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psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-events
December 19, 2014 - Commentary
Medication event huddles: a tool for reducing adverse drug events.
Citation Text:
Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45.
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psnet.ahrq.gov/issue/safety-and-acceptability-using-telehealth-follow-patients-following-cancer-surgery-systematic
December 23, 2020 - Review
The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review.
Citation Text:
Xiao K, Yeung JC, Bolger JC. The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic r…
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psnet.ahrq.gov/issue/two-sides-safety-coin-how-patient-engagement-and-safety-climate-jointly-affect-error
March 11, 2020 - Study
Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units.
Citation Text:
Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in…
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psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
March 28, 2012 - Study
Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review.
Citation Text:
Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retro…
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psnet.ahrq.gov/issue/factors-contributing-registered-nurse-medication-administration-error-narrative-review
May 27, 2011 - Review
Factors contributing to Registered Nurse medication administration error: a narrative review.
Citation Text:
Parry AM, Barriball L, While AE. Factors contributing to registered nurse medication administration error: a narrative review. Int J Nurs Stud. 2015;52(1):403-20. doi:10.10…
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psnet.ahrq.gov/issue/trends-survival-after-hospital-cardiac-arrest-during-nights-and-weekends
February 17, 2011 - Study
Emerging Classic
Trends in survival after in-hospital cardiac arrest during nights and weekends.
Citation Text:
Ofoma UR, Basnet S, Berger A, et al. Trends in Survival After In-Hospital Cardiac Arrest During Nights and Weekends. J Am Coll Cardiol. 2018;71(…
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psnet.ahrq.gov/issue/how-reliable-are-patient-completed-medication-reconciliation-forms-compared-pharmacy-lists
April 24, 2018 - Study
How reliable are patient-completed medication reconciliation forms compared with pharmacy lists?
Citation Text:
Meyer C, Stern M, Woolley W, et al. How reliable are patient-completed medication reconciliation forms compared with pharmacy lists? Am J Emerg Med. 2012;30(7):1048-54.…
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psnet.ahrq.gov/issue/exploring-attitudes-and-opinions-pharmacists-toward-delivering-prescribing-error-feedback
January 16, 2019 - Study
Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews.
Citation Text:
Lloyd M, Watmough SD, O'Brien S, et al. Exploring attitudes and opinions of pharmacists toward delivering prescribing …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab7.html
December 01, 2012 - Assessing the Health and Welfare of the HCBS Population
Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS P…
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psnet.ahrq.gov/issue/health-professional-networks-vector-improving-healthcare-quality-and-safety-systematic-review
December 13, 2023 - Review
Health professional networks as a vector for improving healthcare quality and safety: a systematic review.
Citation Text:
Cunningham FC, Ranmuthugala G, Plumb J, et al. Health professional networks as a vector for improving healthcare quality and safety: a systematic review. BMJ…
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psnet.ahrq.gov/issue/introduction-rapid-response-system-united-states-veterans-affairs-hospital-reduced-cardiac
January 02, 2017 - Study
Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests.
Citation Text:
Lighthall GK, Parast L, Rapoport L, et al. Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests. Anes…
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psnet.ahrq.gov/issue/increasing-compliance-world-health-organization-surgical-safety-checklist-regional-health
September 12, 2018 - Study
Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience.
Citation Text:
Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical Safety Checklist-A regional health sys…
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psnet.ahrq.gov/issue/systematic-biases-group-decision-making-implications-patient-safety
July 24, 2024 - Study
Systematic biases in group decision-making: implications for patient safety.
Citation Text:
Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083.
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psnet.ahrq.gov/issue/impact-interventions-designed-reduce-medication-administration-errors-hospitals-systematic
April 01, 2015 - Review
Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review.
Citation Text:
Keers RN, Williams SD, Cooke J, et al. Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. Drug …
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psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-emotional-exhaustion-and-job-dissatisfaction
February 09, 2011 - Study
Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction.
Citation Text:
Halm M, Peterson M, Kandels M, et al. Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. Clin Nurse Spec. 2005;19(5):241-254.
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psnet.ahrq.gov/issue/squire-20-standards-quality-improvement-reporting-excellence-revised-publication-guidelines
December 02, 2015 - Organizational Policy/Guidelines
Classic
SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process.
Citation Text:
Ogrinc G, Davies L, Goodman D, et al. SQUIRE 2.0 (Standards for QUality…
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psnet.ahrq.gov/issue/diagnostic-accuracy-prehospital-triage-tools-identifying-major-trauma-elderly-injured
September 07, 2022 - Review
Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review.
Citation Text:
Fuller G, Pandor A, Essat M, et al. Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patient…
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psnet.ahrq.gov/issue/safety-and-communication-operating-room-safety-questionnaire-after-implementation-blood-borne
September 23, 2020 - Study
Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out.
Citation Text:
Kane P, Marley R, Daney B, et al. Safety and Communication in the Ope…
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psnet.ahrq.gov/issue/system-based-interprofessional-simulation-based-training-program-increases-awareness-and-use
December 01, 2011 - Study
System-based interprofessional simulation-based training program increases awareness and use of rapid response teams.
Citation Text:
Wehbe-Janek H, Pliego J, Sheather S, et al. System-based interprofessional simulation-based training program increases awareness and use of rapid res…
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psnet.ahrq.gov/issue/involvement-patients-cancer-patient-safety-qualitative-study-current-practices-potentials-and
September 27, 2017 - Study
Involvement of patients with cancer in patient safety: a qualitative study of current practices, potentials and barriers.
Citation Text:
Martin HM, Navne LE, Lipczak H. Involvement of patients with cancer in patient safety: a qualitative study of current practices, potentials and…