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psnet.ahrq.gov/issue/modifications-medical-emergency-team-activation-criteria-and-implications-patient-safety
July 20, 2022 - Study
Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study.
Citation Text:
Sprogis SK, Street M, Currey J, et al. Modifications to medical emergency team activation criteria and implications for patient safety: a point …
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psnet.ahrq.gov/issue/link-between-clinically-validated-patient-safety-indicators-and-clinical-outcomes
November 16, 2016 - Study
The link between clinically validated patient safety indicators and clinical outcomes.
Citation Text:
Gray DM, Hefner JL, Nguyen MC, et al. The Link Between Clinically Validated Patient Safety Indicators and Clinical Outcomes. Am J Med Qual. 2017;32(6):583-590. doi:10.1177/10628606…
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psnet.ahrq.gov/issue/wake-call-night-shifts-adversely-affect-nurse-health-and-retention-patient-and-public-safety
April 24, 2018 - Review
Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs.
Citation Text:
Imes CC, Tucker SJ, Trinkoff AM, et al. Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. Nurs A…
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psnet.ahrq.gov/issue/better-medical-office-safety-culture-not-associated-better-scores-quality-measures
April 12, 2011 - Study
Better medical office safety culture is not associated with better scores on quality measures.
Citation Text:
Hagopian B, Singer ME, Curry-Smith AC, et al. Better medical office safety culture is not associated with better scores on quality measures. J Patient Saf. 2012;8(1):15-2…
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psnet.ahrq.gov/issue/information-technology-based-approaches-reducing-repeat-drug-exposure-patients-known-drug
December 21, 2022 - Commentary
Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies.
Citation Text:
Cresswell K, Sheikh A. Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. J Allergy Cli…
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psnet.ahrq.gov/issue/screening-adverse-drug-events-randomized-trial-automated-calls-coupled-phone-based-pharmacist
June 05, 2018 - Study
Screening for adverse drug events: a randomized trial of automated calls coupled with phone-based pharmacist counseling.
Citation Text:
Schiff G, Klinger E, Salazar A, et al. Screening for Adverse Drug Events: a Randomized Trial of Automated Calls Coupled with Phone-Based Pharmacis…
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psnet.ahrq.gov/issue/computerized-provider-order-entry-adoption-implications-clinical-workflow
May 27, 2011 - Study
Computerized provider order entry adoption: implications for clinical workflow.
Citation Text:
Campbell EM, Guappone KP, Sittig DF, et al. Computerized provider order entry adoption: implications for clinical workflow. J Gen Intern Med. 2009;24(1):21-6. doi:10.1007/s11606-008-085…
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psnet.ahrq.gov/issue/residency-work-hours-reform-cost-analysis-including-preventable-adverse-events
August 05, 2015 - Study
Residency work-hours reform: a cost analysis including preventable adverse events.
Citation Text:
Nuckols TK, Escarce JJ. Residency work-hours reform. A cost analysis including preventable adverse events. J Gen Intern Med. 2005;20(10):873-8.
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psnet.ahrq.gov/issue/assessing-anticipated-consequences-computer-based-provider-order-entry-three-community
May 27, 2011 - Study
Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument.
Citation Text:
Sittig DF, Ash JS, Guappone KP, et al. Assessing the anticipated consequences of Computer-based Provid…
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psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals
June 15, 2011 - Study
Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals.
Citation Text:
Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events
January 16, 2008 - Study
Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events.
Citation Text:
Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.100…
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psnet.ahrq.gov/issue/physician-reporting-clinically-significant-events-through-computerized-patient-sign-out
January 25, 2023 - Study
Physician reporting of clinically significant events through a computerized patient sign-out system.
Citation Text:
Nabors C, Peterson SJ, Aronow WS, et al. Physician reporting of clinically significant events through a computerized patient sign-out system. J Patient Saf. 2011;7(…
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psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations
March 14, 2018 - Study
Classic
Handoff strategies in settings with high consequences for failure: lessons for health care operations.
Citation Text:
Patterson ES. Handoff strategies in settings with high consequences for failure: lessons for health care operations. Int J Qual …
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psnet.ahrq.gov/issue/human-factors-analysis-latent-safety-threats-pediatric-critical-care-unit
April 28, 2021 - Study
Human factors analysis of latent safety threats in a pediatric critical care unit.
Citation Text:
Trbovich PL, Tomasi JN, Kolodzey L, et al. Human factors analysis of latent safety threats in a pediatric critical care unit. Pediatr Crit Care Med. 2022;23(3):151-159. doi:10.1097/pcc…
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psnet.ahrq.gov/issue/factorial-survey-safety-behavior-providing-opportunities-improve-safety
November 16, 2015 - Study
A factorial survey on safety behavior providing opportunities to improve safety.
Citation Text:
Simons P, Houben R, Reijnders P, et al. A Factorial Survey on Safety Behavior Providing Opportunities to Improve Safety. J Patient Saf. 2018;14(4):193-201. doi:10.1097/PTS.00000000000001…
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psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
November 21, 2018 - Study
SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study.
Citation Text:
De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…
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psnet.ahrq.gov/issue/racial-disparities-pain-management-children-appendicitis-emergency-departments
April 22, 2020 - Study
Racial disparities in pain management of children with appendicitis in emergency departments.
Citation Text:
Goyal MK, Kuppermann N, Cleary SD, et al. Racial disparities in pain management of children with appendicitis in emergency departments. JAMA Pediatr. 2015;169(11):996-1002. …
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psnet.ahrq.gov/issue/toward-patient-centered-cancer-care-patient-perceptions-problematic-events-impact-and
March 11, 2013 - Study
Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response.
Citation Text:
Mazor KM, Roblin DW, Greene SM, et al. Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response. J Clin Oncol. 2012;30(…
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psnet.ahrq.gov/issue/decisions-about-critical-events-device-related-scenarios-function-expertise
January 02, 2017 - Study
Decisions about critical events in device-related scenarios as a function of expertise.
Citation Text:
Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12.
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psnet.ahrq.gov/issue/measuring-harm-and-informing-quality-improvement-welsh-nhs-longitudinal-welsh-national
October 12, 2016 - Book/Report
Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study.
Citation Text:
Mayor S, Baines E, Vincent CA, et al. Measuring Harm And Informing Quality Improvement In The Welsh Nhs: The Longitudinal Welsh National Adv…