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psnet.ahrq.gov/issue/multiprofessional-team-simulation-training-based-obstetric-model-can-improve-teamwork-other
January 12, 2022 - Study
Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care.
Citation Text:
van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an obstetric model, can improve teamwor…
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psnet.ahrq.gov/issue/towards-understanding-and-improving-medication-safety-patients-mental-illness-primary-care
February 28, 2024 - Study
Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study.
Citation Text:
Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients with mental illness in primary care: a…
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psnet.ahrq.gov/issue/frequency-and-preventability-adverse-drug-events-outpatient-setting
May 15, 2024 - Study
Frequency and preventability of adverse drug events in the outpatient setting.
Citation Text:
Wasserman RL, Edrees HH, Amato MG, et al. Frequency and preventability of adverse drug events in the outpatient setting. BMJ Qual Saf. 2024;Epub Jul 9. doi:10.1136/bmjqs-2024-017098.
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psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie
February 14, 2024 - Study
Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model.
Citation Text:
Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification o…
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psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
January 12, 2022 - Study
Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors.
Citation Text:
Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to improve transitions of care for patients …
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psnet.ahrq.gov/issue/understanding-medication-safety-involving-patient-transfer-intensive-care-hospital-ward
November 14, 2018 - Study
Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study.
Citation Text:
Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from intensive care to hosp…
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psnet.ahrq.gov/issue/supporting-carers-improve-patient-safety-and-maintain-their-well-being-transitions-mental
May 31, 2023 - Study
Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique.
Citation Text:
McMullen S, Panagioti M, Planner C, et al. Supporting carers to improve patient safety an…
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psnet.ahrq.gov/issue/effect-real-time-pediatric-icu-safety-bundle-dashboard-quality-improvement-measures
June 21, 2015 - Study
Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures.
Citation Text:
Shaw SJ, Jacobs B, Stockwell DC, et al. Effect of a Real-Time Pediatric ICU Safety Bundle Dashboard on Quality Improvement Measures. Jt Comm J Qual Patient Saf. 2015;41(9):41…
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digital.ahrq.gov/ahrq-funded-projects/veterans-administration-va-integrated-medication-manager/annual-summary/2011
January 01, 2011 - Veterans Administration (VA) Integrated Medication Manager - 2011
Project Name
Veterans Administration (VA) Integrated Medication Manager
Principal Investigator
Nebeker, Jonathan
Organization
Western Institute for Biomedical Research
Funding Mechanism
RFA: HS07-006:…
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psnet.ahrq.gov/issue/identifying-and-encouraging-high-quality-healthcare-analysis-content-and-aims-patient-letters
September 14, 2022 - Study
Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment.
Citation Text:
Gillespie A, Reader TW. Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of complimen…
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psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences
August 04, 2015 - Study
Classic
Discussion of medical errors in morbidity and mortality conferences.
Citation Text:
Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA. 2003;290(21):2838-2842.
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psnet.ahrq.gov/issue/reducing-preventable-adverse-events-obstetrics-improving-interprofessional-communication
February 16, 2022 - Study
Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study.
Citation Text:
Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by improving interprofessional commun…
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psnet.ahrq.gov/issue/improving-peripherally-inserted-central-catheter-appropriateness-and-reducing-device-related
October 27, 2021 - Study
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals.
Citation Text:
Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness a…
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psnet.ahrq.gov/issue/impact-repeated-reimbursement-penalties-hospital-total-quality-scores
November 16, 2022 - Study
Impact of repeated reimbursement penalties on hospital total quality scores.
Citation Text:
Brewer A, Hughes MC, Patel KN. Impact of repeated reimbursement penalties on hospital total quality scores. J Patient Saf. 2024;20(3):198-201. doi:10.1097/pts.0000000000001199.
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-medical-record-identify-and-screen-patients-risk-delirium
January 01, 2023 - Using the Electronic Medical Record to Identify and Screen Patients at Risk for Delirium
Project Final Report ( PDF , 940.88 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not neces…
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psnet.ahrq.gov/issue/severe-illness-getting-noticed-sooner-signs-kids-developing-illness-recognition-tool-connect
September 23, 2020 - Study
Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital.
Citation Text:
Gilleland J, Bayfield D, Bayliss A, et al. Severe illness getting noticed sooner – SIGNS-for-Kids: developing an illness recognition tool to c…
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psnet.ahrq.gov/issue/safe-sound-patient-safety-meets-evidence-based-medicine
March 13, 2013 - Commentary
Classic
Safe but sound: patient safety meets evidence-based medicine.
Citation Text:
Shojania KG, Duncan BW, McDonald KM, et al. Safe but Sound. JAMA. 2003;288(4):508-513. doi:10.1001/jama.288.4.508.
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DOI Google Sc…
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psnet.ahrq.gov/issue/rethinking-resident-supervision-improve-safety-hierarchical-interprofessional-models
April 09, 2013 - Study
Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.
Citation Text:
Tamuz M, Giardina TD, Thomas EJ, et al. Rethinking resident supervision to improve safety: From hierarchical to interprofessional models. J Hosp Med. 2011;6(8):445-452…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0373-14083.pdf
July 09, 2014 - Topic 0315 Disparities and SMI NSD SJ clean
Interventions to Reduce Disparities among
Patients with Serious Mental Illness
Nomination Summ…
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psnet.ahrq.gov/issue/preventing-catheter-associated-bloodstream-infections-survey-policies-insertion-and-care
June 14, 2023 - Study
Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program.
Citation Text:
Warren DK, Yokoe D, Climo MW, et al. Preventing catheter-associated bloodstream infect…