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psnet.ahrq.gov/issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals
June 18, 2014 - Study
Costs associated with surgical site infections in Veterans Affairs hospitals.
Citation Text:
Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663.
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psnet.ahrq.gov/issue/emergency-department-discharge-prescription-interventions-emergency-medicine-pharmacists
September 22, 2021 - Study
Emergency department discharge prescription interventions by emergency medicine pharmacists.
Citation Text:
Cesarz JL, Steffenhagen AL, Svenson J, et al. Emergency department discharge prescription interventions by emergency medicine pharmacists. Ann Emerg Med. 2013;61(2):209-214…
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psnet.ahrq.gov/issue/comparing-trainee-and-staff-perceptions-patient-safety-culture
February 15, 2017 - Study
Comparing trainee and staff perceptions of patient safety culture.
Citation Text:
Bump GM, Coots N, Liberi CA, et al. Comparing Trainee and Staff Perceptions of Patient Safety Culture. Acad Med. 2017;92(1):116-122. doi:10.1097/ACM.0000000000001255.
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psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and-evaluation-community
November 01, 2016 - Study
Classic
A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital.
Citation Text:
Raschke RA, Gollihare B, Wunderlich TA, et al. A Computer Alert System to Prevent Injury From Adverse …
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psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opioid-epidemic
May 27, 2020 - Commentary
When a vital sign leads a country astray—the opioid epidemic.
Citation Text:
Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic. JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104.
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psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-discharge-icu
October 13, 2018 - Review
Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and meta-analysis.
Citation Text:
Niven DJ, Bastos JF, Stelfox HT. Critical care transition programs and the risk of readmission or death after discharge from …
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psnet.ahrq.gov/issue/pharmacy-prevalence-second-victim-syndrome-comprehensive-cancer-center
June 03, 2020 - Study
Pharmacy prevalence of second victim syndrome in a comprehensive cancer center.
Citation Text:
Johnson TN, Tucker AM. Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. Am J Health-Syst Pharm. 2024;Epub Sep 13. doi:10.1093/ajhp/zxae267.
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psnet.ahrq.gov/issue/certified-registered-nurse-anesthetist-perceptions-factors-impacting-patient-safety
May 18, 2022 - Study
Certified registered nurse anesthetist perceptions of factors impacting patient safety.
Citation Text:
McMullan SP, Thomas-Hawkins C, Shirey MR. Certified Registered Nurse Anesthetist Perceptions of Factors Impacting Patient Safety. Nurs Adm Q. 2017;41(1):56-69.
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psnet.ahrq.gov/issue/preventing-dispensing-errors-alerting-drug-confusions-pharmacy-information-system-survey
August 19, 2009 - Study
Preventing dispensing errors by alerting for drug confusions in the pharmacy information system—a survey of users.
Citation Text:
Campmans Z, van Rhijn A, Dull RM, et al. Preventing dispensing errors by alerting for drug confusions in the pharmacy information system-A survey of use…
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psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pain-management
September 23, 2020 - Review
Addressing bias in acute postoperative pain management.
Citation Text:
Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management. Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0.
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psnet.ahrq.gov/issue/errors-medication-process-frequency-type-and-potential-clinical-consequences
July 21, 2021 - Study
Errors in the medication process: frequency, type, and potential clinical consequences.
Citation Text:
Lisby M, Nielsen LP, Mainz J. Errors in the medication process: frequency, type, and potential clinical consequences. Int J Qual Health Care. 2005;17(1):15-22.
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psnet.ahrq.gov/issue/reducing-surgical-specimen-errors-through-multidisciplinary-quality-improvement
July 28, 2021 - Study
Reducing surgical specimen errors through multidisciplinary quality improvement.
Citation Text:
Holstine JB, Samora JB. Reducing surgical specimen errors through multidisciplinary quality improvement. Jt Comm J Qual Patient Saf. 2021;47(9):563-571. doi:10.1016/j.jcjq.2021.04.003.
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psnet.ahrq.gov/issue/evaluation-contextual-influences-medication-administration-practice-paediatric-nurses
January 20, 2021 - Study
Evaluation of contextual influences on the medication administration practice of paediatric nurses.
Citation Text:
Davis L, Ware R, McCann D, et al. Evaluation of contextual influences on the medication administration practice of paediatric nurses. J Adv Nurs. 2009;65(6):1293-9. …
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psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient-safety-and-quality
October 14, 2020 - Commentary
The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Imp…
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psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient
July 25, 2018 - Study
Classic
Unexpected hypoglycemia in a critically ill patient.
Citation Text:
Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6.
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psnet.ahrq.gov/issue/does-surgeon-fatigue-influence-outcomes-after-anterior-resection-rectal-cancer
August 04, 2021 - Study
Does surgeon fatigue influence outcomes after anterior resection for rectal cancer?
Citation Text:
Schieman C, MacLean AR, Buie D, et al. Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? Am J Surg. 2008;195(5):684-7; discussion 687-8. doi:10.101…
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psnet.ahrq.gov/issue/board-pharmacy-practices-related-medication-errors-and-their-potential-impact-patient-safety
December 20, 2017 - Study
Board of pharmacy practices related to medication errors and their potential impact on patient safety.
Citation Text:
Degnan DD, Hertig JB, Peters MJ, et al. Board of Pharmacy Practices Related to Medication Errors and Their Potential Impact on Patient Safety. J Pharm Pract. 2018;3…
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psnet.ahrq.gov/issue/work-arounds-and-artifacts-during-transition-computer-physician-order-entry-what-they-are-and
January 12, 2022 - Study
Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean.
Citation Text:
Schoville RR. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. J Nurs Care Qual. 2…
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psnet.ahrq.gov/issue/patient-safety-operating-room-part-1-and-part-2
October 19, 2022 - Review
Patient safety in the operating room—part 1 and part 2.
Citation Text:
Poore SO, Sillah NM, Mahajan AY, et al. Patient safety in the operating room: II. Intraoperative and postoperative. Plast Reconstr Surg. 2012;130(5):1048-58. doi:10.1097/PRS.0b013e318267d531.
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psnet.ahrq.gov/issue/increased-mortality-associated-weekend-hospital-admission-case-expanded-seven-day-services
March 02, 2012 - Study
Increased mortality associated with weekend hospital admission: a case for expanded seven day services?
Citation Text:
Freemantle N, Ray D, McNulty D, et al. Increased mortality associated with weekend hospital admission: a case for expanded seven day services? BMJ. 2015;351:h4596.…