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psnet.ahrq.gov/issue/nurse-workarounds-electronic-health-record-integrative-review
November 18, 2020 - Review
Nurse workarounds in the electronic health record: an integrative review.
Citation Text:
Fraczkowski D, Matson J, Lopez KD. Nurse workarounds in the electronic health record: an integrative review. J Am Med Inform Assoc. 2020;27(7):1149-1165. doi:10.1093/jamia/ocaa050.
Copy Cita…
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psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review
March 23, 2012 - Review
Classic
Failure to follow-up test results for ambulatory patients: a systematic review.
Citation Text:
Callen JL, Westbrook JI, Georgiou A, et al. Failure to Follow-Up Test Results for Ambulatory Patients: A Systematic Review. J Gen Intern Med. 2011;27(10…
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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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digital.ahrq.gov/ahrq-funded-projects/pharmaceutical-safety-tracking-phast-managing-medications-patient-safety/annual-summary/2010
January 01, 2010 - Pharmaceutical Safety Tracking (PhaST): Managing Medications for Patient Safety - 2010
Project Name
Pharmaceutical Safety Tracking (PhaST): Managing Medications for Patient Safety
Principal Investigator
Gardner, William
Organization
Research Institute at Nationwide Children’s…
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psnet.ahrq.gov/issue/medication-reconciliation-geriatric-unit-impact-maintenance-post-hospitalization
December 01, 2021 - Study
Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions.
Citation Text:
Montaleytang M, Correard F, Spiteri C, et al. Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescrip…
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psnet.ahrq.gov/issue/quality-initiative-system-wide-reduction-serious-medication-events-through-targeted
April 10, 2024 - Study
A quality initiative: a system-wide reduction in serious medication events through targeted simulation training.
Citation Text:
Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. S…
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psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication
February 16, 2022 - Review
The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging.
Citation Text:
Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…
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psnet.ahrq.gov/issue/just-what-doctor-ordered-missed-ordering-venous-thromboembolism-chemoprophylaxis-associated
September 07, 2022 - Study
Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients.
Citation Text:
Baimas-George MR, Ross SW, Yang H, et al. Just what the doctor ordered: missed ordering of venous t…
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psnet.ahrq.gov/issue/nurses-harm-prevention-practices-during-admission-older-person-hospital-multi-method
May 11, 2022 - Study
Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study.
Citation Text:
Redley B, Douglas T, Hoon L, et al. Nurses' harm prevention practices during admission of an older person to the hospital: a multi‐method qualitat…
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psnet.ahrq.gov/issue/impact-computerised-physician-order-entry-cpoe-incidence-chemotherapy-related-medication
May 25, 2022 - Review
Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review.
Citation Text:
Srinivasamurthy SK, Ashokkumar R, Kodidela S, et al. Impact of computerised physician order entry (CPOE) on the incidence of chemothe…
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psnet.ahrq.gov/issue/evaluation-quality-do-not-use-medication-abbreviation-audits-key-enabler-successful
September 15, 2021 - Study
Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback.
Citation Text:
Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler…
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psnet.ahrq.gov/issue/adverse-events-intensive-care-and-continuing-care-units-during-bed-bath-procedures
March 05, 2025 - Study
Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study.
Citation Text:
Decormeille G, Maurer-Maouchi V, Mercier G, et al. Adverse events in intensive care and continuing care u…
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psnet.ahrq.gov/issue/exploring-new-avenues-assess-sharp-end-patient-safety-analysis-nationally-aggregated-peer
December 21, 2014 - Study
Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data.
Citation Text:
Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer revi…
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digital.ahrq.gov/ahrq-funded-projects/first-do-no-harm-using-health-information-technology-reduce-use-preventive
January 01, 2023 - "First, Do No Harm": Using Health Information Technology to Reduce Use of Preventive Services with Potential Harms
Project Description
Annual Summaries
Project Details -
Completed
Contract Number
290-09-00032U
Funding Mechanism(s)
…
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psnet.ahrq.gov/issue/impact-drug-shortages-children-cancer-example-mechlorethamine
February 15, 2023 - Study
The impact of drug shortages on children with cancer—the example of mechlorethamine.
Citation Text:
Metzger ML, Billett A, Link MP. The impact of drug shortages on children with cancer--the example of mechlorethamine. N Engl J Med. 2012;367(26):2461-2463. doi:10.1056/NEJMp1212468. …
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psnet.ahrq.gov/issue/attitudes-and-barriers-medical-emergency-team-system-tertiary-paediatric-hospital
April 11, 2011 - Study
Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital.
Citation Text:
Azzopardi P, Kinney S, Moulden A, et al. Attitudes and barriers to a Medical Emergency Team system at a tertiary paediatric hospital. Resuscitation. 2011;82(2):167-74. doi:…
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psnet.ahrq.gov/issue/association-between-transfer-emergency-department-boarders-inpatient-hallways-and-mortality-4
October 28, 2020 - Study
The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.
Citation Text:
Viccellio A, Santora C, Singer AJ, et al. The association between transfer of emergency department boarders to inpatient hallways and mortali…
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psnet.ahrq.gov/issue/effect-burnout-among-physicians-observed-adverse-patient-outcomes-literature-review
October 27, 2021 - Review
Effect of burnout among physicians on observed adverse patient outcomes: a literature review.
Citation Text:
Mangory KY, Ali LY, Rø KI, et al. Effect of burnout among physicians on observed adverse patient outcomes: a literature review. BMC Health Serv Res. 2021;21(1):369. doi:10.…
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psnet.ahrq.gov/issue/hacking-teamwork-health-care-addressing-adverse-effects-ad-hoc-team-composition-critical-care
October 11, 2023 - Study
Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine.
Citation Text:
McLeod PL, Cunningham QW, DiazGranados D, et al. Hacking teamwork in health care: Addressing adverse effects of ad hoc team composition in critical care …
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psnet.ahrq.gov/issue/postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive-care-unit
October 05, 2022 - Study
Postdischarge adverse events among neonates admitted to the neonatal intensive care unit.
Citation Text:
Tsilimingras D, Natarajan G, Bajaj M, et al. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. J Patient Saf. 2022;18(5):462-469. doi:10.…