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psnet.ahrq.gov/issue/frequency-intravenous-medication-administration-errors-related-smart-infusion-pumps
June 27, 2018 - Study
The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study.
Citation Text:
Schnock KO, Dykes PC, Albert J, et al. The frequency of intravenous medication administration errors related to smart infusion pumps: a…
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psnet.ahrq.gov/issue/primary-care-collaboration-improve-diagnosis-and-screening-colorectal-cancer
July 13, 2022 - Study
Classic
Primary care collaboration to improve diagnosis and screening for colorectal cancer.
Citation Text:
Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for Colorectal Cancer. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/issue/identification-priorities-improvement-medication-safety-primary-care-prioritize-study
October 05, 2016 - Study
Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study.
Citation Text:
Car LT, Papachristou N, Gallagher J, et al. Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. BMC Fam Pract. 20…
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psnet.ahrq.gov/issue/effects-hospital-safety-scores-total-price-out-pocket-cost-and-household-income-consumers
July 02, 2014 - Study
The effects of hospital safety scores, total price, out-of-pocket cost, and household income on consumers' self-reported choice of hospitals.
Citation Text:
Duke CC, Smith B, Lynch W, et al. The Effects of Hospital Safety Scores, Total Price, Out-of-Pocket Cost, and Household Incom…
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psnet.ahrq.gov/issue/application-patient-safety-indicators-internationally-pilot-study-among-seven-countries
November 15, 2017 - Study
Application of patient safety indicators internationally: a pilot study among seven countries.
Citation Text:
Drösler SE, Klazinga NS, Romano PS, et al. Application of patient safety indicators internationally: a pilot study among seven countries. Int J Qual Health Care. 2009;21(…
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psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
December 09, 2020 - Study
Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.
Citation Text:
Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…
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psnet.ahrq.gov/issue/adverse-events-among-children-canadian-hospitals-canadian-paediatric-adverse-events-study
April 22, 2011 - Study
Classic
Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study.
Citation Text:
Matlow A, Baker R, Flintoft V, et al. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Stud…
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psnet.ahrq.gov/issue/impact-statewide-intensive-care-unit-quality-improvement-initiative-hospital-mortality-and
October 16, 2012 - Study
Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.
Citation Text:
Lipitz-Snyderman A, Steinwachs D, Needham DM, et al. Impact of a statewide intensive care unit quality improvement…
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psnet.ahrq.gov/issue/standardization-pediatric-noncardiac-operating-room-intensive-care-unit-handoffs-improves
March 10, 2021 - Study
Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care.
Citation Text:
Hebballi NB, Gupta VS, Sheppard K, et al. Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves c…
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psnet.ahrq.gov/issue/data-omission-physician-trainees-icu-rounds
January 23, 2017 - Study
Data omission by physician trainees on ICU rounds.
Citation Text:
Artis KA, Bordley J, Mohan V, et al. Data Omission by Physician Trainees on ICU Rounds. Crit Care Med. 2019;47(3):403-409. doi:10.1097/CCM.0000000000003557.
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psnet.ahrq.gov/issue/use-electronic-decision-support-tool-reduce-polypharmacy-elderly-people-chronic-diseases
August 18, 2021 - Study
Emerging Classic
Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial.
Citation Text:
Rieckert A, Reeves D, Altiner A, et al. Use of an electronic decision support to…
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psnet.ahrq.gov/issue/collaborative-cohort-study-intervention-reduce-ventilator-associated-pneumonia-intensive-care
September 20, 2011 - Study
Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.
Citation Text:
Berenholtz SM, Pham JC, Thompson DA, et al. Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive …
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psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and
February 15, 2023 - Study
Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement.
Citation Text:
Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement…
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psnet.ahrq.gov/issue/what-do-patients-and-their-carers-do-support-safety-cancer-treatment-and-care-scoping-review
January 08, 2020 - Review
What do patients and their carers do to support the safety of cancer treatment and care? A scoping review.
Citation Text:
Tillbrook D, Absolom K, Sheard L, et al. What do patients and their carers do to support the safety of cancer treatment and care? A scoping review. J Patient S…
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psnet.ahrq.gov/issue/failure-engage-hospitalized-elderly-patients-and-their-families-advance-care-planning
November 21, 2016 - Study
Classic
Failure to engage hospitalized elderly patients and their families in advance care planning.
Citation Text:
Heyland DK, Barwich D, Pichora D, et al. Failure to engage hospitalized elderly patients and their families in advance care planning. JAMA I…
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psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - Focus
This innovation uses core patient safety communication and teamwork competencies and simulation approaches
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - patients, providing natural light and minimizing nocturnal awakenings, and encouraging mobility. 16-19
Approaches
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psnet.ahrq.gov/node/836850/psn-pdf
March 31, 2022 - indicate that machine learning classifiers can better predict adverse
outcomes compared with individual approaches
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psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
March 01, 2018 - If these conditions—including staffing levels—are not met, services are suspended.( 13 ) Such approaches
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psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
March 01, 2018 - If these conditions—including staffing levels—are not met, services are suspended.( 13 ) Such approaches