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psnet.ahrq.gov/issue/value-adding-verbal-report-written-handoffs-early-readmission-following-prolonged-respiratory
July 19, 2023 - Study
The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure.
Citation Text:
Hess DR, Tokarczyk A, O'Malley M, et al. The value of adding a verbal report to written handoffs on early readmission following prolonged respira…
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psnet.ahrq.gov/node/33653/psn-pdf
June 01, 2007 - In response to "Failure to Report" (March 2007)
June 1, 2007
Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/response-failure-report-march-2007
In response to "Failure to Report" (March 2007)
Letter
To the editors:
Dr. Sp…
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psnet.ahrq.gov/issue/hospital-implementation-computerized-provider-order-entry-systems-results-2003-leapfrog-group
November 21, 2021 - Study
Hospital implementation of computerized provider order entry systems: results from the 2003 Leapfrog Group quality and safety survey.
Citation Text:
Hillman JM, Given RS. Hospital implementation of computerized provider order entry systems: results from the 2003 leapfrog group qu…
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psnet.ahrq.gov/issue/implementation-and-adaptation-re-engineered-discharge-red-five-california-hospitals
August 04, 2021 - Study
Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study.
Citation Text:
Mitchell SE, Weigel GM, Laurens V, et al. Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a…
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psnet.ahrq.gov/issue/clinical-information-technologies-and-inpatient-outcomes-multiple-hospital-study
October 14, 2009 - Study
Clinical information technologies and inpatient outcomes: a multiple hospital study.
Citation Text:
Amarasingham R, Plantinga L, Diener-West M, et al. Clinical information technologies and inpatient outcomes: a multiple hospital study. Arch Intern Med. 2009;169(2):108-14. doi:10.10…
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psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review
May 23, 2018 - Review
Potential consequences of patient complications for surgeon well-being: a systematic review.
Citation Text:
Srinivasa S, Gurney J, Koea J. Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review. JAMA Surg. 2019;154(5):451-457. doi:10.1001/jamas…
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psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute-hospital-step-ladder
October 09, 2024 - Study
What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management?
Citation Text:
Hogan H, Olsen S, Scobie S, et al. What can we learn about patient safety from information sources within an acute hospital…
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psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review
March 13, 2013 - Review
Simulation exercises as a patient safety strategy: a systematic review.
Citation Text:
Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-2013…
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psnet.ahrq.gov/issue/barcoded-medication-administration-last-line-defense
November 06, 2015 - Commentary
Barcoded medication administration: a last line of defense.
Citation Text:
Cescon DW, Etchells E. Barcoded medication administration: a last line of defense. JAMA. 2008;299(18):2200-2. doi:10.1001/jama.299.18.2200.
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DOI Google Scholar PubMe…
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psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care
December 29, 2014 - Study
Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center.
Citation Text:
McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting…
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psnet.ahrq.gov/issue/application-human-factors-methods-ensure-appropriate-infant-identification-and-abduction
April 27, 2022 - Commentary
Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting.
Citation Text:
Webster KLW, Stikes R, Bunnell L, et al. Application of human factors methods to ensure appropriate infant identification and a…
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psnet.ahrq.gov/issue/patient-notification-bloodborne-pathogen-testing-due-unsafe-injection-practices-us-health
February 02, 2011 - Study
Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011.
Citation Text:
Guh AY, Thompson ND, Schaefer MK, et al. Patient notification for bloodborne pathogen testing due to unsafe injection practices in the …
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psnet.ahrq.gov/issue/interprofessional-handover-and-patient-safety-anaesthesia-observational-study-handovers
April 18, 2011 - Study
Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room.
Citation Text:
Smith AF, Pope C, Goodwin D, et al. Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery r…
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psnet.ahrq.gov/issue/unprecedented-solutions-extraordinary-times-helping-long-term-care-settings-deal-covid-19
January 12, 2022 - Commentary
Emerging Classic
Unprecedented solutions for extraordinary times: helping long-term care settings deal with the COVID-19 pandemic.
Citation Text:
Gaur S, Dumyati G, Nace DA, et al. Unprecedented solutions for extraordinary times: helping long-term car…
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psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system
January 19, 2022 - Study
Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system.
Citation Text:
Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Q…
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psnet.ahrq.gov/issue/nursing-strategies-safeguard-covid-19-patients-harm-intensive-care-unit
July 31, 2013 - Commentary
Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit.
Citation Text:
Shiner D, Bock B, Simpson C, et al. Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. Crit Care Nurs Q. 2021;45(1):13-21. doi:10.1097/cn…
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psnet.ahrq.gov/issue/examining-causes-and-prevention-strategies-adverse-events-deceased-hospital-patients
June 08, 2022 - Study
Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands.
Citation Text:
Smits M, Langelaan M, de Groot J, et al. Examining causes and prevention strategies of adverse events in deceas…
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psnet.ahrq.gov/issue/seen-through-their-eyes-residents-reflections-cognitive-and-contextual-components-diagnostic
November 18, 2013 - Study
Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine.
Citation Text:
Ogdie AR, Reilly JB, Pang WG, et al. Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic…
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psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
May 24, 2015 - Study
Medication errors involving patient-controlled analgesia.
Citation Text:
Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194.
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psnet.ahrq.gov/issue/patient-and-public-involvement-healthcare-systematic-mapping-review-systematic-reviews
August 24, 2016 - Study
Patient and public involvement in healthcare: a systematic mapping review of systematic reviews - identification of current research and possible directions for future research.
Citation Text:
Bergholtz J, Wolf A, Crine V, et al. Patient and public involvement in healthcare: a syst…