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psnet.ahrq.gov/issue/towards-common-framework-support-decision-making-high-risk-low-time-environments
November 16, 2022 - Commentary
Towards a common framework to support decision-making in high-risk, low-time environments.
Citation Text:
Launder D, Penney G. Towards a common framework to support decision‐making in high‐risk, low‐time environments. J Contin Crisis Manag. 2023;31(4):862-876. doi:10.1111/1468…
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psnet.ahrq.gov/issue/identifying-modifiable-barriers-medication-error-reporting-nursing-home-setting
March 10, 2011 - Study
Identifying modifiable barriers to medication error reporting in the nursing home setting.
Citation Text:
Handler S, Perera S, Olshansky EF, et al. Identifying modifiable barriers to medication error reporting in the nursing home setting. J Am Med Dir Assoc. 2007;8(9):568-74.
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psnet.ahrq.gov/issue/anesthesia-machine-cause-intraoperative-code-red-labor-and-delivery-suite
August 16, 2023 - Commentary
Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery suite.
Citation Text:
Kuczkowski KM. Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery suite. Arch Gynecol Obstet. 2008;278(5):477-8. doi:10.1007/s00404-008-…
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psnet.ahrq.gov/issue/evaluating-potential-severity-look-alike-sound-alike-drug-substitution-errors-children
July 16, 2015 - Study
Evaluating the potential severity of look-alike, sound-alike drug substitution errors in children.
Citation Text:
Basco WT, Garner SS, Ebeling M, et al. Evaluating the Potential Severity of Look-Alike, Sound-Alike Drug Substitution Errors in Children. Acad Pediatr. 2016;16(2):183-1…
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psnet.ahrq.gov/issue/resident-attitudes-regarding-impact-80-duty-hours-work-standards
August 24, 2015 - Study
Resident attitudes regarding the impact of the 80–duty-hours work standards.
Citation Text:
Zonia SC, 2nd RJLB, Stommel M, et al. Resident attitudes regarding the impact of the 80-duty-hours work standards. J Am Osteopath Assoc. 2005;105(7):307-313. https://www.degruyter.com/docu…
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psnet.ahrq.gov/issue/mistaken-identity-skin-cleansing-solution-leading-extensive-chemical-burns-extremely-preterm
October 19, 2022 - Commentary
Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant.
Citation Text:
Mannan K, Chow P, Lissauer T, et al. Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infan…
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psnet.ahrq.gov/issue/making-surgery-safe-it-should-be-qualitative-study
July 02, 2014 - Study
Making surgery as safe as it should be: a qualitative study.
Citation Text:
Robinson DJ, Beaumont G. Making surgery as safe as it should be: a qualitative study. Am J Med Qual. 2023;38(5):238-244. doi:10.1097/jmq.0000000000000139.
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psnet.ahrq.gov/node/50689/psn-pdf
November 20, 2019 - States Targeting Reduction in Infections via Engagement
(STRIVE).
November 20, 2019
Ann Intern Med. 2019;171(7_Suppl):s1-s82.
https://psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
The States Targeting Reduction in Infections via Engagement (STRIVE) initiative was 3-year hospital-
ba…
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psnet.ahrq.gov/issue/increased-mortality-associated-after-hours-and-weekend-admission-intensive-care-unit
May 31, 2023 - Study
Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retrospective analysis.
Citation Text:
Bhonagiri D, Pilcher D, Bailey MJ. Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retros…
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psnet.ahrq.gov/issue/aligning-patient-safety-and-stewardship-harm-reduction-strategy-children
February 27, 2019 - Review
Aligning patient safety and stewardship: a harm reduction strategy for children.
Citation Text:
Schefft M, Noda A, Godbout E. Aligning patient safety and stewardship: a harm reduction strategy for children. Curr Treat Options Pediatr. 2021;7(3):138-151. doi:10.1007/s40746-021-0022…
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psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events
June 07, 2023 - Study
Inadequate preoperative team briefings lead to more intraoperative adverse events.
Citation Text:
Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181.
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psnet.ahrq.gov/issue/behavioral-integrity-safety-priority-safety-psychological-safety-and-patient-safety-team
April 21, 2010 - Study
Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: a team-level study.
Citation Text:
Leroy H, Dierynck B, Anseel F, et al. Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: A team-level study…
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psnet.ahrq.gov/issue/opioid-medication-discontinuation-and-risk-adverse-opioid-related-health-care-events
November 16, 2022 - Study
Classic
Opioid medication discontinuation and risk of adverse opioid-related health care events.
Citation Text:
Mark TL, Parish W. Opioid medication discontinuation and risk of adverse opioid-related health care events. J Subst Abuse Treat. 2019;103:58-63.…
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psnet.ahrq.gov/issue/perceived-value-ward-based-pharmacists-perspective-physicians-and-nurses
February 15, 2011 - Study
Perceived value of ward-based pharmacists from the perspective of physicians and nurses.
Citation Text:
Gillespie U, Mörlin C, Hammarlund-Udenaes M, et al. Perceived value of ward-based pharmacists from the perspective of physicians and nurses. Int J Clin Pharm. 2012;34(1):127-35…
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psnet.ahrq.gov/issue/how-patients-can-improve-accuracy-their-medical-records
July 20, 2022 - Study
How patients can improve the accuracy of their medical records.
Citation Text:
Dullabh P, Sondheimer N, Katsh E, et al. How Patients Can Improve the Accuracy of their Medical Records. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2014;2(3). doi:10.13063/2327-92…
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psnet.ahrq.gov/issue/overview-methicillin-resistant-staphylococcus-aureus-mrsa-related-adult-inpatient-stays-2016
December 11, 2024 - Book/Report
Overview of Methicillin-Resistant Staphylococcus aureus (MRSA)-Related Adult Inpatient Stays, 2016–2021. HCUP Statistical Brief #315.
Citation Text:
Miller MA, Owens P, Kim J, et al. Overview Of Methicillin-Resistant Staphylococcus Aureus (Mrsa)-Related Adult Inpatient Stays,…
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psnet.ahrq.gov/issue/declines-opioid-prescribing-after-private-insurer-policy-change-massachusetts-2011-2015
October 19, 2022 - Government Resource
Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015.
Citation Text:
García MC, Dodek AB, Kowalski T, et al. Declines in Opioid Prescribing After a Private Insurer Policy Change - Massachusetts, 2011-2015. MMWR Morb Mortal Wkly…
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psnet.ahrq.gov/issue/isolation-precautions-visitors
March 02, 2014 - Organizational Policy/Guidelines
Isolation precautions for visitors.
Citation Text:
Munoz-Price LS, Banach DB, Bearman G, et al. Isolation Precautions for Visitors. Infect Control Hosp Epidemiol. 2015;36(7):747-758. doi:10.1017/ice.2015.67.
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psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
January 26, 2022 - Study
Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements?
Citation Text:
Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525.
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psnet.ahrq.gov/issue/measuring-hospital-acquired-complications-associated-low-value-care
August 11, 2021 - Study
Emerging Classic
Measuring hospital-acquired complications associated with low-value care.
Citation Text:
Badgery-Parker T, Pearson S-A, Dunn S, et al. Measuring Hospital-Acquired Complications Associated With Low-Value Care. JAMA Intern Med. 2019;179(4):4…