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psnet.ahrq.gov/issue/adverse-events-skilled-nursing-facilities-national-incidence-among-medicare-beneficiaries
February 15, 2017 - Book/Report
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries.
Citation Text:
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Department of Health and Human Services…
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hcup-us.ahrq.gov/db/vars/nachtype/kidnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes
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psnet.ahrq.gov/issue/using-bar-coded-medication-administration-system-prevent-medication-errors-community-hospital
October 01, 2008 - Study
Using a bar-coded medication administration system to prevent medication errors in a community hospital network.
Citation Text:
Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network…
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psnet.ahrq.gov/issue/medication-appropriateness-vulnerable-older-adults-healthy-skepticism-appropriate
October 04, 2023 - Review
Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy.
Citation Text:
Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy. J Am Geriatr Soc. 2019;67(6):1123-1127. …
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psnet.ahrq.gov/issue/prescriber-barriers-and-enablers-minimising-potentially-inappropriate-medications-adults
September 23, 2020 - Review
Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis.
Citation Text:
Anderson K, Stowasser D, Freeman C, et al. Prescriber barriers and enablers to minimising potentially inappropriate medication…
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psnet.ahrq.gov/issue/educating-medical-trainees-medication-reconciliation-systematic-review
October 16, 2019 - Review
Educating medical trainees on medication reconciliation: a systematic review.
Citation Text:
Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5.
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psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die
June 24, 2020 - Newspaper/Magazine Article
When COVID-19 hit, many elderly were left to die.
Citation Text:
Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York Times. 2020;August 8.
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psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-arkansas-va
July 14, 2021 - Book/Report
Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA.
Citation Text:
Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Office of Inspector General. June 2, 202…
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psnet.ahrq.gov/issue/coping-errors-operating-room-intraoperative-strategies-postoperative-strategies-and-sex
September 09, 2020 - Study
Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences.
Citation Text:
D'Angelo JD, Lund S, Busch RA, et al. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex difference…
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psnet.ahrq.gov/issue/heatwaves-hospitals-and-health-system-resilience-england-qualitative-assessment-frontline
May 20, 2020 - Study
Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019.
Citation Text:
Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a qualitative assessment o…
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psnet.ahrq.gov/issue/understanding-complaints-made-about-surgical-departments-uk-district-general-hospital
September 23, 2020 - Study
Understanding complaints made about surgical departments in a UK district general hospital.
Citation Text:
Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intq…
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psnet.ahrq.gov/issue/conducting-safety-research-safely-policy-based-approach-conducting-research-peer-review
June 15, 2022 - Commentary
Conducting safety research safely: a policy-based approach for conducting research with peer review protected material.
Citation Text:
Myers LC, Blumenthal K, Phadke NA, et al. Conducting Safety Research Safely: A Policy-Based Approach for Conducting Research with Peer Review …
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psnet.ahrq.gov/issue/improving-team-performance-during-preprocedure-time-out-pediatric-interventional-radiology
August 04, 2021 - Study
Improving team performance during the preprocedure time-out in pediatric interventional radiology.
Citation Text:
Gottumukkala R, Street M, Fitzpatrick M, et al. Improving team performance during the preprocedure time-out in pediatric interventional radiology. Jt Comm J Qual Patien…
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psnet.ahrq.gov/issue/communication-improved-implementation-obstetrical-version-world-health-organization-safe
February 02, 2022 - Study
Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist?
Citation Text:
Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of an Obstetrical Version of the Wor…
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psnet.ahrq.gov/issue/safety-and-efficiency-considerations-introduction-electronic-ordering-blood-bank
March 25, 2015 - Study
Safety and efficiency considerations for the introduction of electronic ordering in a blood bank.
Citation Text:
Georgiou A, Greenfield T, Callen J, et al. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Arch Pathol Lab Med. 2009;1…
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psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders
May 18, 2022 - Study
Overnight and postcall errors in medication orders.
Citation Text:
Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34.
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psnet.ahrq.gov/issue/simulation-and-diagnostic-process-pilot-study-trauma-and-rapid-response-teams
July 16, 2015 - Study
Simulation and the diagnostic process: a pilot study of trauma and rapid response teams.
Citation Text:
Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/…
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psnet.ahrq.gov/issue/defining-and-classifying-terminology-medication-harm-call-consensus
June 22, 2022 - Review
Defining and classifying terminology for medication harm: a call for consensus.
Citation Text:
Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-25…
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psnet.ahrq.gov/issue/medication-errors-associated-transition-insulin-pens-insulin-vials
May 29, 2019 - Study
Medication errors associated with transition from insulin pens to insulin vials.
Citation Text:
Trimble AN, Bishop B, Rampe N. Medication errors associated with transition from insulin pens to insulin vials. Am J Health Syst Pharm. 2017;74(2):70-75. doi:10.2146/ajhp150726.
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psnet.ahrq.gov/issue/changes-intern-attitudes-toward-medical-error-and-disclosure
November 10, 2021 - Study
Changes in intern attitudes toward medical error and disclosure.
Citation Text:
Varjavand N, Bachegowda LS, Gracely E, et al. Changes in intern attitudes toward medical error and disclosure. Med Educ. 2012;46(7):668-77. doi:10.1111/j.1365-2923.2012.04269.x.
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