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digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines/citation/mind
January 01, 2023 - Mind the gap. A systematic review to identify usability and safety challenges and practices during electronic health record implementation.
Citation
Ratwani R, Fairbanks T, Savage E, et al. Mind the gap. A systematic review to identify usability and safety challenges and practices during electronic he…
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digital.ahrq.gov/ahrq-funded-projects/emergency-community-implementing-social-needs-assessment-and-referral/citation/implementing
January 01, 2023 - Implementing a social determinants screening and referral infrastructure during routine emergency department visits, Utah, 2017-2018.
Citation
Wallace AS, Luther B, Guo JW, Wang CY, Sisler S, Wong B. Implementing a social determinants screening and referral infrastructure during routine emergency depa…
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psnet.ahrq.gov/issue/rx-medication-errors
July 19, 2023 - Newspaper/Magazine Article
Rx for medication errors.
Citation Text:
Friedley NJC. Rx for medication errors. A patient medication safety plan can help prevent the cascade of devastating and preventable complications from adverse drug events. Medical economics. 2008;85(20):34-8.
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psnet.ahrq.gov/issue/network-collaboration-implementing-technology-improve-medication-dispensing-and
December 15, 2010 - Study
A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.
Citation Text:
Wakefield DS, Ward MM, Loes JL, et al. A network collaboration implementing technology to improve medication dispensing and administrati…
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psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-medical-center
November 21, 2016 - Study
Pediatric rapid response teams in the academic medical center.
Citation Text:
Mistry KP, Turi J, Hueckel RM, et al. Pediatric Rapid Response Teams in the Academic Medical Center. Clin Pediatr Emerg Med. 2006;7(4). doi:10.1016/j.cpem.2006.08.010.
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psnet.ahrq.gov/issue/rapid-response-teams-seen-through-eyes-nurse
June 03, 2010 - Study
Rapid response teams seen through the eyes of the nurse.
Citation Text:
Shapiro SE, Donaldson NE, Scott MB. Rapid response teams seen through the eyes of the nurse. Am J Nurs. 2010;110(6):28-34; quiz 35-36. doi:10.1097/01.NAJ.0000377686.64479.84.
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psnet.ahrq.gov/issue/medical-resident-pharmacist-collaboration-improves-rate-medication-reconciliation
September 24, 2010 - Study
A medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge.
Citation Text:
Caroff DA, Bittermann T, Leonard CE, et al. A Medical Resident-Pharmacist Collaboration Improves the Rate of Medication Reconciliation Verification a…
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psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses
June 04, 2008 - Study
Medical errors recovered by critical care nurses.
Citation Text:
Dykes PC, Rothschild JM, Hurley A. Medical errors recovered by critical care nurses. J Nurs Adm. 2010;40(5):241-6. doi:10.1097/NNA.0b013e3181da408e.
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psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety
April 24, 2018 - Study
Does an insulin double-checking procedure improve patient safety?
Citation Text:
Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314.
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psnet.ahrq.gov/issue/barcode-medication-administration-work-arounds-systematic-review-and-implications-nurse
January 10, 2017 - Review
Barcode medication administration work-arounds: a systematic review and implications for nurse executives.
Citation Text:
Voshall B, Piscotty R, Lawrence J, et al. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. J Nurs A…
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psnet.ahrq.gov/issue/case-study-getting-boards-board-allen-memorial-hospital-iowa-health-system
August 04, 2021 - Commentary
Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System.
Citation Text:
Slessor SR, Crandall JB, Nielsen GA. Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. Jt Comm J Qual Patient Saf. 2008;34(4):221-227.
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psnet.ahrq.gov/issue/medication-errors-pharmacy-based-bar-code-repackaging-center
June 28, 2010 - Study
Medication errors in a pharmacy-based bar-code-repackaging center.
Citation Text:
Cina J, Fanikos J, Mitton P, et al. Medication errors in a pharmacy-based bar-code-repackaging center. Am J Health Syst Pharm. 2006;63(2):165-8.
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psnet.ahrq.gov/issue/reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation
October 23, 2024 - Study
Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoagulation service.
Citation Text:
Locke C, Ravnan SL, Patel R, et al. Reduction in warfarin adverse events requiring patient hospitalization after implementat…
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psnet.ahrq.gov/issue/learning-every-death
June 28, 2011 - Commentary
Learning from every death.
Citation Text:
Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053.
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psnet.ahrq.gov/issue/discharge-rounds-80-hour-workweek-importance-trauma-nurse-practitioner
October 19, 2022 - Study
Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner.
Citation Text:
Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. J Trauma. 2007;63(2):339-43.
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its-implementation-canada
September 24, 2018 - Commentary
Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada.
Citation Text:
Carthey J. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. BMJ Qual Saf. 2023;32(8):441-443. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
May 18, 2022 - Commentary
Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery.
Citation Text:
Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…
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psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review
January 19, 2016 - Review
Do safety checklists improve teamwork and communication in the operating room? A systematic review.
Citation Text:
Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg. 2013;258(6):856-71. …
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psnet.ahrq.gov/issue/medication-errors-family-practice-hospitals-and-after-discharge-hospital-ethical-analysis
September 23, 2020 - Commentary
Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis.
Citation Text:
Clark PA. Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. J Law Med Ethics. 2004;32(2)…
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psnet.ahrq.gov/issue/what-ethically-informed-approach-managing-patient-safety-risk-during-discharge-planning
November 16, 2022 - Commentary
What is an ethically informed approach to managing patient safety risk during discharge planning?
Citation Text:
West JC. What Is an Ethically Informed Approach to Managing Patient Safety Risk During Discharge Planning? AMA J Ethics. 2020;22(!1):e919-e923. doi:10.1001/amajethi…