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psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim
June 06, 2018 - Commentary
The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better.
Citation Text:
Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths…
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psnet.ahrq.gov/issue/leaving-patients-their-own-devices-smart-technology-safety-and-therapeutic-relationships
December 04, 2024 - Commentary
Emerging Classic
Leaving patients to their own devices? Smart technology, safety and therapeutic relationships.
Citation Text:
Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. BMC Med Ethics…
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psnet.ahrq.gov/issue/antimicrobial-prescription-errors-hospitalized-children-role-antimicrobial-stewardship
April 07, 2021 - Study
Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention.
Citation Text:
Di Pentima C, Chan S, Eppes SC, et al. Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship…
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psnet.ahrq.gov/issue/causes-use-errors-ventilation-devices-systematic-review
October 12, 2022 - Review
Causes of use errors in ventilation devices--systematic review.
Citation Text:
Coldewey B, Diruf A, Röhrig R, et al. Causes of use errors in ventilation devices - systematic review. Appl Ergon. 2021;98:103544. doi:10.1016/j.apergo.2021.103544.
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psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
September 27, 2016 - Review
Towards international consensus on patient harm: perspectives on pressure injury policy.
Citation Text:
Jackson D, Hutchinson M, Barnason S, et al. Towards international consensus on patient harm: perspectives on pressure injury policy. J Nurs Manag. 2016;24(7):902-914. doi:10.111…
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psnet.ahrq.gov/issue/workarounds-workplace-second-look
December 08, 2021 - Commentary
Workarounds in the workplace: a second look.
Citation Text:
Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML …
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psnet.ahrq.gov/issue/relationship-between-psychological-safety-and-reporting-nonadherence-safety-checklist
April 06, 2022 - Study
Relationship between psychological safety and reporting nonadherence to a safety checklist.
Citation Text:
Gilmartin HM, Langner P, Gokhale M, et al. Relationship Between Psychological Safety and Reporting Nonadherence to a Safety Checklist. J Nurs Care Qual. 2018;33(1):53-60. doi:…
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psnet.ahrq.gov/issue/clinical-decision-support-drug-related-events-moving-towards-better-prevention
December 16, 2020 - Commentary
Clinical decision support for drug related events: moving towards better prevention.
Citation Text:
Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards better prevention. World J Crit Care Med. 2016;5(4):204-211.
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psnet.ahrq.gov/issue/trust-verify-five-approaches-ensure-safe-medical-apps
September 27, 2023 - Commentary
'Trust but verify'—five approaches to ensure safe medical apps.
Citation Text:
Wicks P, Chiauzzi E. 'Trust but verify'--five approaches to ensure safe medical apps. BMC Med. 2015;13:205. doi:10.1186/s12916-015-0451-z.
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psnet.ahrq.gov/issue/gap-electronic-drug-information-resources-systematic-review
January 24, 2024 - Review
The gap in electronic drug information resources: a systematic review.
Citation Text:
Rambaran KA, Huynh HA, Zhang Z, et al. The Gap in Electronic Drug Information Resources: A Systematic Review. Cureus. 2018;10(6):e2860. doi:10.7759/cureus.2860.
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psnet.ahrq.gov/issue/medication-safety-acute-care-australia-where-are-we-now-part-1-review-extent-and-causes
October 14, 2009 - Review
Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008.
Citation Text:
Roughead EE, Semple SJ. Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and c…
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psnet.ahrq.gov/issue/reasons-provided-prescribers-when-overriding-drug-drug-interaction-alerts
April 27, 2010 - Study
Reasons provided by prescribers when overriding drug–drug interaction alerts.
Citation Text:
Grizzle AJ, Mahmood MH, Ko Y, et al. Reasons provided by prescribers when overriding drug-drug interaction alerts. Am J Manag Care. 2007;13(10):573-578.
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psnet.ahrq.gov/issue/essential-activities-electronic-health-record-safety-qualitative-study
April 29, 2018 - Study
Essential activities for electronic health record safety: a qualitative study.
Citation Text:
Ash JS, Singh H, Wright A, et al. Essential activities for electronic health record safety: A qualitative study. Health Informatics J. 2019:1460458219833109. doi:10.1177/1460458219833109. …
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psnet.ahrq.gov/issue/standard-practices-computerized-clinical-decision-support-community-hospitals-national-survey
April 29, 2018 - Study
Standard practices for computerized clinical decision support in community hospitals: a national survey.
Citation Text:
Ash JS, McCormack JL, Sittig DF, et al. Standard practices for computerized clinical decision support in community hospitals: a national survey. J Am Med Inform A…
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psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
November 18, 2015 - Study
Using Six Sigma to reduce medication errors in a home-delivery pharmacy service.
Citation Text:
Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24.
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psnet.ahrq.gov/issue/qualitative-exploration-impact-distressed-family-member-pediatric-resuscitation-teams
March 25, 2020 - Study
A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams.
Citation Text:
Deacon A, O’Neill T, Delaloye N, et al. A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. Hosp Pediatr. 2020;…
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psnet.ahrq.gov/issue/improving-patient-safety-and-optimizing-nursing-teamwork-using-crew-resource-management
March 13, 2013 - Study
Improving patient safety and optimizing nursing teamwork using crew resource management techniques.
Citation Text:
West P, Sculli GL, Fore AM, et al. Improving patient safety and optimizing nursing teamwork using crew resource management techniques. J Nurs Adm. 2012;42(1):15-20. do…
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psnet.ahrq.gov/issue/transmitting-and-processing-electronic-prescriptions-experiences-physician-practices-and
July 02, 2019 - Study
Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies.
Citation Text:
Grossman JM, Cross DA, Boukus ER, et al. Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. J Am Med Inform …
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psnet.ahrq.gov/issue/positioning-continuing-education-boundaries-and-intersections-between-domains-continuing
July 03, 2016 - Review
Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge translation, patient safety and quality improvement.
Citation Text:
Kitto S, Bell M, Peller J, et al. Positioning continuing education: boundaries and intersections …
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psnet.ahrq.gov/issue/experiences-health-professionals-who-conducted-root-cause-analyses-after-undergoing-safety
June 14, 2011 - Study
Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme.
Citation Text:
Braithwaite J, Westbrook MT, Mallock NA, et al. Experiences of health professionals who conducted root cause analyses after undergoing a safety im…