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psnet.ahrq.gov/issue/surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical
July 28, 2021 - Study
Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows.
Citation Text:
Gabrysz-Forget F, Young M, Zahabi S, et al. Surgical errors happen, but are learners trained to recover from them? A survey of North Amer…
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psnet.ahrq.gov/issue/association-hydrocodone-schedule-change-opioid-prescriptions-following-surgery
June 07, 2017 - Study
Association of hydrocodone schedule change with opioid prescriptions following surgery.
Citation Text:
Habbouche J, Lee JS, Steiger R, et al. Association of Hydrocodone Schedule Change With Opioid Prescriptions Following Surgery. JAMA Surg. 2018;153(12):1111-1119. doi:10.1001/jamas…
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psnet.ahrq.gov/issue/systematic-literature-review-effectiveness-and-safety-paediatric-hospital-home-care
December 12, 2014 - Review
Systematic literature review on the effectiveness and safety of paediatric hospital-at-home care as a substitute for hospital care.
Citation Text:
Detollenaere J, Van Ingelghem I, Van den Heede K, et al. Systematic literature review on the effectiveness and safety of paediatric ho…
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psnet.ahrq.gov/issue/screening-medication-errors-using-outlier-detection-system
December 18, 2019 - Study
Screening for medication errors using an outlier detection system.
Citation Text:
Schiff G, Volk LA, Volodarskaya M, et al. Screening for medication errors using an outlier detection system. J Am Med Inform Assoc. 2017;24(2):281-287. doi:10.1093/jamia/ocw171.
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www.ahrq.gov/research/findings/final-reports/index.html?page=21
January 01, 2024 - Grantee Final Reports: Patient Safety
Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety.
The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
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psnet.ahrq.gov/issue/predictors-adverse-events-patients-after-discharge-intensive-care-unit
December 08, 2021 - Study
Predictors of adverse events in patients after discharge from the intensive care unit.
Citation Text:
Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264.
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psnet.ahrq.gov/issue/care-transitions-intervention-translating-efficacy-effectiveness
August 18, 2021 - Study
Classic
The care transitions intervention: translating from efficacy to effectiveness.
Citation Text:
Voss R, Gardner R, Baier R, et al. The care transitions intervention: translating from efficacy to effectiveness. Arch Intern Med. 2011;171(14):1232-7. …
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www.ahrq.gov/es/tools/index.html?page=1
December 01, 2012 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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psnet.ahrq.gov/issue/frontline-nurses-clinical-judgment-recognizing-understanding-and-responding-patient
December 01, 2021 - Study
Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: a qualitative study.
Citation Text:
Dresser S, Teel C, Peltzer J. Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: …
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psnet.ahrq.gov/issue/exploration-rapid-response-team-model-care-descriptive-dual-methods-study
March 24, 2021 - Study
Exploration of a rapid response team model of care: a descriptive dual methods study.
Citation Text:
Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn…
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psnet.ahrq.gov/issue/multicentre-study-develop-medication-safety-package-decreasing-inpatient-harm-omission-time
May 18, 2022 - Study
Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time-critical medications.
Citation Text:
Graudins LV, Ingram C, Smith BT, et al. Multicentre study to develop a medication safety package for decreasing inpatient harm from omis…
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psnet.ahrq.gov/issue/relationships-between-comprehensive-characteristics-nurse-work-schedules-and-adverse-patient
October 06, 2010 - Review
Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic literature review.
Citation Text:
Bae S‐H. Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic …
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psnet.ahrq.gov/issue/decrease-hospital-wide-mortality-rate-after-implementation-commercially-sold-computerized
December 07, 2016 - Study
Classic
Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system.
Citation Text:
Longhurst CA, Parast L, Sandborg CI, et al. Decrease in hospital-wide mortality rate after implementation…
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www.ahrq.gov/es/tools/index.html?page=0
December 01, 2015 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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psnet.ahrq.gov/issue/fatigue-and-safety-paramedicine
December 16, 2020 - Study
Fatigue and safety in paramedicine.
Citation Text:
Donnelly EA, Bradford P, Davis M, et al. Fatigue and Safety in Paramedicine. CJEM. 2019;21(6):762-765. doi:10.1017/cem.2019.380.
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Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
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psnet.ahrq.gov/issue/routine-failures-process-blood-testing-and-communication-results-patients-primary-care-uk
November 20, 2015 - Study
Routine failures in the process for blood testing and the communication of results to patients in primary care in the UK: a qualitative
exploration of patient and provider perspectives.
Citation Text:
Litchfield I, Bentham L, Hill A, et al. Routine failures in the process for bloo…
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www.ahrq.gov/news/blog/ahrqviews/epc-program-evidence-reviews.html
January 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
AHRQ Evidence Reviews: Catalysts for Practice Change
JAN
19
2022
By
Lionel Bañez, M.D., and
David Meyers, M.D.
Lionel Bañez, M.D.
Medical research keeps advancing while clinicians are busy taking care of patients. It is a const…
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psnet.ahrq.gov/issue/experience-trigger-tool-identifying-adverse-drug-events-among-older-adults-ambulatory-primary
June 07, 2023 - Study
Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care.
Citation Text:
Singh R, McLean-Plunckett EA, Kee R, et al. Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary …
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-among-elderly-home-care-patients-europe
September 19, 2016 - Study
Potentially inappropriate medication use among elderly home care patients in Europe.
Citation Text:
Fialová D, Topinková E, Gambassi G, et al. Potentially inappropriate medication use among elderly home care patients in Europe. JAMA. 2005;293(11):1348-58.
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Form…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Educate & Engage Residents, Family
Toolkit To Educate and Engage Residents and Family Members
Tool 2. Talking With Residents’ Family Members—short checklist version
What are antibiotics?
• Antibiotics are medicines that fight infections caused by bacteria. Antibiot…