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psnet.ahrq.gov/issue/impact-medical-emergency-team-resuscitation-practice-critical-care-nurses
December 01, 2008 - Study
The impact of the medical emergency team on the resuscitation practice of critical care nurses.
Citation Text:
Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. do…
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psnet.ahrq.gov/issue/reducing-errors-through-discharge-medication-reconciliation-pharmacy-services
October 20, 2021 - Study
Reducing errors through discharge medication reconciliation by pharmacy services.
Citation Text:
Bishop MA, Cohen BA, Billings LK, et al. Reducing errors through discharge medication reconciliation by pharmacy services. Am J Health Syst Pharm. 2015;72(17 Suppl 2):S120-6. doi:10.21…
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psnet.ahrq.gov/issue/medication-reconciliation-performed-pharmacy-technicians-time-preoperative-screening
August 18, 2010 - Study
Medication reconciliation performed by pharmacy technicians at the time of preoperative screening.
Citation Text:
van den Bemt PM, van den Broek S, van Nunen AK, et al. Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. Ann Pharmaco…
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psnet.ahrq.gov/issue/coping-errors-operating-room-intraoperative-strategies-postoperative-strategies-and-sex
September 09, 2020 - Study
Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences.
Citation Text:
D'Angelo JD, Lund S, Busch RA, et al. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex difference…
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psnet.ahrq.gov/issue/heatwaves-hospitals-and-health-system-resilience-england-qualitative-assessment-frontline
May 20, 2020 - Study
Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019.
Citation Text:
Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a qualitative assessment o…
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psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data
June 28, 2017 - Commentary
The alarming reality of medication error: a patient case and review of Pennsylvania and national data.
Citation Text:
da Silva BA, Krishnamurthy M. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. J Community Hosp Intern Me…
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psnet.ahrq.gov/issue/systematic-approach-identification-and-classification-near-miss-events-labor-and-delivery
May 21, 2019 - Study
A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system.
Citation Text:
Clark SL, Meyers JA, Frye DR, et al. A systematic approach to the identification and classification of near-miss events…
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psnet.ahrq.gov/issue/drug-related-harms-hospitalized-medicare-beneficiaries-results-healthcare-cost-and
September 15, 2011 - Study
Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008.
Citation Text:
Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project,…
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psnet.ahrq.gov/issue/dispensing-error-rate-highly-automated-mail-service-pharmacy-practice
November 16, 2022 - Study
Dispensing error rate in a highly automated mail-service pharmacy practice.
Citation Text:
Teagarden R, Nagle B, Aubert RE, et al. Dispensing error rate in a highly automated mail-service pharmacy practice. Pharmacotherapy. 2005;25(11):1629-35.
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psnet.ahrq.gov/issue/improving-patient-safety-and-optimizing-nursing-teamwork-using-crew-resource-management
March 13, 2013 - Study
Improving patient safety and optimizing nursing teamwork using crew resource management techniques.
Citation Text:
West P, Sculli GL, Fore AM, et al. Improving patient safety and optimizing nursing teamwork using crew resource management techniques. J Nurs Adm. 2012;42(1):15-20. do…
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psnet.ahrq.gov/issue/please-reconcile-not-wait-while
April 19, 2023 - Commentary
Please reconcile, not wait a while.
Citation Text:
Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356.
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psnet.ahrq.gov/issue/information-loss-emergency-medical-services-handover-trauma-patients
August 04, 2021 - Study
Information loss in emergency medical services handover of trauma patients.
Citation Text:
Carter AJE, Davis KA, Evans L, et al. Information loss in emergency medical services handover of trauma patients. Prehosp Emerg Care. 2009;13(3):280-5. doi:10.1080/10903120802706260.
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psnet.ahrq.gov/issue/safety-skills-training-surgeons-half-day-intervention-improves-knowledge-attitudes-and
September 26, 2012 - Study
Safety skills training for surgeons: a half-day intervention improves knowledge, attitudes and awareness of patient safety.
Citation Text:
Arora S, Sevdalis N, Ahmed M, et al. Safety skills training for surgeons: A half-day intervention improves knowledge, attitudes and awareness…
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psnet.ahrq.gov/issue/reducing-prescribing-errors-hospitalized-children-ketogenic-diet
May 18, 2022 - Study
Reducing prescribing errors in hospitalized children on the ketogenic diet.
Citation Text:
Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009.
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psnet.ahrq.gov/issue/cognitive-aids-management-clinical-emergencies-systematic-review
January 12, 2022 - Review
Cognitive aids in the management of clinical emergencies: a systematic review.
Citation Text:
Greig PR, Zolger D, Onwochei DN, et al. Cognitive aids in the management of clinical emergencies: a systematic review. Anaesthesia. 2023;78(3):343-355. doi:10.1111/anae.15939.
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psnet.ahrq.gov/issue/conceptual-framework-reduce-inpatient-preventable-deaths
April 24, 2018 - Study
A conceptual framework to reduce inpatient preventable deaths.
Citation Text:
Davis DP, Aguilar SA, Lawrence B, et al. A Conceptual Framework to Reduce Inpatient Preventable Deaths. Jt Comm J Qual Patient Saf. 2018;44(7):413-420. doi:10.1016/j.jcjq.2018.01.003.
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psnet.ahrq.gov/issue/identification-and-characterization-adverse-drug-events-primary-care
July 16, 2015 - Study
Identification and characterization of adverse drug events in primary care.
Citation Text:
Trinkley KE, Weed HG, Beatty SJ, et al. Identification and Characterization of Adverse Drug Events in Primary Care. Am J Med Qual. 2017;32(5):518-525. doi:10.1177/1062860616665695.
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psnet.ahrq.gov/issue/quality-improvement-approach-standardization-and-sustainability-hand-process
May 15, 2019 - Commentary
A quality improvement approach to standardization and sustainability of the hand-off process.
Citation Text:
Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1). doi:1…
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psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-ems-formulating-research-questions-and
March 14, 2018 - Study
Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes.
Citation Text:
Patterson D, Higgins S, Lang ES, et al. Evidence-Based Guidelines for Fatigue Risk Management in EMS: Formulating Research Questions and Selecting Out…
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psnet.ahrq.gov/issue/improving-pediatric-electronic-health-record-usability-and-safety-through-certification-seize
November 28, 2018 - Commentary
Improving pediatric electronic health record usability and safety through certification: seize the day.
Citation Text:
Ratwani RM, Moscovitch B, Rising JP. Improving Pediatric Electronic Health Record Usability and Safety Through Certification: Seize the Day. JAMA Pediatr. 201…