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psnet.ahrq.gov/issue/toward-safer-opioid-prescribing-hiv-care-tower-mixed-methods-cluster-randomized-trial
September 07, 2022 - Study
Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial.
Citation Text:
Cedillo G, George MC, Deshpande R, et al. Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial. Addict Sci Clin Pract. 2022;17(1)…
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psnet.ahrq.gov/issue/creation-root-cause-analysis-and-action-rca2-standard-work-multidisciplinary-team-prevent
October 19, 2022 - Study
Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture.
Citation Text:
Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidis…
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psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
September 29, 2017 - Study
Classic
Communication-and-resolution programs: the challenges and lessons learned from six early adopters.
Citation Text:
Mello MM, Boothman RC, McDonald TB, et al. Communication-and-resolution programs: the challenges and lessons learned from six early ad…
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psnet.ahrq.gov/issue/assessing-patient-work-system-factors-medication-management-during-transition-care-among
July 20, 2022 - Study
Assessing patient work system factors for medication management during transition of care among older adults: an observational study.
Citation Text:
Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management during transition of care among ol…
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psnet.ahrq.gov/issue/computerized-decision-support-reduce-potentially-inappropriate-prescribing-older-emergency
December 17, 2010 - Study
Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial.
Citation Text:
Terrell KM, Perkins AJ, Dexter P, et al. Computerized decision support to reduce potentially inappropriate prescrib…
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psnet.ahrq.gov/issue/prompting-rounding-teams-address-daily-best-practice-checklist-pediatric-intensive-care-unit
June 30, 2021 - Study
Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit.
Citation Text:
Cifra CL, Houston M, Otto A, et al. Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. Jt Comm J Qual Patient …
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psnet.ahrq.gov/issue/healthcare-system-wide-implementation-opioid-safety-guideline-recommendations-case-urine-drug
August 11, 2021 - Study
Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration.
Citation Text:
Brennan PL, Del Re AC, Henderson PT, et al. Healthcare sy…
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psnet.ahrq.gov/issue/psychological-experience-obstetric-patients-and-health-care-workers-after-implementation
March 30, 2022 - Study
The psychological experience of obstetric patients and health care workers after implementation of universal SARS-CoV-2 testing.
Citation Text:
Bender WR, Srinivas S, Coutifaris P, et al. The psychological experience of obstetric patients and health care workers after implementatio…
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psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
March 15, 2016 - Review
A systematic review of patient safety measures in adult primary care.
Citation Text:
Hatoun J, Chan J, Yaksic E, et al. A Systematic Review of Patient Safety Measures in Adult Primary Care. Am J Med Qual. 2017;32(3):237-245. doi:10.1177/1062860616644328.
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psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications
October 19, 2022 - Study
Improving emergency medicine clinician awareness of prehospital-administered medications.
Citation Text:
Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-administered medications. Prehosp Emerg Care. 2024;28(3):506-512. doi:10.1080/1…
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psnet.ahrq.gov/issue/hospital-based-medication-reconciliation-practices-systematic-review
April 05, 2013 - Review
Classic
Hospital-based medication reconciliation practices: a systematic review.
Citation Text:
Mueller SK, Sponsler KC, Kripalani S, et al. Hospital-based medication reconciliation practices: a systematic review. Arch Intern Med. 2012;172(14):1057-69. do…
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psnet.ahrq.gov/issue/effect-pharmacist-intervention-clinically-important-medication-errors-after-hospital
May 08, 2017 - Study
Classic
Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.
Citation Text:
Kripalani S, Roumie CL, Dalal A, et al. Effect of a pharmacist intervention on clinically important medicat…
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psnet.ahrq.gov/issue/prospective-evaluation-multifaceted-intervention-improve-outcomes-intensive-care-promoting
August 03, 2022 - Study
Classic
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study.
Citation Text:
Dykes PC, Rozenblum R, Dalal A, et a…
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psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-support-deprescribing-interventions-across-veterans
April 24, 2018 - Study
A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings.
Citation Text:
Phillips KK, Mecca MC, Baim‐Lance AM, et al. A virtual breakthrough series collaborative to support deprescribing interventions across Vete…
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psnet.ahrq.gov/issue/effect-bar-code-technology-safety-medication-administration
October 25, 2010 - Study
Classic
Effect of bar-code technology on the safety of medication administration.
Citation Text:
Poon EG, Keohane C, Yoon CS, et al. Effect of bar-code technology on the safety of medication administration. New Engl J Med. 2010;362(18):1698-1707. doi:10.10…
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psnet.ahrq.gov/issue/clinically-inconsequential-alerts-characteristics-opioid-drug-alerts-and-their-utility
May 18, 2022 - Study
Clinically inconsequential alerts: the characteristics of opioid drug alerts and their utility in preventing adverse drug events in the emergency department.
Citation Text:
Genco EK, Forster JE, Flaten H, et al. Clinically Inconsequential Alerts: The Characteristics of Opioid Drug …
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psnet.ahrq.gov/issue/personal-protective-equipment-ppe-surgeons-during-covid-19-pandemic-systematic-review
September 23, 2020 - Review
Emerging Classic
Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review of availability, usage, and rationing.
Citation Text:
Jessop ZM, Dobbs TD, Ali SR, et al. Personal protective equipment for surgeons during COV…
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psnet.ahrq.gov/issue/overcoming-covid-19-what-can-human-factors-and-ergonomics-offer
September 02, 2020 - Commentary
Emerging Classic
Overcoming COVID-19: what can human factors and ergonomics offer?
Citation Text:
Gurses AP, Tschudy MM, McGrath-Morrow S, et al. Overcoming COVID-19: what can human factors and ergonomics offer? J Patient Saf Risk Manag. 2020;25(2):49…
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psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration
August 21, 2024 - Study
Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration.
Citation Text:
Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:…
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psnet.ahrq.gov/issue/alternatives-opioid-education-and-prescription-drug-monitoring-program-cumulatively-decreased
April 06, 2022 - Study
Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions.
Citation Text:
Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased…