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psnet.ahrq.gov/issue/reducing-drug-prescription-errors-and-adverse-drug-events-application-probabilistic-machine
March 12, 2025 - Study
Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting.
Citation Text:
Segal G, Segev A, Brom A, et al. Reducing drug prescription errors and adverse drug events by…
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psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care
December 30, 2014 - Study
Classic
Measuring errors and adverse events in health care.
Citation Text:
Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med. 2003;18(1). doi:10.1046/j.1525-1497.2003.20147.x.
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psnet.ahrq.gov/issue/antibiotic-prescribing-errors-patients-discharged-pediatric-emergency-department
September 22, 2021 - Study
Antibiotic prescribing errors in patients discharged from the pediatric emergency department.
Citation Text:
LaScala EC, Monroe AK, Hall GA, et al. Antibiotic prescribing errors in patients discharged from the pediatric emergency department. Pediatr Emerg Care. 2022;38(1):e387-e392…
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psnet.ahrq.gov/issue/hearing-impairment-and-amelioration-avoidable-medical-error-cross-sectional-survey
June 09, 2021 - Study
Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey.
Citation Text:
Henn P, O’Tuathaigh C, Keegan D, et al. Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. J Patient Saf. 2021;17(3):e155-e160. do…
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psnet.ahrq.gov/issue/care-quality-and-safety-long-term-aged-care-settings-systematic-review-and-narrative-analysis
August 17, 2022 - Review
Care quality and safety in long-term aged care settings: a systematic review and narrative analysis of missed care measurements.
Citation Text:
Wang X, Rihari‐Thomas J, Bail K, et al. Care quality and safety in long‐term aged care settings: a systematic review and narrative analys…
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psnet.ahrq.gov/issue/communication-and-birth-experiences-among-black-birthing-people-who-experienced-preterm-birth
September 23, 2020 - Study
Communication and birth experiences among Black birthing people who experienced preterm birth.
Citation Text:
Gregory EF, Johnson GT, Barreto A, et al. Communication and birth experiences among Black birthing people who experienced preterm birth. Ann Fam Med. 2024;22(1):31-36. doi:…
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psnet.ahrq.gov/issue/identifying-boundary-spanning-reporter-roles-patient-safety-events
December 07, 2022 - Study
Identifying boundary spanning reporter roles in patient safety events.
Citation Text:
Hurley VB, Boxley C, Sloss EA, et al. Identifying boundary spanning reporter roles in patient safety events. J Patient Saf Risk Manag. 2022;27(4):181-187. doi:10.1177/25160435221103096.
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psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how-can-informal
March 14, 2012 - Review
Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review.
Citation Text:
de Feijter JM, de Grave WS, Koopmans RP, et al. Informal learning from error in hospitals: what do we learn, how do we learn…
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psnet.ahrq.gov/issue/do-leadership-style-unit-climate-and-safety-climate-contribute-safe-medication-practices
May 13, 2020 - Study
Do leadership style, unit climate, and safety climate contribute to safe medication practices?
Citation Text:
Farag A, Tullai-McGuinness S, Anthony MK, et al. Do Leadership Style, Unit Climate, and Safety Climate Contribute to Safe Medication Practices? J Nurs Adm. 2017;47(1):8-15.…
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psnet.ahrq.gov/issue/psychological-safety-during-test-new-work-processes-emergency-department
September 08, 2021 - Study
Psychological safety during the test of new work processes in an emergency department.
Citation Text:
Dieckmann P, Tulloch S, Dalgaard AE, et al. Psychological safety during the test of new work processes in an emergency department. BMC Health Serv Res. 2022;22(1):307. doi:10.1186/…
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psnet.ahrq.gov/issue/interprofessional-staff-perspectives-adoption-or-black-box-technology-and-simulations-improve
May 21, 2009 - Study
Interprofessional staff perspectives on the adoption of OR black box technology and simulations to improve patient safety: a multi-methods survey.
Citation Text:
Campbell K, Gardner A, Scott DJ, et al. Interprofessional staff perspectives on the adoption of or black box technology …
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psnet.ahrq.gov/issue/chronic-pain-diagnoses-and-opioid-dispensings-among-insured-individuals-serious-mental
November 29, 2023 - Study
Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness.
Citation Text:
Owen-Smith A, Stewart C, Sesay MM, et al. Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. BMC Psych. 2020;20(1):4…
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psnet.ahrq.gov/issue/risk-factors-wrong-patient-medication-orders-emergency-department
June 08, 2022 - Study
Risk factors for wrong-patient medication orders in the emergency department.
Citation Text:
Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103.
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psnet.ahrq.gov/issue/use-medical-emergency-teams-medical-and-surgical-patients-impact-patient-nurse-and
November 09, 2011 - Study
The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics.
Citation Text:
Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, et al. The use of medical emergency teams in medical and surgical patients: impact of patient,…
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psnet.ahrq.gov/issue/use-paediatric-early-warning-systems-great-britain-has-there-been-change-practice-last-7
September 23, 2020 - Study
Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years?
Citation Text:
Roland D, Oliver A, Edwards ED, et al. Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 yea…
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psnet.ahrq.gov/issue/translating-staff-experience-organisational-improvement-heads-stepped-wedge-cluster
April 24, 2018 - Study
Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial.
Citation Text:
Pannick S, Athanasiou T, Long SJ, et al. Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, clus…
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psnet.ahrq.gov/issue/impact-patient-safety-climate-infection-prevention-practices-and-healthcare-worker-and
February 13, 2019 - Study
Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes.
Citation Text:
Hessels AJ, Guo J, Johnson CT, et al. Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes. Am J In…
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psnet.ahrq.gov/issue/multicomponent-pharmacist-intervention-did-not-reduce-clinically-important-medication-errors
March 17, 2021 - Study
Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants.
Citation Text:
Kapoor A, Patel P, Mbusa D, et al. Multicomponent pharmacist intervention did not reduce clinically important m…
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psnet.ahrq.gov/issue/health-system-leaders-role-addressing-racism-time-prioritize-eliminating-health-care
March 20, 2019 - Commentary
Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities.
Citation Text:
Austin JM, Weeks K, Pronovost PJ. Health System Leaders’ Role in Addressing Racism: Time to Prioritize Eliminating Health Care Disparities. Jt Comm J Qual …
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psnet.ahrq.gov/issue/facilitated-self-reported-anaesthetic-medication-errors-and-after-implementation-safety
February 09, 2011 - Study
Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system.
Citation Text:
Bowdle TA, Jelacic S, Nair B, et al. Facilitated self-reported anaesthetic medication errors before and after implementation of…