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psnet.ahrq.gov/issue/telemedicine-vs-telephone-consultations-and-medication-prescribing-errors-among-referring
September 23, 2020 - Study
Telemedicine vs telephone consultations and medication prescribing errors among referring physicians: a cluster randomized crossover trial.
Citation Text:
Marcin JP, Lieng MK, Mouzoon J, et al. Telemedicine vs telephone consultations and medication prescribing errors among referrin…
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psnet.ahrq.gov/issue/how-do-nurses-use-early-warning-scoring-systems-detect-and-act-patient-deterioration-ensure
June 16, 2021 - Review
Emerging Classic
How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review.
Citation Text:
Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect an…
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psnet.ahrq.gov/issue/identifying-avoidable-harm-family-practice-randucla-appropriateness-method-consensus-study
December 16, 2020 - Study
Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study.
Citation Text:
Carson-Stevens A, Campbell S, Bell BG, et al. Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. BMC Fam Pract. 2019…
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psnet.ahrq.gov/issue/identifying-safe-care-processes-when-gps-work-or-alongside-emergency-departments-realist
January 12, 2022 - Study
Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation.
Citation Text:
Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Br J Ge…
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psnet.ahrq.gov/issue/incidence-and-or-team-awareness-near-miss-and-retained-surgical-sharps-national-survey-united
December 02, 2020 - Study
Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms.
Citation Text:
Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United …
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psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and
February 15, 2023 - Study
Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement.
Citation Text:
Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement…
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psnet.ahrq.gov/issue/case-controlled-study-relatives-complaints-concerning-patients-who-died-hospital-role
November 16, 2022 - Study
A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning.
Citation Text:
Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died i…
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psnet.ahrq.gov/issue/promoting-patient-safety-through-effective-health-information-technology-risk-management
May 25, 2016 - Government Resource
Promoting Patient Safety Through Effective Health Information Technology Risk Management.
Citation Text:
Promoting Patient Safety Through Effective Health Information Technology Risk Management. Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND…
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psnet.ahrq.gov/issue/errors-associated-outpatient-computerized-prescribing-systems
June 28, 2010 - Study
Classic
Errors associated with outpatient computerized prescribing systems.
Citation Text:
Nanji KC, Rothschild JM, Salzberg C, et al. Errors associated with outpatient computerized prescribing systems. J Am Med Inform Assoc. 2011;18(6):767-73. doi:10.1136…
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psnet.ahrq.gov/issue/classification-medication-incidents-associated-information-technology
November 23, 2012 - Study
Classification of medication incidents associated with information technology.
Citation Text:
Cheung K-C, van der Veen W, Bouvy ML, et al. Classification of medication incidents associated with information technology. J Am Med Inform Assoc. 2014;21(e1):e63-70. doi:10.1136/amiajnl-2…
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psnet.ahrq.gov/issue/physicians-experiences-mistreatment-and-discrimination-patients-families-and-visitors-and
October 26, 2022 - Study
Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and association with burnout.
Citation Text:
Dyrbye LN, West CP, Sinsky CA, et al. Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and a…
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psnet.ahrq.gov/issue/intensive-care-unit-nurses-information-needs-and-recommendations-integrated-displays-improve
March 01, 2011 - Study
Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness.
Citation Text:
Koch SH, Weir C, Haar M, et al. Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurs…
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psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis
December 16, 2020 - Study
Medication errors in the outpatient setting: classification and root cause analysis.
Citation Text:
Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284.
Cop…
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psnet.ahrq.gov/issue/clinicians-assessments-electronic-medication-safety-alerts-ambulatory-care
September 02, 2009 - Study
Clinicians' assessments of electronic medication safety alerts in ambulatory care.
Citation Text:
Weingart SN, Simchowitz B, Shiman L, et al. Clinicians' assessments of electronic medication safety alerts in ambulatory care. Arch Intern Med. 2009;169(17):1627-1632. doi:10.1001/arch…
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psnet.ahrq.gov/issue/concept-and-development-discharge-alert-filter-abnormal-laboratory-values-coupled
June 27, 2018 - Study
Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.
Citation Text:
Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge a…
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psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center
September 25, 2011 - Study
Surgical case listing accuracy: failure analysis at a high-volume academic medical center.
Citation Text:
Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archs…
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psnet.ahrq.gov/issue/research-designs-studies-evaluating-effectiveness-change-and-improvement-strategies
September 20, 2011 - Study
Classic
Research designs for studies evaluating the effectiveness of change and improvement strategies.
Citation Text:
Eccles M, Grimshaw J, Campbell M, et al. Research designs for studies evaluating the effectiveness of change and improvement strategies. …
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psnet.ahrq.gov/issue/impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study
December 21, 2014 - Study
Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.
Citation Text:
Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. d…
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psnet.ahrq.gov/issue/effectiveness-continuous-or-intermittent-vital-signs-monitoring-preventing-adverse-events
July 19, 2023 - Review
Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis.
Citation Text:
Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs monitorin…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0193_08-12-2009.pdf
January 01, 2009 - Effective Health Care
Topic Number(s): 0184-0193
Document Completion Date: 2-23-10
1
Results of Topic Selection Process & Next Steps
Interventions to improve prescription medication adherence will be considered for refinement as an
umbrella review of systematic reviews to outline current evi…