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psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - Sedation choice: Sedative drugs are commonly used in critically ill patients to reduce the work of breathing … the duration of delirium when compared with benzodiazepines.( 12,13 ) Sometimes, however, the best "choice … C
Choice of Sedation
Avoid benzodiazepines.
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psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
December 18, 2019 - ideally should be able to understand the choices being considered, assess the likely consequences of each choice
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psnet.ahrq.gov/node/49539/psn-pdf
June 01, 2007 - be obtained prior to touching a patient or providing treatment and requires the patient
to make a choice
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.191_slideshow.ppt
January 01, 2009 - benefits of continuity of hospital care
Understand rules and regulations behind triage and hospital choice
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
December 01, 2009 - capacity
Assessing Decision-Making Capacity
Defined by four criteria:
Ability to communicate a choice
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psnet.ahrq.gov/issue/relationship-between-performance-measurement-and-accreditation-implications-quality-care-and
March 13, 2013 - Study
Relationship between performance measurement and accreditation: implications for quality of care and patient safety.
Citation Text:
Miller MR, Pronovost P, Donithan M, et al. Relationship between performance measurement and accreditation: implications for quality of care and pati…
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psnet.ahrq.gov/issue/factors-contributing-medication-errors-made-when-using-computerized-order-entry-pediatrics
May 08, 2017 - Review
Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review.
Citation Text:
Tolley CL, Forde NE, Coffey KL, et al. Factors contributing to medication errors made when using computerized order entry in pediatrics: a systemat…
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psnet.ahrq.gov/issue/oxytocin-high-alert-medication-implications-perinatal-patient-safety
September 29, 2010 - Study
Oxytocin as a high-alert medication: implications for perinatal patient safety.
Citation Text:
Simpson KR, Knox E. Oxytocin as a high-alert medication: implications for perinatal patient safety. MCN Am J Matern Child Nurs. 2009;34(1):8-15; quiz 16-7. doi:10.1097/01.NMC.0000343859…
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psnet.ahrq.gov/issue/intimidation-practitioners-speak-about-unresolved-problem
September 26, 2017 - Study
Intimidation: practitioners speak up about this unresolved problem.
Citation Text:
Smetzer JL, Cohen MR. Intimidation: Practitioners Speak Up About This Unresolved Problem. Jt Comm J Qual Patient Saf. 2016;31(10):594-599. doi:10.1016/s1553-7250(05)31077-4.
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Forma…
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psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its
March 04, 2015 - Commentary
A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings.
Citation Text:
Ashley L, Armitage G, Neary M, et al. A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its …
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psnet.ahrq.gov/issue/effect-implementation-barcode-technology-and-electronic-medication-administration-record
February 24, 2011 - Study
Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events.
Citation Text:
Truitt E, Thompson R, Blazey-Martin D, et al. Effect of the Implementation of Barcode Technology and an Electronic Medication Administration …
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psnet.ahrq.gov/issue/creating-culture-safety-around-bar-code-medication-administration-evidence-based-evaluation
July 14, 2010 - Commentary
Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework.
Citation Text:
Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework.…
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psnet.ahrq.gov/issue/nurse-physician-teamwork-emergency-department-impact-perceptions-job-environment-autonomy-and
November 04, 2012 - Study
Nurse–physician teamwork in the emergency department: impact on perceptions of job environment, autonomy, and control over practice.
Citation Text:
Ajeigbe DO, McNeese-Smith D, Leach LS, et al. Nurse-physician teamwork in the emergency department: impact on perceptions of job env…
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psnet.ahrq.gov/issue/root-cause-analysis-clinical-error-confronting-disjunction-between-formal-rules-and-situated
June 14, 2011 - Commentary
A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity.
Citation Text:
Iedema RAM, Jorm C, Braithwaite J, et al. A root cause analysis of clinical error: confronting the disjunction between formal rules and si…
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psnet.ahrq.gov/issue/root-causes-adverse-drug-events-hospitals-and-artificial-intelligence-capabilities-prevention
May 20, 2020 - Study
Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention.
Citation Text:
Gordo C, Núñez‐Córdoba JM, Mateo R. Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention. J Adv Nurs. 2021;77(7…
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - On making the right choice: the deliberation-without-attention effect.
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psnet.ahrq.gov/issue/computerized-prescribing-alerts-and-group-academic-detailing-reduce-use-potentially
July 10, 2008 - Study
Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people.
Citation Text:
Simon SR, Smith DH, Feldstein AC, et al. Computerized prescribing alerts and group academic detailing to reduce the use of poten…
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psnet.ahrq.gov/issue/increasing-patient-safety-neonates-handoff-communication-during-delivery-call
March 19, 2019 - Commentary
Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME.
Citation Text:
Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff communica…
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psnet.ahrq.gov/issue/spreading-medication-administration-intervention-organizationwide-six-hospitals
January 03, 2017 - Study
Spreading a medication administration intervention organizationwide in six hospitals.
Citation Text:
Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60.
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psnet.ahrq.gov/issue/integrated-approach-reduce-perinatal-adverse-events-standardized-processes-interdisciplinary
September 01, 2018 - Study
Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback.
Citation Text:
Riley W, Begun JW, Meredith L, et al. Integrated Approach to Reduce Perinatal Adverse Events: Standardized Processes, Interd…