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psnet.ahrq.gov/issue/relationship-between-job-burnout-psychosocial-factors-and-health-care-associated-infections
January 12, 2022 - Study
Relationship between job burnout, psychosocial factors and health care–associated infections in critical care units.
Citation Text:
Galletta M, Portoghese I, D'Aloja E, et al. Relationship between job burnout, psychosocial factors and health care-associated infections in critical c…
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psnet.ahrq.gov/issue/assessing-effectiveness-engaging-patients-and-their-families-three-step-fall-prevention
February 19, 2020 - Study
Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study.
Citation Text:
Duckworth M, Adelman JS, Belategui K, et al. Assessing the E…
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psnet.ahrq.gov/issue/framework-assess-patient-reported-adverse-outcomes-arising-during-hospitalization
December 06, 2017 - Study
A framework to assess patient-reported adverse outcomes arising during hospitalization.
Citation Text:
Okoniewska B, Santana MJ, Holroyd-Leduc J, et al. A framework to assess patient-reported adverse outcomes arising during hospitalization. BMC Health Serv Res. 2016;16(a):357. doi:…
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psnet.ahrq.gov/issue/drug-dosing-error-drops-severe-clinical-course-codeine-intoxication-twins
September 29, 2021 - Study
Drug dosing error with drops – severe clinical course of codeine intoxication in twins.
Citation Text:
Hermanns-Clausen M, Weinmann W, Auwärter V, et al. Drug dosing error with drops: severe clinical course of codeine intoxication in twins. Eur J Pediatr. 2009;168(7):819-24. doi:…
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psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code-scanning-protocol
October 19, 2022 - Study
Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors.
Citation Text:
MacMaster HW, Gonzalez S, Maruoka A, et al. Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning…
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psnet.ahrq.gov/issue/structuring-patient-and-family-involvement-medical-error-event-disclosure-and-analysis
September 01, 2018 - Study
Structuring patient and family involvement in medical error event disclosure and analysis.
Citation Text:
Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. d…
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel/annual-summary/2010
January 01, 2010 - Improving Patient Access and Patient-Clinician Continuity Through Panel Redesign - 2010
Project Name
Improving Patient Access and Patient-Clinician Continuity through Panel Redesign
Principal Investigator
Balasubramanian, Hari
Organization
University of Massachusetts Amherst …
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psnet.ahrq.gov/issue/effect-clinical-experience-error-rate-emergency-physicians
November 16, 2022 - Study
The effect of clinical experience on the error rate of emergency physicians.
Citation Text:
Berk WA, Welch RD, Levy PD, et al. The effect of clinical experience on the error rate of emergency physicians. Ann Emerg Med. 2008;52(5):497-501. doi:10.1016/j.annemergmed.2008.01.329.
…
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psnet.ahrq.gov/issue/orders-file-no-labs-drawn-investigation-machine-and-human-errors-caused-interface
April 29, 2018 - Commentary
Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy.
Citation Text:
Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncras…
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psnet.ahrq.gov/issue/opioid-prescribing-acute-pain-management-children-and-adolescents-outpatient-settings
November 16, 2022 - Clinical Guideline
Opioid prescribing for acute pain management in children and adolescents in outpatient settings: clinical practice guideline.
Citation Text:
Hadland SE, Agarwal R, Raman SR, et al. Opioid Prescribing for Acute Pain Management in Children and Adolescents in Outpatient S…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-delivery-hpv-vaccine/annual-summary/2010
January 01, 2010 - Using Health Information Technology to Improve Delivery of HPV Vaccine - 2010
Project Name
Using Health Information Technology to Improve Delivery of HPV Vaccine
Principal Investigator
Rand, Cynthia M.
Organization
University of Rochester
Funding Mechanism
PAR: HS09…
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psnet.ahrq.gov/issue/evaluating-implementation-project-re-engineered-discharge-red-five-veterans-health
June 26, 2024 - Study
Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals.
Citation Text:
Sullivan JL, Shin MH, Engle RL, et al. Evaluating the Implementation of Project Re-Engineered Discharge (RED) in Five Veterans Health Admini…
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psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital-9-year-experience
February 10, 2011 - Study
Classic
Medication-prescribing errors in a teaching hospital: a 9-year experience.
Citation Text:
Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year experience. Arch Intern Med. 1997;157(14):1569-76.
Copy Cit…
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psnet.ahrq.gov/issue/interprofessional-qualitative-study-barriers-and-potential-solutions-safe-use-insulin
November 07, 2018 - Study
An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital setting.
Citation Text:
Rousseau M-P, Beauchesne M-F, Naud A-S, et al. An interprofessional qualitative study of barriers and potential solutions for the safe use …
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psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning
April 01, 2010 - Study
Quality improvement for patient safety: project-level versus program-level learning.
Citation Text:
Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-level learning. Health Care Manage Rev. 2013;38(1):40-50. doi:10.1097/HMR.0b013…
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psnet.ahrq.gov/issue/evolving-role-medical-scribe-variation-and-implications-organizational-effectiveness-and
October 24, 2018 - Study
The evolving role of medical scribe: variation and implications for organizational effectiveness and safety.
Citation Text:
Woodcock D, Pranaat R, McGrath K, et al. The Evolving Role of Medical Scribe: Variation and Implications for Organizational Effectiveness and Safety. Stud Hea…
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psnet.ahrq.gov/issue/diagnostic-performance-dashboards-tracking-diagnostic-errors-using-big-data
July 28, 2023 - Commentary
Diagnostic performance dashboards: tracking diagnostic errors using big data.
Citation Text:
Mane KK, Rubenstein KB, Nassery N, et al. Diagnostic performance dashboards: tracking diagnostic errors using big data. BMJ Qual Saf. 2018;27(7):567-570. doi:10.1136/bmjqs-2018-007945.…
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psnet.ahrq.gov/issue/deficiencies-emergency-department-care-patient-who-died-suicide-john-cochran-division-va-st
July 26, 2023 - Book/Report
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri.
Citation Text:
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division…
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psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration
June 23, 2021 - Study
Root cause analysis of ICU adverse events in the Veterans Health Administration.
Citation Text:
Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.j…
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psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-suicide-deaths
October 19, 2022 - Review
How health care systems let our patients down: a systematic review into suicide deaths.
Citation Text:
Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1…