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psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
February 01, 2014 - Rather, The Joint Commission requires hospitals to develop their own high-alert medication list and to implement
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psnet.ahrq.gov/issue/effect-rapid-response-team-hospital-wide-mortality-and-code-rates-outside-icu-childrens
December 02, 2014 - Study
Classic
Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children’s hospital.
Citation Text:
Sharek PJ, Parast L, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code rates outs…
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psnet.ahrq.gov/issue/return-investment-vendor-computerized-physician-order-entry-four-community-hospitals
November 26, 2014 - Study
Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support.
Citation Text:
Zimlichman E, Keohane C, Franz C, et al. Return on investment for vendor computerized physician order entry in four community hospita…
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psnet.ahrq.gov/node/867771/psn-pdf
January 01, 2018 - Community-Acquired Pneumonia Clinical Decision
Support Implementation Toolkit.
January 1, 2018
Agency for Healthcare Research and Quality. Community-Acquired Pneumonia Clinical Decision Support
Implementation Toolkit.
https://psnet.ahrq.gov/issue/community-acquired-pneumonia-clinical-decision-support-implementatio…
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psnet.ahrq.gov/web-mm/triage-time-bomb
September 01, 2008 - Otherwise, even EDs that thoughtfully implement triage strategies and protocols are likely to be overwhelmed
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - Annual Perspective
Computerized Provider Order Entry and Patient Safety
Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2015
View more articles from the same authors.
Citation Text:
Sarkar U, Shojania KG. Computerized Provider Order Entry and Patien…
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psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - We just finished a collaborative to implement safe practices here in Massachusetts: reconciling medications … And we have more and more motivation to implement them because we have results.
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - We just finished a collaborative to implement safe practices here in Massachusetts: reconciling medications … And we have more and more motivation to implement them because we have results.
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psnet.ahrq.gov/issue/improving-bar-coded-medication-administration-system-department-veterans-affairs
November 18, 2009 - Study
Improving the bar-coded medication administration system at the Department of Veterans Affairs.
Citation Text:
Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):144…
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psnet.ahrq.gov/issue/measuring-variation-use-who-surgical-safety-checklist-operating-room-multicenter-prospective
January 19, 2016 - Study
Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study.
Citation Text:
Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicente…
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psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
April 08, 2011 - Study
Speaking up and sharing information improves trainee neonatal resuscitations.
Citation Text:
Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f.
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psnet.ahrq.gov/issue/compliance-who-surgical-safety-checklist-deviations-and-possible-improvements
September 29, 2017 - Study
Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements.
Citation Text:
Rydenfält C, Johansson G, Odenrick P, et al. Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. Int J Qual Health Care. 2013;25(2):182-187. …
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - faith-based sites taking a tool and dissecting it and putting it through eight revisions before they implement … We mandate them before we fully understand them, and we don't do a good job of helping folks implement
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psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals
April 24, 2018 - Study
Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes.
Citation Text:
Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication safety intervention: factors commo…
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psnet.ahrq.gov/issue/society-critical-care-medicine-guidelines-recognizing-and-responding-clinical-deterioration
April 24, 2018 - Organizational Policy/Guidelines
Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023.
Citation Text:
Honarmand K, Wax RS, Penoyer D, et al. Society of Critical Care Medicine Guidelines on Recognizing and Responding to…
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psnet.ahrq.gov/issue/listen-me-i-really-am-sick-patient-and-family-narratives-clinical-deterioration-and-during
June 25, 2018 - Study
Listen to me, I really am sick! Patient and family narratives of clinical deterioration before and during rapid response system intervention.
Citation Text:
Bucknall TK, Guinane J, McCormack B, et al. Listen to me, I really am sick! Patient and family narratives of clinical deterio…
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psnet.ahrq.gov/issue/effects-two-commercial-electronic-prescribing-systems-prescribing-error-rates-hospital
September 01, 2016 - Study
Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.
Citation Text:
Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on prescribing error rates in hos…
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psnet.ahrq.gov/issue/association-pediatric-resident-physician-depression-and-burnout-harmful-medical-errors
April 24, 2018 - Study
Emerging Classic
Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services.
Citation Text:
Brunsberg KA, Landrigan CP, Garcia BM, et al. Association of Pediatric Resident Physician Depression and B…
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psnet.ahrq.gov/issue/improving-hand-communication
April 24, 2007 - Book/Report
Classic
Improving Hand-Off Communication.
Citation Text:
Improving Hand-Off Communication. Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907.
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psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
April 13, 2011 - Study
Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.
Citation Text:
Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. BMJ Qual Saf. 20…