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psnet.ahrq.gov/issue/evaluation-detected-medication-errors-within-operating-room-academic-medical-center
October 19, 2022 - Study
Evaluation of detected medication errors within the operating room at an academic medical center.
Citation Text:
Wolf M, Rolf J, Nelson D, et al. Evaluation of detected medication errors within the operating room at an academic medical center. Hosp Pharm. 2023;58(3):309-314. doi:10…
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psnet.ahrq.gov/issue/flow-disruptions-trauma-care-handoffs
August 02, 2015 - Study
Flow disruptions in trauma care handoffs.
Citation Text:
Catchpole K, Gangi A, Blocker RC, et al. Flow disruptions in trauma care handoffs. J Surg Res. 2013;184(1):586-91. doi:10.1016/j.jss.2013.02.038.
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psnet.ahrq.gov/issue/adverse-effects-computers-during-bedside-rounds-critical-care-unit
August 02, 2015 - Study
Adverse effects of computers during bedside rounds in a critical care unit.
Citation Text:
Dhillon NK, Francis SE, Tatum JM, et al. Adverse Effects of Computers During Bedside Rounds in a Critical Care Unit. JAMA Surg. 2018;153(11):1052-1053. doi:10.1001/jamasurg.2018.1752.
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www.ahrq.gov/news/newsroom/case-studies/201708.html
May 01, 2017 - Albuquerque Police Department Uses AHRQ Resources for Crisis Intervention Team Training
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May 2017
In 2016, Albuquerque Police Department (APD) became the first law enforcement agency in the Nation to train its officers through videoconferencing with psychiatrists, based on the …
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psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences
October 19, 2022 - Commentary
Medicare nonpayment, hospital falls, and unintended consequences.
Citation Text:
Inouye SK, Brown CJ, Tinetti ME. Medicare nonpayment, hospital falls, and unintended consequences. N Engl J Med. 2009;360(23):2390-3. doi:10.1056/NEJMp0900963.
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psnet.ahrq.gov/issue/common-predictors-nurse-reported-quality-care-and-patient-safety
March 20, 2019 - Study
Common predictors of nurse-reported quality of care and patient safety.
Citation Text:
Stimpfel AW, Djukic M, Brewer CS, et al. Common predictors of nurse-reported quality of care and patient safety. Health Care Manage Rev. 2019;44(1):57-66. doi:10.1097/HMR.0000000000000155.
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psnet.ahrq.gov/issue/wrong-site-nerve-blocks-systematic-literature-review-guide-principles-prevention
July 22, 2020 - Review
Wrong-site nerve blocks: a systematic literature review to guide principles for prevention.
Citation Text:
Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.10…
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psnet.ahrq.gov/issue/developing-systematic-approach-safer-medication-use-during-pregnancy-summary-centers-disease
February 17, 2011 - Commentary
Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting.
Citation Text:
Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication use during p…
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt1.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Overview
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Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Overview
Frameworks for Change an…
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psnet.ahrq.gov/issue/quality-monitoring-program-bar-code-assisted-medication-administration
November 16, 2022 - Study
Quality-monitoring program for bar-code–assisted medication administration.
Citation Text:
Mims E, Tucker C, Carlson R, et al. Quality-monitoring program for bar-code-assisted medication administration. Am J Health Syst Pharm. 2009;66(12):1125-31. doi:10.2146/ajhp080172.
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psnet.ahrq.gov/issue/integrating-patient-safety-education-early-medical-education-utilizing-cadaver-sponges-and
September 23, 2020 - Commentary
Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team.
Citation Text:
Kutaimy R, Zhang L, Blok D, et al. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an …
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psnet.ahrq.gov/issue/perceptions-time-spent-safety-tasks-surgical-operations-focus-group-study
November 03, 2015 - Study
Perceptions of time spent on safety tasks in surgical operations: a focus group study.
Citation Text:
Høyland S, Haugen AS, Thomassen Ø. Perceptions of time spent on safety tasks in surgical operations: A focus group study. Saf Sci. 2014;70. doi:10.1016/j.ssci.2014.05.009.
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psnet.ahrq.gov/issue/systematic-review-adult-admissions-icus-related-adverse-drug-events
March 16, 2016 - Review
A systematic review of adult admissions to ICUs related to adverse drug events.
Citation Text:
Jolivot P-A, Hindlet P, Pichereau C, et al. A systematic review of adult admissions to ICUs related to adverse drug events. Crit Care. 2014;18(6):643. doi:10.1186/s13054-014-0643-5.
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psnet.ahrq.gov/issue/has-leapfrog-group-had-impact-health-care-market
November 13, 2024 - Commentary
Has the Leapfrog Group had an impact on the health care market?
Citation Text:
Galvin RS, Delbanco S, Milstein A, et al. Has the leapfrog group had an impact on the health care market? Health Aff (Millwood). 2005;24(1):228-33.
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psnet.ahrq.gov/issue/utilization-pharmacy-technicians-increase-accuracy-patient-medication-histories-obtained
October 08, 2014 - Study
Utilization of pharmacy technicians to increase the accuracy of patient medication histories obtained in the emergency department.
Citation Text:
Rubin EC, Pisupati R, Nerenberg SF. Utilization of Pharmacy Technicians to Increase the Accuracy of Patient Medication Histories Obtaine…
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psnet.ahrq.gov/issue/relationship-between-electronic-health-records-and-malpractice-claims
August 05, 2009 - Study
The relationship between electronic health records and malpractice claims.
Citation Text:
Quinn MA, Kats AM, Kleinman K, et al. The relationship between electronic health records and malpractice claims. Arch Intern Med. 2012;172(15):1187-9. doi:10.1001/archinternmed.2012.2371.
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psnet.ahrq.gov/issue/medical-emergency-team-calls-radiology-department-patient-characteristics-and-outcomes
July 06, 2011 - Study
Medical emergency team calls in the radiology department: patient characteristics and outcomes.
Citation Text:
Ott LK, Pinsky MR, Hoffman LA, et al. Medical emergency team calls in the radiology department: patient characteristics and outcomes. BMJ Qual Saf. 2012;21(6):509-18. d…
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psnet.ahrq.gov/issue/leveraging-partnership-patients-initiative-improve-patient-safety-and-quality-within-military
September 23, 2020 - Commentary
Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System.
Citation Text:
King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the M…
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psnet.ahrq.gov/issue/five-ways-you-can-reduce-inappropriate-prescribing-elderly-systematic-review
September 23, 2020 - Review
Five ways you can reduce inappropriate prescribing in the elderly: a systematic review.
Citation Text:
Garcia RM. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. J Fam Pract. 2006;55(4):305-12.
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psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendation-tracking
June 19, 2012 - Study
Reducing delay in diagnosis: multistage recommendation tracking.
Citation Text:
Wandtke B, Gallagher S. Reducing Delay in Diagnosis: Multistage Recommendation Tracking. AJR Am J Roentgenol. 2017;209(5):970-975. doi:10.2214/AJR.17.18332.
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