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psnet.ahrq.gov/issue/reducing-inappropriate-diagnostic-practice-through-education-and-decision-support
December 13, 2013 - Study
Reducing inappropriate diagnostic practice through education and decision support.
Citation Text:
Bairstow PJ, Persaud J, Mendelson R, et al. Reducing inappropriate diagnostic practice through education and decision support. Int J Qual Health Care. 2010;22(3):194-200. doi:10.1093…
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psnet.ahrq.gov/issue/attitude-everything-impact-workload-safety-climate-and-safety-tools-medical-errors-study
March 11, 2020 - Study
Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units.
Citation Text:
Steyrer J, Schiffinger M, Huber C, et al. Attitude is everything? The impact of workload, safety climate, and safety tools on med…
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psnet.ahrq.gov/issue/medication-errors-context-hematopoietic-stem-cell-transplantation-systematic-review
June 19, 2024 - Review
Medication errors in the context of hematopoietic stem cell transplantation: a systematic review.
Citation Text:
Lermontov SP, Brasil SC, de Carvalho MR. Medication Errors in the Context of Hematopoietic Stem Cell Transplantation: A Systematic Review. Cancer Nurs. 2019;42(5):365-3…
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psnet.ahrq.gov/issue/covid-19-pandemic-and-tension-between-need-act-and-need-know
July 28, 2021 - Commentary
COVID-19 pandemic and the tension between the need to act and the need to know.
Citation Text:
Scott IA. COVID-19 pandemic and the tension between the need to act and the need to know. Intern Med J. 2020;50(8):904-909. doi:10.1111/imj.14929.
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psnet.ahrq.gov/issue/communication-and-patient-safety-training-programme-all-healthcare-staff-can-it-make
July 01, 2017 - Study
A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference?
Citation Text:
Lee P, Allen K, Daly M. A ‘Communication and Patient Safety’ training programme for all healthcare staff: can it make a difference? BMJ Qual Saf. 2011;21(1).…
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psnet.ahrq.gov/issue/preventability-adverse-drug-events-involving-multiple-drugs-using-publicly-available-clinical
December 21, 2017 - Study
Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools.
Citation Text:
Wright A, Feblowitz J, Phansalkar S, et al. Preventability of adverse drug events involving multiple drugs using publicly available clinical dec…
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psnet.ahrq.gov/issue/error-traps-pediatric-patient-blood-management-perioperative-period
January 12, 2022 - Commentary
Error traps in pediatric patient blood management in the perioperative period.
Citation Text:
Tan GM, Murto K, Downey LA, et al. Error traps in pediatric patient blood management in the perioperative period. Paediatr Anaesth. 2023;33(8):609-619. doi:10.1111/pan.14683.
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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/delayed-medical-emergency-team-calls-and-associated-outcomes
October 13, 2018 - Study
Delayed medical emergency team calls and associated outcomes.
Citation Text:
Boniatti MM, Azzolini N, Viana M, et al. Delayed medical emergency team calls and associated outcomes. Crit Care Med. 2014;42(1):26-30. doi:10.1097/CCM.0b013e31829e53b9.
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psnet.ahrq.gov/issue/errors-prevented-and-associated-bar-code-medication-administration-systems
October 16, 2019 - Study
Errors prevented by and associated with bar-code medication administration systems.
Citation Text:
Cochran GL, Jones KJ, Brockman J, et al. Errors prevented by and associated with bar-code medication administration systems. Jt Comm J Qual Patient Saf. 2007;33(5):293-301, 245.
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psnet.ahrq.gov/issue/investigating-safety-medication-administration-adult-critical-care-settings
June 01, 2022 - Review
Investigating the safety of medication administration in adult critical care settings.
Citation Text:
Mansour M, James V, Edgley A. Investigating the safety of medication administration in adult critical care settings. Nurs Crit Care. 2012;17(4):189-97. doi:10.1111/j.1478-5153.2…
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psnet.ahrq.gov/issue/action-research-simulation-team-communication-and-bringing-tacit-voice-society-simulation
April 16, 2019 - Study
Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare.
Citation Text:
Forsythe L. Action research, simulation, team communication, and bringing the tacit into voice society for simulation in healthcare. Simul Heal…
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psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error
February 06, 2019 - EMERGING INNOVATIONS
Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).
Citation Text:
Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Predic…
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psnet.ahrq.gov/issue/improving-hospital-safety-culture-falls-prevention-through-interdisciplinary-health-education
December 16, 2011 - Study
Improving hospital safety culture for falls prevention through interdisciplinary health education.
Citation Text:
Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi…
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psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-program-across-two-merged-pediatric-institutions
June 03, 2013 - Study
Implementing a patient safety and quality program across two merged pediatric institutions.
Citation Text:
Abramson EL, Hyman D, Osorio N, et al. Implementing a patient safety and quality program across two merged pediatric institutions. Jt Comm J Qual Patient Saf. 2009;35(1):43-…
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psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports-patient-safety
January 20, 2011 - Study
Impact of system-level activities and reporting design on the number of incident reports for patient safety.
Citation Text:
Fukuda H, Imanaka Y, Hirose M, et al. Impact of system-level activities and reporting design on the number of incident reports for patient safety. Qual Saf …
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psnet.ahrq.gov/issue/building-collaborative-teams-neonatal-intensive-care
August 14, 2019 - Study
Building collaborative teams in neonatal intensive care.
Citation Text:
Brodsky D, Gupta M, Quinn M, et al. Building collaborative teams in neonatal intensive care. BMJ Qual Saf. 2013;22(5):374-82. doi:10.1136/bmjqs-2012-000909.
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psnet.ahrq.gov/issue/examination-how-survey-can-spur-culture-changes-using-quality-improvement-approach-region
September 29, 2010 - Study
Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture.
Citation Text:
Pringle J, Weber RJ, Rice K, et al. Examination of how a survey can spur culture changes using a quality impro…
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psnet.ahrq.gov/issue/interventions-increase-clinical-incident-reporting-health-care
September 02, 2009 - Review
Interventions to increase clinical incident reporting in health care.
Citation Text:
Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2…
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cds.ahrq.gov/sites/default/files/cds/artifact/632316/Flowchart%20(2)_0.pdf
October 13, 2023 - Yes
Yes
Evaluate if Wells’
score (LOINC
89547-4) > 4
No or not available
Yes
D-dimer not