
Medication errors in community pharmacies: evaluation of a standardized safety program.
Citation Text:
Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016…
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psnet.ahrq.gov/issue/patient-observer-approach-alternative-method-hand-hygiene-auditing-ambulatory-care-setting
September 13, 2023 - Study
Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting.
Citation Text:
Le-Abuyen S, Ng J, Kim S, et al. Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting. Am J Infect Cont…
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psnet.ahrq.gov/issue/bariatric-surgery-operating-room-teams-stayed-fixed-during-day-multicenter-study-analyzing
December 21, 2014 - Study
Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration.
Citation Text:
Stepaniak PS, Heij C, Buise MP, et al. Bariatric surgery with operating r…
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psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
December 12, 2014 - Review
Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis.
Citation Text:
Coussement J, De Paepe L, Schwendimann R, et al. Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-a…
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psnet.ahrq.gov/issue/frequency-and-significance-discrepancies-surgical-count
March 02, 2011 - Study
The frequency and significance of discrepancies in the surgical count.
Citation Text:
Greenberg CC, Regenbogen SE, Lipsitz SR, et al. The Frequency and Significance of Discrepancies in the Surgical Count. Ann Surg. 2009;248(2). doi:10.1097/sla.0b013e318181c9a3.
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psnet.ahrq.gov/issue/patient-safety-education-20-years-after-institute-medicine-report-results-cross-sectional
October 19, 2022 - Study
Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey.
Citation Text:
Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional natio…
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psnet.ahrq.gov/issue/adverse-inpatient-outcomes-during-transition-new-electronic-health-record-system
September 29, 2017 - Study
Adverse inpatient outcomes during the transition to a new electronic health record system: observational study.
Citation Text:
Barnett ML, Mehrotra A, Jena AB. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. BMJ. 2016;…
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psnet.ahrq.gov/issue/assessing-reasons-decreased-primary-care-access-individuals-prescribed-opioids-audit-study
November 17, 2021 - Study
Assessing reasons for decreased primary care access for individuals on prescribed opioids: an audit study.
Citation Text:
Lagisetty P, Macleod C, Thomas J, et al. Assessing reasons for decreased primary care access for individuals on prescribed opioids. Pain. 2021;162(5):1379-1386.…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1ref.html
March 01, 2019 - Endnotes
Implementation Guide Number 1
This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration …
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psnet.ahrq.gov/issue/identification-patient-safety-threats-post-intensive-care-clinic
November 21, 2021 - Study
Identification of patient safety threats in a post-intensive care clinic.
Citation Text:
Karlic KJ, Valley TS, Cagino LM, et al. Identification of patient safety threats in a post-intensive care clinic. Am J Med Qual. 2023;38(3):117-121. doi:10.1097/jmq.0000000000000118.
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psnet.ahrq.gov/issue/investigating-influence-selected-leadership-styles-patient-safety-and-quality-care-systematic
October 07, 2020 - Review
Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis.
Citation Text:
Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety and quality of care: …
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psnet.ahrq.gov/issue/reaching-summit-discharge-summaries-quality-improvement-project
March 17, 2021 - Study
Reaching the summit of discharge summaries: a quality improvement project.
Citation Text:
Richmond RT, McFadzean IJ, Vallabhaneni P. Reaching the summit of discharge summaries: a quality improvement project. BMJ Open Qual. 2021;10(1):e001142. doi:10.1136/bmjoq-2020-001142.
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psnet.ahrq.gov/issue/patient-participation-patient-safety-still-missing-patient-safety-experts-views
February 13, 2019 - Study
Patient participation in patient safety still missing: patient safety experts' views.
Citation Text:
Sahlström M, Partanen P, Rathert C, et al. Patient participation in patient safety still missing: Patient safety experts' views. Int J Nurs Pract. 2016;22(5):461-469. doi:10.1111/ij…
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psnet.ahrq.gov/issue/health-information-exchange-emergency-medicine
October 07, 2013 - Commentary
Health information exchange in emergency medicine.
Citation Text:
Shapiro JS, Crowley D, Hoxhaj S, et al. Health Information Exchange in Emergency Medicine. Ann Emerg Med. 2016;67(2):216-26. doi:10.1016/j.annemergmed.2015.06.018.
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psnet.ahrq.gov/issue/addressing-mistreatment-providers-patients-and-family-members-patient-safety-event
March 30, 2022 - Study
Addressing mistreatment of providers by patients and family members as a patient safety event.
Citation Text:
Hatfield M, Ciaburri R, Shaikh H, et al. Addressing mistreatment of providers by patients and family members as a patient safety event. Hosp Pediatr. 2022;12(2):181-190. do…
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hcup-us.ahrq.gov/db/vars/h_bedsz/kidnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes
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psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric
March 07, 2018 - Study
National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths.
Citation Text:
Hickey EJ, Nosikova Y, Pham-Hung E, et al. National Aeronautics and Space Administration "threat and error" model…
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psnet.ahrq.gov/issue/inappropriate-diagnosis-pneumonia-among-hospitalized-adults
July 17, 2024 - Study
Inappropriate diagnosis of pneumonia among hospitalized adults.
Citation Text:
Gupta AB, Flanders SA, Petty LA, et al. Inappropriate diagnosis of pneumonia among hospitalized adults. JAMA Intern Med. 2024;184(4):548-556. doi:10.1001/jamainternmed.2024.0077.
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