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psnet.ahrq.gov/issue/pca-safety-data-review-after-clinical-decision-support-and-smart-pump-technology
October 08, 2016 - Study
PCA safety data review after clinical decision support and smart pump technology implementation.
Citation Text:
Prewitt J, Schneider S, Horvath M, et al. PCA safety data review after clinical decision support and smart pump technology implementation. J Patient Saf. 2013;9(2):103-9…
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psnet.ahrq.gov/issue/cluster-randomized-trial-two-implementation-strategies-deliver-audit-and-feedback-equipped
September 01, 2018 - Study
A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program.
Citation Text:
Vaughan CP, Burningham Z, Kelleher JL, et al. A cluster‐randomized trial of two implementation strategies to deliver audit and feedbac…
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psnet.ahrq.gov/issue/reduction-omission-events-after-implementing-rapid-response-system-mortality-review
April 20, 2022 - Study
Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery.
Citation Text:
Olsen SL, Nedrebø BS, Strand K, et al. Reduction in omission events after implementing a Rapid Response System: a mortality review…
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psnet.ahrq.gov/issue/development-and-evaluation-i-pass-picu-standard-electronic-template-improve-referral
June 14, 2023 - Study
Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit.
Citation Text:
Parikh NR, Francisco LS, Balikai SC, et al. Development and evaluation of I-PASS-to-PICU:…
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psnet.ahrq.gov/issue/comparison-health-care-worker-satisfaction-vs-after-implementation-communication-and-optimal
December 09, 2020 - Study
Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals.
Citation Text:
Friedson AI, Humphreys A, LeCraw F, et al. Comparison of health care worker satisfaction before vs after implementa…
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psnet.ahrq.gov/issue/cost-inpatient-falls-and-cost-benefit-analysis-implementation-evidence-based-fall-prevention
December 02, 2020 - Study
Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program.
Citation Text:
Dykes PC, Curtin-Bowen M, Lipsitz S, et al. Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention prog…
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psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related
September 09, 2020 - Study
Classic
Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates.
Citation Text:
Patrick SW, Fry CE, Jones TF, et al. Implementation of prescription drug monitoring programs associated with reductions…
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psnet.ahrq.gov/issue/using-computerized-provider-order-entry-and-clinical-decision-support-improve-referring
August 20, 2018 - Study
Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations.
Citation Text:
Were MC, Abernathy G, Hui SL, et al. Using computerized provider order entry and clinical decision support…
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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/node/47714/psn-pdf
March 27, 2019 - Quality improvement in ambulatory surgery centers: a
major national effort aimed at reducing infections and
other surgical complications.
March 27, 2019
Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major
National Effort Aimed at Reducing Infections and Other Surgical C…
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psnet.ahrq.gov/node/43173/psn-pdf
June 04, 2014 - Barriers to the implementation of checklists in the office-
based procedural setting.
June 4, 2014
Shapiro FE, Fernando RJ, Urman RD. Barriers to the implementation of checklists in the office-based
procedural setting. J Healthc Risk Manag. 2014;33(4):35-43. doi:10.1002/jhrm.21141.
https://psnet.ahrq.gov/issue/bar…
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psnet.ahrq.gov/node/38505/psn-pdf
February 10, 2015 - Health information technology and patient safety:
evidence from panel data.
February 10, 2015
Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data.
Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357.
https://psnet.ahrq.gov/issue/health-informati…
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psnet.ahrq.gov/node/74725/psn-pdf
February 02, 2022 - A retrospective audit of postoperative days alive and out
of hospital, including before and after implementation of
the WHO surgical safety checklist.
February 2, 2022
Moore MR, Mitchell SJ, Weller JM, et al. A retrospective audit of postoperative days alive and out of
hospital, including before and after implemen…
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psnet.ahrq.gov/node/46794/psn-pdf
May 17, 2018 - Implementation of diagnostic pauses in the ambulatory
setting.
May 17, 2018
Huang GC, Kriegel G, Wheaton C, et al. Implementation of diagnostic pauses in the ambulatory setting.
BMJ Qual Saf. 2018;27(6):492-497. doi:10.1136/bmjqs-2017-007192.
https://psnet.ahrq.gov/issue/implementation-diagnostic-pauses-ambulatory…
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psnet.ahrq.gov/node/36867/psn-pdf
August 31, 2011 - Multidisciplinary approach to inpatient medication
reconciliation in an academic setting.
August 31, 2011
Varkey P, Cunningham J, O'Meara J, et al. Multidisciplinary approach to inpatient medication reconciliation
in an academic setting. Am J Health Syst Pharm. 2007;64(8):850-4.
https://psnet.ahrq.gov/issue/multid…
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psnet.ahrq.gov/node/45942/psn-pdf
January 01, 2021 - Medication safety in two intensive care units of a
community teaching hospital after electronic health
record implementation: sociotechnical and human factors
engineering considerations.
March 15, 2017
Carayon P, Wetterneck TB, Cartmill R, et al. Medication Safety in Two Intensive Care Units of a
Community Teachi…
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psnet.ahrq.gov/node/44508/psn-pdf
November 20, 2015 - Outcomes associated with the nationwide introduction of
rapid response systems in the Netherlands.
November 20, 2015
Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MGW, et al. Outcomes Associated With the Nationwide
Introduction of Rapid Response Systems in The Netherlands. Crit Care Med. 2015;43(12):2544-51.
doi:…
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psnet.ahrq.gov/curated-library/artificial-intelligence-system-level-considerations
March 27, 2024 - ’s patient population; (3) it should generate a positive return on investment; and (4) it should be implemented
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psnet.ahrq.gov/issue/adverse-drug-event-prevention-and-detection-older-emergency-department-patients
November 16, 2022 - Commentary
Adverse drug event prevention and detection in older emergency department patients.
Citation Text:
Koehl JL. Adverse drug event prevention and detection in older emergency department patients. Clin Geriatr Med. 2023;39(4):635-645. doi:10.1016/j.cger.2023.04.008.
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psnet.ahrq.gov/issue/task-uncertainty-and-communication-during-nursing-shift-handovers
August 20, 2018 - Study
Task uncertainty and communication during nursing shift handovers.
Citation Text:
Mayor E, Bangerter A, Aribot M. Task uncertainty and communication during nursing shift handovers. J Adv Nurs. 2012;68(9):1956-66. doi:10.1111/j.1365-2648.2011.05880.x.
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