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psnet.ahrq.gov/issue/systematic-review-performance-characteristics-clinical-event-monitor-signals-used-detect
March 28, 2012 - Review
A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting.
Citation Text:
Handler S, Altman RL, Perera S, et al. A systematic review of the performance characteristics of clinical event mon…
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psnet.ahrq.gov/issue/do-trainees-feel-they-belong-team
August 16, 2017 - Study
Do trainees feel that they belong to a team?
Citation Text:
Price S, Lusznat R. Do trainees feel that they belong to a team? The Clin Teach. 2018;15(3):240-244. doi:10.1111/tct.12664.
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psnet.ahrq.gov/issue/high-cost-low-frequency-events-anatomy-and-economics-surgical-mishaps
October 19, 2022 - Study
Classic
The high cost of low-frequency events: the anatomy and economics of surgical mishaps.
Citation Text:
Couch NP, Tilney NL, Rayner AA, et al. The high cost of low-frequency events: the anatomy and economics of surgical mishaps. N Engl J Med. 1981;3…
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psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role
August 10, 2010 - Study
"It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency.
Citation Text:
Wu MS, Rawal S. "It's the difference between life and death": The views of profession…
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psnet.ahrq.gov/issue/root-cause-analysis-transfusion-error-identifying-causes-implement-changes
August 15, 2018 - Commentary
Root cause analysis of transfusion error: identifying causes to implement changes.
Citation Text:
Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…
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psnet.ahrq.gov/issue/assessment-simulated-case-based-measurement-physician-diagnostic-performance
May 20, 2019 - Study
Assessment of a simulated case-based measurement of physician diagnostic performance.
Citation Text:
Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006. doi:10.1001/jamanetw…
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psnet.ahrq.gov/issue/detection-classification-and-correction-defective-chemotherapy-orders-through-nursing-and
May 27, 2011 - Study
Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight.
Citation Text:
Mertens WC, Brown DE, Parisi R, et al. Detection, Classification, and Correction of Defective Chemotherapy Orders Through Nursing and Pharmacy Oversig…
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psnet.ahrq.gov/issue/hospital-sequelae-injurious-falls-24-medicalsurgical-units-four-hospitals-united-states
December 12, 2012 - Study
In-hospital sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States.
Citation Text:
Hill A-M, Jacques A, Chandler M, et al. In-Hospital Sequelae of Injurious Falls in 24 Medical/Surgical Units in Four Hospitals in the United States. Jt Comm J…
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psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or
May 13, 2015 - Study
A protocol for the safe use of hazardous drugs in the OR.
Citation Text:
Hemingway MW, Meleis L, Oliver J, et al. A protocol for the safe use of hazardous drugs in the OR. AORN J. 2020;111(3). doi:10.1002/aorn.12960.
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psnet.ahrq.gov/issue/costs-and-benefits-early-alert-surveillance-system-hospital-inpatients
January 24, 2024 - Study
Costs and benefits of an early-alert surveillance system for hospital inpatients.
Citation Text:
Marchetti A, Jacobs J, Young M, et al. Costs and benefits of an early-alert surveillance system for hospital inpatients. Curr Med Res Opin. 2007;23(1):9-16.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-236-section-5-table-3.pdf
June 17, 2014 - CHIPRA 236: Section 5, Table 3
Table 3. Evidence Supporting the Importance of Access to Outpatient Child and Adolescent
Psychiatrists, Neurodevelopmental Pediatricians, and Developmental-Behavioral Pediatricians
Type of
Evidence
Key Findings Level of
Evidence
(USPSTF
Ranking*)
Citation(s)
Clinical
Guide…
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psnet.ahrq.gov/issue/impact-restraint-management-bundle-restraint-use-intensive-care-unit
October 18, 2023 - Commentary
Impact of a restraint management bundle on restraint use in an intensive care unit.
Citation Text:
Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.00…
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psnet.ahrq.gov/issue/agreement-expert-judgment-causality-assessment-adverse-drug-reactions
November 29, 2023 - Study
Agreement of expert judgment in causality assessment of adverse drug reactions.
Citation Text:
Arimone Y, Bégaud B, Miremont-Salamé G, et al. Agreement of expert judgment in causality assessment of adverse drug reactions. Eur J Clin Pharmacol. 2005;61(3):169-73.
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psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
May 27, 2011 - Study
Computer physician order entry: benefits, costs, and issues.
Citation Text:
Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9.
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psnet.ahrq.gov/issue/exaggerated-benefits-failure
November 09, 2022 - Study
The exaggerated benefits of failure.
Citation Text:
Eskreis-Winkler L, Woolley K, Erensoy E, et al. The exaggerated benefits of failure. J Exp Psychol Gen. 2024;153(7):1920-1937. doi:10.1037/xge0001610.
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psnet.ahrq.gov/issue/sins-omission-getting-too-little-medical-care-may-be-greatest-threat-patient-safety
March 06, 2005 - Study
Sins of omission. Getting too little medical care may be the greatest threat to patient safety.
Citation Text:
Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91…
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psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
February 19, 2014 - Commentary
Framework for analysing risk and safety in clinical medicine.
Citation Text:
Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-1157.
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psnet.ahrq.gov/issue/preventable-harm-canadian-organ-donation-and-transplantation-system-descriptive-study-missed
October 19, 2022 - Study
Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral.
Citation Text:
Zavalkoff S, O’Donnell S, Lalani J, et al. Preventable harm in the Canadian organ donation and transplantation system: a…
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psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy-studies
February 15, 2023 - Review
Evidence of bias and variation in diagnostic accuracy studies.
Citation Text:
Rutjes AWS, Reitsma JB, Di Nisio M, et al. Evidence of bias and variation in diagnostic accuracy studies. CMAJ. 2006;174(4):469-476. doi:10.1503/cmaj.050090.
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psnet.ahrq.gov/issue/incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review
May 20, 2020 - Review
Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials.
Citation Text:
Menezes MS, Doria GAA, Valença-Feitosa F, et al. Incidence of drug-related adverse events related to the use of high-alert drugs: a …