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psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients-medical-and-surgical
July 11, 2018 - Study
Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings.
Citation Text:
Murphy A, Griffiths P, Duffield C, et al. Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical setting…
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psnet.ahrq.gov/issue/improving-allergy-documentation-retrospective-electronic-health-record-system-wide-patient
June 15, 2022 - Study
Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative.
Citation Text:
Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. J Patie…
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digital.ahrq.gov/sites/default/files/docs/resource/PCC_Schillinger_Q3_Welcome_Letter.ENG.pdf
June 16, 2021 - Welcome Letter
Date:
Dear (Mr. / Ms.) _________,
WELCOME to the San Francisco Health Plan Diabetes Telephone Support Project!
We are very excited that you will be participating.
In this letter you will find important information about the Diabetes Project including
how to reach us. Participati…
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psnet.ahrq.gov/issue/multisite-study-interprofessional-teamwork-and-collaboration-general-medical-services
November 15, 2023 - Study
A multisite study of interprofessional teamwork and collaboration on general medical services.
Citation Text:
O'Leary KJ, Manojlovich M, Johnson JK, et al. A multisite study of interprofessional teamwork and collaboration on general medical services. Jt Comm J Qual Patient Saf. 202…
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psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall-risks
July 20, 2022 - Study
Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention.
Citation Text:
McVey L, Alvarado N, Healey F, et al. Talking about falls: a qualitative exploration of spok…
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digital.ahrq.gov/ahrq-funded-projects/nicu-2-home-using-hit-support-parents-nicu-graduates-transitioning-home/annual-summary/2011
January 01, 2011 - NICU-2-HOME: Using HIT to support parents of NICU graduates transitioning home - 2011
Project Name
NICU-2-HOME: Using Health IT to Support Parents of NICU Graduates Transitioning to Home
Principal Investigator
Garfield, Craig F.
Organization
Northwestern University
Fu…
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psnet.ahrq.gov/issue/nurse-staffing-levels-missed-vital-signs-and-mortality-hospitals-retrospective-longitudinal
July 19, 2019 - Book/Report
Emerging Classic
Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study.
Citation Text:
Griffiths P, Ball JE, Bloor K, et al. Nurse Staffing Levels, Missed Vital Signs And Mortality In Hos…
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psnet.ahrq.gov/issue/comparison-accuracy-physical-examination-findings-initial-progress-notes-between-paper-charts
May 11, 2022 - Study
Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record.
Citation Text:
Yadav S, Kazanji N, C. NK, et al. Comparison of accuracy of physical examination findings in initial progress note…
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psnet.ahrq.gov/issue/association-between-limiting-number-open-records-tele-critical-care-setting-and-retract
July 22, 2020 - Study
Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors.
Citation Text:
Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele-critical care setting and retract–reorder error…
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psnet.ahrq.gov/issue/effect-illness-severity-and-comorbidity-patient-safety-and-adverse-events
December 01, 2011 - Study
Effect of illness severity and comorbidity on patient safety and adverse events.
Citation Text:
Naessens JM, Campbell CR, Shah ND, et al. Effect of illness severity and comorbidity on patient safety and adverse events. Am J Med Qual. 2012;27(1):48-57. doi:10.1177/1062860611413456…
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psnet.ahrq.gov/issue/medication-use-and-cognitive-impairment-among-residents-aged-care-facilities
July 28, 2021 - Study
Medication use and cognitive impairment among residents of aged care facilities.
Citation Text:
Shafiee Hanjani L, Hubbard RE, Freeman CR, et al. Medication use and cognitive impairment among residents of aged care facilities. Intern Med J. 2021;51(4):520-532. doi:10.1111/imj.14804…
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psnet.ahrq.gov/issue/identifying-electronic-medication-administration-record-emar-usability-issues-patient-safety
July 07, 2021 - Study
Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports.
Citation Text:
Iqbal AR, Parau CA, Kazi S, et al. Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Jt…
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psnet.ahrq.gov/issue/understanding-patient-and-clinician-reported-nonroutine-events-ambulatory-surgery
December 16, 2020 - Study
Understanding patient and clinician reported nonroutine events in ambulatory surgery.
Citation Text:
Salwei ME, Anders S, Slagle JM, et al. Understanding patient and clinician reported nonroutine events in ambulatory surgery. J Patient Saf. 2023;19(2):e38-e45. doi:10.1097/pts.00000…
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psnet.ahrq.gov/issue/effect-computerised-decision-support-alerts-tailored-intensive-care-administration-high-risk
October 18, 2023 - Study
The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial.
Citation Text:
Bakker T, Klopotowska JE, Dongelmans DA, et al. The effect of computeri…
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psnet.ahrq.gov/issue/effect-transformation-veterans-affairs-health-care-system-quality-care
July 28, 2014 - Study
Classic
Effect of the transformation of the Veterans Affairs Health Care System on the quality of care.
Citation Text:
Jha AK, Perlin JB, Kizer KW, et al. Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. N E…
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psnet.ahrq.gov/issue/effect-pharmacy-based-centralized-intravenous-admixture-service-prevalence-medication-errors
December 01, 2021 - Study
Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study.
Citation Text:
Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of a pharmacy-based centralized intravenous admixture service on the prevale…
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psnet.ahrq.gov/issue/organizational-safety-climate-and-job-enjoyment-hospital-surgical-teams-and-without-crew
February 03, 2021 - Study
Organizational safety climate and job enjoyment in hospital surgical teams with and without crew resource management training,
Citation Text:
Bacon CT, McCoy TP, Henshaw DS, et al. Organizational safety climate and job enjoyment in hospital surgical teams with and without crew reso…
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psnet.ahrq.gov/issue/medication-related-harm-older-adults-following-hospital-discharge-development-and-validation
May 15, 2013 - Study
Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool.
Citation Text:
Parekh N, Ali K, Davies JG, et al. Medication-related harm in older adults following hospital discharge: development and validation of a prediction …
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psnet.ahrq.gov/issue/anticoagulant-medication-errors-nursing-homes-characteristics-causes-outcomes-and-association
December 15, 2011 - Study
Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm.
Citation Text:
Desai RJ, Williams CE, Greene SB, et al. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with…
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psnet.ahrq.gov/issue/factors-contributing-increase-duplicate-medication-order-errors-after-cpoe-implementation
December 31, 2014 - Study
Factors contributing to an increase in duplicate medication order errors after CPOE implementation.
Citation Text:
Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc. …