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psnet.ahrq.gov/issue/classification-health-information-technology-safety-events-pediatric-tertiary-care-hospital
May 20, 2019 - Study
Classification of health information technology safety events in a pediatric tertiary care hospital.
Citation Text:
Khan A, Karavite DJ, Muthu N, et al. Classification of health information technology safety events in a pediatric tertiary care hospital. J Patient Saf. 2023;19(4):25…
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psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue
June 18, 2019 - Study
Interpersonal and organizational dynamics are key drivers of failure to rescue.
Citation Text:
Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.201…
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psnet.ahrq.gov/issue/elimination-central-venous-catheter-related-bloodstream-infections-intensive-care-unit
January 11, 2017 - Study
Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit.
Citation Text:
Longmate AG, Ellis KS, Boyle L, et al. Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. BMJ Qual Saf. 2011;20(2):1…
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psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
May 19, 2021 - Study
Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient.
Citation Text:
Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon.…
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digital.ahrq.gov/ahrq-funded-projects/text-messaging-improve-hypertension-medication-adherence-african-americans/annual-summary/2011
January 01, 2011 - Text Messaging to Improve Hypertension Medication Adherence in African Americans - 2011
Project Name
Text Messaging to Improve Hypertension Medication Adherence in African Americans
Principal Investigator
Buis, Lorraine
Organization
Wayne State University
Funding Mech…
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psnet.ahrq.gov/issue/wrong-administration-route-medications-domestic-setting-review-underestimated-public-health
December 15, 2021 - Review
Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic.
Citation Text:
Gualano MR, Lo Moro G, Voglino G, et al. Wrong administration route of medications in the domestic setting: a review of an underestimated public hea…
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psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review
January 12, 2022 - Review
Medication reconciliation during transitions of care as a patient safety strategy: a systematic review.
Citation Text:
Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158…
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psnet.ahrq.gov/issue/medication-administration-errors-urban-mental-health-hospital-direct-observation-study
September 03, 2014 - Study
Medication-administration errors in an urban mental health hospital: a direct observation study.
Citation Text:
Cottney A, Innes J. Medication-administration errors in an urban mental health hospital: a direct observation study. Int J Ment Health Nurs. 2015;24(1):65-74. doi:10.1111…
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psnet.ahrq.gov/issue/nursing-staffs-perceptions-patient-safety-psychiatric-inpatient-care
September 27, 2017 - Study
Nursing staff's perceptions of patient safety in psychiatric inpatient care.
Citation Text:
Kanerva A, Lammintakanen J, Kivinen T. Nursing Staff's Perceptions of Patient Safety in Psychiatric Inpatient Care. Perspect Psych Care. 2016;52(1):25-31. doi:10.1111/ppc.12098.
Copy Citat…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2012
January 01, 2012 - Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012
Project Name
Evaluation of AHRQ's On-time Pressure Ulcer Program
Principal Investigator
Hurd, Donna
Organization
Abt Associates, Inc.
Funding Mechanism
Accelerating Change and Transformation in Organizations…
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psnet.ahrq.gov/issue/drug-dosing-error-drops-severe-clinical-course-codeine-intoxication-twins
September 29, 2021 - Study
Drug dosing error with drops – severe clinical course of codeine intoxication in twins.
Citation Text:
Hermanns-Clausen M, Weinmann W, Auwärter V, et al. Drug dosing error with drops: severe clinical course of codeine intoxication in twins. Eur J Pediatr. 2009;168(7):819-24. doi:…
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psnet.ahrq.gov/issue/classifying-safety-events-related-diagnostic-imaging-safety-reporting-system-using-human
November 02, 2018 - Study
Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework.
Citation Text:
Lacson R, Cochon L, Ip I, et al. Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Frame…
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program
June 29, 2022 - Study
Medication errors in community pharmacies: evaluation of a standardized safety program.
Citation Text:
Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016…
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psnet.ahrq.gov/issue/using-enhanced-oral-chemotherapy-computerized-provider-order-entry-system-reduce-prescribing
October 20, 2014 - Study
Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.
Citation Text:
Collins CM, Elsaid KA. Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve …
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psnet.ahrq.gov/issue/accuracy-practitioner-estimates-probability-diagnosis-and-after-testing
May 05, 2021 - Study
Accuracy of practitioner estimates of probability of diagnosis before and after testing.
Citation Text:
Morgan DJ, Pineles L, Owczarzak J, et al. Accuracy of practitioner estimates of probability of diagnosis before and after testing. JAMA Intern Med. 2021;181(6):747-755. doi:10.10…
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psnet.ahrq.gov/issue/prevalence-medication-transfer-errors-nephrology-patients-and-potential-risk-factors
January 26, 2022 - Study
Prevalence of medication transfer errors in nephrology patients and potential risk factors.
Citation Text:
Ebbens MM, Errami H, Moes DJAR, et al. Prevalence of medication transfer errors in nephrology patients and potential risk factors. Eur J Intern Med. 2019;70:50-53. doi:10.1016…
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psnet.ahrq.gov/issue/emergency-medical-services-provider-perceptions-nature-adverse-events-and-near-misses-out
September 09, 2010 - Study
Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view.
Citation Text:
Fairbanks RJ, Crittenden CN, O’Gara KG, et al. Emergency Medical Services Provider Perceptions of the Nature of Adverse E…
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psnet.ahrq.gov/issue/factors-influencing-physician-responsiveness-nurse-initiated-communication-qualitative-study
October 13, 2021 - Study
Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study.
Citation Text:
Manojlovich M, Harrod M, Hofer TP, et al. Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. BMJ Qual Saf. 2021;30(9):…
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psnet.ahrq.gov/issue/narrative-review-strategies-increase-patient-safety-event-reporting-residents
December 02, 2020 - Review
A narrative review of strategies to increase patient safety event reporting by residents.
Citation Text:
Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19…
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psnet.ahrq.gov/issue/effect-residential-care-pharmacist-medication-administration-practices-aged-care-controlled
August 31, 2016 - Study
The effect of a residential care pharmacist on medication administration practices in aged care: a controlled trial.
Citation Text:
McDerby N, Kosari S, Bail K, et al. The effect of a residential care pharmacist on medication administration practices in aged care: A controlled tria…