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psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-and-team-intervention-prevention-serious-medication
February 10, 2011 - Study
Classic
Effect of computerized physician order entry and a team intervention on prevention of serious medication errors.
Citation Text:
Bates DW, Leape L, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on preventio…
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psnet.ahrq.gov/issue/effectiveness-pharmacist-intervention-reduce-medication-errors-and-health-care-resources
August 04, 2021 - Review
Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials.
Citation Text:
De Oliveira GS, Castro-Alves LJ, Kendall MC, et al. Effectiveness of Pharmacist Int…
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psnet.ahrq.gov/issue/impact-rudeness-medical-team-performance-randomized-trial
April 24, 2018 - Study
Classic
The impact of rudeness on medical team performance: a randomized trial.
Citation Text:
Riskin A, Erez A, Foulk T, et al. The impact of rudeness on medical team performance: a randomized trial. Pediatrics. 2015;136(3):487-495. doi:10.1542/peds.2015-…
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psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015
January 23, 2019 - Study
Classic
Increases in drug and opioid overdose deaths—United States, 2000–2015.
Citation Text:
Rudd RA, Seth P, David F, et al. Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. MMWR Morb Mortal Wkly Rep. 2016;65(50-51):1445-…
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psnet.ahrq.gov/issue/association-between-sleep-health-and-rates-self-reported-medical-errors-intern-physicians
February 07, 2024 - Study
Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study.
Citation Text:
Hassinger AB, Velez C, Wang J, et al. Association between sleep health and rates of self-reported medical errors in inte…
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psnet.ahrq.gov/issue/effective-implementation-work-hour-limits-and-systemic-improvements
September 28, 2010 - Study
Classic
Effective implementation of work-hour limits and systemic improvements.
Citation Text:
Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl…
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psnet.ahrq.gov/issue/safety-and-efficiency-new-generic-package-labelling-and-after-study-simulated-setting
January 08, 2025 - Study
Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting.
Citation Text:
Garcia BH, Elenjord R, Bjornstad C, et al. Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. BMJ Qual S…
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psnet.ahrq.gov/issue/preventability-and-causes-readmissions-national-cohort-general-medicine-patients
January 25, 2017 - Study
Classic
Preventability and causes of readmissions in a national cohort of general medicine patients.
Citation Text:
Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National Cohort of General Medicine Patients…
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psnet.ahrq.gov/issue/quasi-experimental-evaluation-effectiveness-large-scale-readmission-reduction-program
January 07, 2015 - Study
Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program.
Citation Text:
Jenq GY, Doyle MM, Belton BM, et al. Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale Readmission Reduction Program. JAMA Intern Med. 2016;176(5):681…
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psnet.ahrq.gov/issue/effect-cognitive-aids-adherence-best-practice-treatment-deteriorating-surgical-patients
September 30, 2020 - Study
Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting.
Citation Text:
Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the T…
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psnet.ahrq.gov/issue/improving-timely-recognition-and-treatment-sepsis-pediatric-icu
December 09, 2020 - Study
Improving timely recognition and treatment of sepsis in the pediatric ICU.
Citation Text:
Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU. Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005. …
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psnet.ahrq.gov/issue/handoff-protocol-cardiovascular-operating-room-cardiac-icu-associated-improvements-care
December 09, 2020 - Study
A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period.
Citation Text:
Kaufmnan J, Twite M, Barrett C, et al. A handoff protocol from the cardiovascular operating room to cardiac I…
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psnet.ahrq.gov/issue/application-trigger-tool-near-real-time-inform-quality-improvement-activities-prospective
September 26, 2012 - Study
Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward.
Citation Text:
Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality improvement activities: a p…
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psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety
January 16, 2019 - Commentary
Classic
Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety.
Citation Text:
Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. H…
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psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study
July 17, 2013 - Study
Classic
Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients.
Citation Text:
Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of ala…
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psnet.ahrq.gov/issue/evaluating-alert-fatigue-over-time-ehr-based-clinical-trial-alerts-findings-randomized
April 29, 2018 - Study
Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study.
Citation Text:
Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. J Am Med Inform…
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psnet.ahrq.gov/issue/overall-performance-drug-drug-interaction-clinical-decision-support-system-quantitative
August 10, 2022 - Study
Overall performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey.
Citation Text:
Van De Sijpe G, Quintens C, Walgraeve K, et al. Overall performance of a drug–drug interaction clinical decision support system: quantitative…
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psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-among-older-persons-ambulatory-setting
March 11, 2011 - Study
Classic
Incidence and preventability of adverse drug events among older persons in the ambulatory setting.
Citation Text:
Gurwitz JH, Field T, Harrold LR, et al. Incidence and Preventability of Adverse Drug Events Among Older Persons in the Ambulatory Se…
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psnet.ahrq.gov/issue/effect-structured-medication-review-followed-face-face-feedback-prescribers-adverse-drug
January 18, 2013 - Study
The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study.
Citation Text:
Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect o…
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psnet.ahrq.gov/issue/drug-drug-interactions-should-be-non-interruptive-order-reduce-alert-fatigue-electronic
December 31, 2014 - Study
Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records.
Citation Text:
Phansalkar S, van der Sijs H, Tucker AD, et al. Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic…