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psnet.ahrq.gov/issue/analysis-iatrogenic-and-hospital-medication-errors-reported-united-states-poison-centers
November 28, 2018 - Study
Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study.
Citation Text:
Leonard JB, McFadden C, Feemster AA, et al. Analysis of iatrogenic and in-hospital medication errors reported to United States pois…
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psnet.ahrq.gov/issue/association-between-waiting-times-and-short-term-mortality-and-hospital-admission-after
May 19, 2018 - Study
Classic
Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada.
Citation Text:
Guttmann A, Schull MJ, Vermeulen MJ, et al. Associatio…
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psnet.ahrq.gov/issue/impact-smart-pump-electronic-health-record-interoperability-patient-safety-and-finances
September 23, 2020 - Study
Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital
Citation Text:
Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospit…
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psnet.ahrq.gov/issue/incidence-and-characteristics-adverse-events-paediatric-inpatient-care-systematic-review-and
September 21, 2022 - Review
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis.
Citation Text:
Dillner P, Eggenschwiler LC, Rutjes AWS, et al. Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and…
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psnet.ahrq.gov/issue/does-computerized-provider-order-entry-reduce-prescribing-errors-hospital-inpatients
February 15, 2012 - Review
Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review.
Citation Text:
Reckmann MH, Westbrook JI, Koh Y, et al. Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. J…
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psnet.ahrq.gov/issue/paediatric-medication-incident-reporting-multicentre-comparison-study-medication-errors
January 18, 2023 - Study
Paediatric medication incident reporting: a multicentre comparison study of medication errors identified at audit, detected by staff and reported to an incident system.
Citation Text:
Li L, Badgery-Parker T, Merchant A, et al. Paediatric medication incident reporting: a multicentre…
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psnet.ahrq.gov/issue/identifying-adverse-events-patients-hospitalized-isolation-or-quarantine-due-covid-19
September 13, 2023 - Study
Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19.
Citation Text:
de Arriba Fernández A, Sánchez Medina R, Dorta Hung ME, et al. Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19. J Patient Sa…
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psnet.ahrq.gov/issue/factors-contributing-all-cause-30-day-readmissions-structured-case-series-across-18-hospitals
October 19, 2022 - Study
Classic
Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals.
Citation Text:
Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a structured case series acr…
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psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
June 01, 2016 - Commentary
"Never events" and the quest to reduce preventable harm.
Citation Text:
Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient Saf. 2015;41(6):279-288.
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psnet.ahrq.gov/issue/using-patient-safety-indicators-estimate-impact-potential-adverse-events-outcomes
July 14, 2009 - Study
Using patient safety indicators to estimate the impact of potential adverse events on outcomes.
Citation Text:
Rivard PE, Luther SL, Christiansen CL, et al. Using Patient Safety Indicators to Estimate the Impact of Potential Adverse Events on Outcomes. Med Care Res Rev. 2008;65(1…
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psnet.ahrq.gov/issue/two-sides-safety-coin-how-patient-engagement-and-safety-climate-jointly-affect-error
March 11, 2020 - Study
Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units.
Citation Text:
Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in…
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psnet.ahrq.gov/issue/what-do-parents-think-about-quality-and-safety-care-provided-hospitals-children-and-young
September 06, 2023 - Study
What do parents think about the quality and safety of care provided by hospitals to children and young people with an intellectual disability? A qualitative study using thematic analysis.
Citation Text:
Ong N, Lucien A, Long JC, et al. What do parents think about the quality and sa…
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psnet.ahrq.gov/issue/introduction-rapid-response-system-united-states-veterans-affairs-hospital-reduced-cardiac
January 02, 2017 - Study
Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests.
Citation Text:
Lighthall GK, Parast L, Rapoport L, et al. Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests. Anes…
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psnet.ahrq.gov/issue/qualitative-study-patient-involvement-medicines-management-after-hospital-discharge-under
August 03, 2011 - Study
A qualitative study of patient involvement in medicines management after hospital discharge: an under-recognised source of systems resilience.
Citation Text:
Fylan B, Armitage G, Naylor D, et al. A qualitative study of patient involvement in medicines management after hospital disc…
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psnet.ahrq.gov/issue/differences-rates-patient-safety-events-payer-implications-providers-and-policymakers
November 16, 2022 - Study
Differences in the rates of patient safety events by payer: implications for providers and policymakers.
Citation Text:
Spencer CS, Roberts ET, Gaskin DJ. Differences in the rates of patient safety events by payer: implications for providers and policymakers. Med Care. 2015;53(6):5…
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psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge
July 08, 2008 - Study
Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched cohort study.
Citation Text:
Lapointe-Shaw L, Bell CM, Austin PC, et al. Community pharmacy medication review, death and re-admission after hospital discharge: a propen…
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psnet.ahrq.gov/issue/preventing-device-associated-infections-us-hospitals-national-surveys-2005-2013
June 21, 2023 - Study
Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013.
Citation Text:
Krein SL, Fowler KE, Ratz D, et al. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. BMJ Qual Saf. 2015;24(6):385-92. doi:10.1136/…
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psnet.ahrq.gov/issue/stakeholder-perspectives-handovers-between-hospital-staff-and-general-practitioners
October 03, 2012 - Study
Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens.
Citation Text:
Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and general practitioners: an e…
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www.ahrq.gov/takeheart/training/implementing-automatic-referral/index.html
April 01, 2023 - Implementing Automatic Referral
This focus area will walk you through the necessary steps for implementing an automatic referral system in your hospital.
Automatic referral is a proven, evidence-based strategy to increase participation in cardiac rehabilitation (CR). Automatic referral is the systematic, au…
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psnet.ahrq.gov/issue/fable-reality-parkland-hospital-impact-evidence-based-design-strategies-patient-safety
September 09, 2020 - Commentary
From fable to reality at Parkland Hospital: the impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient environment.
Citation Text:
Rich RK, Jimenez FE, Puumala SE, et al. From Fable to Reality at Parkland Hospital: The Im…