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psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical
June 21, 2016 - Study
Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma.
Citation Text:
Haut ER, Lau BD, Kraenzlin FS, et al. Improved prophylaxis and decreased rates o…
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psnet.ahrq.gov/issue/handovers-or-icu
January 03, 2017 - Commentary
Handovers from the OR to the ICU.
Citation Text:
Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e.
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psnet.ahrq.gov/issue/pharmacist-staffing-technology-use-and-implementation-medication-safety-practices-rural
September 27, 2010 - Study
Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals.
Citation Text:
Casey M, Moscovice I, Davidson G. Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals. J Rural Health. 2…
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digital.ahrq.gov/project-background
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/issue/high-reliability-emergency-response-teams-hospital-improving-quality-and-safety-using-situ
December 30, 2014 - Study
High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training.
Citation Text:
Wheeler DS, Geis G, Mack EH, et al. High-reliability emergency response teams in the hospital: improving quality and safety using in situ simu…
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psnet.ahrq.gov/issue/architecture-safety-emerging-priority-improving-patient-safety
June 09, 2011 - Review
The architecture of safety: an emerging priority for improving patient safety.
Citation Text:
Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643…
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psnet.ahrq.gov/issue/tangible-handoff-team-approach-advancing-structured-communication-labor-and-delivery
June 12, 2013 - Commentary
The tangible handoff: a team approach for advancing structured communication in labor and delivery.
Citation Text:
Block M, Ehrenworth JF, Cuce VM, et al. The tangible handoff: a team approach for advancing structured communication in labor and delivery. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt
August 20, 2018 - Review
Emerging Classic
Postoperative opioid prescribing: Getting it RIGHTT.
Citation Text:
Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707-711. doi:10.1016/j.amjsurg.2018.02.001.
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psnet.ahrq.gov/issue/core-competencies-patient-safety-research-cornerstone-global-capacity-strengthening
September 15, 2021 - Commentary
Core competencies for patient safety research: a cornerstone for global capacity strengthening.
Citation Text:
Andermann A, Ginsburg L, Norton P, et al. Core competencies for patient safety research: a cornerstone for global capacity strengthening. BMJ Qual Saf. 2011;20(1):9…
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psnet.ahrq.gov/issue/critical-role-surgeon-anesthesiologist-relationship-patient-safety
November 11, 2020 - Commentary
Critical role of the surgeon–anesthesiologist relationship for patient safety.
Citation Text:
Cooper JB. Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety. Anesthesiology. 2018;129(3):402-405. doi:10.1097/ALN.0000000000002324.
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psnet.ahrq.gov/issue/concept-error-and-malpractice-radiology
January 24, 2018 - Commentary
The concept of error and malpractice in radiology.
Citation Text:
Pinto A, Brunese L, Pinto F, et al. The concept of error and malpractice in radiology. Semin Ultrasound CT MR. 2012;33(4):275-9. doi:10.1053/j.sult.2012.01.009.
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psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-training-anesthesiology-where-are-we
October 13, 2018 - Review
Improving patient safety through simulation training in anesthesiology: where are we?
Citation Text:
Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523.…
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psnet.ahrq.gov/issue/progress-patient-safety-glass-fuller-it-seems
March 13, 2013 - Commentary
Progress in patient safety: a glass fuller than it seems.
Citation Text:
Pronovost P, Wachter R. Progress in patient safety: a glass fuller than it seems. Am J Med Qual. 2014;29(2):165-9. doi:10.1177/1062860613495554.
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psnet.ahrq.gov/issue/rate-causes-and-reporting-medication-errors-jordan-nurses-perspectives
April 15, 2020 - Study
Rate, causes and reporting of medication errors in Jordan: nurses' perspectives.
Citation Text:
MRAYYAN MAJDT, SHISHANI KAWKAB, AL-FAOURI IBRAHIM. Rate, causes and reporting of medication errors in Jordan: nurses? perspectives. J Nurs Manag. 2007;15(6). doi:10.1111/j.1365-2834.20…
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psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-reportable-event
February 15, 2023 - Commentary
Leading a highly visible hospital through a serious reportable event.
Citation Text:
Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6.
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psnet.ahrq.gov/issue/possible-net-harms-breast-cancer-screening-updated-modelling-forrest-report
November 17, 2021 - Study
Possible net harms of breast cancer screening: updated modelling of Forrest report.
Citation Text:
Raftery J, Chorozoglou M. Possible net harms of breast cancer screening: updated modelling of Forrest report. BMJ. 2011;343(dec08 2):d7627. doi:10.1136/bmj.d7627.
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psnet.ahrq.gov/issue/limiting-nurse-overtime-and-promoting-other-good-working-conditions-influences-patient-safety
June 23, 2009 - Commentary
Limiting nurse overtime, and promoting other good working conditions, influences patient safety.
Citation Text:
Sharp BAC, Clancy CM. Limiting nurse overtime, and promoting other good working conditions, influences patient safety. J Nurs Care Qual. 2008;23(2):97-100. doi:10.…
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psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
January 06, 2017 - Study
Decreasing errors in pediatric continuous intravenous infusions.
Citation Text:
Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions. Pediatr Crit Care Med. 2006;7(3):225-30.
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psnet.ahrq.gov/issue/multi-level-strategies-achieve-resilience-organisation-operating-capacity-case-study-trauma
November 20, 2024 - Study
Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre.
Citation Text:
Miller A, Xiao Y. Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. Cogni…
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psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis-transcription-errors
March 24, 2011 - Study
Preventing medication errors in community pharmacy: root-cause analysis of transcription errors.
Citation Text:
Knudsen P, Herborg H, Mortensen AR, et al. Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Qual Saf Health Care. 2007;1…