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psnet.ahrq.gov/issue/identification-and-safe-storage-look-alike-sound-alike-medicines-automated-dispensing
June 23, 2009 - Study
Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets.
Citation Text:
Ruutiainen HK, Kallio MM, Kuitunen SK. Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. Eur J Hosp Pharm. 2021…
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psnet.ahrq.gov/issue/whats-name-provider-perception-injured-john-doe-patients
September 27, 2017 - Study
What's in a name? Provider perception of injured John Doe patients.
Citation Text:
Janowak CF, Agarwal SK, Zarzaur BL. What's in a Name? Provider Perception of Injured John Doe Patients. J Surg Res. 2019;238:218-223. doi:10.1016/j.jss.2019.01.027.
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hcup-us.ahrq.gov/news/exhibit_booth/NASSBrochure_031220.pdf
March 18, 2020 - PowerPoint Presentation
What is the NASS?
The Nationwide Ambulatory Surgery Sample
(NASS) is part of the family of databases and
software tools developed for the Healthcare Cost
and Utilization Project (HCUP). The NASS
produces national estimates of major ambulatory
surgery encounters performed in hospital-owned
faci…
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psnet.ahrq.gov/issue/making-residents-part-safety-culture-improving-error-reporting-and-reducing-harms
April 24, 2018 - Commentary
Making residents part of the safety culture: improving error reporting and reducing harms.
Citation Text:
Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1…
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psnet.ahrq.gov/issue/high-alert-medication-administration-and-intravenous-smart-pumps-descriptive-analysis
December 12, 2018 - Study
High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice.
Citation Text:
Marwitz KK, Giuliano KK, Su W-T, et al. High-alert medication administration and intravenous smart pumps: A descriptive analysis of clinical practice. Res S…
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psnet.ahrq.gov/issue/development-and-early-experience-intervention-facilitate-teamwork-between-general-practices
June 29, 2011 - Study
Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study.
Citation Text:
Harris MF, Chan BC, Daniel C, et al. Development and early experience from an intervention to facilitate teamwor…
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psnet.ahrq.gov/issue/operating-room-organization-and-surgical-performance-systematic-review
March 05, 2025 - Review
Operating room organization and surgical performance: a systematic review.
Citation Text:
Pasquer A, Ducarroz S, Lifante JC, et al. Operating room organization and surgical performance: a systematic review. Patient Saf Surg. 2024;18(1):5. doi:10.1186/s13037-023-00388-3.
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psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital-transport-critically
March 15, 2016 - Study
A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients.
Citation Text:
Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of…
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psnet.ahrq.gov/issue/problems-health-information-technology-and-their-effects-care-delivery-and-patient-outcomes
February 14, 2024 - Review
Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review.
Citation Text:
Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic r…
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psnet.ahrq.gov/issue/outcomes-based-nurse-staffing-during-times-crisis-and-beyond
March 11, 2020 - Study
Outcomes-based nurse staffing during times of crisis and beyond.
Citation Text:
Dempsey C, Batten P. Outcomes-based nurse staffing during times of crisis and beyond. J Nurs Adm. 2022;52(2):91-98. doi:10.1097/nna.0000000000001114.
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psnet.ahrq.gov/issue/cognitive-errors-detected-anaesthesiology-literature-review-and-pilot-study
November 21, 2012 - Study
Cognitive errors detected in anaesthesiology: a literature review and pilot study.
Citation Text:
Stiegler MP, Neelankavil JP, Canales C, et al. Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth. 2012;108(2):229-35. doi:10.1093/bja/ae…
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psnet.ahrq.gov/issue/effect-medication-errors-pharmacists-charting-medication-emergency-department
November 16, 2022 - Study
The effect on medication errors of pharmacists charting medication in an emergency department.
Citation Text:
Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci. 2009;31(3):373-9.…
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psnet.ahrq.gov/issue/reducing-readmission-academic-medical-center-results-pharmacy-facilitated-discharge
August 04, 2021 - Study
Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program.
Citation Text:
Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilita…
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psnet.ahrq.gov/issue/sustained-impact-pediatric-resident-led-patient-safety-council
March 21, 2017 - Study
Sustained impact of a pediatric resident-led patient safety council.
Citation Text:
Parente V, Feeney C, Page L, et al. Sustained Impact of a Pediatric Resident-Led Patient Safety Council. J Patient Saf. 2021;17(8):e1346-e1357. doi:10.1097/PTS.0000000000000495.
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hcup-us.ahrq.gov/news/exhibit_booth/KIDBrochure_050218.pdf
May 16, 2018 - What is the KID?
The Kids' Inpatient Database (KID) is part of the
family of databases and software tools developed
for the Healthcare Cost and Utilization Project
(HCUP). The KID is the largest publicly available
all-payer pediatric inpatient care database in the
United States, containing data from approximately
three…
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hcup-us.ahrq.gov/db/vars/age_neonate/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
…
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hcup-us.ahrq.gov/db/vars/ccsmgnn/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
…
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psnet.ahrq.gov/issue/using-near-miss-events-improve-mri-safety-large-academic-centre
May 31, 2017 - Commentary
Using near-miss events to improve MRI safety in a large academic centre.
Citation Text:
Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593.
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psnet.ahrq.gov/issue/passing-yo-mama-test
February 15, 2023 - Commentary
Passing the "Yo' Mama" test.
Citation Text:
Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18.
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psnet.ahrq.gov/issue/burden-hospitalizations-related-adverse-drug-events-usa-retrospective-analysis-large
April 15, 2020 - Study
Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database.
Citation Text:
Poudel DR, Acharya P, Ghimire S, et al. Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from l…