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January 01, 2013 - An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing-homes
March 18, 2020 - Study
A systems approach to identify factors influencing adverse drug events in nursing homes.
Citation Text:
Al-Jumaili AA, Doucette WR. A Systems Approach to Identify Factors Influencing Adverse Drug Events in Nursing Homes. J Am Geriatr Soc. 2018;66(7):1420-1427. doi:10.1111/jgs.15389…
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psnet.ahrq.gov/issue/using-video-assess-and-improve-patient-safety-during-simulated-and-actual-neonatal
July 29, 2020 - Study
Using video to assess and improve patient safety during simulated and actual neonatal resuscitation.
Citation Text:
Leone TA. Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. Semin Perinatol. 2019;43(8):151179. doi:10.1053/j.semp…
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psnet.ahrq.gov/issue/prioritizing-medication-safety-care-people-cancer-clinicians-views-main-problems-and
December 14, 2016 - Study
Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions.
Citation Text:
Car LT, Papachristou N, Urch C, et al. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. J Gl…
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psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading
October 19, 2022 - Study
Improving patient safety via automated laboratory-based adverse event grading.
Citation Text:
Niland JC, Stiller T, Neat J, et al. Improving patient safety via automated laboratory-based adverse event grading. J Am Med Inform Assoc. 2012;19(1):111-5. doi:10.1136/amiajnl-2011-0005…
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psnet.ahrq.gov/issue/design-and-implementation-tool-pharmacists-register-potential-errors-prescribed-medication
March 09, 2022 - Study
Design and implementation of a tool for pharmacists to register potential errors in prescribed medication.
Citation Text:
Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register Potential Errors in Prescribed Medication. Stud Health Tech…
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psnet.ahrq.gov/issue/survey-pharmacists-perception-work-environment-and-patient-safety-community-pharmacies-during
June 23, 2009 - Study
A survey of pharmacists' perception of the work environment and patient safety in community pharmacies during the COVID-19 pandemic.
Citation Text:
Ljungberg Persson C, Nordén Hägg A, Södergård B. A survey of pharmacists' perception of the work environment and patient safety in com…
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psnet.ahrq.gov/issue/standardizing-opioid-prescriptions-patients-after-ambulatory-oncologic-surgery-reduces
October 19, 2022 - Study
Standardizing opioid prescriptions to patients after ambulatory oncologic surgery reduces overprescription.
Citation Text:
Fearon NJ, Benfante N, Assel M, et al. Standardizing Opioid Prescriptions to Patients After Ambulatory Oncologic Surgery Reduces Overprescription. Jt Comm J Qu…
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psnet.ahrq.gov/issue/perceptual-gaps-between-clinicians-and-technologists-health-information-technology-related
March 11, 2020 - Study
Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study.
Citation Text:
Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related…
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psnet.ahrq.gov/issue/evaluating-new-rapid-response-team-np-led-versus-intensivist-led-comparisons
October 19, 2022 - Study
Evaluating a new rapid response team: NP-led versus intensivist-led comparisons.
Citation Text:
Scherr K, Wilson DM, Wagner J, et al. Evaluating a new rapid response team: NP-led versus intensivist-led comparisons. AACN Adv Crit Care. 2012;23(1):32-42. doi:10.1097/NCI.0b013e31824…
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psnet.ahrq.gov/issue/impact-nighttime-rapid-response-team-activation-outcomes-hospitalized-patients-acute
April 06, 2022 - Study
Impact of nighttime rapid response team activation on outcomes of hospitalized patients with acute deterioration.
Citation Text:
Fernando SM, Reardon PM, Bagshaw SM, et al. Impact of nighttime Rapid Response Team activation on outcomes of hospitalized patients with acute deteriorat…
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psnet.ahrq.gov/issue/quantitative-analysis-content-ems-handoff-critically-ill-and-injured-patients-emergency
August 04, 2021 - Study
Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department.
Citation Text:
Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically Ill and Injured Patients to the Emergen…
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psnet.ahrq.gov/issue/parents-perspectives-navigating-work-speaking-nicu
December 04, 2016 - Study
Parents' perspectives on navigating the work of speaking up in the NICU.
Citation Text:
Lyndon A, Wisner K, Holschuh C, et al. Parents' Perspectives on Navigating the Work of Speaking Up in the NICU. J Obstet Gynecol Neonatal Nurs. 2017;46(5):716-726. doi:10.1016/j.jogn.2017.06.009…
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psnet.ahrq.gov/issue/unplanned-return-theater-quality-care-and-risk-management-index
August 20, 2018 - Study
Unplanned return to theater: a quality of care and risk management index?
Citation Text:
Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013.
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psnet.ahrq.gov/issue/simulation-based-assessment-identifies-longitudinal-changes-cognitive-skills-anesthesiology
August 11, 2021 - Study
Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program.
Citation Text:
Sidi A, Gravenstein N, Vasilopoulos T, et al. Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesth…
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psnet.ahrq.gov/issue/best-practices-electronic-drug-alert-program-improve-safety-accountable-care-environment
May 29, 2019 - Study
Best practices: an electronic drug alert program to improve safety in an accountable care environment.
Citation Text:
Griesbach S, Lustig A, Malsin L, et al. Best Practices: An Electronic Drug Alert Program to Improve Safety in an Accountable Care Environment. J Manag Care Spec Pha…
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psnet.ahrq.gov/node/73874/psn-pdf
September 29, 2021 - The generalizability of a medication administration
discrepancy detection system: quantitative comparative
analysis
September 29, 2021
Kirkendall E, Huth H, Rauenbuehler B, et al. The generalizability of a medication administration
discrepancy detection system: quantitative comparative analysis. JMIR Med Inform. 2…
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psnet.ahrq.gov/issue/using-risk-stratification-reduce-medical-errors-cervical-cancer-prevention
September 05, 2012 - Commentary
Using risk stratification to reduce medical errors in cervical cancer prevention.
Citation Text:
Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed…
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psnet.ahrq.gov/issue/real-time-clinical-alerting-effect-automated-paging-system-response-time-critical-laboratory
October 31, 2011 - Study
Real-time clinical alerting: effect of an automated paging system on response time to critical laboratory values—a randomised controlled trial.
Citation Text:
Etchells E, Adhikari NKJ, Cheung C, et al. Real-time clinical alerting: effect of an automated paging system on response …
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psnet.ahrq.gov/issue/effects-enhanced-discharge-planning-intervention-hospitalized-older-adults-randomized-trial
September 21, 2016 - Study
Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial.
Citation Text:
Altfeld SJ, Shier GE, Rooney M, et al. Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Gerontologist.…