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psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-portal-medication-discrepancies-randomized
April 27, 2022 - Study
The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study.
Citation Text:
Ebbens MM, Gombert-Handoko KB, Wesselink EJ, et al. The effect of medication reconciliation via a patient portal on medication discrepancies: …
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psnet.ahrq.gov/issue/perceptions-institutional-support-second-victims-are-associated-safety-culture-and-workforce
February 01, 2023 - Study
Perceptions of institutional support for “second victims” are associated with safety culture and workforce well-being.
Citation Text:
Sexton JB, Adair KC, Profit J, et al. Perceptions of Institutional Support for “Second Victims” Are Associated with Safety Culture and Workforce Wel…
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psnet.ahrq.gov/issue/errors-palliative-care-kinds-causes-and-consequences-pilot-survey-experiences-and-attitudes
December 04, 2016 - Study
Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals.
Citation Text:
Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences a…
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psnet.ahrq.gov/issue/telemedicine-medical-examination-tool-during-covid-19-emergency-experience-onco-haematology
September 15, 2021 - Study
Telemedicine as a medical examination tool during the Covid-19 emergency: the experience of the onco-haematology center of Tor Vergata Hospital in Rome.
Citation Text:
Postorino M, Treglia M, Giammatteo J, et al. Telemedicine as a medical examination tool during the Covid-19 emerge…
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psnet.ahrq.gov/issue/patients-who-die-suicide-study-treatment-patterns-and-patient-safety-incidents-norway
April 20, 2022 - Study
Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway.
Citation Text:
Krvavac S, Jansson B, Bukholm IRK, et al. Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway. Int J Environ Res Public He…
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psnet.ahrq.gov/issue/ed-misdiagnosis-cerebrovascular-events-era-modern-neuroimaging-meta-analysis
August 19, 2020 - Review
ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis.
Citation Text:
Tarnutzer AA, Lee S-H, Robinson K, et al. ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: A meta-analysis. Neurology. 2017;88(15):1468-1477. do…
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psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human
October 21, 2020 - Study
Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis.
Citation Text:
Lamé G, Liberati EG, Canham A, et al. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative…
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psnet.ahrq.gov/issue/comparing-outcomes-reporting-and-trigger-tool-methods-capture-adverse-events-emergency
May 04, 2017 - Study
Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department.
Citation Text:
Lee W-H, Zhang E, Chiang C-Y, et al. Comparing the Outcomes of Reporting and Trigger Tool Methods to Capture Adverse Events in the Emergency Department…
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psnet.ahrq.gov/issue/what-hinders-uptake-computerized-decision-support-systems-hospitals-qualitative-study-and
February 07, 2024 - Study
What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation.
Citation Text:
Liberati EG, Ruggiero F, Galuppo L, et al. What hinders the uptake of computerized decision support systems in hospitals? A qualitativ…
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psnet.ahrq.gov/issue/findings-first-consensus-conference-medical-emergency-teams
August 04, 2021 - Commentary
Findings of the first consensus conference on medical emergency teams.
Citation Text:
DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e.
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psnet.ahrq.gov/issue/nurses-and-nursing-assistants-perceptions-patient-safety-culture-nursing-homes
December 15, 2011 - Study
Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes.
Citation Text:
Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-6.
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psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level
June 25, 2014 - Study
Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals.
Citation Text:
Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…
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psnet.ahrq.gov/issue/risk-factors-associated-medication-administration-errors-children-prospective-direct
August 28, 2024 - Study
Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients.
Citation Text:
Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective…
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psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
May 01, 2015 - Study
Classic
A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program.
Citation Text:
Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: eva…
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psnet.ahrq.gov/issue/nurses-perceptions-and-demands-regarding-covid-19-care-delivery-critical-care-units-and
March 09, 2022 - Study
Emerging Classic
Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services.
Citation Text:
González-Gil MT, González-Blázquez C, Parro-Moreno AI, et al. Nurses’ perceptions and demands regarding…
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psnet.ahrq.gov/issue/closing-loop-test-results-reduce-communication-failures-rapid-review-evidence-practice-and
March 11, 2020 - Review
Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.
Citation Text:
Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a rapid review of evidence, pra…
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psnet.ahrq.gov/issue/aspects-healthcare-quality-are-important-health-professionals-and-patients-qualitative-study
September 08, 2021 - Study
The aspects of healthcare quality that are important to health professionals and patients: a qualitative study.
Citation Text:
Hannawa AF, Wu AW, Kolyada A, et al. The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. Patien…
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psnet.ahrq.gov/issue/drug-drug-interactions-and-prescription-appropriateness-hospital-discharge-experience-covid
August 11, 2021 - Study
Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients.
Citation Text:
Cattaneo D, Pasina L, Maggioni AP, et al. Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patient…
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psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments
September 25, 2024 - Study
Implementation of electronic triggers to identify diagnostic errors in emergency departments.
Citation Text:
Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.…
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psnet.ahrq.gov/issue/evaluating-prevalence-four-recommended-practices-suicide-prevention-following-hospital
June 07, 2023 - Study
Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge.
Citation Text:
Chitavi SO, Patrianakos J, Williams SC, et al. Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. Jt…