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psnet.ahrq.gov/issue/postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive-care-unit
October 05, 2022 - Study
Postdischarge adverse events among neonates admitted to the neonatal intensive care unit.
Citation Text:
Tsilimingras D, Natarajan G, Bajaj M, et al. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. J Patient Saf. 2022;18(5):462-469. doi:10.…
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psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-care-unit
June 29, 2009 - Study
Classic
A look into the nature and causes of human errors in the intensive care unit.
Citation Text:
Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23(2):294-300.
Co…
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psnet.ahrq.gov/issue/improving-clinical-handover-between-intensive-care-unit-and-general-ward-professionals
January 30, 2019 - Review
Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge.
Citation Text:
van Sluisveld N, Hesselink G, van der Hoeven JG, et al. Improving clinical handover between intensive care unit and general ward professionals at…
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psnet.ahrq.gov/issue/when-agency-fails-analysis-association-between-hospital-agency-staffing-and-quality-outcomes
September 11, 2024 - Study
When agency fails: an analysis of the association between hospital agency staffing and quality outcomes.
Citation Text:
Beauvais B, Pradhan R, Ramamonjiarivelo Z, et al. When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. Risk Ma…
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psnet.ahrq.gov/issue/compensation-claims-danish-emergency-care-identifying-hot-spots-and-blind-spots-quality-care
November 03, 2021 - Study
Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care.
Citation Text:
Morsø L, Birkeland S, Walløe S, et al. Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. Jt Comm J Qu…
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psnet.ahrq.gov/issue/defining-and-enhancing-collaboration-between-community-pharmacists-and-primary-care-providers
July 07, 2021 - Review
Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety.
Citation Text:
White A, Fulda KG, Blythe R, et al. Defining and enhancing collaboration between community pharmacists and primary care providers to improve m…
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psnet.ahrq.gov/issue/reporting-death-us-food-and-drug-administration-medical-device-adverse-event-reports
April 07, 2019 - Study
Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death.
Citation Text:
Lalani C, Kunwar EM, Kinard M, et al. Reporting of death in US Food and Drug Administration medical device adverse event reports in categories o…
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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/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/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/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