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psnet.ahrq.gov/issue/effects-hospital-safety-scores-total-price-out-pocket-cost-and-household-income-consumers
July 02, 2014 - July 2, 2014
Balancing safety, comfort, and fall risk: an intervention to limit opioid
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psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans-health-administration
December 11, 2024 - Study
The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities.
Citation Text:
Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facil…
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psnet.ahrq.gov/issue/adding-automation-and-independent-dual-verification-reduce-wrong-blood-tube-wbit-events
October 21, 2020 - Study
Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events.
Citation Text:
Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;15…
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psnet.ahrq.gov/issue/diagnostic-errors-medical-students-results-prospective-qualitative-study
May 18, 2022 - Study
Diagnostic errors by medical students: results of a prospective qualitative study.
Citation Text:
Braun LT, Zwaan L, Kiesewetter J, et al. Diagnostic errors by medical students: results of a prospective qualitative study. BMC Med Educ. 2017;17(1):191. doi:10.1186/s12909-017-1044-7.…
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psnet.ahrq.gov/issue/concept-and-development-discharge-alert-filter-abnormal-laboratory-values-coupled
June 27, 2018 - Study
Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.
Citation Text:
Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge a…
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psnet.ahrq.gov/issue/preoperative-surgical-briefings-do-not-delay-operating-room-start-times-and-are-popular
March 02, 2022 - Study
Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members.
Citation Text:
Ali M, Osborne A, Bethune R, et al. Preoperative surgical briefings do not delay operating room start times and are popular with surgical team member…
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psnet.ahrq.gov/issue/nurse-staffing-levels-missed-vital-signs-and-mortality-hospitals-retrospective-longitudinal
July 19, 2019 - December 21, 2017
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/ed-overcrowding-associated-increased-frequency-medication-errors
August 20, 2018 - Study
ED overcrowding is associated with an increased frequency of medication errors.
Citation Text:
Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014. …
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psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication
February 16, 2022 - Review
The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging.
Citation Text:
Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…
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psnet.ahrq.gov/issue/trends-healthcare-incident-reporting-and-relationship-safety-and-quality-data-acute-hospitals
March 28, 2011 - Study
Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System.
Citation Text:
Hutchinson A, Young TA, Cooper KL, et al. Trends in healthcare incident reporting and relationship to sa…
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psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system
January 19, 2022 - April 26, 2023
Balancing safety, comfort, and fall risk: an intervention to limit opioid
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psnet.ahrq.gov/issue/what-medication-iatrogenic-risk-elderly-outpatients-chronic-pain
February 12, 2020 - Study
What is the medication iatrogenic risk in elderly outpatients for chronic pain?
Citation Text:
Jambon J, Choukroun C, Roux-Marson C, et al. What is the medication iatrogenic risk in elderly outpatients for chronic pain? Clin Neuropharmacol. 2022;45(3):65-71. doi:10.1097/wnf.0000000…
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psnet.ahrq.gov/issue/implementing-medication-reconciliation-outpatient-pediatrics
September 23, 2020 - September 23, 2020
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/impact-22-month-multistep-implementation-program-speaking-behavior-academic-anesthesia
January 11, 2023 - Study
The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department.
Citation Text:
Walther F, Schick C, Schwappach DLB, et al. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesth…
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psnet.ahrq.gov/issue/how-strong-evidence-use-perioperative-beta-blockers-non-cardiac-surgery-systematic-review-and
August 04, 2021 - April 29, 2020
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned-readmissions
May 04, 2022 - identified patient-level risk factors among patients 75 years or older who were initially hospitalized for fall-related
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psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety-incidents-primary
August 24, 2022 - January 19, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/self-reported-medical-medication-and-laboratory-error-eight-countries-risk-factors
September 19, 2012 - Study
Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults.
Citation Text:
Scobie A. Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Int J Qual Health Care. 2…
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psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and
December 23, 2020 - June 30, 2021
Call to action: addressing pediatric fall safety in ambulatory environments
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psnet.ahrq.gov/issue/relationships-within-inpatient-physician-housestaff-teams-and-their-association-hospitalized
December 18, 2013 - December 18, 2014
A randomized trial of a multifactorial strategy to prevent serious fall