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psnet.ahrq.gov/issue/opioid-abuse-and-poisoning-trends-inpatient-and-emergency-department-discharges
June 03, 2020 - Study
Opioid abuse and poisoning: trends in inpatient and emergency department discharges.
Citation Text:
Tedesco D, Asch SM, Curtin C, et al. Opioid Abuse And Poisoning: Trends In Inpatient And Emergency Department Discharges. Health Aff (Millwood). 2017;36(10):1748-1753. doi:10.1377/hl…
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psnet.ahrq.gov/issue/improving-shared-situation-awareness-high-risk-therapies-hospitalized-children
October 20, 2021 - Study
Improving shared situation awareness for high-risk therapies in hospitalized children.
Citation Text:
Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.202…
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psnet.ahrq.gov/issue/displaying-radiation-exposure-and-cost-information-order-entry-outpatient-diagnostic-imaging
August 04, 2015 - Study
Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering.
Citation Text:
Kruger JF, Chen AH, Rybkin A, et al. Displaying radiation exposure and cost information at order entry for outpatient diagnos…
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psnet.ahrq.gov/issue/association-display-patient-photographs-electronic-health-record-wrong-patient-order-entry
May 29, 2019 - Study
Association of display of patient photographs in the electronic health record with wrong-patient order entry errors.
Citation Text:
Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic health record with wrong-patient order e…
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psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge
July 28, 2021 - Commentary
Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics.
Citation Text:
Kern-Goldberger AR, Adelman JS, Applebaum JR, et al. Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety chal…
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psnet.ahrq.gov/issue/health-care-risk-managers-consensus-management-inappropriate-behaviors-among-hospital-staff
June 16, 2021 - Study
Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff.
Citation Text:
Zadeh SE, Haussmann R, Barton CD. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. J Healthc Risk Manag. 201…
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psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review
October 16, 2024 - Review
Adverse Events in Anesthesia: An Integrative Review.
Citation Text:
Lemos C de S, Poveda V de B. Adverse Events in Anesthesia: An Integrative Review. J Perianesth Nurs. 2019;34(5):978-998. doi:10.1016/j.jopan.2019.02.005.
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psnet.ahrq.gov/issue/how-safe-are-paediatric-emergency-departments-national-prospective-cohort-study
May 20, 2020 - Study
How safe are paediatric emergency departments? A national prospective cohort study.
Citation Text:
Plint AC, Newton AS, Stang A, et al. How safe are paediatric emergency departments? A national prospective cohort study. BMJ Qual Saf. 2022;31(11):806-817. doi:10.1136/bmjqs-2021-0146…
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psnet.ahrq.gov/issue/frequency-and-nature-medication-errors-and-adverse-drug-events-mental-health-hospitals
August 11, 2021 - Review
Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review.
Citation Text:
Alshehri GH, Keers RN, Ashcroft DM. Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. …
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psnet.ahrq.gov/issue/double-checking-administration-medicines-what-evidence-systematic-review
June 18, 2014 - Review
Double checking the administration of medicines: what is the evidence? A systematic review.
Citation Text:
Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/a…
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psnet.ahrq.gov/issue/patient-perspectives-how-physicians-communicate-diagnostic-uncertainty-experimental-vignette
August 07, 2019 - Study
Classic
Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study.
Citation Text:
Bhise V, Meyer AND, Menon S, et al. Patient perspectives on how physicians communicate diagnostic uncertainty: An experimental…
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psnet.ahrq.gov/issue/theory-policy-resilient-health-care-policy-recommendations-and-lessons-learnt-resilience
July 19, 2023 - Commentary
From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience in Healthcare Research Program.
Citation Text:
Wiig S, Lyng HB, Guise V, et al. From theory to policy in resilient health care: policy recommendations and lessons lear…
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psnet.ahrq.gov/issue/national-healthcare-safety-networks-digital-quality-measures-cdcs-automated-measures
September 23, 2020 - Study
The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety.
Citation Text:
Shehab N, Alschuler L, McILvenna S, et al. The National Healthcare Safety Network’s digital quality measures: CDC’s automated measures for …
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psnet.ahrq.gov/issue/providers-and-patients-perspectives-diagnostic-errors-acute-care-setting
October 20, 2021 - Study
Providers' and patients' perspectives on diagnostic errors in the acute care setting.
Citation Text:
Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.101…
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psnet.ahrq.gov/issue/adverse-drug-events-caused-serious-medication-administration-errors
December 19, 2009 - Study
Adverse drug events caused by serious medication administration errors.
Citation Text:
Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946.
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psnet.ahrq.gov/issue/higher-accuracy-complex-medication-reconciliation-through-improved-design-electronic-tools
April 05, 2017 - Study
Higher accuracy of complex medication reconciliation through improved design of electronic tools.
Citation Text:
Horsky J, Drucker EA, Ramelson HZ. Higher accuracy of complex medication reconciliation through improved design of electronic tools. J Am Med Inform Assoc. 2018;25(5):46…
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psnet.ahrq.gov/issue/nighttime-cross-coverage-associated-decreased-intensive-care-unit-mortality-single-center
March 07, 2012 - Study
Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study.
Citation Text:
Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J R…
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psnet.ahrq.gov/issue/nurses-perceptions-error-communication-and-reporting-intensive-care-unit
February 20, 2008 - Study
Nurses' perceptions of error communication and reporting in the intensive care unit.
Citation Text:
Elder NC, Brungs SM, Nagy M, et al. Nurses' Perceptions of Error Communication and Reporting in the Intensive Care Unit. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e3181839b48.…
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psnet.ahrq.gov/issue/lack-association-between-intraoperative-handoff-care-and-postoperative-complications
March 14, 2022 - Study
Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observational study.
Citation Text:
O'Reilly-Shah VN, Melanson VG, Sullivan CL, et al. Lack of association between intraoperative handoff of care and postoperative complicat…
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psnet.ahrq.gov/issue/hospital-based-transfusion-error-tracking-2005-2010-identifying-key-errors-threatening
March 09, 2022 - Study
Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety.
Citation Text:
Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening …