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psnet.ahrq.gov/issue/detecting-medication-order-discrepancies-nursing-homes-how-rns-and-lpns-differ
August 15, 2013 - Study
Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ.
Citation Text:
Vogelsmeier A, Anbari A, Ganong L, et al. Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. J Nurs Reg. 2015;6(3):48-56. doi:10.1016/s2155-8256(15)30…
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psnet.ahrq.gov/issue/adverse-diagnostic-events-hospitalised-patients-single-centre-retrospective-cohort-study
December 07, 2022 - Study
Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study.
Citation Text:
Dalal AK, Plombon S, Konieczny K, et al. Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study. BMJ Qual Saf. 2024;Epub Oct 1. d…
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psnet.ahrq.gov/issue/interunit-handoffs-emergency-department-inpatient-care-cross-sectional-survey-physicians
September 23, 2020 - Study
Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center.
Citation Text:
Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of p…
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psnet.ahrq.gov/issue/medication-reconciliation-and-patient-safety-trauma-applicability-existing-strategies
September 23, 2020 - Review
Medication reconciliation and patient safety in trauma: Applicability of existing strategies.
Citation Text:
DeAntonio JH, Leichtle SW, Hobgood S, et al. Medication reconciliation and patient safety in trauma: Applicability of existing strategies. J Surg Res. 2019;246:482-489. doi…
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psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct-acting-oral
January 12, 2022 - Study
Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system.
Citation Text:
Rowily AA, Jalal Z, Paudyal V. Contributory factors…
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psnet.ahrq.gov/issue/explanation-and-elaboration-squire-standards-quality-improvement-reporting-excellence
November 18, 2016 - Commentary
Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature.
Citation Text:
Goodman D, Ogrinc G, Davies L, et al. Explanation and elaboration of the S…
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psnet.ahrq.gov/issue/transitions-care-consensus-policy-statement-american-college-physicians-society-general
July 27, 2022 - Commentary
Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.
Citation Text:
Snow V,…
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psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-care
June 22, 2022 - Study
Improving medication error reporting in hospice care.
Citation Text:
Boyer R, McPherson ML, Deshpande G, et al. Improving medication error reporting in hospice care. Am J Hosp Palliat Care. 2009;26(5):361-7. doi:10.1177/1049909109335145.
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psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
August 04, 2021 - Study
System issues leading to "found-on-floor" incidents: a multi-incident analysis.
Citation Text:
Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294.
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psnet.ahrq.gov/issue/remote-patient-monitoring-during-covid-19-unexpected-patient-safety-benefit
July 20, 2022 - Commentary
Remote patient monitoring during COVID-19: an unexpected patient safety benefit.
Citation Text:
Pronovost PJ, Cole MD, Hughes RM. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. JAMA. 2022;327(12):1125-1126. doi:10.1001/jama.2022.2040.
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psnet.ahrq.gov/issue/multiple-points-system-failure-underpin-continuous-subcutaneous-infusion-safety-incidents
December 16, 2020 - Study
Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed methods analysis.
Citation Text:
Brown AJ, Yardley S, Bowers B, et al. Multiple points of system failure underpin continuous subcutaneous infusion safety inciden…
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psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
June 22, 2022 - Study
Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia.
Citation Text:
Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults…
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psnet.ahrq.gov/issue/patients-online-access-their-electronic-health-records-and-linked-online-services-systematic
September 08, 2021 - Review
Patients' online access to their electronic health records and linked online services: a systematic interpretative review.
Citation Text:
de Lusignan S, Mold F, Sheikh A, et al. Patients' online access to their electronic health records and linked online services: a systematic int…
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psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and-harm
June 19, 2019 - Study
Health care provider factors associated with patient-reported adverse events and harm.
Citation Text:
Giardina TD, Royse KE, Khanna A, et al. Health care provider factors associated with patient-reported adverse events and harm. Jt Comm J Qual Patient Saf. 2020;46(5):282-290. doi:…
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psnet.ahrq.gov/issue/fighting-common-enemy-catalyst-close-intractable-safety-gaps
June 30, 2021 - Commentary
Fighting a common enemy: a catalyst to close intractable safety gaps.
Citation Text:
Singh H, Sittig DF, Gandhi TK. Fighting a common enemy: a catalyst to close intractable safety gaps. BMJ Qual Saf. 2021;30(2):141-145. doi:10.1136/bmjqs-2020-011390.
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psnet.ahrq.gov/issue/community-acquired-and-hospital-acquired-medication-harm-among-older-inpatients-and-impact
August 28, 2024 - Study
Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention.
Citation Text:
Pellegrin K, Lozano A, Miyamura J, et al. Community-acquired and hospital-acquired medication harm among older inpatients an…
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psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals
January 02, 2017 - Study
Inpatient suicide and suicide attempts in Veterans Affairs hospitals.
Citation Text:
Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488.
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psnet.ahrq.gov/issue/children-admitted-hospital-what-interventions-improve-medication-safety-ward-rounds
July 29, 2020 - Review
For children admitted to hospital, what interventions improve medication safety on ward rounds?
Citation Text:
King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review. Arch Dis Child. 2023;…
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-critical-care-systematic-review
April 06, 2016 - Review
Diagnostic errors in pediatric critical care: a systematic review.
Citation Text:
Cifra CL, Custer J, Singh H, et al. Diagnostic errors in pediatric critical care: a systematic review. Pediatr Crit Care Med. 2021;22(8):701-712. doi:10.1097/pcc.0000000000002735.
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psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
November 30, 2022 - Study
Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE.
Citation Text:
Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.…