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psnet.ahrq.gov/issue/inappropriate-medication-use-elderly-results-quality-improvement-project-99-primary-care
January 18, 2013 - Study
Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices.
Citation Text:
Wessell AM, Nietert PJ, Jenkins RG, et al. Inappropriate medication use in the elderly: Results from a quality improvement project in 99 primary ca…
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psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery
September 09, 2015 - Review
Applying fault tree analysis to the prevention of wrong-site surgery.
Citation Text:
Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062.
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psnet.ahrq.gov/issue/critical-care-checklists-keystone-project-and-office-human-research-protections-case
May 04, 2014 - Commentary
Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research.
Citation Text:
Savel RH, Goldstein EB, Gropper MA. Critical care checklists, the Keystone Project, an…
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psnet.ahrq.gov/issue/impact-intervention-reduce-prescribing-errors-pediatric-intensive-care-unit
March 09, 2022 - Study
Impact of an intervention to reduce prescribing errors in a pediatric intensive care unit.
Citation Text:
Martinez-Anton A, Sanchez I, Casanueva L. Impact of an intervention to reduce prescribing errors in a pediatric intensive care unit. Intensive Care Med. 2012;38(9):1532-8. do…
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psnet.ahrq.gov/issue/teaching-medical-error-apologies-development-multi-component-intervention
August 04, 2021 - Study
Teaching medical error apologies: development of a multi-component intervention.
Citation Text:
Gillies RA, Speers SH, Young SE, et al. Teaching medical error apologies: development of a multi-component intervention. Fam Med. 2011;43(6):400-6.
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psnet.ahrq.gov/issue/leveraging-trainees-improve-quality-and-safety-point-care-three-models-engagement
September 20, 2017 - Commentary
Leveraging trainees to improve quality and safety at the point of care: three models for engagement.
Citation Text:
Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Acad Med. 2016;91(4):503-9. d…
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psnet.ahrq.gov/issue/evaluating-implementation-rapid-response-team-considering-alternative-outcome-measures
October 19, 2022 - Study
Evaluating implementation of a rapid response team: considering alternative outcome measures.
Citation Text:
Moriarty JP, Schiebel NE, Johnson MG, et al. Evaluating implementation of a rapid response team: considering alternative outcome measures. Int J Qual Health Care. 2014;26(1)…
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psnet.ahrq.gov/issue/influence-availability-heuristic-physicians-emergency-department
September 30, 2020 - Study
The influence of the availability heuristic on physicians in the emergency department.
Citation Text:
Ly DP. The influence of the availability heuristic on physicians in the emergency department. Ann Emerg Med. 2021;78(5):650-657. doi:10.1016/j.annemergmed.2021.06.012.
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psnet.ahrq.gov/issue/impact-date-stamping-patient-safety-measurement-patients-undergoing-cabg-experience-ahrq
December 21, 2014 - Study
Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicators.
Citation Text:
Glance LG, Li Y, Osler T, et al. Impact of date stamping on patient safety measurement in patients undergoing CABG: experience wit…
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psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-2-intensive-care-units-prospective-interventional
January 11, 2017 - Study
Increasing patient safety event reporting in 2 intensive care units: A prospective interventional study.
Citation Text:
Ilan R, Squires M, Panopoulos C, et al. Increasing patient safety event reporting in 2 intensive care units: a prospective interventional study. J Crit Care. 20…
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psnet.ahrq.gov/issue/minimizing-bias-when-using-artificial-intelligence-critical-care-medicine
September 23, 2020 - Review
Minimizing bias when using artificial intelligence in critical care medicine.
Citation Text:
Ranard BL, Park S, Jia Y, et al. Minimizing bias when using artificial intelligence in critical care medicine. J Crit Care. 2024;82:154796. doi:10.1016/j.jcrc.2024.154796.
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psnet.ahrq.gov/issue/developing-patient-measure-safety-pmos
June 25, 2014 - Study
Developing a patient measure of safety (PMOS).
Citation Text:
Giles SJ, Lawton R, Din I, et al. Developing a patient measure of safety (PMOS). BMJ Qual Saf. 2013;22(7):554-62. doi:10.1136/bmjqs-2012-000843.
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psnet.ahrq.gov/issue/effects-bar-coding-technology-medication-errors-systematic-literature-review
March 20, 2024 - Review
The effects of bar-coding technology on medication errors: a systematic literature review.
Citation Text:
Hutton K, Ding Q, Wellman G. The Effects of Bar-coding Technology on Medication Errors: A Systematic Literature Review. J Patient Saf. 2021;17(3):e192-e206. doi:10.1097/PTS.00…
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psnet.ahrq.gov/issue/hospital-admissions-due-adverse-drug-reactions-report-boston-collaborative-drug-surveillance
March 01, 2023 - Study
Classic
Hospital admissions due to adverse drug reactions: a report from the Boston Collaborative Drug Surveillance Program.
Citation Text:
Miller RR. Hospital admissions due to adverse drug reactions. A report from the Boston Collaborative Drug Surveill…
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psnet.ahrq.gov/issue/drug-administration-errors-institution-individuals-intellectual-disability-observational
October 18, 2023 - Study
Drug administration errors in an institution for individuals with intellectual disability: an observational study.
Citation Text:
van den Bemt PMLA, Robertz R, de Jong AL, et al. Drug administration errors in an institution for individuals with intellectual disability: an observa…
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psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives-campaign-nhs-wales
August 04, 2021 - Study
Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales.
Citation Text:
Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J…
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psnet.ahrq.gov/issue/maths-anxiety-and-medication-dosage-calculation-errors-scoping-review
September 01, 2016 - Review
Maths anxiety and medication dosage calculation errors: a scoping review.
Citation Text:
Williams B, Davis S. Maths anxiety and medication dosage calculation errors: A scoping review. Nurse Educ Pract. 2016;20:139-46. doi:10.1016/j.nepr.2016.08.005.
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psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning
September 11, 2024 - Study
The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study.
Citation Text:
Thiel H, Bolton J. The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning syst…
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psnet.ahrq.gov/issue/has-pendulum-swung-too-far-impact-missed-abdominal-injuries-era-nonoperative-management
August 04, 2021 - Study
Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management.
Citation Text:
Fairfax LM, Christmas B, Deaugustinis M, et al. Has the pendulum swung too far? The impact of missed abdominal injuries in the era of nonoperative manage…
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psnet.ahrq.gov/issue/patient-safety-primary-care-has-many-aspects-interview-study-primary-care-doctors-and-nurses
July 23, 2008 - Study
Patient safety in primary care has many aspects: an interview study in primary care doctors and nurses.
Citation Text:
Gaal S, van Laarhoven E, Wolters R, et al. Patient safety in primary care has many aspects: an interview study in primary care doctors and nurses. J Eval Clin Pr…