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psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation
September 23, 2020 - Study
A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system.
Citation Text:
Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconcili…
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psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-safety-concern
October 25, 2023 - Commentary
Ten years later, alarm fatigue is still a safety concern.
Citation Text:
Albanowski K, Burdick KJ, Bonafide CP, et al. Ten years later, alarm fatigue is still a safety concern. AACN Adv Crit Care. 2023;34(3):189-197. doi:10.4037/aacnacc2023662.
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psnet.ahrq.gov/issue/physicians-perceptions-preparedness-reporting-and-experiences-related-impaired-and
February 10, 2015 - Study
Classic
Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues.
Citation Text:
DesRoches CM, Rao SR, Fromson J, et al. Physicians' perceptions, preparedness for reporting, and experiences relat…
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psnet.ahrq.gov/issue/sustainable-effective-implementation-surgical-preprocedural-checklist-attestation-format-all
July 31, 2013 - Study
Sustainable, effective implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members.
Citation Text:
Porter AJ, Narimasu JY, Mulroy MF, et al. Sustainable, effective implementation of a surgical preprocedural checklist: an "attestati…
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psnet.ahrq.gov/issue/mindful-path-nursing-accuracy-quasi-experimental-study-minimizing-medication-administration
March 03, 2019 - Study
The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors.
Citation Text:
Ekkens CL, Gordon PA. The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors. Holist Nurs Pract. …
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psnet.ahrq.gov/issue/closing-loop-process-evaluation-inpatient-care-team-communication
March 09, 2019 - Study
Closing the loop: a process evaluation of inpatient care team communication.
Citation Text:
Broman KK, Kensinger C, Hart H, et al. Closing the loop: a process evaluation of inpatient care team communication. BMJ Qual Saf. 2017;26(1):30-32. doi:10.1136/bmjqs-2015-004580.
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psnet.ahrq.gov/issue/adverse-outcomes-blood-transfusion-children-analysis-uk-reports-serious-hazards-transfusion
September 23, 2020 - Study
Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005.
Citation Text:
Stainsby D, Jones H, Wells AW, et al. Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards …
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psnet.ahrq.gov/issue/postoperative-sepsis-united-states
January 12, 2022 - Study
Postoperative sepsis in the United States.
Citation Text:
Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg. 2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e.
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-reduce-risk-heparin-use
July 19, 2023 - Study
Failure mode and effects analysis to reduce risk of heparin use.
Citation Text:
Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229.
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psnet.ahrq.gov/issue/prevalence-harmful-diagnostic-errors-hospitalised-adults-systematic-review-and-meta-analysis
April 01, 2020 - Review
Emerging Classic
Prevalence of harmful diagnostic errors in hospitalised adults: a systematic review and meta-analysis.
Citation Text:
Gunderson CG, Bilan VP, Holleck JL, et al. Prevalence of harmful diagnostic errors in hospitalised adults: a systematic …
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psnet.ahrq.gov/issue/evaluation-shared-mental-models-and-mutual-trust-general-medical-units-implications
November 08, 2012 - Study
An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety.
Citation Text:
McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust on General Medical Units: …
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psnet.ahrq.gov/issue/effect-sleep-deprivation-after-night-shift-duty-simulated-crisis-management-residents
August 09, 2023 - Study
Effect of sleep deprivation after a night shift duty on simulated crisis management by residents in anaesthesia. A randomised crossover study.
Citation Text:
Arzalier-Daret S, Buléon C, Bocca M-L, et al. Effect of sleep deprivation after a night shift duty on simulated crisis manag…
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psnet.ahrq.gov/issue/patient-handoffs-standardized-and-reliable-measurement-tools-remain-elusive
July 13, 2010 - Review
Patient handoffs: standardized and reliable measurement tools remain elusive.
Citation Text:
Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt Comm J Qual Patient Saf. 2010;36(2):52-61.
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psnet.ahrq.gov/issue/residents-reluctance-challenge-negative-hierarchy-operating-room-qualitative-study
March 11, 2013 - Study
Residents' reluctance to challenge negative hierarchy in the operating room: a qualitative study.
Citation Text:
Bould D, Sutherland S, Sydor DT, et al. Residents' reluctance to challenge negative hierarchy in the operating room: a qualitative study. Can J Anaesth. 2015;62(6):576-8…
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psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
October 19, 2022 - Study
Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.
Citation Text:
Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.…
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psnet.ahrq.gov/issue/pain-states-opioid-epidemic-and-role-radiologists
September 01, 2013 - Review
Pain states, the opioid epidemic, and the role of radiologists.
Citation Text:
Jones MR, Kaye AD, Manchikanti L, et al. Pain States, the Opioid Epidemic, and the Role of Radiologists. Curr Pain Headache Rep. 2018;22(3):20. doi:10.1007/s11916-018-0672-x.
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psnet.ahrq.gov/issue/transfusion-related-errors-and-associated-adverse-reactions-and-blood-product-wastage
September 23, 2020 - Study
Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022.
Citation Text:
Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion‐related errors and associated adve…
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psnet.ahrq.gov/issue/biased-language-simulated-handoffs-and-clinician-recall-and-attitudes
June 29, 2022 - Study
Biased language in simulated handoffs and clinician recall and attitudes.
Citation Text:
Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172.
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psnet.ahrq.gov/issue/development-and-evaluation-institute-healthcare-improvement-global-trigger-tool
February 10, 2015 - Commentary
Development and evaluation of the Institute for Healthcare Improvement global trigger tool.
Citation Text:
Classen DC, Lloyd RC, Provost LP, et al. Development and Evaluation of the Institute for Healthcare Improvement Global Trigger Tool. J Patient Saf. 2008;4(3). doi:10.10…
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psnet.ahrq.gov/issue/wide-variation-and-overprescription-opioids-after-elective-surgery
April 24, 2018 - Study
Classic
Wide variation and overprescription of opioids after elective surgery.
Citation Text:
Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.00000…