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psnet.ahrq.gov/issue/effect-pharmacist-counseling-intervention-health-care-utilization-following-hospital
November 26, 2014 - Study
Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial.
Citation Text:
Bell SP, Schnipper JL, Goggins K, et al. Effect of Pharmacist Counseling Intervention on Health Care Utilization Following Hospital Disch…
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psnet.ahrq.gov/issue/racial-and-ethnic-disparities-common-inpatient-safety-outcomes-childrens-hospital-cohort
August 23, 2023 - Study
Racial and ethnic disparities in common inpatient safety outcomes in a children's hospital cohort.
Citation Text:
Lyren A, Haines E, Fanta M, et al. Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort. BMJ Qual Saf. 2024;33(2):86-97. do…
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psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care
December 30, 2014 - Study
Classic
Measuring errors and adverse events in health care.
Citation Text:
Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med. 2003;18(1). doi:10.1046/j.1525-1497.2003.20147.x.
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psnet.ahrq.gov/issue/standardized-orders-titrating-vasopressors-do-efforts-improve-safety-slow-delivery-care
March 20, 2019 - Commentary
Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care?
Citation Text:
Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):5…
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psnet.ahrq.gov/issue/african-american-covid-19-mortality-sentinel-event
November 16, 2022 - Commentary
Emerging Classic
African American COVID-19 mortality: a sentinel event.
Citation Text:
Ferdinand KC, Nasser SA. African American COVID-19 mortality: a sentinel event. J Am Coll Cardiol. 2020;75(21):2746-2748. doi:10.1016/j.jacc.2020.04.040.
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psnet.ahrq.gov/issue/effect-cognitive-load-and-task-complexity-automation-bias-electronic-prescribing
May 01, 2019 - Study
The effect of cognitive load and task complexity on automation bias in electronic prescribing.
Citation Text:
Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/…
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psnet.ahrq.gov/issue/frequency-inappropriate-nonformulary-medication-alert-overrides-inpatient-setting
July 02, 2019 - Study
The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting.
Citation Text:
Her QL, Amato MG, Seger DL, et al. The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. J Am Med Inform Assoc. 2016;23(5):924-…
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psnet.ahrq.gov/issue/covid-19-pandemic-resilient-organisational-response-low-chance-high-impact-event
October 07, 2020 - Commentary
The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event.
Citation Text:
Lloyd-Smith MK. The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. BMJ Leader. 2020;4:109-112. doi:10.1136/leader-2020-000245. …
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psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting
August 03, 2017 - Study
Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system.
Citation Text:
Schulz CM, Krautheim V, Hackemann A, et al. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting syste…
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psnet.ahrq.gov/issue/patient-surgeon-and-health-care-worker-safety-during-covid-19-pandemic
August 25, 2021 - Commentary
Patient, surgeon, and health care worker safety during the COVID-19 pandemic.
Citation Text:
Hölscher AH. Patient, surgeon, and health care worker safety during the COVID-19 pandemic. Ann Surg. 2021;274(5):681-687. doi:10.1097/sla.0000000000005124.
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psnet.ahrq.gov/issue/intensive-care-medicine-2050-preventing-harm
November 25, 2020 - Commentary
Intensive care medicine in 2050: preventing harm.
Citation Text:
Beet C, Benoit D, Bion J. Intensive care medicine in 2050: preventing harm. Intensive Care Med. 2019;45(4):505-507. doi:10.1007/s00134-018-5353-z.
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psnet.ahrq.gov/issue/impact-comprehensive-safety-initiative-patient-controlled-analgesia-errors
April 02, 2014 - Study
Impact of a comprehensive safety initiative on patient-controlled analgesia errors.
Citation Text:
Paul JE, Bertram B, Antoni K, et al. Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Anesthesiology. 2010;113(6):1427-32. doi:10.1097/ALN.0b013e3…
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psnet.ahrq.gov/issue/impact-pharmacist-led-interventions-medication-related-problems-among-patients-treated-cancer
May 10, 2017 - Review
Impact of pharmacist-led interventions on medication-related problems among patients treated for cancer: a systematic review and meta-analysis of randomized control trials.
Citation Text:
Fentie AM, Huluka SA, Gebremariam GT, et al. Impact of pharmacist-led interventions on medica…
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psnet.ahrq.gov/issue/impact-missed-nursing-care-or-care-not-done-adults-health-care-rapid-review-consensus
October 27, 2021 - Review
The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project.
Citation Text:
Willis E, Brady C. The impact of “missed nursing care” or “care not done” on adults in health care: A rapid review for the Consensu…
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psnet.ahrq.gov/issue/assessing-adverse-events-after-chiropractic-care-chiropractic-teaching-clinic-active
December 23, 2020 - Study
Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study.
Citation Text:
Pohlman KA, Funabashi M, Ndetan H, et al. Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillanc…
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psnet.ahrq.gov/issue/moving-toward-improved-teamwork-cancer-care-role-psychological-safety-team-communication
October 19, 2012 - Review
Moving toward improved teamwork in cancer care: the role of psychological safety in team communication.
Citation Text:
Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of Psychological Safety in Team Communication. J Oncol Pract. 201…
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psnet.ahrq.gov/issue/pediatric-trainee-perspectives-decision-disclose-medical-errors
April 27, 2022 - Study
Pediatric trainee perspectives on the decision to disclose medical errors.
Citation Text:
Lin M, Horwitz LI, Gross RS, et al. Pediatric trainee perspectives on the decision to disclose medical errors. J Patient Saf. 2022;18(2):e470-e476. doi:10.1097/pts.0000000000000848.
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psnet.ahrq.gov/issue/investigating-influence-selected-leadership-styles-patient-safety-and-quality-care-systematic
October 07, 2020 - Review
Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis.
Citation Text:
Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety and quality of care: …
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psnet.ahrq.gov/issue/identifying-potential-medication-discrepancies-during-medication-reconciliation-post-acute
June 17, 2020 - Study
Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting.
Citation Text:
Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Sett…
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psnet.ahrq.gov/issue/identifying-boundary-spanning-reporter-roles-patient-safety-events
December 07, 2022 - Study
Identifying boundary spanning reporter roles in patient safety events.
Citation Text:
Hurley VB, Boxley C, Sloss EA, et al. Identifying boundary spanning reporter roles in patient safety events. J Patient Saf Risk Manag. 2022;27(4):181-187. doi:10.1177/25160435221103096.
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