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psnet.ahrq.gov/issue/learning-not-take-it-seriously-junior-doctors-accounts-error
December 16, 2015 - September 23, 2020
Evaluation of clinical practice guidelines on fall prevention and
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psnet.ahrq.gov/issue/inappropriate-opioid-dosing-and-prescribing-children-unintended-consequence-clinical-pain
October 14, 2020 - September 1, 2016
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/closing-safety-loop-evaluation-national-patient-safety-agencys-guidance-regarding-wristband
April 14, 2011 - February 23, 2015
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit
September 02, 2020 - Review
Making care better in the pediatric intensive care unit.
Citation Text:
Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267-274. doi:10.21037/tp.2018.09.10.
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psnet.ahrq.gov/issue/optimizing-smart-pump-technology-increasing-critical-safety-alerts-and-reducing-clinically
February 12, 2014 - Study
Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts.
Citation Text:
Mansfield J, Jarrett S. Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Hosp Pharm.…
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psnet.ahrq.gov/issue/using-simulation-identify-sources-medical-diagnostic-error-child-physical-abuse
January 12, 2022 - Resources From the Same Author(s)
Evaluation of clinical practice guidelines on fall prevention
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psnet.ahrq.gov/issue/disseminating-innovations-health-care
August 04, 2021 - 2014
The ethics of empowering patients as partners in healthcare-associated infection prevention
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psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
November 16, 2022 - Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls
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psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired-diagnoses
July 23, 2008 - Study
An adverse event screening tool based on routinely collected hospital-acquired diagnoses.
Citation Text:
Brand CA, Tropea J, Gorelik A, et al. An adverse event screening tool based on routinely collected hospital-acquired diagnoses. Int J Qual Health Care. 2012;24(3):266-78. doi:10…
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psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-member-and-patient-safety
April 16, 2014 - October 26, 2011
An inpatient fall prevention initiative in a tertiary care hospital.
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psnet.ahrq.gov/issue/safety-home-healthcare-sector-development-new-household-safety-checklist
July 29, 2020 - Study
Safety in the home healthcare sector: development of a new household safety checklist.
Citation Text:
Gershon RRM, Dailey M, Magda LA, et al. Safety in the home healthcare sector: development of a new household safety checklist. J Patient Saf. 2012;8(2):51-9. doi:10.1097/PTS.0b0…
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psnet.ahrq.gov/issue/applying-modern-error-theory-problem-missed-injuries-trauma
June 15, 2011 - November 20, 2017
Falls in English and Welsh hospitals: a national observational study
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psnet.ahrq.gov/issue/resident-duty-hour-reform-associated-increased-morbidity-following-hip-fracture
October 19, 2022 - Study
Resident duty-hour reform associated with increased morbidity following hip fracture.
Citation Text:
Browne JA, Cook C, Olson SA, et al. Resident duty-hour reform associated with increased morbidity following hip fracture. J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJ…
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psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography
March 04, 2015 - Study
A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors.
Citation Text:
Tridandapani S, Ramamurthy S, Provenzale J, et al. A multiobserver study of the effects of including point-of-care p…
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psnet.ahrq.gov/issue/quality-improvement-through-implementation-discharge-order-reconciliation
September 23, 2020 - Commentary
Quality improvement through implementation of discharge order reconciliation.
Citation Text:
Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050. …
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psnet.ahrq.gov/issue/frequent-diagnostic-errors-cardiac-petct-due-misregistration-ct-attenuation-and-emission-pet
December 22, 2018 - Resources From the Same Author(s)
Effect of promoting high-quality staff interactions on fall prevention
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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/omitted-and-unjustified-medications-discharge-summary
May 18, 2022 - Study
Omitted and unjustified medications in the discharge summary.
Citation Text:
Perren A, Previsdomini M, Cerutti B, et al. Omitted and unjustified medications in the discharge summary. Qual Saf Health Care. 2009;18(3):205-8. doi:10.1136/qshc.2007.024588.
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psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
May 26, 2011 - Impact of pharmacist-led discharge medication reconciliation on error and patient harm prevention
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psnet.ahrq.gov/issue/healthcare-resilience-meta-narrative-systematic-review-and-synthesis-reviews
June 10, 2020 - June 25, 2018
Evaluation of clinical practice guidelines on fall prevention and management