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psnet.ahrq.gov/issue/using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary-care-womens
January 22, 2025 - Study
Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's and children's hospital: a qualitative feasibility study.
Citation Text:
Burchell D, MacPhee S, Sinclair D, et al. Using simulation to augment root cause analysis for patient saf…
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psnet.ahrq.gov/issue/implementing-patient-safety-interventions-your-hospital-what-try-and-what-avoid
June 03, 2010 - Review
Implementing patient safety interventions in your hospital: what to try and what to avoid.
Citation Text:
Ranji SR, Shojania KG. Implementing patient safety interventions in your hospital: what to try and what to avoid. Med Clin North Am. 2008;92(2):275-93, vii-viii. doi:10.1016…
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psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
October 26, 2016 - Study
Classic
Cost–benefit analysis of a support program for nursing staff.
Citation Text:
Moran D, Wu AW, Connors C, et al. Cost-Benefit Analysis of a Support Program for Nursing Staff. J Patient Saf. 2020;16(4):e250-e254. doi:10.1097/pts.0000000000000376.
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psnet.ahrq.gov/issue/key-factors-effective-implementation-healthcare-workers-support-interventions-after-patient
September 27, 2023 - Review
Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review.
Citation Text:
Guerra-Paiva S, Lobão MJ, Simões DG, et al. Key factors for effective implementation of healthcare workers …
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psnet.ahrq.gov/issue/how-do-we-know-when-we-have-done-enough-ensuring-sufficient-patient-notification-efforts
August 18, 2021 - Commentary
How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event.
Citation Text:
Alfandre D, Foglia MB, Holodniy M, et al. How do we know when we have done enough? Ensuring sufficient patient notification efforts after…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2011
January 01, 2011 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2011
Project Name
Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home
Princi…
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psnet.ahrq.gov/issue/evaluation-electronic-health-record-implementation-pharmacist-interventions-related-oral
January 25, 2023 - Study
Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management.
Citation Text:
Finn A, Bondarenka C, Edwards K, et al. Evaluation of electronic health record implementation on pharmacist interventions related to oral chemot…
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psnet.ahrq.gov/issue/partnership-pathway-diagnostic-excellence-challenges-and-successes-implementing-safer-dx
April 13, 2022 - Study
Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab.
Citation Text:
Sloane J, Singh H, Upadhyay DK, et al. Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer…
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psnet.ahrq.gov/issue/creating-framework-integrate-residency-program-and-medical-center-approaches-quality
November 11, 2020 - Commentary
Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety training
Citation Text:
Chen A, Wolpaw BJ, Vande Vusse LK, et al. Creating a framework to integrate residency program and medical center approaches to qu…
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psnet.ahrq.gov/issue/effect-contact-precautions-frequency-hospital-adverse-events
September 30, 2015 - Study
The effect of contact precautions on frequency of hospital adverse events.
Citation Text:
Croft LD, Liquori M, Ladd J, et al. The Effect of Contact Precautions on Frequency of Hospital Adverse Events. Infect Control Hosp Epidemiol. 2015;36(11):1268-74. doi:10.1017/ice.2015.192.
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psnet.ahrq.gov/issue/meaningful-uses-benefits-and-burdens-us-family-physicians
November 30, 2011 - Study
Meaningful use's benefits and burdens for US family physicians.
Citation Text:
Holman T, Waldren SE, Beasley JW, et al. Meaningful use's benefits and burdens for US family physicians. J Am Med Inform Assoc. 2018;25(6):694-701. doi:10.1093/jamia/ocx158.
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psnet.ahrq.gov/issue/impact-implementing-alerts-about-medication-black-box-warnings-electronic-health-records
July 10, 2008 - Study
Impact of implementing alerts about medication black-box warnings in electronic health records.
Citation Text:
Yu DT, Seger DL, Lasser KE, et al. Impact of implementing alerts about medication black-box warnings in electronic health records. Pharmacoepidemiol Drug Saf. 2011;20(2):1…
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psnet.ahrq.gov/issue/impact-electronic-communication-medication-discontinuation-cancelrx-medication-safety-pilot
December 07, 2022 - Study
The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study.
Citation Text:
Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot stud…
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psnet.ahrq.gov/issue/crisis-management-during-anaesthesia-development-anaesthetic-crisis-management-manual
June 23, 2015 - Commentary
Crisis management during anaesthesia: the development of an anaesthetic crisis management manual.
Citation Text:
Runciman WB, Kluger MT, Morris RW, et al. Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. Qual Saf Health Care. …
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psnet.ahrq.gov/issue/making-communication-and-resolution-programmes-mission-critical-healthcare-organisations
September 09, 2020 - Commentary
Making communication and resolution programmes mission critical in healthcare organisations.
Citation Text:
Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):87…
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psnet.ahrq.gov/issue/using-emr-enabled-computerized-decision-support-systems-reduce-prescribing-potentially
August 04, 2021 - Review
Emerging Classic
Using EMR-enabled computerized decision support systems to reduce prescribing of potentially inappropriate medications: a narrative review.
Citation Text:
Scott IA, Pillans PI, Barras M, et al. Using EMR-enabled computerized decision supp…
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psnet.ahrq.gov/issue/trigger-tool-detect-harm-pediatric-inpatient-settings
December 07, 2016 - Study
Classic
A trigger tool to detect harm in pediatric inpatient settings.
Citation Text:
Stockwell DC, Bisarya H, Classen D, et al. A trigger tool to detect harm in pediatric inpatient settings. Pediatrics. 2015;135(6):1036-42. doi:10.1542/peds.2014-2152.
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psnet.ahrq.gov/issue/classifying-errors-preventable-and-potentially-preventable-trauma-deaths-9-year-review-using
November 27, 2012 - Study
Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology.
Citation Text:
Vioque SM, Kim PK, McMaster J, et al. Classifying errors in preventable and potentially preventable trauma deaths: a 9-…
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psnet.ahrq.gov/issue/mature-rapid-response-system-and-potentially-avoidable-cardiopulmonary-arrests-hospital
July 20, 2022 - Study
Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital.
Citation Text:
Galhotra S, DeVita MA, Simmons RL, et al. Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. Qual Saf Health Care. 2007;16(4):260-26…
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psnet.ahrq.gov/issue/feeling-safe-context-digitalization-healthcare-scoping-review
May 04, 2022 - Review
Feeling safe in the context of digitalization in healthcare: a scoping review.
Citation Text:
Minartz P, Aumann CM, Vondeberg C, et al. Feeling safe in the context of digitalization in healthcare: a scoping review. Syst Rev. 2024;13(1):62. doi:10.1186/s13643-024-02465-9.
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