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psnet.ahrq.gov/issue/change-shift-nursing-handoff-interruptions-implications-evidence-based-practice
July 19, 2023 - Study
Change‐of‐shift nursing handoff interruptions: implications for evidence‐based practice.
Citation Text:
Rhudy LM, Johnson MR, Krecke CA, et al. Change-of-Shift Nursing Handoff Interruptions: Implications for Evidence-Based Practice. Worldviews Evid Based Nurs. 2019;16(5):362-370. d…
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psnet.ahrq.gov/issue/implementing-comprehensive-unit-based-safety-program-cusp-improve-patient-safety-academic
April 21, 2016 - Study
Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice.
Citation Text:
Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Acad…
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psnet.ahrq.gov/issue/reduction-opioid-prescribing-through-evidence-based-prescribing-guidelines
January 27, 2019 - Study
Reduction in opioid prescribing through evidence-based prescribing guidelines.
Citation Text:
Howard R, Waljee JF, Brummett CM, et al. Reduction in Opioid Prescribing Through Evidence-Based Prescribing Guidelines. JAMA Surg. 2018;153(3):285-287. doi:10.1001/jamasurg.2017.4436.
Co…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Get Ready
Previous Page Next Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Chart
Appendix B. Prioritize Opportunities for I…
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psnet.ahrq.gov/issue/good-bad-and-ugly-operative-staff-perspectives-surgeon-coping-intraoperative-errors
September 22, 2021 - Study
The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors.
Citation Text:
D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Surgery. …
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psnet.ahrq.gov/issue/racial-and-ethnic-disparities-common-inpatient-safety-outcomes-childrens-hospital-cohort
August 23, 2023 - Study
Racial and ethnic disparities in common inpatient safety outcomes in a children's hospital cohort.
Citation Text:
Lyren A, Haines E, Fanta M, et al. Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort. BMJ Qual Saf. 2024;33(2):86-97. do…
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psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry
December 31, 2014 - Review
Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review.
Citation Text:
Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital computerized provider order entry s…
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psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during
April 24, 2018 - Study
Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission.
Citation Text:
Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home a…
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psnet.ahrq.gov/issue/assessing-reasons-decreased-primary-care-access-individuals-prescribed-opioids-audit-study
November 17, 2021 - Study
Assessing reasons for decreased primary care access for individuals on prescribed opioids: an audit study.
Citation Text:
Lagisetty P, Macleod C, Thomas J, et al. Assessing reasons for decreased primary care access for individuals on prescribed opioids. Pain. 2021;162(5):1379-1386.…
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psnet.ahrq.gov/issue/enhancing-resident-education-embedding-improvement-specialists-quality-and-safety-curriculum
April 24, 2018 - Study
Enhancing resident education by embedding improvement specialists into a quality and safety curriculum.
Citation Text:
Levy KL, Grzyb K, Heidemann LA, et al. Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. J Grad Med Educ. 202…
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psnet.ahrq.gov/issue/physicians-perspectives-regarding-prescription-drug-monitoring-program-use-within-department
February 17, 2017 - Study
Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study.
Citation Text:
Radomski TR, Bixler FR, Zickmund SL, et al. Physicians' Perspectives Regarding Prescription Drug Monitoring Program…
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psnet.ahrq.gov/issue/role-pharmacist-counseling-preventing-adverse-drug-events-after-hospitalization
November 16, 2022 - Study
Classic
Role of pharmacist counseling in preventing adverse drug events after hospitalization.
Citation Text:
Schnipper JL, Kirwin JL, Cotugno MC, et al. Role of pharmacist counseling in preventing adverse drug events after hospitalization. Arch Intern M…
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psnet.ahrq.gov/issue/drug-related-problems-medical-wards-computerized-physician-order-entry-system
December 01, 2010 - Study
Drug-related problems in medical wards with a computerized physician order entry system.
Citation Text:
Bedouch P, Allenet B, Grass A, et al. Drug-related problems in medical wards with a computerized physician order entry system. J Clin Pharm Ther. 2009;34(2):187-95. doi:10.1111…
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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.
C…
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psnet.ahrq.gov/issue/barriers-implementing-reporting-and-learning-patient-safety-system-pediatric-chiropractic
October 19, 2016 - Study
Barriers to implementing a reporting and learning patient safety system: pediatric chiropractic perspective.
Citation Text:
Pohlman KA, Carroll L, Hartling L, et al. Barriers to Implementing a Reporting and Learning Patient Safety System: Pediatric Chiropractic Perspective. J Evid …
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psnet.ahrq.gov/issue/wake-call-night-shifts-adversely-affect-nurse-health-and-retention-patient-and-public-safety
April 24, 2018 - Review
Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs.
Citation Text:
Imes CC, Tucker SJ, Trinkoff AM, et al. Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. Nurs A…
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psnet.ahrq.gov/issue/link-between-clinically-validated-patient-safety-indicators-and-clinical-outcomes
November 16, 2016 - Study
The link between clinically validated patient safety indicators and clinical outcomes.
Citation Text:
Gray DM, Hefner JL, Nguyen MC, et al. The Link Between Clinically Validated Patient Safety Indicators and Clinical Outcomes. Am J Med Qual. 2017;32(6):583-590. doi:10.1177/10628606…
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psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
March 09, 2022 - Study
Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis.
Citation Text:
Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…
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psnet.ahrq.gov/issue/technological-distractions-part-1-and-part-2
April 24, 2018 - Review
Technological distractions—part 1 and part 2.
Citation Text:
Kane-Gill SL, O'Connor MF, Rothschild JM, et al. Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics. Crit Care …
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psnet.ahrq.gov/issue/assigning-team-based-pager-call-physicians-reduces-paging-errors-large-academic-hospital
April 26, 2023 - Study
Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital.
Citation Text:
Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf.…