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psnet.ahrq.gov/issue/interactive-questioning-critical-care-during-handovers-transcript-analysis-communication
August 11, 2021 - Study
Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners.
Citation Text:
Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a tra…
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psnet.ahrq.gov/issue/tracking-rates-patient-safety-indicators-over-time-lessons-veterans-administration
July 14, 2009 - Study
Tracking rates of patient safety indicators over time: lessons from the Veterans Administration.
Citation Text:
Rosen AK, Zhao S, Rivard PE, et al. Tracking rates of Patient Safety Indicators over time: lessons from the Veterans Administration. Med Care. 2006;44(9):850-61.
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psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume
May 04, 2012 - Study
Relationship between patient safety and hospital surgical volume.
Citation Text:
Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x.
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psnet.ahrq.gov/issue/react-reframe-and-engage-establishing-receiver-mindset-more-effective-safety-negotiations
March 29, 2023 - Study
React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations.
Citation Text:
Barlow M, Watson B, Morse K, et al. React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. J Health Organ Manag. 2024;38(7):…
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psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication
February 16, 2022 - Review
The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging.
Citation Text:
Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…
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psnet.ahrq.gov/issue/prevalence-and-economic-burden-medication-errors-nhs-england
September 11, 2018 - Book/Report
Prevalence and Economic Burden of Medication Errors in the NHS England.
Citation Text:
Prevalence and Economic Burden of Medication Errors in the NHS England. Elliott RA, Camacho E, Campbell F, et al. Policy Research Unit in Economic Evaluation of Health and Care Intervention…
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psnet.ahrq.gov/issue/medicines-reconciliation-using-shared-electronic-health-care-record
March 04, 2015 - Study
Medicines reconciliation using a shared electronic health care record.
Citation Text:
Moore P, Armitage G, Wright J, et al. Medicines reconciliation using a shared electronic health care record. J Patient Saf. 2011;7(3):148-154. doi:10.1097/PTS.0b013e31822c5bf9.
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psnet.ahrq.gov/issue/6-year-thematic-review-reported-incidents-associated-cardiopulmonary-resuscitation-calls
June 15, 2022 - Study
A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital.
Citation Text:
Beed M, Hussain S, Woodier N, et al. A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in…
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psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning-successes-and-failures
May 08, 2017 - Study
Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts.
Citation Text:
Hibbert PD, Stewart S, Wiles LK, et al. Improving patient safety governance and systems through learning from …
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psnet.ahrq.gov/issue/trends-healthcare-incident-reporting-and-relationship-safety-and-quality-data-acute-hospitals
March 28, 2011 - Study
Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System.
Citation Text:
Hutchinson A, Young TA, Cooper KL, et al. Trends in healthcare incident reporting and relationship to sa…
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psnet.ahrq.gov/issue/what-do-medical-records-tell-us-about-potentially-harmful-co-prescribing
December 19, 2011 - Study
Classic
What do medical records tell us about potentially harmful co-prescribing?
Citation Text:
Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co-prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-4…
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psnet.ahrq.gov/issue/impact-nationwide-prospective-drug-utilization-review-program-improve-prescribing-safety
May 17, 2017 - Study
Impact of a nationwide prospective drug utilization review program to improve prescribing safety of potentially inappropriate medications in older adults: an interrupted time series with segmented regression analysis.
Citation Text:
Jang S, Jeong S, Kang E, et al. Impact of a natio…
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psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
April 22, 2015 - Study
Classic
Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients.
Citation Text:
Hamilton H, Gallagher P, Ryan C, et al. Potentially inappropriate medications defined by STOPP crit…
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psnet.ahrq.gov/issue/exploring-relationships-between-patient-safety-culture-and-patients-assessments-hospital-care
December 15, 2010 - Study
Exploring relationships between patient safety culture and patients' assessments of hospital care.
Citation Text:
Sorra J, Khanna K, Dyer N, et al. Exploring relationships between patient safety culture and patients' assessments of hospital care. J Patient Saf. 2012;8(3):131-9. d…
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psnet.ahrq.gov/issue/influence-comprehensive-unit-based-safety-program-icus-evidence-keystone-icu-project
January 22, 2016 - Study
Influence of the Comprehensive Unit-based Safety Program in ICUs: evidence from the Keystone ICU project.
Citation Text:
Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-3…
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psnet.ahrq.gov/issue/unplanned-transfers-medical-intensive-care-unit-causes-and-relationship-preventable-errors
July 19, 2023 - Study
Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.
Citation Text:
Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. J …
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psnet.ahrq.gov/issue/impact-oncology-drug-shortages-chemotherapy-treatment
November 01, 2012 - Study
Impact of oncology drug shortages on chemotherapy treatment.
Citation Text:
Alpert A, Jacobson M. Impact of Oncology Drug Shortages on Chemotherapy Treatment. Clin Pharmacol Ther. 2019;106(2):415-421. doi:10.1002/cpt.1390.
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psnet.ahrq.gov/issue/impact-pharmacist-interventions-provided-emergency-department-quality-use-medicines
July 21, 2021 - Review
Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic review and meta-analysis.
Citation Text:
Atey TM, Peterson GM, Salahudeen MS, et al. Impact of pharmacist interventions provided in the emergency department on quality…
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psnet.ahrq.gov/issue/why-do-healthcare-professionals-fail-escalate-early-warning-system-ews-protocol-qualitative
August 25, 2021 - Review
Emerging Classic
Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation.
Citation Text:
O’Neill SM, Clyne B, Bell M, et al. Why do h…
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psnet.ahrq.gov/issue/systematic-review-association-shift-length-protected-sleep-time-and-night-float-patient-care
November 26, 2014 - Review
Classic
Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education.
Citation Text:
Reed DA, Fletcher KE, Arora V. Systematic review: association of shift length, protected sl…