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psnet.ahrq.gov/issue/impact-resident-workload-and-handoff-training-patient-outcomes
April 12, 2023 - Study
Impact of resident workload and handoff training on patient outcomes.
Citation Text:
Mueller SK, Call S, McDonald FS, et al. Impact of resident workload and handoff training on patient outcomes. Am J Med. 2012;125(1):104-10. doi:10.1016/j.amjmed.2011.09.005.
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psnet.ahrq.gov/issue/e-prescribing-errors-community-pharmacies-exploring-consequences-and-contributing-factors
January 07, 2015 - Study
E-prescribing errors in community pharmacies: exploring consequences and contributing factors.
Citation Text:
Odukoya OK, Stone JA, Chui MA. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Int J Med Inform. 2014;83(6):427-37. doi:10.10…
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psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour
March 17, 2010 - Commentary
Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.
Citation Text:
Bernstein J, MacCourt DC, Jacob DM, et al. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Clin …
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psnet.ahrq.gov/issue/evaluation-frequency-dispensing-electronically-discontinued-medications-and-associated
March 03, 2019 - Study
Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes.
Citation Text:
Copi EJ, Kelley LR, Fisher KK. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. J Am Pharm Assoc (2003…
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psnet.ahrq.gov/issue/interventions-improve-hand-hygiene-compliance-patient-care
September 09, 2020 - Review
Interventions to improve hand hygiene compliance in patient care.
Citation Text:
Gould DJ, Moralejo D, Drey N, et al. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;9(9):CD005186. doi:10.1002/14651858.cd005186.pub4.
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psnet.ahrq.gov/issue/empirically-derived-taxonomy-factors-affecting-physicians-willingness-disclose-medical-errors
February 15, 2011 - Review
An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors.
Citation Text:
Kaldjian LC, Jones EW, Rosenthal GE, et al. An empirically derived taxonomy of factors affecting physicians’ willingness to disclose medical errors. J Gen Inter…
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psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide-safe-acute-medical
December 21, 2017 - Commentary
Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care.
Citation Text:
Sabin J, Subbe CP, Vaughan L, et al. Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical…
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psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns
December 21, 2022 - Review
Prescribing in 2019: what are the safety concerns?
Citation Text:
Coleman JJ. Prescribing in 2019: what are the safety concerns? Expert Opin Drug Saf. 2019;18(2):69-74. doi:10.1080/14740338.2019.1571038.
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psnet.ahrq.gov/issue/situ-simulated-cardiac-arrest-exercises-detect-system-vulnerabilities
June 27, 2012 - Study
In situ simulated cardiac arrest exercises to detect system vulnerabilities.
Citation Text:
Barbeito A, Bonifacio AS, Holtschneider M, et al. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc. 2015;10(3):154-62. doi:10.1097/SIH.0000000000000…
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psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
July 10, 2008 - Commentary
Clinician-directed performance improvement: moving beyond externally mandated metrics.
Citation Text:
Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505.
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psnet.ahrq.gov/issue/medication-errors-injured-patients
April 03, 2019 - Study
Medication errors in injured patients.
Citation Text:
Dolejs SC, Janowak CF, Zarzaur BL. Medication Errors in Injured Patients. Am Surg. 2017;83(7):780-785.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-evidence-panel-data
February 23, 2011 - Study
Health information technology and patient safety: evidence from panel data.
Citation Text:
Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data. Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357.
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psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
November 14, 2011 - Regulation
Medical malpractice claims by members of the uniformed services.
Citation Text:
Medical malpractice claims by members of the uniformed services. Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215.
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psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
August 12, 2020 - Study
Diffusing aviation innovations in a hospital in the Netherlands.
Citation Text:
de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47.
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psnet.ahrq.gov/issue/closing-safety-loop-evaluation-national-patient-safety-agencys-guidance-regarding-wristband
April 14, 2011 - Study
Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients.
Citation Text:
Sevdalis N, Norris B, Ranger C, et al. Closing the safety loop: evaluation of the National Patient Safety Agency's guidan…
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psnet.ahrq.gov/issue/nurses-experiences-drug-administration-errors
October 14, 2020 - Study
Nurses' experiences of drug administration errors.
Citation Text:
Schelbred A-B, Nord R. Nurses' experiences of drug administration errors. J Adv Nurs. 2007;60(3):317-24.
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psnet.ahrq.gov/issue/building-ambulatory-safety-program-academic-health-system
April 22, 2016 - Commentary
Building an ambulatory safety program at an academic health system.
Citation Text:
Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594.
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www.ahrq.gov/news/newsroom/case-studies/201709.html
June 01, 2017 - St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety
Search All Impact Case Studies
June 2017
St. Jude Children's Research Hospital uses AHRQ's Hospital Survey on Patient Safety Culture to obtain employee feedback on ways to improve medical care and safety for the approximately…
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www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
December 01, 2012 - Daily Goals Checklist
CUSP Toolkit
Effective communication is particularly important in the unit if complicated care plans are to be effectively managed by the care team
Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased l…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
January 01, 2003 - Daily Goals Checklist
Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communication is particularly important in the unit if complicated care plans are to be …