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psnet.ahrq.gov/issue/reducing-catheter-associated-bloodstream-infections-pediatric-intensive-care-unit-business
November 23, 2016 - Study
Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement.
Citation Text:
Nowak JE, Brilli RJ, Lake MR, et al. Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: Business …
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psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems
May 24, 2012 - Commentary
Establishing a global learning community for incident-reporting systems.
Citation Text:
Pham JC, Gianci S, Battles J, et al. Establishing a global learning community for incident-reporting systems. Qual Saf Health Care. 2010;19(5):446-51. doi:10.1136/qshc.2009.037739.
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psnet.ahrq.gov/issue/national-healthcare-safety-networks-digital-quality-measures-cdcs-automated-measures
September 23, 2020 - Study
The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety.
Citation Text:
Shehab N, Alschuler L, McILvenna S, et al. The National Healthcare Safety Network’s digital quality measures: CDC’s automated measures for …
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psnet.ahrq.gov/issue/wisdom-through-adversity-learning-and-growing-wake-error
October 08, 2016 - Study
Wisdom through adversity: learning and growing in the wake of an error.
Citation Text:
Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006.
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psnet.ahrq.gov/issue/assessing-dangers-hospital-stay-patients-developmental-disability-england-2017-19
October 26, 2022 - Study
Assessing the dangers of a hospital stay for patients with developmental disability In England, 2017–19.
Citation Text:
Friebel R, Maynou L. Assessing the dangers of a hospital stay for patients with developmental disability In England, 2017–19. Health Aff (Millwood). 2022;41(10):1…
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psnet.ahrq.gov/issue/strategies-facilitate-delivery-exceptionally-good-patient-care-general-practice-qualitative
February 24, 2021 - Study
Strategies that facilitate the delivery of exceptionally good patient care in general practice: a qualitative study with patients and primary care professionals.
Citation Text:
O’Malley R, O’Connor P, Lydon S. Strategies that facilitate the delivery of exceptionally good patient ca…
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psnet.ahrq.gov/issue/evaluating-impact-auto-calculation-settings-opioid-prescribing-academic-medical-center
January 23, 2020 - Study
Evaluating the impact of auto-calculation settings on opioid prescribing at an academic medical center.
Citation Text:
Crothers G, Edwards DA, Ehrenfeld JM, et al. Evaluating the Impact of Auto-Calculation Settings on Opioid Prescribing at an Academic Medical Center. Jt Comm J Qual…
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www.ahrq.gov/patient-safety/index.html
January 01, 2024 - Patient Safety and Quality Improvement
AHRQ Safety Program for Perinatal Care, Phase 2
Resources to help labor and delivery units reduce obstetric hemorrhage and severe hypertension in pregnancy
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psnet.ahrq.gov/issue/repeat-medication-errors-nursing-homes-contributing-factors-and-their-association-patient
August 07, 2013 - Study
Repeat medication errors in nursing homes: contributing factors and their association with patient harm.
Citation Text:
Crespin DJ, Modi A, Wei D, et al. Repeat medication errors in nursing homes: Contributing factors and their association with patient harm. Am J Geriatr Pharmaco…
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psnet.ahrq.gov/issue/should-medical-errors-be-disclosed-pediatric-patients-pediatricians-attitudes-toward-error
June 15, 2011 - Study
Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure.
Citation Text:
Kolaitis IN, Schinasi DA, Ross LF. Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians' Attitudes Toward Error Disclosure. Acad Pediatr. 20…
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psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference
June 09, 2015 - Study
Organizational learning in the morbidity and mortality conference.
Citation Text:
Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416.
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psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition
August 10, 2011 - Study
Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.
Citation Text:
Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions o…
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psnet.ahrq.gov/issue/prescribing-elderly-part-i-sensitivity-elderly-adverse-drug-reactions
January 11, 2017 - Review
Classic
Prescribing for the elderly. Part I: Sensitivity of the elderly to adverse drug reactions.
Citation Text:
Nolan L, O'Malley K. Prescribing for the Elderly Part I: Sensitivity of the Elderly to Adverse Drug Reactions*. J Am Geriatr Soc. 2015;36(2…
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2007
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing--2007. Am J Health Syst Pharm…
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psnet.ahrq.gov/issue/hospital-wide-code-rates-and-mortality-and-after-implementation-rapid-response-team
October 17, 2011 - Study
Classic
Hospital-wide code rates and mortality before and after implementation of a rapid response team.
Citation Text:
Chan PS, Khalid A, Longmore LS, et al. Hospital-wide code rates and mortality before and after implementation of a rapid response team…
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psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety
July 10, 2008 - Study
Classic
A framework for engaging physicians in quality and safety.
Citation Text:
Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf. 2012;21(9):722-728. doi:10.1136/bmjqs-2011-000167.
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psnet.ahrq.gov/issue/residency-training-crossroads-duty-hour-standards-2010
April 17, 2013 - Commentary
Residency training at a crossroads: duty-hour standards 2010.
Citation Text:
Volpp KG, Friedman W, Romano PS, et al. Residency training at a crossroads: duty-hour standards 2010. Ann Intern Med. 2010;153(12):826-8. doi:10.7326/0003-4819-153-12-201012210-00287.
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psnet.ahrq.gov/issue/predictors-hospital-postoperative-opioid-overdose-after-major-elective-operations-nationally
March 17, 2021 - Study
Predictors of in-hospital postoperative opioid overdose after major elective operations: a nationally representative cohort study.
Citation Text:
Cauley CE, Anderson G, Haynes AB, et al. Predictors of In-hospital Postoperative Opioid Overdose After Major Elective Operations: A Nati…
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psnet.ahrq.gov/issue/approval-and-perceived-impact-duty-hour-regulations-survey-pediatric-program-directors
February 27, 2013 - Study
Approval and perceived impact of duty hour regulations: survey of pediatric program directors.
Citation Text:
Drolet BC, Whittle SB, Khokhar MT, et al. Approval and perceived impact of duty hour regulations: survey of pediatric program directors. Pediatrics. 2013;132(5):819-24. doi…
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psnet.ahrq.gov/issue/impact-reduction-working-hours-doctors-training-postgraduate-medical-education-and-patients
November 10, 2010 - Review
Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review.
Citation Text:
Moonesinghe SR, Lowery J, Shahi N, et al. Impact of reduction in working hours for doctors in training on postgraduate medical…