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Rating the raters: an evaluation of publicly reported hospital quality rating systems. | PSNet

psnet.ahrq.gov/issue/rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems

April 06, 2022 - Study Rating the raters: an evaluation of publicly reported hospital quality rating systems. Citation Text: Rating the raters: an evaluation of publicly reported hospital quality rating systems. Bilimoria KY, Birkmeyer JD, Burstin H, et al. NEJM Catalyst. August 14, 2019. Copy Citation…

Artificial intelligence systems for complex decision-making in acute care medicine: a review. | PSNet

psnet.ahrq.gov/issue/artificial-intelligence-systems-complex-decision-making-acute-care-medicine-review

March 16, 2011 - Review Emerging Classic Artificial intelligence systems for complex decision-making in acute care medicine: a review. Citation Text: Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:…

Racism as a Root Cause approach: a new framework. | PSNet

psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework

December 17, 2020 - Commentary Racism as a Root Cause approach: a new framework. Citation Text: Malawa Z, Gaarde J, Spellen S. Racism as a Root Cause approach: a new framework. Pediatrics. 2021;147(1):e2020015602. doi:10.1542/peds.2020-015602. Copy Citation Format: DOI Google Scholar BibTeX En…

Preventable mortality after common urological surgery: failing to rescue? | PSNet

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July 17, 2013 - Study Preventable mortality after common urological surgery: failing to rescue? Citation Text: Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833. Copy Citation Form…

Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin. | PSNet

psnet.ahrq.gov/issue/use-standardized-protocol-decrease-medication-errors-and-adverse-events-related-sliding-scale

January 05, 2017 - Study Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin. Citation Text: Donihi AC, DiNardo MM, Devita MA, et al. Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insul…

The need for organizational change in patient safety initiatives. | PSNet

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May 12, 2010 - Study The need for organizational change in patient safety initiatives. Citation Text: Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17. Copy Citation Format: Google Scholar Pu…

Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm? | PSNet

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November 16, 2022 - Commentary Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm? Citation Text: Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can nurses help prevent patient harm? Nurs Health Sci. 2016…

Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010. | PSNet

psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation

September 11, 2019 - Commentary Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010. Citation Text: Crane J, Crane FG. Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for…

Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. | PSNet

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September 29, 2017 - Commentary Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. Citation Text: Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0…

Reversing the rise in maternal mortality. | PSNet

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January 18, 2017 - Commentary Reversing the rise in maternal mortality. Citation Text: Kozhimannil KB. Reversing The Rise In Maternal Mortality. Health Aff (Millwood). 2018;37(11):1901-1904. doi:10.1377/hlthaff.2018.1013. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

Use of a public health law framework to improve medication safety by anesthesia providers. | PSNet

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December 22, 2018 - Commentary Use of a public health law framework to improve medication safety by anesthesia providers. Citation Text: Litman RS. Use of a public health law framework to improve medication safety by anesthesia providers. J Patient Saf Risk Manag. 2019;24(4):158-165. doi:10.1177/25160435188…

Directed peer review in surgical pathology. | PSNet

psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology

December 03, 2014 - Commentary Directed peer review in surgical pathology. Citation Text: Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…

The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety. | PSNet

psnet.ahrq.gov/issue/triangle-model-evaluating-effect-health-information-technology-healthcare-quality-and-safety

May 25, 2010 - Commentary The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety. Citation Text: Ancker JS, Kern LM, Abramson EL, et al. The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety…

Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. | PSNet

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January 13, 2021 - Webinar Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. Citation Text: Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. US Health and Human Services Office of the Assistant Secretary for Preparedness and Response’s Technical Resources, Assistance Center, & In…

Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. | PSNet

psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future

January 09, 2008 - Commentary Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. Citation Text: Keohane C, Hayes J, Saniuk C, et al. Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. J Infus Nurs. 2005;28(5…

On the prospects for a blame-free medical culture. | PSNet

psnet.ahrq.gov/issue/prospects-blame-free-medical-culture

November 16, 2022 - Study On the prospects for a blame-free medical culture. Citation Text: Collins ME, Block SD, Arnold RM, et al. On the prospects for a blame-free medical culture. Soc Sci Med. 2009;69(9):1287-90. doi:10.1016/j.socscimed.2009.08.033. Copy Citation Format: DOI Google Schola…

Reducing inappropriate polypharmacy: the process of deprescribing. | PSNet

psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-process-deprescribing

September 23, 2020 - Commentary Reducing inappropriate polypharmacy: the process of deprescribing. Citation Text: Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324. Copy Citation …

Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm. | PSNet

psnet.ahrq.gov/issue/prevalence-preventable-medication-related-hospitalizations-australia-opportunity-reduce-harm

September 23, 2020 - Study Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm. Citation Text: Kalisch LM, Caughey GE, Barratt JD, et al. Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm. Int J Qual…

As college students return, a crisis in campus care awaits. | PSNet

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September 09, 2020 - Newspaper/Magazine Article As college students return, a crisis in campus care awaits. Citation Text: Abelson J, Tran AB, Kornfield M, et al. As college students return, a crisis in campus care awaits. The Seattle Times. 2020;July 13. Copy Citation Format: Google Scholar Bi…

Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. | PSNet

psnet.ahrq.gov/issue/safety-i-safety-ii-and-burnout-how-complexity-science-can-help-clinician-wellness

December 20, 2017 - Review Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. Citation Text: Smaggus A. Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. BMJ Qual Saf. 2019;28(8):667-671. doi:10.1136/bmjqs-2018-009147. Copy Citation …

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