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psnet.ahrq.gov/issue/medication-errors-resulting-harm-using-chargemaster-data-determine-association-cost
June 02, 2021 - Study
Medication errors resulting in harm: using chargemaster data to determine association with cost of hospitalization and length of stay.
Citation Text:
McCarthy BC, Tuiskula KA, Driscoll TP, et al. Medication errors resulting in harm: Using chargemaster data to determine association …
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psnet.ahrq.gov/issue/choosing-your-words-carefully-how-physicians-would-disclose-harmful-medical-errors-patients
February 16, 2011 - Study
Classic
Choosing your words carefully: how physicians would disclose harmful medical errors to patients.
Citation Text:
Gallagher TH, Garbutt J, Waterman AD, et al. Choosing your words carefully: how physicians would disclose harmful medical errors to pa…
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psnet.ahrq.gov/issue/does-time-pressure-have-negative-effect-diagnostic-accuracy
January 16, 2019 - Study
Does time pressure have a negative effect on diagnostic accuracy?
Citation Text:
ALQahtani DA, Rotgans JI, Mamede S, et al. Does Time Pressure Have a Negative Effect on Diagnostic Accuracy? Acad Med. 2016;91(5):710-716. doi:10.1097/ACM.0000000000001098.
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psnet.ahrq.gov/issue/use-technology-urgent-clinician-clinician-communications-systematic-review-literature
September 09, 2015 - Review
The use of technology for urgent clinician to clinician communications: a systematic review of the literature.
Citation Text:
Nguyen C, McElroy LM, Abecassis MM, et al. The use of technology for urgent clinician to clinician communications: a systematic review of the literature. I…
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psnet.ahrq.gov/issue/hospital-reputation-and-perceptions-patient-safety
October 11, 2017 - Study
Hospital reputation and perceptions of patient safety.
Citation Text:
Mira JJ, Lorenzo S, Navarro I. Hospital reputation and perceptions of patient safety. Med Princ Pract. 2014;23(1):92-4. doi:10.1159/000353152.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.docx
October 01, 2016 - Tool 2. Talking With Residents’ Family Members—short checklist version
· What are antibiotics?
Antibiotics are medicines that fight infections caused by bacteria. Antibiotics work by targeting and killing harmful bacteria.
· How do people get bacterial infections?
Normally, your immune system helps control the bacteria…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Educate & Engage Residents, Family
Toolkit To Educate and Engage Residents and Family Members
Tool 1. Talking With Residents—short checklist version
What are antibiotics?
• Antibiotics are medicines that fight infections caused by bacteria. Antibiotics work by
targ…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.docx
October 01, 2016 - Tool 1. Talking With Residents—short checklist version
· What are antibiotics?
Antibiotics are medicines that fight infections caused by bacteria. Antibiotics work by targeting and killing harmful bacteria.
· How do people get bacterial infections?
Normally, your immune system helps control the bacteria you have. But, …
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psnet.ahrq.gov/issue/levels-agreement-grading-analysis-and-reporting-significant-events-general-practitioners
April 06, 2011 - Study
Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study.
Citation Text:
McKay J, Bowie P, Murray L, et al. Levels of agreement on the grading, analysis and reporting of significant events by general practit…
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psnet.ahrq.gov/issue/preliminary-development-and-testing-global-trigger-tool-detect-error-and-patient-harm-primary
January 19, 2011 - Study
The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records.
Citation Text:
de Wet C, Bowie P. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. …
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psnet.ahrq.gov/issue/immersive-high-fidelity-simulation-critically-ill-patients-study-cognitive-errors-pilot-study
August 15, 2018 - Study
Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study.
Citation Text:
Prakash S, Bihari S, Need P, et al. Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. BMC Med Educ. 2017;17(1…
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psnet.ahrq.gov/issue/tracking-progress-improving-diagnosis-framework-defining-undesirable-diagnostic-events
September 01, 2021 - Commentary
Classic
Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events.
Citation Text:
Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J G…
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psnet.ahrq.gov/issue/assessment-attitudes-toward-deprescribing-older-medicare-beneficiaries-united-states
June 30, 2021 - Study
Classic
Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States.
Citation Text:
Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States.…
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psnet.ahrq.gov/issue/patient-safety-strategies-targeted-diagnostic-errors-systematic-review
March 20, 2013 - Review
Patient safety strategies targeted at diagnostic errors: a systematic review.
Citation Text:
McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7…
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psnet.ahrq.gov/issue/active-surveillance-vaccine-safety-system-detect-early-signs-adverse-events
March 29, 2010 - Study
Active surveillance of vaccine safety: a system to detect early signs of adverse events.
Citation Text:
Davis RL, Kolczak M, Lewis E, et al. Active surveillance of vaccine safety: a system to detect early signs of adverse events. Epidemiology. 2005;16(3):336-41.
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psnet.ahrq.gov/issue/prevalence-second-victim-syndrome-and-emotional-distress-pediatric-intensive-care-providers
April 24, 2018 - Study
The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers.
Citation Text:
Wolf MS, Smith K, Basu M, et al. The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. J Pediatr Intensive Care. 20…
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psnet.ahrq.gov/issue/characteristics-healthcare-organisations-struggling-improve-quality-results-systematic-review
August 14, 2019 - Review
Classic
Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies.
Citation Text:
Vaughn VM, Saint S, Krein SL, et al. Characteristics of healthcare organisations struggling to impro…
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psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study-safety-risks
March 16, 2016 - Study
Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice.
Citation Text:
Bowie P, Halley L, McKay J. Laboratory test ordering and results management systems: a qualitative study of safety risks id…
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psnet.ahrq.gov/issue/physician-engagement-organisational-patient-safety-through-implementation-medical-safety
February 22, 2011 - Study
Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study.
Citation Text:
Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety through the implementation o…
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psnet.ahrq.gov/issue/risk-unintentional-overdose-non-prescription-acetaminophen-products
January 22, 2014 - Study
Risk of unintentional overdose with non-prescription acetaminophen products.
Citation Text:
Wolf MS, King J, Jacobson K, et al. Risk of unintentional overdose with non-prescription acetaminophen products. J Gen Intern Med. 2012;27(12):1587-93. doi:10.1007/s11606-012-2096-3.
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