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psnet.ahrq.gov/issue/medication-errors-impact-prescribing-and-transcribing-errors-preventable-harm-hospitalised
August 18, 2010 - Study
Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients.
Citation Text:
van Doormaal JE, van den Bemt PMLA, Mol PGM, et al. Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospit…
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psnet.ahrq.gov/issue/how-improve-delivery-medication-alerts-within-computerized-physician-order-entry-systems
October 30, 2013 - Study
How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study.
Citation Text:
Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within computerized physician order entry systems:…
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psnet.ahrq.gov/issue/reducing-high-risk-medication-use-through-pharmacist-led-interventions-outpatient-setting
September 23, 2020 - Study
Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting.
Citation Text:
Deyo JC, Smith BH, Biola H, et al. Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. J Am Pharm Assoc. 2020. doi:10.1016/j.…
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-monitoring-and-patient-education-0
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Monitoring and patient education-2015. Am J Health Syst …
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psnet.ahrq.gov/issue/hospital-initiated-transitional-care-interventions-patient-safety-strategy-systematic-review
August 12, 2014 - Review
Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review.
Citation Text:
Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013;15…
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psnet.ahrq.gov/issue/prescribing-elderly-part-i-sensitivity-elderly-adverse-drug-reactions
January 11, 2017 - Review
Classic
Prescribing for the elderly. Part I: Sensitivity of the elderly to adverse drug reactions.
Citation Text:
Nolan L, O'Malley K. Prescribing for the Elderly Part I: Sensitivity of the Elderly to Adverse Drug Reactions*. J Am Geriatr Soc. 2015;36(2…
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psnet.ahrq.gov/issue/ambulatory-care-adverse-events-and-preventable-adverse-events-leading-hospital-admission
April 11, 2011 - Study
Ambulatory care adverse events and preventable adverse events leading to a hospital admission.
Citation Text:
Woods D, Thomas EJ, Holl JL, et al. Ambulatory care adverse events and preventable adverse events leading to a hospital admission. Qual Saf Health Care. 2007;16(2):127-13…
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2007
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing--2007. Am J Health Syst Pharm…
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psnet.ahrq.gov/issue/evaluation-hand-hygiene-intensive-care-unit-are-visitors-potential-vector-pathogens
April 22, 2015 - Study
An evaluation of hand hygiene in an intensive care unit: are visitors a potential vector for pathogens?
Citation Text:
Birnbach DJ, Rosen LF, Fitzpatrick M, et al. An evaluation of hand hygiene in an intensive care unit: Are visitors a potential vector for pathogens? J Infect Publi…
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psnet.ahrq.gov/issue/impact-clinical-pharmacy-admission-medication-reconciliation-program-medication-errors-high
August 30, 2017 - Study
Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients.
Citation Text:
Buckley MS, Harinstein LM, Clark KB, et al. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "hig…
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psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety
July 10, 2008 - Study
Classic
A framework for engaging physicians in quality and safety.
Citation Text:
Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf. 2012;21(9):722-728. doi:10.1136/bmjqs-2011-000167.
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psnet.ahrq.gov/issue/narrative-review-well-being-and-burnout-us-community-pharmacists
May 10, 2023 - Review
A narrative review of the well-being and burnout of U.S. community pharmacists.
Citation Text:
Wash A, Moczygemba LR, Brown CM, et al. A narrative review of the well-being and burnout of U.S. community pharmacists. J Am Pharm Assoc (2003). 2023;64(2):337-349. doi:10.1016/j.japh.20…
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psnet.ahrq.gov/issue/role-patients-and-their-relatives-speaking-about-their-own-safety-qualitative-study-acute
January 19, 2012 - Study
The role of patients and their relatives in 'speaking up' about their own safety—a qualitative study of acute illness.
Citation Text:
Rainey H, Ehrich K, Mackintosh N, et al. The role of patients and their relatives in 'speaking up' about their own safety - a qualitative study of a…
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psnet.ahrq.gov/issue/what-kinds-insights-do-safety-i-and-safety-ii-approaches-provide-critical-reflection-use
February 02, 2022 - Commentary
What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare.
Citation Text:
Sujan M, Lounsbury O, Pickup L, et al. What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflect…
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www.ahrq.gov/news/newsroom/case-studies/201520.html
July 01, 2015 - Wisconsin Critical Access Hospital Sees Big Results with AHRQ’s CUSP, RED and TeamSTEPPS®
Search All Impact Case Studies
July 2015
Amery Hospital & Clinic, a 25-bed acute care critical access hospital in rural Wisconsin, used AHRQ’s Comprehensive Unit-based Safety Program (CUSP) to reduce surgical site in…
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psnet.ahrq.gov/issue/effectiveness-pharmacist-nurse-intervention-resolving-medication-discrepancies-patients
December 03, 2014 - Study
Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care.
Citation Text:
Setter SM, Corbett CF, Neumiller JJ, et al. Effectiveness of a pharmacist-nurse intervention on resolving medication…
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psnet.ahrq.gov/issue/interventions-primary-care-reduce-medication-related-adverse-events-and-hospital-admissions
April 06, 2011 - Review
Interventions in primary care to reduce medication related adverse events and hospital admissions: systematic review and meta-analysis.
Citation Text:
Royal S, Smeaton L, Avery A, et al. Interventions in primary care to reduce medication related adverse events and hospital admis…
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psnet.ahrq.gov/issue/inadequate-health-literacy-among-paid-caregivers-seniors
May 04, 2010 - Study
Inadequate health literacy among paid caregivers of seniors.
Citation Text:
Lindquist LA, Jain N, Tam K, et al. Inadequate health literacy among paid caregivers of seniors. J Gen Intern Med. 2011;26(5):474-9. doi:10.1007/s11606-010-1596-2.
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psnet.ahrq.gov/issue/digital-health-intervention-patient-safety-children-and-parents-scoping-review
January 23, 2017 - Review
Digital health intervention on patient safety for children and parents: a scoping review.
Citation Text:
Park J, Jeon H, Choi EK. Digital health intervention on patient safety for children and parents: a scoping review. J Adv Nurs. 2024;80(5):1750-1760. doi:10.1111/jan.15954.
Co…
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psnet.ahrq.gov/issue/unit-based-care-teams-and-frequency-and-quality-physician-nurse-communications
November 16, 2022 - Study
Unit-based care teams and the frequency and quality of physician–nurse communications.
Citation Text:
Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician-nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.100…