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psnet.ahrq.gov/issue/weekend-effect-hospitalized-patients-meta-analysis
September 23, 2020 - Review
The weekend effect in hospitalized patients: a meta-analysis.
Citation Text:
Pauls LA, Johnson-Paben R, McGready J, et al. The Weekend Effect in Hospitalized Patients: A Meta-Analysis. J Hosp Med. 2017;12(9):760-766. doi:10.12788/jhm.2815.
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psnet.ahrq.gov/issue/adaptation-and-implementation-who-safe-childbirth-checklist-around-world
March 17, 2021 - Study
Adaptation and implementation of the WHO Safe Childbirth Checklist around the world.
Citation Text:
Molina RL, Benski A-C, Bobanski L, et al. Adaptation and implementation of the WHO Safe Childbirth Checklist around the world. Implement Sci Commun. 2021;2(1):76. doi:10.1186/s43058-…
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psnet.ahrq.gov/issue/barriers-and-facilitators-associated-implementation-surgical-safety-checklists-qualitative
August 17, 2022 - Review
Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review.
Citation Text:
Paterson C, Mckie A, Turner M, et al. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitati…
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hcup-us.ahrq.gov/db/vars/eccsmgnn/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports-patient-safety
January 20, 2011 - Study
Impact of system-level activities and reporting design on the number of incident reports for patient safety.
Citation Text:
Fukuda H, Imanaka Y, Hirose M, et al. Impact of system-level activities and reporting design on the number of incident reports for patient safety. Qual Saf …
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digital.ahrq.gov/track-9-emerging-approaches-drive-change-healthcare
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/issue/investigating-safety-medication-administration-adult-critical-care-settings
June 01, 2022 - Review
Investigating the safety of medication administration in adult critical care settings.
Citation Text:
Mansour M, James V, Edgley A. Investigating the safety of medication administration in adult critical care settings. Nurs Crit Care. 2012;17(4):189-97. doi:10.1111/j.1478-5153.2…
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psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination
October 06, 2011 - Study
A patient safety objective structured clinical examination.
Citation Text:
Singh R, Singh A, Fish R, et al. A patient safety objective structured clinical examination. J Patient Saf. 2009;5(2):55-60. doi:10.1097/PTS.0b013e31819d65c2.
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psnet.ahrq.gov/issue/occurrence-wrong-site-surgery-self-reported-candidates-certification-american-board
June 03, 2020 - Study
The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery.
Citation Text:
James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates for certification by the Americ…
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psnet.ahrq.gov/issue/institutional-disclosure-promise-and-problems
August 12, 2015 - Study
Institutional disclosure: promise and problems.
Citation Text:
Wolk SW, Sine DM, Paull DE. Institutional disclosure: promise and problems. J Healthc Risk Manag. 2014;33(3):24-32. doi:10.1002/jhrm.21132.
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psnet.ahrq.gov/issue/systematic-review-effectiveness-compliance-and-critical-factors-implementation-safety
December 04, 2024 - Review
A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery.
Citation Text:
Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and critical factors for implementatio…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-one-page.docx
November 01, 2019 - Hospital-Acquired Pneumonia
Hospital-Acquired Pneumonia
Diagnosis
· Clinical symptoms of pneumonia (e.g., fever, cough, dyspnea, pleuritic chest pain) PLUS hypoxia PLUS a new radiographic infiltrate that develops at least 48 hours after hospitalization
· Microbiology: either community-associated (e.g., Stre…
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psnet.ahrq.gov/issue/impact-morbidity-and-mortality-conferences-analysis-mortality-and-critical-events-intensive
December 02, 2020 - Study
Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive care practice.
Citation Text:
Ksouri H, Balanant P-Y, Tadié J-M, et al. Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive c…
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psnet.ahrq.gov/issue/benefits-and-opportunities-engaging-patients-identifying-and-reporting-patient-safety
April 26, 2023 - Commentary
The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents.
Citation Text:
Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Healthc Manage Forum…
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psnet.ahrq.gov/issue/observational-study-drug-formulation-manipulation-pediatric-versus-adult-inpatients
June 08, 2022 - Study
Observational study of drug formulation manipulation in pediatric versus adult inpatients.
Citation Text:
Spishock S, Meyers R, Robinson CA, et al. Observational Study of Drug Formulation Manipulation in Pediatric Versus Adult Inpatients. J Patient Saf. 2021;17(1):e10-e14. doi:10.1…
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psnet.ahrq.gov/issue/critical-incident-monitoring-paediatric-and-adult-critical-care-reporting-improved-patient
January 22, 2016 - Review
Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient outcomes?
Citation Text:
Frey B, Schwappach DLB. Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient outcomes? Curr Opin Crit…
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psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgical-intensive-care-unit
May 01, 2013 - Study
Classification of adverse events occurring in a surgical intensive care unit.
Citation Text:
Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care unit. Am J Surg. 2007;194(3):328-32.
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psnet.ahrq.gov/issue/frequency-medication-errors-intravenous-acetylcysteine-acetaminophen-overdose
March 03, 2010 - Study
Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose.
Citation Text:
Hayes BD, Klein-Schwartz W, Doyon S. Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. Ann Pharmacother. 2008;42(6):766-70. doi:10.13…
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psnet.ahrq.gov/issue/experiences-lean-six-sigma-improvement-strategy-reduce-parenteral-medication-administration
October 13, 2021 - Commentary
Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm.
Citation Text:
van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to reduce pa…
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psnet.ahrq.gov/issue/understanding-medical-errors-and-adverse-events-icu-patients
March 20, 2015 - Commentary
Understanding medical errors and adverse events in ICU patients.
Citation Text:
Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x.
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