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psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through-screening-intensive
February 19, 2014 - Study
Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries.
Citation Text:
Anthes AM, Harinstein LM, Smithburger PL, et al. Improving adverse drug event detection in critically ill patients through screening intensive…
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psnet.ahrq.gov/issue/one-fourth-unplanned-transfers-higher-level-care-are-associated-highly-preventable-adverse
May 16, 2018 - Study
One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals.
Citation Text:
Marquet K, Claes N, De Troy E, et al. One fourth of unplanned transfers to a higher level of care are…
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psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medication-use-older-adults
September 02, 2015 - Commentary
Clinical alerts to decrease high-risk medication use in older adults.
Citation Text:
Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04.
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psnet.ahrq.gov/issue/safe-use-ehr-medical-scribes-qualitative-study
February 01, 2023 - Study
Safe use of the EHR by medical scribes: a qualitative study.
Citation Text:
Ash JS, Corby S, Mohan V, et al. Safe use of the EHR by medical scribes: a qualitative study. J Amer Med Inform Assoc. 2021;28(2):294-302. doi:10.1093/jamia/ocaa199.
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psnet.ahrq.gov/issue/consumer-participation-early-detection-deteriorating-patient-and-call-activation-rapid
February 28, 2024 - Review
Consumer participation in early detection of the deteriorating patient and call activation to rapid response systems: a literature review.
Citation Text:
Vorwerk J, King L. Consumer participation in early detection of the deteriorating patient and call activation to rapid response…
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psnet.ahrq.gov/issue/prescribing-elderly-part-i-sensitivity-elderly-adverse-drug-reactions
January 11, 2017 - Review
Classic
Prescribing for the elderly. Part I: Sensitivity of the elderly to adverse drug reactions.
Citation Text:
Nolan L, O'Malley K. Prescribing for the Elderly Part I: Sensitivity of the Elderly to Adverse Drug Reactions*. J Am Geriatr Soc. 2015;36(2…
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psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-hospitals-statewide-collaborative
April 15, 2020 - Study
Deployment of rapid response teams by 31 hospitals in a statewide collaborative.
Citation Text:
Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative. Jt Comm J Qual Patient Saf. 2015;41(4):186-191.
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psnet.ahrq.gov/issue/surgical-leadership-culture-safety-inter-professional-study-metrics-and-tools-improving
September 14, 2022 - Study
Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice.
Citation Text:
Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for…
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psnet.ahrq.gov/issue/effect-bar-code-assisted-medication-administration-medication-administration-errors-and
October 26, 2022 - Study
Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas.
Citation Text:
Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication administration errors and a…
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psnet.ahrq.gov/issue/patients-perceptions-safety-if-interpersonal-continuity-care-were-be-disrupted
July 21, 2021 - Study
Patients' perceptions of safety if interpersonal continuity of care were to be disrupted.
Citation Text:
Pandhi N, Schumacher J, Flynn KE, et al. Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. Health Expect. 2008;11(4):400-8. doi:10.…
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psnet.ahrq.gov/issue/design-safe-or-sorry-study-cluster-randomised-trial-development-and-testing-evidence-based
May 22, 2013 - Study
The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events.
Citation Text:
van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? st…
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psnet.ahrq.gov/issue/understanding-clinical-implications-resident-involvement-uncommon-operations
October 26, 2022 - Study
Understanding the clinical implications of resident involvement in uncommon operations.
Citation Text:
Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328. doi:10.1016/j…
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psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health
October 26, 2022 - Study
Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization.
Citation Text:
Lurvey LD, Fassett MJ, Kanter MH. Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organiz…
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psnet.ahrq.gov/issue/using-patient-safety-morbidity-and-mortality-conferences-promote-transparency-and-culture
March 28, 2011 - Study
Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety.
Citation Text:
Szekendi MK, Barnard C, Creamer J, et al. Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. Jt Comm J Qua…
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psnet.ahrq.gov/issue/relationship-between-patient-safety-climate-and-standard-precaution-adherence-systematic
February 13, 2019 - Review
Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature.
Citation Text:
Hessels AJ, Larson EL. Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. J Hosp …
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psnet.ahrq.gov/issue/developing-conceptual-framework-patient-safety-culture-emergency-department-review-literature
March 02, 2011 - Review
Developing a conceptual framework for patient safety culture in emergency department: a review of the literature.
Citation Text:
Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the litera…
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psnet.ahrq.gov/issue/patient-safety-climate-us-hospitals-variation-management-level
November 18, 2009 - Study
Classic
Patient safety climate in US hospitals: variation by management level.
Citation Text:
Singer SJ, Falwell A, Gaba DM, et al. Patient safety climate in US hospitals: variation by management level. Med Care. 2008;46(11):1149-56. doi:10.1097/MLR.0b013e…
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psnet.ahrq.gov/issue/teamwork-matters-team-situation-awareness-build-high-performing-healthcare-teams-narrative
August 23, 2023 - Review
Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review.
Citation Text:
Weller JM, Mahajan R, Fahey-Williams K, et al. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Br J An…
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psnet.ahrq.gov/issue/institution-just-culture-physician-peer-review-academic-medical-center
October 20, 2021 - Study
Institution of just culture physician peer review in an academic medical center.
Citation Text:
Volkar JK, Phrampus P, English D, et al. Institution of just culture physician peer review in an academic medical center. J Patient Saf. 2021;17(7):e689-e693. doi:10.1097/pts.00000000000…
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psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers
June 05, 2019 - Review
Wound-care teams for preventing and treating pressure ulcers.
Citation Text:
Moore ZEH, Webster J, Samuriwo R. Wound-care teams for preventing and treating pressure ulcers. Cochrane Database Syst Rev. 2015;9:CD011011. doi:10.1002/14651858.CD011011.pub2.
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