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psnet.ahrq.gov/issue/systematic-review-interventions-follow-test-results-pending-discharge
November 16, 2022 - Review
A systematic review of interventions to follow-up test results pending at discharge.
Citation Text:
Darragh PJ, Bodley T, Orchanian-Cheff A, et al. A Systematic Review of Interventions to Follow-Up Test Results Pending at Discharge. J Gen Intern Med. 2018;33(5):750-758. doi:10.100…
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psnet.ahrq.gov/issue/benefits-health-information-technology-review-recent-literature-shows-predominantly-positive
December 21, 2018 - Review
Classic
The benefits of health information technology: a review of the recent literature shows predominantly positive results.
Citation Text:
Buntin MB, Burke MF, Hoaglin MC, et al. The Benefits Of Health Information Technology: A Review Of The Recent Lit…
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psnet.ahrq.gov/issue/effect-implementing-bar-code-medication-administration-emergency-department-medication
December 01, 2021 - Study
The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction.
Citation Text:
Owens K, Palmore M, Penoyer D, et al. The effect of implementing bar-code medication administration in an emergency …
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psnet.ahrq.gov/issue/reporting-improving-how-root-cause-analysis-teams-shape-patient-safety-culture
July 31, 2024 - Study
From reporting to improving: how root cause analysis in teams shape patient safety culture.
Citation Text:
Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-18…
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psnet.ahrq.gov/issue/implementation-second-victim-program-neonatal-intensive-care-unit-interim-analysis-employee
January 12, 2022 - Study
Implementation of a second victim program in the neonatal intensive care unit: an interim analysis of employee satisfaction.
Citation Text:
Merandi J, Winning AM, Liao NN, et al. Implementation of a second victim program in the neonatal intensive care unit: An interim analysis of e…
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psnet.ahrq.gov/issue/serious-adverse-events-pediatric-procedural-sedation-and-after-implementation-pre-sedation
February 12, 2020 - Study
Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist.
Citation Text:
Librov S, Shavit I. Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. J Pai…
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psnet.ahrq.gov/issue/implementing-rise-second-victim-support-programme-johns-hopkins-hospital-case-study
March 03, 2019 - Study
Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study.
Citation Text:
Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. d…
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psnet.ahrq.gov/issue/implementation-evaluation-and-recommendations-extension-ahrq-common-formats-capture-patient
June 13, 2018 - Study
Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data.
Citation Text:
Collins S, Couture B, Dykes PC, et al. Implementation, evaluation, and recommendations for extension of AHRQ Common Formats…
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psnet.ahrq.gov/issue/practice-and-quality-improvement-successful-implementation-teamstepps-tools-academic
April 17, 2019 - Study
Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice.
Citation Text:
Gupta RT, Sexton B, Milne J, et al. Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic i…
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psnet.ahrq.gov/issue/improving-patient-safety-identifying-side-effects-introducing-bar-coding-medication
March 11, 2011 - Study
Classic
Improving patient safety by identifying side effects from introducing bar coding in medication administration.
Citation Text:
Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar coding in me…
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psnet.ahrq.gov/issue/computerized-provider-order-entry-adoption-implications-clinical-workflow
May 27, 2011 - Study
Computerized provider order entry adoption: implications for clinical workflow.
Citation Text:
Campbell EM, Guappone KP, Sittig DF, et al. Computerized provider order entry adoption: implications for clinical workflow. J Gen Intern Med. 2009;24(1):21-6. doi:10.1007/s11606-008-085…
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psnet.ahrq.gov/issue/changes-efficiency-and-safety-culture-after-integration-i-pass-supported-handoff-process
June 25, 2018 - Study
Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process.
Citation Text:
Sheth S, McCarthy E, Kipps AK, et al. Changes in Efficiency and Safety Culture After Integration of an I-PASS-Supported Handoff Process. PEDIATRICS. 2016;137(2). doi:10…
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psnet.ahrq.gov/issue/root-causes-errors-simulated-prehospital-pediatric-emergency
June 11, 2014 - Study
Root causes of errors in a simulated prehospital pediatric emergency.
Citation Text:
Lammers RL, Byrwa M, Fales W. Root causes of errors in a simulated prehospital pediatric emergency. Acad Emerg Med. 2012;19(1):37-47. doi:10.1111/j.1553-2712.2011.01252.x.
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psnet.ahrq.gov/issue/transforming-team-performance-through-reimplementation-surgical-safety-checklist
March 09, 2022 - Study
Transforming team performance through reimplementation of the surgical safety checklist.
Citation Text:
Etheridge JC, Moyal-Smith R, Yong TT, et al. Transforming team performance through reimplementation of the surgical safety checklist. JAMA Surg. 2024;159(1):78-86. doi:10.1001/ja…
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psnet.ahrq.gov/issue/use-appreciative-inquiry-approach-improve-resident-sign-out-era-multiple-shift-changes
December 27, 2014 - Study
Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes.
Citation Text:
Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. J Gen Intern Med. 2…
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psnet.ahrq.gov/issue/we-need-talk-observational-study-impact-electronic-medical-record-implementation-hospital
February 22, 2017 - Study
We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication.
Citation Text:
Taylor SP, Ledford R, Palmer V, et al. We need to talk: an observational study of the impact of electronic medical record implementation on ho…
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psnet.ahrq.gov/issue/identifying-what-known-about-improving-operating-room-intensive-care-handovers-scoping-review
September 23, 2020 - Review
Identifying what is known about improving operating room to intensive care handovers: a scoping review.
Citation Text:
Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room to Intensive Care Handovers: A Scoping Review. Am J Med Qual.…
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psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall
March 27, 2019 - Study
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit.
Citation Text:
Dykes PC, Duckworth M, Cunningham S, et al. Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a Patient-Centered Fall Prevention Tool…
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psnet.ahrq.gov/issue/workplace-factors-associated-burnout-family-physicians
July 03, 2016 - Study
Workplace factors associated with burnout of family physicians.
Citation Text:
Rassolian M, Peterson LE, Fang B, et al. Workplace Factors Associated With Burnout of Family Physicians. JAMA Intern Med. 2017;177(7):1036-1038. doi:10.1001/jamainternmed.2017.1391.
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psnet.ahrq.gov/issue/reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-commentary
November 07, 2018 - Commentary
Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance
Citation Text:
Dager WE, Ansell J, Barnes GD, et al. “Reduce the Likelihood o…