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psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
December 18, 2019 - Study
Emerging Classic
Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations.
Citation Text:
Härkänen M, Turunen H, Vehviläine…
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psnet.ahrq.gov/issue/psychological-impact-and-recovery-after-involvement-patient-safety-incident-repeated-measures
September 19, 2016 - Study
Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis.
Citation Text:
Van Gerven E, Bruyneel L, Panella M, et al. Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis.…
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psnet.ahrq.gov/issue/quality-improvement-lessons-learned-national-implementation-patient-safety-events-community
March 15, 2016 - Study
Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook".
Citation Text:
Sullivan JL, Shin MH, Chan J, et al. Quality improvement lessons learned from National Implementati…
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psnet.ahrq.gov/issue/its-two-worlds-apart-analysis-vulnerable-patient-handover-practices-discharge-hospital
January 15, 2025 - Study
"It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital.
Citation Text:
Groene RO, Orrego C, Suñol R, et al. "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. BMJ Qu…
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psnet.ahrq.gov/issue/outcomes-associated-nationwide-introduction-rapid-response-systems-netherlands
January 18, 2013 - Study
Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands.
Citation Text:
Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MGW, et al. Outcomes Associated With the Nationwide Introduction of Rapid Response Systems in The Netherlands. Crit Care …
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psnet.ahrq.gov/issue/boosting-medical-diagnostics-pooling-independent-judgments
June 21, 2016 - Study
Boosting medical diagnostics by pooling independent judgments.
Citation Text:
Kurvers RHJM, Herzog SM, Hertwig R, et al. Boosting medical diagnostics by pooling independent judgments. Proc Natl Acad Sci U S A. 2016;113(31):8777-8782. doi:10.1073/pnas.1601827113.
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psnet.ahrq.gov/issue/work-nurses-provide-good-and-safe-services-children-receiving-hospital-home-qualitative
March 08, 2023 - Study
The work of nurses to provide good and safe services to children receiving hospital-at-home: a qualitative interview study from the perspectives of hospital nurses and physicians.
Citation Text:
Aasen L, Johannessen A‐K, Ruud Knutsen I, et al. The work of nurses to provide good and…
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psnet.ahrq.gov/issue/safety-time-covid-19-pandemic-how-keep-our-oncology-patients-and-healthcare-workers-safe
September 03, 2011 - Commentary
Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe.
Citation Text:
Cinar P, Kubal T, Freifeld A, et al. Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe. J Natl Co…
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psnet.ahrq.gov/issue/safety-telephone-triage-general-practitioner-cooperatives-do-triage-nurses-correctly-estimate
June 16, 2011 - Study
Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency?
Citation Text:
Giesen P, Ferwerda R, Tijssen R, et al. Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? Qual …
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psnet.ahrq.gov/issue/systematic-review-safety-checklists-use-medical-care-teams-acute-hospital-settings-limited
July 29, 2020 - Review
Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness.
Citation Text:
Ko HCH, Turner TJ, Finnigan MA. Systematic review of safety checklists for use by medical care teams in acute hospital settings--limi…
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psnet.ahrq.gov/issue/medsafer-study-controlled-trial-electronic-decision-support-tool-deprescribing-acute-care
February 02, 2022 - Study
The MedSafer Study: a controlled trial of an electronic decision support tool for deprescribing in acute care.
Citation Text:
McDonald EG, Wu PE, Rashidi B, et al. The MedSafer Study: A Controlled Trial of an Electronic Decision Support Tool for Deprescribing in Acute Care. J Am Ge…
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psnet.ahrq.gov/issue/nurses-source-system-level-resilience-secondary-analysis-qualitative-data-study-intravenous
July 22, 2020 - Study
Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals.
Citation Text:
Vos J, Franklin BD, Chumbley G, et al. Nurses as a source of system-level resilience: Secondary analysis of qualita…
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psnet.ahrq.gov/issue/intercepting-wrong-patient-orders-computerized-provider-order-entry-system
May 29, 2019 - Study
Intercepting wrong-patient orders in a computerized provider order entry system.
Citation Text:
Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed…
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psnet.ahrq.gov/issue/what-do-medical-records-tell-us-about-potentially-harmful-co-prescribing
December 19, 2011 - Study
Classic
What do medical records tell us about potentially harmful co-prescribing?
Citation Text:
Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co-prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-4…
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psnet.ahrq.gov/issue/impact-nationwide-prospective-drug-utilization-review-program-improve-prescribing-safety
May 17, 2017 - Study
Impact of a nationwide prospective drug utilization review program to improve prescribing safety of potentially inappropriate medications in older adults: an interrupted time series with segmented regression analysis.
Citation Text:
Jang S, Jeong S, Kang E, et al. Impact of a natio…
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psnet.ahrq.gov/issue/health-care-cost-drug-related-morbidity-and-mortality-nursing-facilities
September 19, 2016 - Study
Classic
The health care cost of drug-related morbidity and mortality in nursing facilities.
Citation Text:
Bootman JL, Harrison DL, Cox E. The health care cost of drug-related morbidity and mortality in nursing facilities. Arch Intern Med. 1997;157(18):2…
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psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system-reduce-adverse
June 18, 2008 - Study
Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes.
Citation Text:
Antonacci AC, Lam S, Lavarias V, et al. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. Arch Sur…
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psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis
December 16, 2020 - Study
Medication errors in the outpatient setting: classification and root cause analysis.
Citation Text:
Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284.
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psnet.ahrq.gov/issue/dropping-baton-during-handoff-emergency-department-primary-care-pediatric-asthma-continuity
March 14, 2022 - Study
Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors.
Citation Text:
Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Jt Comm J …
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psnet.ahrq.gov/issue/systematic-review-clinical-decision-support-systems-clinical-oncology-practice
July 19, 2023 - Review
A systematic review of clinical decision support systems for clinical oncology practice.
Citation Text:
Pawloski PA, Brooks GA, Nielsen ME, et al. A Systematic Review of Clinical Decision Support Systems for Clinical Oncology Practice. J Natl Compr Canc Netw. 2019;17(4):331-338. d…