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psnet.ahrq.gov/issue/study-multisite-prospective-adverse-event-surveillance-system
October 16, 2019 - Study
Study of a multisite prospective adverse event surveillance system.
Citation Text:
Forster AJ, Huang A, Lee TC, et al. Study of a multisite prospective adverse event surveillance system. BMJ Qual Saf. 2020;29(4). doi:10.1136/bmjqs-2018-008664.
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psnet.ahrq.gov/issue/information-handoff-and-outcomes-critically-ill-patients-transferred-between-hospitals
July 18, 2016 - Study
Information handoff and outcomes of critically ill patients transferred between hospitals.
Citation Text:
Usher MG, Fanning C, Wu D, et al. Information handoff and outcomes of critically ill patients transferred between hospitals. J Crit Care. 2016;36:240-245. doi:10.1016/j.jcrc.20…
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psnet.ahrq.gov/issue/shifting-indirect-patient-care-duties-after-hours-era-work-hours-restrictions
February 18, 2011 - Study
Shifting indirect patient care duties to after hours in the era of work hours restrictions.
Citation Text:
Mourad M, Vidyarthi A, Hollander H, et al. Shifting indirect patient care duties to after hours in the era of work hours restrictions. Acad Med. 2011;86(5):586-90. doi:10.1097…
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psnet.ahrq.gov/issue/staffing-matters-every-shift
January 20, 2021 - Commentary
Staffing matters—every shift.
Citation Text:
West G, Patrician PA, Loan L. Staffing matters-every shift: data from the Military Nursing Outcomes Database can be used to demonstrate that the right number and mix of nurses prevent errors. Am J Nurs. 2012;112(12):22-7; discussi…
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psnet.ahrq.gov/issue/electronic-handoff-instruments-truly-multidisciplinary-tool
September 26, 2012 - Study
Electronic handoff instruments: a truly multidisciplinary tool?
Citation Text:
Schuster KM, Jenq GY, Thung SF, et al. Electronic handoff instruments: a truly multidisciplinary tool? J Am Med Inform Assoc. 2014;21(e2):e352-e357. doi:10.1136/amiajnl-2013-002361.
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psnet.ahrq.gov/issue/impact-daily-huddle-safety-perioperative-services
March 03, 2021 - Study
Impact of a daily huddle on safety in perioperative services.
Citation Text:
Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012.
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psnet.ahrq.gov/issue/impact-computerized-clinical-decision-support-system-reducing-inappropriate-antimicrobial-use
December 09, 2015 - Study
Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized controlled trial.
Citation Text:
McGregor JC, Weekes E, Forrest GN, et al. Impact of a computerized clinical decision support system on reducing inappropriate antim…
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psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system
September 08, 2010 - Study
Out-of-hospital medication errors: a 6-year analysis of the national poison data system.
Citation Text:
Shah K, Barker KA. Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Pharmacoepidemiol Drug Saf. 2009;18(11):1080-5. doi:10.1002/pds.1823…
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-compliance-prescription-accuracy
May 27, 2011 - Study
Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.
Citation Text:
Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Pharm World Sc…
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psnet.ahrq.gov/issue/systematic-review-physiologic-monitor-alarm-characteristics-and-pragmatic-interventions
August 03, 2017 - Review
Classic
Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency.
Citation Text:
Paine CW, Goel V, Ely E, et al. Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Inter…
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psnet.ahrq.gov/issue/association-hospital-participation-surgical-outcomes-monitoring-program-inpatient
August 20, 2018 - Study
Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality.
Citation Text:
Etzioni DA, Wasif N, Dueck AC, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complicati…
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psnet.ahrq.gov/issue/we-need-talk-primary-care-provider-communication-discharge-era-shared-electronic-medical
October 13, 2018 - Study
We need to talk: primary care provider communication at discharge in the era of a shared electronic medical record.
Citation Text:
Sheu L, Fung K, Mourad M, et al. We need to talk: Primary care provider communication at discharge in the era of a shared electronic medical record. J …
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psnet.ahrq.gov/issue/factors-affecting-attitudes-and-barriers-medical-emergency-team-among-nurses-and-medical
March 27, 2024 - Study
Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors: a multi-centre survey.
Citation Text:
Radeschi G, Urso F, Campagna S, et al. Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors:…
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psnet.ahrq.gov/issue/evaluating-patient-identification-practices-during-intrahospital-transfers-human-factors
August 18, 2021 - Study
Evaluating patient identification practices during intrahospital transfers: a human factors approach.
Citation Text:
Suclupe S, Kitchin J, Sivalingam R, et al. Evaluating patient identification practices during intrahospital transfers: a human factors approach. J Patient Saf. 2023;…
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psnet.ahrq.gov/issue/predictors-hospital-postoperative-opioid-overdose-after-major-elective-operations-nationally
March 17, 2021 - Study
Predictors of in-hospital postoperative opioid overdose after major elective operations: a nationally representative cohort study.
Citation Text:
Cauley CE, Anderson G, Haynes AB, et al. Predictors of In-hospital Postoperative Opioid Overdose After Major Elective Operations: A Nati…
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psnet.ahrq.gov/issue/development-and-reliability-explicit-professional-oral-communication-observation-tool
April 23, 2014 - Study
Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare.
Citation Text:
Kemper PF, van Noord I, de Bruijne M, et al. Development and reliability of the explicit professional oral communi…
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psnet.ahrq.gov/issue/how-avoid-catastrophic-events-ward
February 03, 2011 - Review
How to avoid catastrophic events on the ward.
Citation Text:
Bein B, Seewald S, Gräsner J-T. How to avoid catastrophic events on the ward. Best Pract Res Clin Anaesthesiol. 2016;30(2):237-45. doi:10.1016/j.bpa.2016.04.003.
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psnet.ahrq.gov/issue/changing-experience-adverse-medical-events-national-health-service-comparison-two-population
February 16, 2011 - Study
Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013.
Citation Text:
Gray AM, Fenn P, Rickman N, et al. Changing experience of adverse medical events in the National Health Service: Comparison of two pop…
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psnet.ahrq.gov/issue/proportion-errors-medical-prescriptions-and-their-executions-among-hospitalized-children-and
June 15, 2012 - Study
The proportion of errors in medical prescriptions and their executions among hospitalized children before and during accreditation.
Citation Text:
Mekory TM, Bahat H, Bar-Oz B, et al. The proportion of errors in medical prescriptions and their executions among hospitalized children…
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psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care
September 23, 2020 - Study
Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care.
Citation Text:
Goyder CR, Jones CHD, Heneghan CJ, et al. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Br J Gen Pract. 2015;65(641):e838-e844. d…