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psnet.ahrq.gov/issue/study-innovative-patient-safety-education
April 28, 2021 - Study
A study of innovative patient safety education.
Citation Text:
Smith SD, Henn P, Gaffney R, et al. A study of innovative patient safety education. Clin Teach. 2012;9(1):37-40. doi:10.1111/j.1743-498X.2011.00484.x.
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psnet.ahrq.gov/issue/adverse-outcomes-blood-transfusion-children-analysis-uk-reports-serious-hazards-transfusion
September 23, 2020 - Study
Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005.
Citation Text:
Stainsby D, Jones H, Wells AW, et al. Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards …
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psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading
October 19, 2022 - Study
Improving patient safety via automated laboratory-based adverse event grading.
Citation Text:
Niland JC, Stiller T, Neat J, et al. Improving patient safety via automated laboratory-based adverse event grading. J Am Med Inform Assoc. 2012;19(1):111-5. doi:10.1136/amiajnl-2011-0005…
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psnet.ahrq.gov/issue/effect-prescriber-education-medication-related-patient-harm-hospital-systematic-review
January 07, 2015 - Review
The effect of prescriber education on medication-related patient harm in the hospital: a systematic review.
Citation Text:
Bos JM, van den Bemt PMLA, de Smet PAGM, et al. The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. Br…
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psnet.ahrq.gov/issue/safety-culture-long-term-care-cross-sectional-analysis-safety-attitudes-questionnaire-nursing
March 05, 2010 - Study
Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands.
Citation Text:
Buljac-Samardzic M, van Wijngaarden JD, van Doorn CMD-. Safety culture in long-term care: a cross-sectional analysi…
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psnet.ahrq.gov/issue/team-safety-and-innovation-learning-errors-long-term-care-settings
March 05, 2010 - Study
Team safety and innovation by learning from errors in long-term care settings.
Citation Text:
Buljac-Samardzic M, van Woerkom M, Paauwe J. Team safety and innovation by learning from errors in long-term care settings. Health Care Manage Rev. 2012;37(3):280-91. doi:10.1097/HMR.0b0…
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psnet.ahrq.gov/issue/developing-conceptual-framework-patient-safety-culture-emergency-department-review-literature
March 02, 2011 - Review
Developing a conceptual framework for patient safety culture in emergency department: a review of the literature.
Citation Text:
Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the litera…
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psnet.ahrq.gov/issue/effect-therapeutic-interchange-medication-reconciliation-during-hospitalization-and-upon
November 20, 2013 - Study
Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population.
Citation Text:
Wang JS, Fogerty RL, Horwitz LI. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon dischar…
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psnet.ahrq.gov/issue/embedded-checklist-anesthesia-information-management-system-improves-pre-anaesthetic
June 26, 2019 - Study
An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting.
Citation Text:
Wetmore D, Goldberg A, Gandhi N, et al. An embedded checklist in the Anesthesia Information Manageme…
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psnet.ahrq.gov/issue/improving-ambulatory-prescribing-safety-handheld-decision-support-system-randomized
July 30, 2014 - Study
Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial.
Citation Text:
Berner ES, Houston TK, Ray MN, et al. Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. J A…
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psnet.ahrq.gov/issue/frequency-and-clinical-importance-pages-sent-wrong-physician
October 31, 2011 - Study
Frequency and clinical importance of pages sent to the wrong physician.
Citation Text:
Wong BM, Quan S, Cheung M, et al. Frequency and clinical importance of pages sent to the wrong physician. Arch Intern Med. 2009;169(11):1072-3. doi:10.1001/archinternmed.2009.117.
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psnet.ahrq.gov/issue/decreasing-mislabeled-laboratory-specimens-using-barcode-technology-and-bedside-printers
October 05, 2022 - Study
Decreasing mislabeled laboratory specimens using barcode technology and bedside printers.
Citation Text:
Brown JE, Smith N, Sherfy BR. Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. J Nurs Care Qual. 2011;26(1):13-21. doi:10.1097/NCQ.0b0…
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psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient
December 01, 2011 - Study
Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes.
Citation Text:
DiCuccio MH, Colbert AM, Triolo PK, et al. Cracking the Code for Quality. J Nurs Admin. 2020;50(3):152-158. doi:10.1097/nna.0000000000000859.
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psnet.ahrq.gov/issue/comparing-rates-adverse-events-and-medical-errors-inpatient-psychiatric-units-veterans-health
January 30, 2019 - Study
Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals.
Citation Text:
Cullen SW, Xie M, Vermeulen JM, et al. Comparing Rates of Adverse Events and Medical Errors on Inpatient Psych…
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psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event
July 03, 2016 - Study
Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting.
Citation Text:
Rubin DS, Pesyna C, Jakubczyk S, et al. Introduction of a Mobile Adverse Event Reporting System Is Associated With Participation in Adverse Event Repo…
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psnet.ahrq.gov/issue/perceptual-gaps-between-clinicians-and-technologists-health-information-technology-related
March 11, 2020 - Study
Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study.
Citation Text:
Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related…
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psnet.ahrq.gov/issue/more-just-crushing-prospective-pre-post-intervention-study-reduce-drug-preparation-errors
November 02, 2010 - Study
More than just crushing: a prospective pre-post intervention study to reduce drug preparation errors in patients with feeding tubes.
Citation Text:
Lohmann K, Gartner D, Kurze R, et al. More than just crushing: a prospective pre-post intervention study to reduce drug preparation er…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time
Pressure Ulcer Healing
Menu of Implementation Strategies
The On-Time Menu of Process Improvement Strategies for using reports is a list of potential
ways facility teams may choose to integrate the pressure ulcer healing reports into clinical
practice. A menu of…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.docx
June 02, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Healing
AHRQ’s Safety Program for Nursing Homes: On-Time
Pressure Ulcer Healing
Menu of Implementation Strategies
The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choo…
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psnet.ahrq.gov/issue/risk-and-pharmacoeconomic-analyses-injectable-medication-process-paediatric-and-neonatal
December 17, 2014 - Study
Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units.
Citation Text:
De Giorgi I, Fonzo-Christe C, Cingria L, et al. Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric an…