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psnet.ahrq.gov/issue/adverse-events-experienced-homecare-patients-scoping-review-literature
October 19, 2022 - Review
Adverse events experienced by homecare patients: a scoping review of the literature.
Citation Text:
Masotti P, McColl MA, Green M. Adverse events experienced by homecare patients: a scoping review of the literature. Int J Health Care Qual. 2010;22(2):115-125. doi:10.1093/intqhc/…
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psnet.ahrq.gov/issue/evaluation-quality-do-not-use-medication-abbreviation-audits-key-enabler-successful
September 15, 2021 - Study
Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback.
Citation Text:
Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler…
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psnet.ahrq.gov/issue/primary-care-collaboration-improve-diagnosis-and-screening-colorectal-cancer
July 13, 2022 - Study
Classic
Primary care collaboration to improve diagnosis and screening for colorectal cancer.
Citation Text:
Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for Colorectal Cancer. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/issue/i-think-medicine-actually-killed-my-wife-patient-and-family-perspectives-shared-decision
October 05, 2022 - Study
'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications and safety.
Citation Text:
Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family perspectives on s…
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psnet.ahrq.gov/issue/registration-associated-patient-misidentification-academic-medical-center-causes-and
September 02, 2020 - Study
Registration-associated patient misidentification in an academic medical center: causes and corrections.
Citation Text:
Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic medical center: causes and corrections. Jt Comm J Qual Pat…
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psnet.ahrq.gov/issue/tall-man-lettering-and-potential-prescription-errors-time-series-analysis-42-childrens
January 12, 2012 - Study
Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years.
Citation Text:
Zhong W, Feinstein JA, Patel NS, et al. Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hosp…
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psnet.ahrq.gov/issue/performance-fail-safe-system-follow-abnormal-mammograms-primary-care
September 11, 2013 - Study
Performance of a fail-safe system to follow up abnormal mammograms in primary care.
Citation Text:
Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal mammograms in primary care. J Patient Saf. 2010;6(3):172-179.
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psnet.ahrq.gov/issue/impact-drug-error-reduction-software-preventing-harmful-adverse-drug-events-england
November 16, 2022 - Study
The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study.
Citation Text:
Sutherland A, Gerrard WS, Patel A, et al. The impact of drug error reduction software on preventing harmful adverse drug events in Englan…
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psnet.ahrq.gov/issue/burden-opioid-related-adverse-drug-events-hospitalized-previously-opioid-free-surgical
March 24, 2021 - Study
Emerging Classic
The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.
Citation Text:
Urman RD, Seger DL, Fiskio JM, et al. The burden of opioid-related adverse drug events on hospitalized previously opi…
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psnet.ahrq.gov/issue/non-technical-skills-surgery-during-covid-19-pandemic-observational-study
December 06, 2023 - Study
Non-technical skills in surgery during the COVID-19 pandemic: an observational study.
Citation Text:
Etheridge JC, Moyal-Smith R, Sonnay Y, et al. Non-technical skills in surgery during the COVID-19 pandemic: an observational study. Int J Surg. 2022;98:106210. doi:10.1016/j.ijsu.20…
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psnet.ahrq.gov/issue/electronic-prescribing-systems-hospitals-improve-medication-safety-multi-methods-research
November 09, 2022 - Review
Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme.
Citation Text:
Sheikh A, Coleman JJ, Chuter A, et al. Electronic prescribing systems in hospitals to improve medication safety: a multimethods research programme. Programm…
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psnet.ahrq.gov/issue/interprofessionalinterdisciplinary-teamwork-during-early-covid-19-pandemic-experience
September 23, 2020 - Commentary
Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center.
Citation Text:
Natale JAE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early COVI…
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digital.ahrq.gov/sites/default/files/docs/page/Workshop%20Agenda.pdf
June 16, 2021 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Workshop Agenda
1
AGENDA
DAY ONE: WHAT ENGINEERING KNOWLEDGE IS NEEDED TO CREATE A DESIRED
FUTURE FOR HEALTH CARE?
8:00 am
Registration and Continental Breakfast
8:30 am Welcome
Patricia Flatley Br…
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psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident
May 05, 2021 - Study
Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care.
Citation Text:
Goh HS, Tan V, Chang J, et al. Implementing the clinical occurrence reporting and learning system: a double-loop learning incident …
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psnet.ahrq.gov/issue/ethnographic-study-health-information-technology-use-three-intensive-care-units
January 14, 2014 - Study
An ethnographic study of health information technology use in three intensive care units.
Citation Text:
Leslie M, Paradis E, Gropper MA, et al. An Ethnographic Study of Health Information Technology Use in Three Intensive Care Units. Health Serv Res. 2017;52(4):1330-1348. doi:10.1…
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psnet.ahrq.gov/issue/pediatric-transport-safety-collaborative-adverse-events-parental-presence-during-pediatric
December 09, 2020 - Study
Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport.
Citation Text:
Ali A, Miller MR, Cameron S, et al. Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical car…
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psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
November 16, 2022 - Commentary
The next organizational challenge: finding and addressing diagnostic error.
Citation Text:
Graber ML, Trowbridge RL, Myers JS, et al. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102-10.
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psnet.ahrq.gov/issue/frequency-intravenous-medication-administration-errors-related-smart-infusion-pumps
June 27, 2018 - Study
The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study.
Citation Text:
Schnock KO, Dykes PC, Albert J, et al. The frequency of intravenous medication administration errors related to smart infusion pumps: a…
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psnet.ahrq.gov/issue/soft-factors-smooth-transport-role-safety-climate-and-team-processes-reducing-adverse-events
September 27, 2016 - Commentary
Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care.
Citation Text:
Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and…
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psnet.ahrq.gov/issue/can-patients-contribute-enhancing-safety-and-effectiveness-test-result-follow-qualitative
August 19, 2020 - Study
Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop.
Citation Text:
Thomas J, Dahm MR, Li J, et al. Can patients contribute to enhancing the safety and effectiveness of test‐result follow‐u…