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psnet.ahrq.gov/issue/development-tool-within-electronic-medical-record-facilitate-medication-reconciliation-after
June 09, 2011 - Study
Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge.
Citation Text:
Schnipper JL, Liang CL, Hamann C, et al. Development of a tool within the electronic medical record to facilitate medication reconciliation …
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psnet.ahrq.gov/issue/measuring-patient-safety-real-time-essential-method-effectively-improving-safety-care
February 15, 2011 - Commentary
Measuring patient safety in real time: an essential method for effectively improving the safety of care.
Citation Text:
Classen DC, Griffin FA, Berwick DM. Measuring Patient Safety in Real Time: An Essential Method for Effectively Improving the Safety of Care. Ann Intern Med. …
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2012
January 01, 2012 - Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012
Project Name
Evaluation of AHRQ's On-time Pressure Ulcer Program
Principal Investigator
Hurd, Donna
Organization
Abt Associates, Inc.
Funding Mechanism
Accelerating Change and Transformation in Organizations…
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psnet.ahrq.gov/issue/moving-knowledge-action-improving-safety-and-quality-care-patients-limited-english
October 19, 2022 - Study
Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency.
Citation Text:
Fox MT, Godage SK, Kim JM, et al. Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency.…
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psnet.ahrq.gov/issue/using-snowball-sampling-method-nurses-understand-medication-administration-errors
August 02, 2011 - Study
Using snowball sampling method with nurses to understand medication administration errors.
Citation Text:
Sheu S-J, Wei I-L, Chen C-H, et al. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs. 2009;18(4):559-69. doi:10.1111/j.1…
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psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love
January 02, 2017 - Commentary
A piece of my mind. From shame to guilt to love.
Citation Text:
Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507-2508. doi:10.1001/jama.2015.11521.
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DOI Google Scholar PubMed BibTeX EndNote X3 …
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psnet.ahrq.gov/issue/interprofessional-qualitative-study-barriers-and-potential-solutions-safe-use-insulin
November 07, 2018 - Study
An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital setting.
Citation Text:
Rousseau M-P, Beauchesne M-F, Naud A-S, et al. An interprofessional qualitative study of barriers and potential solutions for the safe use …
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psnet.ahrq.gov/issue/educating-seniors-be-patient-safety-self-advocates-primary-care
December 15, 2011 - Study
Educating seniors to be patient safety self-advocates in primary care.
Citation Text:
Elder NC, Regan SL, Pallerla H, et al. Educating Seniors to Be Patient Safety Self-Advocates in Primary Care. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e318175d806.
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psnet.ahrq.gov/issue/outpatient-adverse-drug-events-identified-screening-electronic-health-records
June 08, 2016 - Study
Outpatient adverse drug events identified by screening electronic health records.
Citation Text:
Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06…
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psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
November 15, 2017 - Study
Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system.
Citation Text:
Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int…
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psnet.ahrq.gov/issue/impact-2011-accreditation-council-graduate-medical-education-duty-hour-reform-quality-and
April 05, 2013 - Study
The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care.
Citation Text:
Marwaha JS, Drolet BC, Maddox SS, et al. The Impact of the 2011 Accreditation Council for Graduate Medical Education Duty Hour Reform on…
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psnet.ahrq.gov/issue/proficiency-based-virtual-reality-training-significantly-reduces-error-rate-residents-during
November 13, 2009 - Study
Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies.
Citation Text:
Ahlberg G, Enochsson L, Gallagher AG, et al. Proficiency-based virtual reality training significantly reduces the err…
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psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california
July 13, 2010 - Study
Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.
Citation Text:
Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals particip…
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psnet.ahrq.gov/issue/development-and-evaluation-integrated-electronic-prescribing-and-drug-management-system
March 10, 2011 - Study
The development and evaluation of an integrated electronic prescribing and drug management system for primary care.
Citation Text:
Tamblyn R, Huang A, Kawasumi Y, et al. The development and evaluation of an integrated electronic prescribing and drug management system for primary …
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psnet.ahrq.gov/issue/discrepancies-between-home-interviews-and-electronic-medical-records-regularly-used-drugs
May 25, 2022 - Study
Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients.
Citation Text:
Tiihonen M, Nykänen I, Ahonen R, et al. Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home…
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psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning
April 01, 2010 - Study
Quality improvement for patient safety: project-level versus program-level learning.
Citation Text:
Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-level learning. Health Care Manage Rev. 2013;38(1):40-50. doi:10.1097/HMR.0b013…
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psnet.ahrq.gov/issue/developing-standardized-receiver-driven-handoffs-between-referring-providers-and-emergency
June 03, 2020 - Study
Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment.
Citation Text:
Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring Provider…
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psnet.ahrq.gov/issue/measuring-team-hierarchy-during-high-stakes-clinical-decision-making-development-and
April 05, 2023 - Study
Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method.
Citation Text:
Johansson AC, Manago B, Sell J, et al. Measuring team hierarchy during high-stakes clinical decision making: development and valid…
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psnet.ahrq.gov/issue/factors-associated-workarounds-barcode-assisted-medication-administration-hospitals
January 23, 2019 - Study
Factors associated with workarounds in barcode-assisted medication administration in hospitals.
Citation Text:
Veen W, Taxis K, Wouters H, et al. Factors associated with workarounds in barcode‐assisted medication administration in hospitals. J Clin Nurs. 2020;29(13-14):2239-2250. d…
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psnet.ahrq.gov/issue/performance-trigger-tool-identifying-adverse-events-oncology
May 23, 2018 - Study
Performance of a trigger tool for identifying adverse events in oncology.
Citation Text:
Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634.
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