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psnet.ahrq.gov/issue/characteristics-and-contributing-factors-diagnostic-error-surgery-analysis-closed-medico
April 16, 2019 - Study
Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada.
Citation Text:
Kwan JL, Calder LA, Bowman CL, et al. Characteristics and contributing factors of diagnostic error in surgery: analysis of closed …
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psnet.ahrq.gov/issue/evaluating-patient-safety-learning-laboratory-create-interdisciplinary-ecosystem-health-care
December 21, 2022 - Study
Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation.
Citation Text:
Atkinson MK, Benneyan JC, Bambury EA, et al. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care …
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psnet.ahrq.gov/issue/provider-provider-communication-during-transitions-care-outpatient-acute-care-systematic
October 29, 2017 - Review
Provider-to-provider communication during transitions of care from outpatient to acute care: a systematic review.
Citation Text:
Luu N-P, Pitts S, Petty BG, et al. Provider-to-Provider Communication during Transitions of Care from Outpatient to Acute Care: A Systematic Review. J G…
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psnet.ahrq.gov/issue/care-deficiencies-and-leaders-inadequate-reviews-patient-who-died-lt-col-luke-weathers-jr-va
April 10, 2024 - Book/Report
Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee.
Citation Text:
Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…
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psnet.ahrq.gov/issue/hospital-and-system-wide-interventions-health-care-associated-infections-systematic-review
January 12, 2022 - Review
Hospital- and system-wide interventions for health care-associated infections: a systematic review.
Citation Text:
Maurer NR, Hogan TH, Walker DM. Hospital- and system-wide interventions for health care-associated infections: a systematic review. Med Care Res Rev. 2021;78(6):643-6…
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psnet.ahrq.gov/issue/perioperative-covid-19-defense-evidence-based-approach-optimization-infection-control-and
November 30, 2012 - Commentary
Classic
Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management.
Citation Text:
Dexter F, Parra MC, Brown JR, et al. Perioperative COVID-19 defense: an evidence-based approach for …
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psnet.ahrq.gov/node/33827/psn-pdf
February 01, 2017 - Finally,
we implemented TeamSTEPPS in clinical settings and conducted research on how to improve patient … more than 3500 new Master Trainers were trained by AHRQ,
and these early adopters trained others and implemented
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psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
September 01, 2012 - High-priority drug-drug interaction clinical decision support overrides in a newly implemented
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psnet.ahrq.gov/issue/ambulatory-prescribing-errors-among-community-based-providers-two-states
July 10, 2008 - June 29, 2011
Perceptions of standards-based electronic prescribing systems as implemented
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidemiology
October 17, 2012 - High-priority drug-drug interaction clinical decision support overrides in a newly implemented
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psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems
December 02, 2014 - Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented
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psnet.ahrq.gov/issue/adherence-drug-drug-interaction-alerts-high-risk-patients-trial-context-enhanced-alerting
February 21, 2018 - March 11, 2011
Perceptions of standards-based electronic prescribing systems as implemented
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psnet.ahrq.gov/issue/errors-associated-outpatient-computerized-prescribing-systems
June 28, 2010 - November 1, 2011
Perceptions of standards-based electronic prescribing systems as implemented
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psnet.ahrq.gov/issue/identifying-right-patient-nurse-and-consumer-perspectives-verifying-patient-identity-during
September 03, 2011 - Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented
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psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-facilities-costs
March 29, 2010 - High-priority drug-drug interaction clinical decision support overrides in a newly implemented
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psnet.ahrq.gov/issue/prevalence-and-nature-adverse-medical-device-events-hospitalized-children
October 05, 2011 - Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented
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psnet.ahrq.gov/issue/comparison-methods-identifying-patients-risk-medication-related-harm
March 04, 2011 - High-priority drug-drug interaction clinical decision support overrides in a newly implemented
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psnet.ahrq.gov/issue/prevention-pediatric-medication-errors-hospital-pharmacists-and-potential-benefit
December 15, 2011 - Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented
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psnet.ahrq.gov/issue/comprehensive-evaluation-using-computerised-provider-order-entry-system-hospital-discharge
August 24, 2015 - Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented
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psnet.ahrq.gov/web-mm/copy-and-paste
December 10, 2014 - be interesting to know how often the narrative plan of the medical record differs from actual orders implemented … Perceived increase in mortality after process and policy changes implemented with computerized physician