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psnet.ahrq.gov/issue/principles-automation-patient-safety-intensive-care-learning-aviation
April 20, 2022 - Commentary
Principles of automation for patient safety in intensive care: learning from aviation.
Citation Text:
Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jc…
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psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision
November 16, 2022 - Study
Medication reconciliation improvement utilizing process redesign and clinical decision support.
Citation Text:
Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/issue/patient-safety-when-receiving-telephone-advice-primary-care-swedish-qualitative-interview
October 13, 2021 - Study
Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study.
Citation Text:
Berntsson K, Eliasson M, Beckman L. Patient safety when receiving telephone advice in primary care – a Swedish qualitative interview study. BMC Nurs. 2022;21(1):24…
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psnet.ahrq.gov/issue/enabling-sustained-communication-patients-safe-and-effective-management-oral-chemotherapy
October 14, 2020 - Study
Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography.
Citation Text:
Mitchell G, Porter S, Manias E. Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a…
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psnet.ahrq.gov/issue/assessment-opioid-prescribing-practices-and-after-implementation-health-system-intervention
November 16, 2022 - Study
Emerging Classic
Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing.
Citation Text:
Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practi…
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psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety-reporting-systems
May 11, 2022 - Review
Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review.
Citation Text:
Tchijevitch O, Hansen SM-B, Hallas J, et al. Methodological approaches for analyzing medication error reports in patient safety reporting systems:…
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psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
June 14, 2023 - Study
Analysis of critical incident reports using natural language processing.
Citation Text:
Denecke K, Paula H. Analysis of critical incident reports using natural language processing. Stud Health Technol Inform. 2024;313:1-6. doi:10.3233/shti240002.
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…
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psnet.ahrq.gov/node/49730/psn-pdf
April 01, 2015 - Transition to Nowhere
April 1, 2015
Farrell TW. Transition to Nowhere. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/transition-nowhere
The Case
A 75-year-old man with a history of prostate cancer, poorly controlled myotonic dystrophy, hypertension,
and chronic kidney disease was admitted to the hospital …
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psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
January 01, 2020 - Spotlight
Spotlight
Inpatient Stroke Management in a Patient
with Type 1 Diabetes and Home Insulin
Pump
Source and Credits
• This presentation is based on the October 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Berit B…
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psnet.ahrq.gov/issue/factors-influencing-perception-feeling-safe-pre-hospital-emergency-care-mixed-methods
February 14, 2024 - Review
Factors influencing the perception of feeling safe in pre-hospital emergency care: a mixed-methods systematic review.
Citation Text:
Péculo‐Carrasco J‐A, Luque‐Hernández MJ, Rodríguez‐Ruiz H‐J, et al. Factors influencing the perception of feeling safe in pre‐hospital emergency car…
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psnet.ahrq.gov/issue/how-do-nurses-use-early-warning-scoring-systems-detect-and-act-patient-deterioration-ensure
June 16, 2021 - Review
Emerging Classic
How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review.
Citation Text:
Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect an…
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psnet.ahrq.gov/issue/non-intercepted-dose-errors-prescribing-antineoplastic-treatment-prospective-comparative
June 18, 2013 - Study
Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study.
Citation Text:
Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann O…
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psnet.ahrq.gov/issue/economic-value-pharmacist-led-medication-reconciliation-reducing-medication-errors-after
March 04, 2009 - Study
Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge.
Citation Text:
Najafzadeh M, Schnipper JL, Shrank WH, et al. Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital …
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psnet.ahrq.gov/issue/safety-culture-assessment-community-pharmacy-development-face-validity-and-feasibility
June 09, 2011 - Study
Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework.
Citation Text:
Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy: development, face validit…
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psnet.ahrq.gov/issue/variability-measurement-hospital-wide-mortality-rates
July 01, 2016 - Study
Classic
Variability in the measurement of hospital-wide mortality rates.
Citation Text:
Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. …
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psnet.ahrq.gov/issue/patient-safety-and-staff-competence-managing-challenging-behavior-based-feedback-former
October 15, 2016 - Study
Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients.
Citation Text:
Tölli S, Kontio R, Partanen P, et al. Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatr…
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psnet.ahrq.gov/issue/identification-and-safe-storage-look-alike-sound-alike-medicines-automated-dispensing
June 23, 2009 - Study
Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets.
Citation Text:
Ruutiainen HK, Kallio MM, Kuitunen SK. Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. Eur J Hosp Pharm. 2021…
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psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
October 08, 2016 - Review
Intentional rounding—an integrative literature review.
Citation Text:
Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs. 2019;75(6):1151-1161. doi:10.1111/jan.13897.
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DOI Google Scholar PubMed …
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psnet.ahrq.gov/issue/identifying-patient-safety-risks-reporting-patient-complaints-grounded-theory-study-patients
December 20, 2017 - Study
From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences.
Citation Text:
Gyberg A, Brezicka T, Wijk H, et al. From identifying patient safety risks to reporting patient complaints: a grounded theory study on pa…
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psnet.ahrq.gov/issue/defining-attributes-patient-safety-through-concept-analysis
May 08, 2013 - Review
Defining attributes of patient safety through a concept analysis.
Citation Text:
Kim L, Lyder CH, McNeese-Smith D, et al. Defining attributes of patient safety through a concept analysis. J Adv Nurs. 2015;71(11):2490-503. doi:10.1111/jan.12715.
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Format:
…