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psnet.ahrq.gov/issue/implementing-and-evaluating-patient-focused-safety-technology-adult-acute-mental-health-wards
April 06, 2022 - Study
Implementing and evaluating patient-focused safety technology on adult acute mental health wards.
Citation Text:
Kendal S, Louch G, Walker L, et al. Implementing and evaluating patient‐focused safety technology on adult acute mental health wards. J Psychiatr Ment Health Nurs. 2024;…
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psnet.ahrq.gov/issue/color-coded-prefilled-medication-syringes-decrease-time-delivery-and-dosing-errors-simulated
September 09, 2015 - Study
Color-coded prefilled medication syringes decrease time to delivery and dosing errors in simulated prehospital pediatric resuscitations: a randomized crossover trial.
Citation Text:
Stevens AD, Hernandez C, Jones S, et al. Color-coded prefilled medication syringes decrease time to …
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psnet.ahrq.gov/issue/effects-reducing-or-eliminating-resident-work-shifts-over-16-hours-systematic-review
November 12, 2014 - Review
Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review.
Citation Text:
Levine AC, Adusumilli J, Landrigan CP. Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. Sleep. 2010;33(8):1043-53. doi:10.1093/sl…
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psnet.ahrq.gov/node/60864/psn-pdf
August 31, 2020 - Safety Across The Board
August 31, 2020
Fitall E, Hall KK, Gale B. Safety Across The Board . PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/safety-across-board
Defining Safety Across the Board
Safety Across The Board (SAB) is a concept originating from the Centers for Medicare & Medicaid Services
(CMS…
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psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related
April 11, 2011 - Study
Development, testing, and findings of a pediatric-focused trigger tool to identify medication-related harm in US children's hospitals.
Citation Text:
Takata GS, Mason W, Taketomo C, et al. Development, testing, and findings of a pediatric-focused trigger tool to identify medicati…
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psnet.ahrq.gov/issue/beating-weekend-trend-increased-mortality-older-adult-traumatic-brain-injury-tbi-patients
December 21, 2014 - Slideset
Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends.
Citation Text:
Schneider EB, Hirani SA, Hambridge HL, et al. Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) pat…
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psnet.ahrq.gov/issue/self-reported-patient-safety-competence-among-canadian-medical-students-and-postgraduate
December 04, 2015 - Study
Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey.
Citation Text:
Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a…
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psnet.ahrq.gov/issue/barriers-and-facilitators-implementing-process-enable-parent-escalation-care-deteriorating
September 16, 2020 - Study
Barriers and facilitators to implementing a process to enable parent escalation of care for the deteriorating child in hospital.
Citation Text:
Gill FJ, Leslie GD, Marshall AP. Barriers and facilitators to implementing a process to enable parent escalation of care for the deteriora…
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psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
January 12, 2022 - Study
Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors.
Citation Text:
Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to improve transitions of care for patients …
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psnet.ahrq.gov/issue/just-what-doctor-ordered-missed-ordering-venous-thromboembolism-chemoprophylaxis-associated
September 07, 2022 - Study
Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients.
Citation Text:
Baimas-George MR, Ross SW, Yang H, et al. Just what the doctor ordered: missed ordering of venous t…
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psnet.ahrq.gov/issue/impact-automated-notification-follow-actionable-tests-pending-discharge-cluster-randomized
March 04, 2015 - Study
Classic
The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster-randomized controlled trial.
Citation Text:
Dalal A, Schaffer A, Gershanik EF, et al. The Impact of Automated Notification on Follow-up of Actiona…
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psnet.ahrq.gov/issue/evaluating-implementation-and-impact-pharmacy-technician-supported-medicines-administration
November 14, 2018 - Study
Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study.
Citation Text:
Seston EM, Ashcroft DM, Lamerton E, et al. Evaluating the implementation and impact of a p…
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psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
February 15, 2011 - Study
Patient characteristics and the occurrence of never events.
Citation Text:
Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277.
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DOI Google Schol…
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psnet.ahrq.gov/issue/implementing-safer-and-more-reliable-system-monitor-test-results-teaching-university
November 07, 2018 - Commentary
Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report.
Citation Text:
Dorimain M-V, Plouffe-Malette M, Paquette M, et al. Implementing a safer and more…
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psnet.ahrq.gov/issue/risk-adjusted-morbidity-teaching-hospitals-correlates-reported-levels-communication-and
July 12, 2010 - Study
Classic
Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions.
Citation Text:
Davenport DL…
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psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and
October 19, 2022 - Study
Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice.
Citation Text:
Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to …
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psnet.ahrq.gov/issue/mhealth-design-promote-medication-safety-children-medical-complexity
July 14, 2010 - Study
An mHealth design to promote medication safety in children with medical complexity.
Citation Text:
Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000…
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psnet.ahrq.gov/issue/clinical-benefits-electronic-health-record-use-national-findings
November 16, 2022 - Study
Clinical benefits of electronic health record use: national findings.
Citation Text:
King J, Patel V, Jamoom EW, et al. Clinical benefits of electronic health record use: national findings. Health Serv Res. 2014;49(1 Pt 2):392-404. doi:10.1111/1475-6773.12135.
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psnet.ahrq.gov/issue/house-overnight-physician-staffing-cross-sectional-survey-canadian-adult-and-pediatric
December 04, 2015 - Study
In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units.
Citation Text:
Parshuram CS, Kirpalani H, Mehta S, et al. In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intens…
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psnet.ahrq.gov/issue/dual-health-care-system-use-and-high-risk-prescribing-patients-dementia-national-cohort-study
July 02, 2019 - Study
Dual health care system use and high-risk prescribing in patients with dementia: a national cohort study.
Citation Text:
Thorpe JM, Thorpe CT, Gellad WF, et al. Dual Health Care System Use and High-Risk Prescribing in Patients With Dementia: A National Cohort Study. Ann Intern Med.…