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psnet.ahrq.gov/issue/transfusion-related-errors-and-associated-adverse-reactions-and-blood-product-wastage
September 23, 2020 - Study
Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022.
Citation Text:
Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion‐related errors and associated adve…
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psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals
October 27, 2021 - Study
How health care complexity leads to cooperation and affects the autonomy of health care professionals.
Citation Text:
Molleman E, Broekhuis M, Stoffels R, et al. How health care complexity leads to cooperation and affects the autonomy of health care professionals. Health Care Ana…
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psnet.ahrq.gov/issue/how-do-stakeholders-experience-adoption-electronic-prescribing-systems-hospitals-systematic
December 16, 2020 - Review
How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies.
Citation Text:
Farre A, Heath G, Shaw K, et al. How do stakeholders experience the adoption of electronic prescribing syst…
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psnet.ahrq.gov/issue/inappropriate-prescribing-defined-stopp-and-start-criteria-and-its-association-adverse-drug
July 05, 2023 - Study
Inappropriate prescribing defined by STOPP and START criteria and its association with adverse drug events among hospitalized older patients: a multicentre, prospective study.
Citation Text:
Fahrni ML, Azmy MT, Usir E, et al. Inappropriate prescribing defined by STOPP and START cri…
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psnet.ahrq.gov/issue/residents-numeric-inputting-error-computerized-physician-order-entry-prescription
March 24, 2019 - Study
Residents' numeric inputting error in computerized physician order entry prescription.
Citation Text:
Wu X, Wu C, Zhang K, et al. Residents' numeric inputting error in computerized physician order entry prescription. Int J Med Inform. 2016;88:25-33. doi:10.1016/j.ijmedinf.2016.01.0…
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psnet.ahrq.gov/issue/risk-factors-hospital-admissions-associated-adverse-drug-events
October 18, 2018 - Study
Risk factors for hospital admissions associated with adverse drug events.
Citation Text:
Kongkaew C, Hann M, Mandal J, et al. Risk factors for hospital admissions associated with adverse drug events. Pharmacotherapy. 2013;33(8):827-37. doi:10.1002/phar.1287.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-table11-figures1-2.pdf
May 15, 2015 - Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Table 11 and Figures 1 & 2
Table 11: Evidence Regarding Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure
Type of
Evidence
Key Findings
Level of
Evidence
(USPSTF
Ranking*)
Citations
Clinica…
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psnet.ahrq.gov/issue/it-cares-interactive-tool-case-crossover-analyses-electronic-medical-records-patient-safety
October 30, 2013 - Study
IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety.
Citation Text:
Caron A, Chazard E, Muller J, et al. IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety. J Am Med Infor…
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psnet.ahrq.gov/issue/impact-crisis-resource-management-simulation-based-training-interprofessional-and
November 13, 2019 - Review
Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review.
Citation Text:
Fung L, Boet S, Bould D, et al. Impact of crisis resource management simulation-based training for interprofessional and interdisci…
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psnet.ahrq.gov/issue/seeing-risk-and-allocating-responsibility-talk-culture-and-its-consequences-work-patient
November 03, 2015 - Study
Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety.
Citation Text:
Szymczak JE. Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. Soc Sci Med. 2014;120:252-9. doi…
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psnet.ahrq.gov/issue/innovative-approach-reconstruct-bedside-handoff-using-simple-rules-complexity-science-promote
November 16, 2022 - Commentary
Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients.
Citation Text:
Anthony MK, Kloos J, Beam P, et al. Innovative Approach to Reconstruct Bedside Handoff: Using Simple Rules of Complexity Science to…
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psnet.ahrq.gov/issue/defining-high-quality-and-effective-morbidity-and-mortality-conference-systematic-review
September 30, 2012 - Review
Defining a high-quality and effective morbidity and mortality conference: a systematic review.
Citation Text:
Beaulieu-Jones BR, Wilson S, Howard DS, et al. Defining a high-quality and effective morbidity and mortality conference: a systematic review. JAMA Surg. 2023;158(12):1336-…
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psnet.ahrq.gov/issue/cognitive-bias-during-clinical-decision-making-and-its-influence-patient-outcomes-emergency
September 21, 2022 - Review
Cognitive bias during clinical decision-making and its influence on patient outcomes in the emergency department: a scoping review.
Citation Text:
Jala S, Fry M, Elliott R. Cognitive bias during clinical decision‐making and its influence on patient outcomes in the emergency depart…
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-medication-prescription-errors-intensive-care-unit
May 15, 2013 - Study
Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled cross-sectional trial.
Citation Text:
Colpaert K, Claus B, Somers A, et al. Impact of computerized physician order entry on medication prescription errors in th…
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psnet.ahrq.gov/issue/residents-responsibility-and-error-how-residents-learn-navigate-intersection
August 21, 2019 - Study
Residents, responsibility, and error: how residents learn to navigate the intersection.
Citation Text:
Shepherd L, Chilton S, Cristancho SM. Residents, responsibility, and error: how residents learn to navigate the intersection. Acad Med. 2023;98(8):934-940. doi:10.1097/acm.0000000…
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psnet.ahrq.gov/issue/operational-rounds-practical-administrative-process-improve-safety-and-clinical-services
May 12, 2010 - Commentary
Operational rounds: a practical administrative process to improve safety and clinical services in radiology.
Citation Text:
Donnelly LF, Dickerson JM, Lehkamp TW, et al. IRQN award paper: Operational rounds: a practical administrative process to improve safety and clinical s…
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psnet.ahrq.gov/issue/systematic-review-morbidity-and-mortality-meeting-standardization-does-it-lead-improved
October 23, 2024 - Review
Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional development, system improvements, clinician engagement, and enhanced patient safety culture?
Citation Text:
Steel EJ, Janda M, Jamali S, et al. Systematic review of morbidit…
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psnet.ahrq.gov/issue/patient-safety-and-image-transfer-between-referring-hospitals-and-neuroscience-centres-could
July 19, 2023 - Study
Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better?
Citation Text:
Crocker M, Cato-Addison WB, Pushpananthan S, et al. Patient safety and image transfer between referring hospitals and neuroscience centres: could we do bette…
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psnet.ahrq.gov/issue/effect-electronic-prescribing-medication-errors-and-adverse-drug-events-systematic-review
October 30, 2013 - Review
The effect of electronic prescribing on medication errors and adverse drug events: a systematic review.
Citation Text:
Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am M…
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psnet.ahrq.gov/issue/mental-health-trigger-tool-development-and-testing-specialized-trigger-tool-mental-health
September 27, 2017 - Study
The mental health trigger tool: development and testing of a specialized trigger tool for mental health settings.
Citation Text:
Sajith SG, Fung D, Chua HC. The Mental Health Trigger Tool: Development and Testing of a Specialized Trigger Tool for Mental Health Settings. J Patient S…