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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-alerts-prescribing-older-patients
September 23, 2020 - Study
Impact of computerized physician order entry alerts on prescribing in older patients.
Citation Text:
Lester PE, Rios-Rojas L, Islam S, et al. Impact of computerized physician order entry alerts on prescribing in older patients. Drugs Aging. 2015;32(3):227-33. doi:10.1007/s40266-015…
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psnet.ahrq.gov/issue/risk-reduction-strategy-decrease-incidence-retained-surgical-items
July 06, 2022 - Study
Risk reduction strategy to decrease incidence of retained surgical items.
Citation Text:
Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264.
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psnet.ahrq.gov/issue/epidemiology-and-risk-factors-coronavirus-infection-health-care-workers-living-rapid-review
March 02, 2011 - Review
Emerging Classic
Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review.
Citation Text:
Chou R, Dana T, Buckley DI, et al. Epidemiology of and risk factors for coronavirus infection in health care workers:…
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psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care
January 12, 2022 - Study
Getting the whole story: integrating patient complaints and staff reports of unsafe care.
Citation Text:
van Dael J, Gillespie A, Reader TW, et al. Getting the whole story: Integrating patient complaints and staff reports of unsafe care. J Health Serv Res Policy. 2022;27(1):41-49. …
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psnet.ahrq.gov/issue/high-delayed-and-missed-injury-rate-after-inter-hospital-transfer-severely-injured-trauma
December 02, 2020 - Study
High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients.
Citation Text:
Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Eur J Trauma Emer…
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psnet.ahrq.gov/issue/partnering-va-stakeholders-develop-comprehensive-patient-safety-data-display-lessons-learned
September 25, 2019 - Study
Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field.
Citation Text:
Chen Q, Shin MH, Chan J, et al. Partnering With VA Stakeholders to Develop a Comprehensive Patient Safety Data Display: Lessons Learned From the Fi…
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psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-concerns
January 21, 2019 - Study
Classic
An analysis of electronic health record–related patient safety concerns.
Citation Text:
Meeks DW, Smith MW, Taylor L, et al. An analysis of electronic health record-related patient safety concerns. J Am Med Inform Assoc. 2014;21(6):1053-9. doi:10.1…
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psnet.ahrq.gov/issue/rethinking-resident-supervision-improve-safety-hierarchical-interprofessional-models
April 09, 2013 - Study
Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.
Citation Text:
Tamuz M, Giardina TD, Thomas EJ, et al. Rethinking resident supervision to improve safety: From hierarchical to interprofessional models. J Hosp Med. 2011;6(8):445-452…
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psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis
December 16, 2020 - Study
Medication errors in the outpatient setting: classification and root cause analysis.
Citation Text:
Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284.
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psnet.ahrq.gov/issue/does-implementation-electronic-prescribing-system-create-unintended-medication-errors-study
August 24, 2016 - Study
Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.
Citation Text:
Redwood S, Rajakumar A, Hodson J, et al. Does the implementation of an elec…
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psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospital
August 04, 2021 - Study
Classic
High rates of adverse drug events in a highly computerized hospital.
Citation Text:
Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized hospital. Arch Intern Med. 2005;165(10):1111-6.
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psnet.ahrq.gov/issue/investigating-association-alerts-national-mortality-surveillance-system-subsequent-hospital
October 20, 2021 - Study
Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis.
Citation Text:
Cecil E, Bottle A, Esmail A, et al. Investigating the association of alerts from a national morta…
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psnet.ahrq.gov/issue/influencing-organisational-culture-improve-hospital-performance-care-patients-acute
February 21, 2018 - Study
Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study.
Citation Text:
Curry LA, Brault MA, Linnander EL, et al. Influencing organisational culture to improve hospital performance i…
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psnet.ahrq.gov/node/60864/psn-pdf
August 31, 2020 - Safety Across The Board
August 31, 2020
Fitall E, Hall KK, Gale B. Safety Across The Board . PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/safety-across-board
Defining Safety Across the Board
Safety Across The Board (SAB) is a concept originating from the Centers for Medicare & Medicaid Services
(CMS…
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psnet.ahrq.gov/issue/prioritizing-patient-safety-efforts-office-practice-settings
October 12, 2022 - Study
Prioritizing patient safety efforts in office practice settings
Citation Text:
Kravet SJ, Bhatnagar M, Dwyer M, et al. Prioritizing Patient Safety Efforts in Office Practice Settings. J Patient Saf. 2019;15(4):e98-e101. doi:10.1097/pts.0000000000000652.
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psnet.ahrq.gov/issue/emergency-department-visits-adverse-events-related-dietary-supplements
December 19, 2017 - Study
Classic
Emergency department visits for adverse events related to dietary supplements.
Citation Text:
Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary Supplements. N Engl J Med. 2015;373(16):1531-40. …
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psnet.ahrq.gov/issue/impact-state-nurse-practitioner-regulations-potentially-inappropriate-medication-prescribing
March 24, 2021 - Study
Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States.
Citation Text:
Tzeng H-M, Raji MA, Chou L-N, et al. Impact of state nurse practitioner regulations o…
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psnet.ahrq.gov/issue/interns-compliance-accreditation-council-graduate-medical-education-work-hour-limits
January 07, 2011 - Study
Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits.
Citation Text:
Landrigan CP, Barger LK, Cade BE, et al. Interns' compliance with accreditation council for graduate medical education work-hour limits. JAMA. 2006;296(9):1063-70.
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psnet.ahrq.gov/issue/decrease-hospital-wide-mortality-rate-after-implementation-commercially-sold-computerized
December 07, 2016 - Study
Classic
Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system.
Citation Text:
Longhurst CA, Parast L, Sandborg CI, et al. Decrease in hospital-wide mortality rate after implementation…
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psnet.ahrq.gov/issue/do-ahrq-patient-safety-indicators-flag-conditions-are-present-time-hospital-admission
September 12, 2016 - Study
Classic
Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission?
Citation Text:
Bahl V, Thompson MA, Kau T-Y, et al. Do the AHRQ patient safety indicators flag conditions that are present at the time of ho…