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psnet.ahrq.gov/issue/competence-and-certification-registered-nurses-and-safety-patients-intensive-care-units
May 01, 2006 - Study
Competence and certification of registered nurses and safety of patients in intensive care units.
Citation Text:
Kendall-Gallagher D, Blegen MA. Competence and certification of registered nurses and safety of patients in intensive care units. Am J Crit Care. 2009;18(2):106-113; q…
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psnet.ahrq.gov/issue/case-control-analysis-financial-cost-medication-errors-hospitalized-patients
January 15, 2025 - Study
Case-control analysis of the financial cost of medication errors in hospitalized patients.
Citation Text:
Pinilla J, Murillo C, Carrasco G, et al. Case-control analysis of the financial cost of medication errors in hospitalized patients. Eur J Health Econ. 2006;7(1):66-71.
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psnet.ahrq.gov/issue/evolution-rapid-response-system-voluntary-mandatory-activation
June 07, 2023 - Commentary
Evolution of a rapid response system from voluntary to mandatory activation.
Citation Text:
Jones CM, Bleyer AJ, Petree B. Evolution of a rapid response system from voluntary to mandatory activation. Jt Comm J Qual Patient Saf. 2010;36(6):266-70, 241.
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psnet.ahrq.gov/issue/determinants-adverse-events-hospitals-potential-role-patient-safety-culture
October 22, 2008 - Study
Determinants of adverse events in hospitals—the potential role of patient safety culture.
Citation Text:
Kline TJB, Willness C, Ghali WA. Determinants of adverse events in hospitals--the potential role of patient safety culture. J Healthc Qual. 2008;30(1):11-7.
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psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error
March 03, 2011 - Study
The sensitivity of adverse event cost estimates to diagnostic coding error.
Citation Text:
Wardle G, Wodchis WP, Laporte A, et al. The sensitivity of adverse event cost estimates to diagnostic coding error. Health Serv Res. 2012;47(3 Pt 1):984-1007. doi:10.1111/j.1475-6773.2011.0…
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psnet.ahrq.gov/issue/using-pharmacists-optimize-patient-outcomes-and-costs-ed
October 13, 2015 - Review
Using pharmacists to optimize patient outcomes and costs in the ED.
Citation Text:
Jacknin G, Nakamura T, Smally AJ, et al. Using pharmacists to optimize patient outcomes and costs in the ED. Am J Emerg Med. 2014;32(6):673-7. doi:10.1016/j.ajem.2013.11.031.
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psnet.ahrq.gov/issue/work-overload-related-increased-risk-error-during-chemotherapy-preparation
June 30, 2011 - Study
Work overload is related to increased risk of error during chemotherapy preparation.
Citation Text:
Carrez L, Bouchoud L, Fleury S, et al. Work overload is related to increased risk of error during chemotherapy preparation. J Oncol Pharm Pract. 2019;25(6):1456-1466. doi:10.1177/107…
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psnet.ahrq.gov/issue/patient-safety-indicators-judging-hospital-performance-still-not-ready-prime-time
December 22, 2021 - Study
Patient safety indicators for judging hospital performance: still not ready for prime time.
Citation Text:
Kubasiak JC, Francescatti AB, Behal R, et al. Patient Safety Indicators for Judging Hospital Performance. Am J Med Qual. 2017;32(2):129-133. doi:10.1177/1062860615618782.
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psnet.ahrq.gov/issue/validity-retrospective-review-medical-records-means-identifying-adverse-events-comparison
October 25, 2023 - Study
Validity of retrospective review of medical records as a means of identifying adverse events: comparison between medical records and accident reports.
Citation Text:
Kobayashi M, Ikeda S, Kitazawa N, et al. Validity of retrospective review of medical records as a means of identif…
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psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events
November 04, 2020 - Study
Making hospital care safer and better: the structure-process connection leading to adverse events.
Citation Text:
El-Jardali F, Lagacé M. Making hospital care safer and better: the structure-process connection leading to adverse events. Healthc Q. 2005;8(2):40-8.
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psnet.ahrq.gov/issue/potential-risk-medication-discrepancies-and-reconciliation-errors-admission-and-discharge
March 09, 2022 - Study
Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service.
Citation Text:
Climente-Martí M, García-Mañón ER, Artero-Mora A, et al. Potential risk of medication discrepancies and reconciliation errors at admis…
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psnet.ahrq.gov/issue/distraction-and-interruption-anaesthetic-practice
May 18, 2022 - Study
Distraction and interruption in anaesthetic practice.
Citation Text:
Campbell G, Arfanis K, Smith AF. Distraction and interruption in anaesthetic practice. Br J Anaesth. 2012;109(5):707-715. doi:10.1093/bja/aes219.
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psnet.ahrq.gov/issue/improving-quality-through-effective-implementation-information-technology-healthcare
October 17, 2016 - Study
Improving quality through effective implementation of information technology in healthcare.
Citation Text:
Øvretveit J, Scott T, Rundall TG, et al. Improving quality through effective implementation of information technology in healthcare. Int J Qual Health Care. 2007;19(5):259-6…
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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/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
September 23, 2020 - Study
Risk factors for i.v. compounding errors when using an automated workflow management system.
Citation Text:
Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…
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psnet.ahrq.gov/issue/nonopioid-directives-unintended-consequences-operating-room
September 07, 2022 - Commentary
Nonopioid directives: unintended consequences in the operating room.
Citation Text:
Bicket MC, Waljee JF, Hilliard P. Nonopioid directives: unintended consequences in the operating room. JAMA Health Forum. 2022;3(6):e221356. doi:10.1001/jamahealthforum.2022.1356.
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psnet.ahrq.gov/issue/there-vulnerable-group-we-must-not-leave-behind-our-response-covid-19-people-who-are
October 05, 2022 - Newspaper/Magazine Article
There is a vulnerable group we must not leave behind in our response to COVID-19: people who are dependent on illicit drugs.
Citation Text:
Guirguis A. There is a vulnerable group we must not leave behind in our response to COVID-19: people who are dependent on…
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psnet.ahrq.gov/issue/types-prevalence-and-potential-clinical-significance-medication-administration-errors
October 11, 2023 - Study
Types, prevalence, and potential clinical significance of medication administration errors in assisted living.
Citation Text:
Young HM, Gray SL, McCormick WC, et al. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. J A…
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psnet.ahrq.gov/issue/wristbands-aids-reduce-misidentification-ethnographically-guided-task-analysis
November 25, 2009 - Study
Wristbands as aids to reduce misidentification: an ethnographically guided task analysis.
Citation Text:
Smith A, Casey K, Wilson J, et al. Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. Int J Qual Health Care. 2011;23(5):590-9. doi:10.109…
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psnet.ahrq.gov/issue/measuring-improve-medication-reconciliation-large-subspecialty-outpatient-practice
February 02, 2011 - Study
Measuring to improve medication reconciliation in a large subspecialty outpatient practice.
Citation Text:
Kern E, Dingae MB, Langmack EL, et al. Measuring to Improve Medication Reconciliation in a Large Subspecialty Outpatient Practice. Jt Comm J Qual Patient Saf. 2017;43(5):212-2…