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psnet.ahrq.gov/issue/using-lean-improve-medication-administration-safety-search-perfect-dose
September 16, 2015 - Study
Using Lean to improve medication administration safety: in search of the "perfect dose."
Citation Text:
Ching JM, Long C, Williams BL, et al. Using lean to improve medication administration safety: in search of the "perfect dose". Jt Comm J Qual Patient Saf. 2013;39(5):195-204.
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psnet.ahrq.gov/issue/exploring-care-left-undone-pediatric-nursing
October 25, 2017 - Study
Exploring care left undone in pediatric nursing.
Citation Text:
Bagnasco A, Rossi S, Dasso N, et al. Exploring care left undone in pediatric nursing. J Patient Saf. 2022;18(6):e903-e911. doi:10.1097/pts.0000000000001044.
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psnet.ahrq.gov/issue/national-profile-patient-safety-us-hospitals
April 11, 2011 - Study
Classic
A national profile of patient safety in U.S. hospitals.
Citation Text:
Romano PS, Geppert JJ, Davies SM, et al. A national profile of patient safety in U.S. hospitals. Health Aff (Millwood). 2003;22(2):154-66.
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psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health
September 12, 2018 - Study
Competencies for improving diagnosis: an interprofessional framework for education and training in health care.
Citation Text:
Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Diagnosi…
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psnet.ahrq.gov/issue/scaling-pharmacist-led-information-technology-intervention-pincer-reduce-hazardous
December 16, 2020 - Study
Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study.
Citation Text:
Rodgers S, Taylor AC, Roberts SA, et al. Scaling-up a pharmacist-led information technology interven…
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psnet.ahrq.gov/issue/national-cost-adverse-drug-events-resulting-inappropriate-medication-related-alert-overrides
July 02, 2019 - Study
The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States.
Citation Text:
Slight SP, Seger DL, Franz C, et al. The national cost of adverse drug events resulting from inappropriate medication-related alert override…
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psnet.ahrq.gov/node/33576/psn-pdf
December 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient
Surgery
December 15, 2024
Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editoria…
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psnet.ahrq.gov/issue/nurses-and-nursing-assistants-perceptions-patient-safety-culture-nursing-homes
December 15, 2011 - Study
Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes.
Citation Text:
Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-6.
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psnet.ahrq.gov/issue/making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices
March 13, 2013 - Book/Report
Classic
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices.
Citation Text:
Shekelle PG, Wachter RM, Pronovost PJ, et al. Making Health Care Safer Ii: An Updated Critical Analysis Of The Evidence For…
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psnet.ahrq.gov/issue/drug-drug-interactions-should-be-non-interruptive-order-reduce-alert-fatigue-electronic
December 31, 2014 - Study
Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records.
Citation Text:
Phansalkar S, van der Sijs H, Tucker AD, et al. Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic…
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psnet.ahrq.gov/issue/eliciting-willingness-pay-prevent-hospital-medication-administration-errors-uk-contingent
March 28, 2012 - Study
Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey.
Citation Text:
Hill SR, Bhattarai N, Tolley CL, et al. Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a continge…
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psnet.ahrq.gov/issue/evaluation-harm-associated-high-dose-range-clinical-decision-support-overrides-intensive-care
August 17, 2018 - Study
Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit.
Citation Text:
Wong A, Rehr C, Seger DL, et al. Evaluation of Harm Associated with High Dose-Range Clinical Decision Support Overrides in the Intensive Care Unit. Drug…
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psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs-seniors-empowerment-and
February 15, 2011 - Study
Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey.
Citation Text:
Elder NC, Regan SL, Pallerla H, et al. Development of an instrument to measure seniors’ patient safety health beli…
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psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery
August 02, 2015 - Study
Classic
Surgical skill and complication rates after bariatric surgery.
Citation Text:
Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625.…
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psnet.ahrq.gov/issue/impact-agency-healthcare-research-and-qualitys-safety-program-perinatal-care
April 04, 2018 - Study
Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care.
Citation Text:
Kahwati LC, Sorensen A, Teixeira-Poit S, et al. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Jt Comm J Qual Patient Saf. 201…
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psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and
May 08, 2017 - Study
Classic
Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems.
Citation Text:
Schiff GD, Amato MG, Eguale T, et al. Computerised physician order entry-related medication error…
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psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu
June 16, 2011 - Study
Classic
An intervention to decrease catheter-related bloodstream infections in the ICU.
Citation Text:
Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(2…
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psnet.ahrq.gov/issue/cluster-randomized-trial-interventions-improve-work-conditions-and-clinician-burnout-primary
January 23, 2017 - Study
A cluster randomized trial of interventions to improve work conditions and clinician burnout in primary care: results from the Healthy Work Place (HWP) study.
Citation Text:
Linzer M, Poplau S, Grossman E, et al. A Cluster Randomized Trial of Interventions to Improve Work Condition…
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psnet.ahrq.gov/issue/impact-closed-loop-electronic-prescribing-and-administration-system-prescribing-errors
November 13, 2009 - Study
The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.
Citation Text:
Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and admin…
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psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national
December 18, 2017 - Study
Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System.
Citation Text:
Alshehri GH, Keers RN, Carson-Stevens A, et al. Medication safety in mental health hospitals: a mixed-methods analysis of incid…