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psnet.ahrq.gov/issue/improving-patient-safety-identifying-side-effects-introducing-bar-coding-medication
March 11, 2011 - Study
Classic
Improving patient safety by identifying side effects from introducing bar coding in medication administration.
Citation Text:
Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar coding in me…
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psnet.ahrq.gov/issue/benefits-health-information-technology-review-recent-literature-shows-predominantly-positive
December 21, 2018 - Review
Classic
The benefits of health information technology: a review of the recent literature shows predominantly positive results.
Citation Text:
Buntin MB, Burke MF, Hoaglin MC, et al. The Benefits Of Health Information Technology: A Review Of The Recent Lit…
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psnet.ahrq.gov/issue/combined-teamwork-training-and-work-standardisation-intervention-operating-theatres
January 20, 2015 - Study
A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series study.
Citation Text:
Morgan L, Pickering S, Hadi M, et al. A combined teamwork training and work standardisation intervention in operating theatres: control…
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psnet.ahrq.gov/issue/operational-failures-and-interruptions-hospital-nursing
November 03, 2021 - Study
Operational failures and interruptions in hospital nursing.
Citation Text:
Tucker AL, Spear SJ. Operational failures and interruptions in hospital nursing. Health Serv Res. 2006;41(3 Pt 1):643-662.
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psnet.ahrq.gov/issue/physicians-attitudes-towards-copy-and-pasting-electronic-note-writing
March 04, 2015 - Study
Physicians' attitudes towards copy and pasting in electronic note writing.
Citation Text:
O'Donnell HC, Kaushal R, Barrón Y, et al. Physicians' attitudes towards copy and pasting in electronic note writing. J Gen Intern Med. 2009;24(1):63-8. doi:10.1007/s11606-008-0843-2.
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psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
April 08, 2011 - Study
A trigger tool to identify adverse events in the intensive care unit.
Citation Text:
Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…
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psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors-process-drug
August 23, 2017 - Study
Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients.
Citation Text:
Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, et al. Using Healthcare Failure Mo…
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psnet.ahrq.gov/issue/evaluation-shared-mental-models-and-mutual-trust-general-medical-units-implications
November 08, 2012 - Study
An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety.
Citation Text:
McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust on General Medical Units: …
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psnet.ahrq.gov/issue/are-informed-policies-place-promote-safe-and-usable-ehrs-cross-industry-comparison
September 19, 2018 - Study
Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison.
Citation Text:
Savage EL, Fairbanks RJ, Ratwani RM. Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. J Am Med Inform Assoc. 2017;24(4):769-775. d…
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psnet.ahrq.gov/issue/understanding-informal-aspects-medication-processes-maintain-patient-safety-hospitals
March 06, 2024 - Study
Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units.
Citation Text:
Sutherland AB, Phipps DL, Grant S, et al. Understanding the informal aspects of medication processes to mainta…
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psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm-associated-medication
August 28, 2024 - Commentary
Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC).
Citation Text:
Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with Medication Errors: The H…
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psnet.ahrq.gov/issue/association-safety-culture-surgical-site-infection-outcomes
October 23, 2024 - Study
Classic
Association of safety culture with surgical site infection outcomes.
Citation Text:
Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcoll…
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psnet.ahrq.gov/issue/factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-study
August 26, 2020 - Study
Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives.
Citation Text:
Engle RL, Gillespie C, Clark VA, et al. Factors differentiating nursing homes with strong resident safety climate: a qualitative study…
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hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit2_2.jsp
January 01, 2008 - Facts and Figures Exhibit 2.2
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/safety-ii-behavior-pediatric-intensive-care-unit
January 12, 2022 - Study
Safety II behavior in a pediatric intensive care unit.
Citation Text:
Merandi J, Vannatta K, Davis T, et al. Safety II Behavior in a Pediatric Intensive Care Unit. Pediatrics. 2018;141(6):e20180018. doi:10.1542/peds.2018-0018.
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psnet.ahrq.gov/issue/opioid-prescribing-practices-2010-through-2015-among-dentists-united-states-what-do-claims
December 20, 2017 - Study
Emerging Classic
Opioid prescribing practices from 2010 through 2015 among dentists in the United States: what do claims data tell us?
Citation Text:
Gupta N, Vujicic M, Blatz A. Opioid prescribing practices from 2010 through 2015 among dentists in the Uni…
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psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-support
July 01, 2017 - Review
Emerging Classic
Improving medication-related clinical decision support.
Citation Text:
Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FL24ProcessFlowchart.jsp
April 24, 2011 - Florida AHCA/AHRQ Project
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/standardized-orders-titrating-vasopressors-do-efforts-improve-safety-slow-delivery-care
March 20, 2019 - Commentary
Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care?
Citation Text:
Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):5…
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psnet.ahrq.gov/issue/timeout-procedure-paediatric-surgery-effective-tool-or-lip-service-randomised-prospective
April 06, 2022 - Study
Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study.
Citation Text:
Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observa…