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psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
August 12, 2020 - Study
Diffusing aviation innovations in a hospital in the Netherlands.
Citation Text:
de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47.
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psnet.ahrq.gov/issue/incidence-speech-recognition-errors-emergency-department
February 14, 2017 - Study
Incidence of speech recognition errors in the emergency department.
Citation Text:
Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J Med Inform. 2016;93:70-73. doi:10.1016/j.ijmedinf.2016.05.005.
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psnet.ahrq.gov/issue/bridging-gap-leveraging-business-intelligence-tools-support-patient-safety-and-financial
February 15, 2011 - Commentary
Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness.
Citation Text:
Ferranti JM, Langman MK, Tanaka D, et al. Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effe…
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psnet.ahrq.gov/issue/how-informatics-nurses-use-bar-code-technology-reduce-medication-errors
August 04, 2021 - Commentary
How informatics nurses use bar code technology to reduce medication errors.
Citation Text:
Gann M. How informatics nurses use bar code technology to reduce medication errors. Nursing (Brux). 2015;45(3):60-6. doi:10.1097/01.NURSE.0000458923.18468.37.
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psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports-patient-safety
January 20, 2011 - Study
Impact of system-level activities and reporting design on the number of incident reports for patient safety.
Citation Text:
Fukuda H, Imanaka Y, Hirose M, et al. Impact of system-level activities and reporting design on the number of incident reports for patient safety. Qual Saf …
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psnet.ahrq.gov/issue/utilization-seniors-falls-investigation-methodology-identify-system-wide-causes-falls
November 21, 2014 - Study
Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors.
Citation Text:
Zecevic AA, Salmoni AW, Lewko JH, et al. Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of f…
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psnet.ahrq.gov/issue/matching-identifiers-electronic-health-records-implications-duplicate-records-and-patient
October 13, 2015 - Study
Matching identifiers in electronic health records: implications for duplicate records and patient safety.
Citation Text:
McCoy AB, Wright A, Kahn MG, et al. Matching identifiers in electronic health records: implications for duplicate records and patient safety. BMJ Qual Saf. 20…
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psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
April 24, 2019 - Study
The use of a checklist in a pediatric oncology clinic.
Citation Text:
McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657.
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psnet.ahrq.gov/issue/using-medical-emergency-teams-detect-preventable-adverse-events
December 06, 2017 - Study
Using Medical Emergency Teams to detect preventable adverse events.
Citation Text:
Iyengar A, Baxter A, Forster AJ. Using Medical Emergency Teams to detect preventable adverse events. Crit Care. 2009;13(4):R126. doi:10.1186/cc7983.
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psnet.ahrq.gov/issue/examination-how-survey-can-spur-culture-changes-using-quality-improvement-approach-region
September 29, 2010 - Study
Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture.
Citation Text:
Pringle J, Weber RJ, Rice K, et al. Examination of how a survey can spur culture changes using a quality impro…
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psnet.ahrq.gov/issue/inappropriate-medication-use-elderly-results-quality-improvement-project-99-primary-care
January 18, 2013 - Study
Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices.
Citation Text:
Wessell AM, Nietert PJ, Jenkins RG, et al. Inappropriate medication use in the elderly: Results from a quality improvement project in 99 primary ca…
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psnet.ahrq.gov/issue/hospital-readmissions-physician-awareness-and-communication-practices
December 19, 2009 - Study
Classic
Hospital readmissions: physician awareness and communication practices.
Citation Text:
Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s1…
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psnet.ahrq.gov/issue/triangulating-case-finding-tools-patient-safety-surveillance-cross-sectional-case-study
February 08, 2012 - Study
Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration.
Citation Text:
Taylor JA, Gerwin D, Morlock L, et al. Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/…
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psnet.ahrq.gov/issue/comparative-performance-pediatric-weight-estimation-techniques-human-factor-errors-analysis
March 30, 2022 - Study
Comparative performance of pediatric weight estimation techniques: a human factor errors analysis.
Citation Text:
Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 201…
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psnet.ahrq.gov/issue/preventing-medication-errors-quality-chasm-series
January 04, 2009 - Book/Report
Classic
Preventing Medication Errors: Quality Chasm Series.
Citation Text:
Preventing Medication Errors: Quality Chasm Series. Aspden P, Wolcott J, Bootman JL, et al, eds; Institute of Medicine, Committee on Identifying and Preventing Medication …
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psnet.ahrq.gov/issue/debriefing-emergency-department-after-clinical-events-practical-guide
November 16, 2022 - Commentary
Debriefing in the emergency department after clinical events: a practical guide.
Citation Text:
Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10…
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psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
August 28, 2024 - Study
Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration.
Citation Text:
Dunn EJ, Moga PJ. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis …
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psnet.ahrq.gov/issue/making-healthcare-safer-iii
March 27, 2019 - Book/Report
Making Healthcare Safer III.
Citation Text:
Making Healthcare Safer III. Holmes A, Long A, Wyant B, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0029-EF.
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hcup-us.ahrq.gov/db/vars/cm_drug/kidnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes
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hcup-us.ahrq.gov/db/vars/cm_drug/nrdnote.jsp
August 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NRD Notes
An official website of the Department of Health & Human Services
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