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psnet.ahrq.gov/issue/effectiveness-barcode-medication-administration-system-reducing-preventable-adverse-drug
December 14, 2022 - Study
Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.
Citation Text:
Morriss FH, Abramowitz PW, Nelson S, et al. Effectiveness of a barcode medication administration s…
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psnet.ahrq.gov/issue/inpatient-safety-outcomes-following-2011-residency-work-hour-reform
September 04, 2013 - Study
Inpatient safety outcomes following the 2011 residency work-hour reform.
Citation Text:
Block L, Jarlenski M, Wu AW, et al. Inpatient safety outcomes following the 2011 residency work-hour reform. J Hosp Med. 2014;9(6). doi:10.1002/jhm.2171.
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psnet.ahrq.gov/issue/effect-pharmacy-based-centralized-intravenous-admixture-service-prevalence-medication-errors
December 01, 2021 - Study
Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study.
Citation Text:
Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of a pharmacy-based centralized intravenous admixture service on the prevale…
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psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system
January 19, 2022 - Study
Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system.
Citation Text:
Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Q…
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psnet.ahrq.gov/issue/how-does-audit-and-feedback-influence-intentions-health-professionals-improve-practice
February 14, 2024 - Study
How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation.
Citation Text:
Gude WT, van Engen-Verheul MM, van der Veer SN, et al. How does audit and feedback influence intentions of…
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psnet.ahrq.gov/issue/relationship-between-physician-burnout-and-quality-and-cost-care-medicare-beneficiaries
August 12, 2020 - Study
Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex.
Citation Text:
Casalino LP, Li J, Peterson LE, et al. Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Health…
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psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa
June 03, 2020 - Study
Burden of serious harms from diagnostic error in the USA.
Citation Text:
Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130.
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psnet.ahrq.gov/issue/chronic-hospital-nurse-understaffing-meets-covid-19-observational-study
September 27, 2017 - Study
Emerging Classic
Chronic hospital nurse understaffing meets COVID-19: an observational study.
Citation Text:
Lasater KB, Aiken LH, Sloane DM, et al. Chronic hospital nurse understaffing meets COVID-19: an observational study. BMJ Qual Saf. 2021;8(8):639-64…
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psnet.ahrq.gov/issue/using-potentially-aggressiveviolent-patient-huddle-improve-health-care-safety
November 16, 2022 - Commentary
Using a potentially aggressive/violent patient huddle to improve health care safety.
Citation Text:
Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.…
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psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after
June 16, 2021 - Study
Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.'
Citation Text:
Mitchell I, Schuster A, Smith K, et al. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after…
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psnet.ahrq.gov/issue/why-do-hospital-prescribers-continue-antibiotics-when-it-safe-stop-results-choice-experiment
October 28, 2020 - Study
Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey.
Citation Text:
Roope LSJ, Buchanan J, Morrell L, et al. Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey. …
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psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and
May 04, 2022 - Study
Collaborative case review: a systems-based approach to patient safety event investigation and analysis.
Citation Text:
Lacson R, Khorasani R, Fiumara K, et al. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. J Patient Saf. 202…
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psnet.ahrq.gov/issue/one-needle-one-syringe-only-one-time-survey-physician-and-nurse-knowledge-attitudes-and
June 28, 2013 - Study
One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety.
Citation Text:
Kossover-Smith RA, Coutts K, Hatfield KM, et al. One needle, one syringe, only one time? A survey of physician and nurse knowledge, at…
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psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care
December 01, 2021 - Study
The effect of virtual nursing and missed nursing care.
Citation Text:
Schuelke S, Aurit S, Connot N, et al. The effect of virtual nursing and missed nursing care. Nurs Adm Q. 2020;44(3):280-287. doi:10.1097/naq.0000000000000419.
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psnet.ahrq.gov/issue/multiprofessional-team-simulation-training-based-obstetric-model-can-improve-teamwork-other
January 12, 2022 - Study
Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care.
Citation Text:
van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an obstetric model, can improve teamwor…
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psnet.ahrq.gov/issue/peers-without-fears-barriers-effective-communication-among-primary-care-physicians-and
October 27, 2021 - Study
Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer.
Citation Text:
Lipitz-Snyderman A, Kale M, Robbins L, et al. Peers without fears? Barriers to effective communication among primary care physici…
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psnet.ahrq.gov/issue/high-delayed-and-missed-injury-rate-after-inter-hospital-transfer-severely-injured-trauma
December 02, 2020 - Study
High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients.
Citation Text:
Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Eur J Trauma Emer…
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psnet.ahrq.gov/issue/patient-reported-safety-incidents-older-patients-long-term-conditions-large-cross-sectional
October 14, 2015 - Study
Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study.
Citation Text:
Panagioti M, Blakeman T, Hann M, et al. Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study. BMJ Ope…
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psnet.ahrq.gov/issue/harnessing-situ-simulation-identify-human-errors-and-latent-safety-threats-adult-tracheostomy
September 23, 2020 - Study
Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care.
Citation Text:
Hassan B, Tawfik M-M, Schiff E, et al. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Jt Comm J …
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psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-patients-pharmacist-key-resources-and-relationship
June 07, 2023 - Study
Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation.
Citation Text:
Bourne RS, Shulman R, Jennings JK. Reducing medication errors in critical care patients: pharmacist key resources and relationship with medici…