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psnet.ahrq.gov/issue/impact-work-schedules-senior-resident-physicians-patient-and-resident-physician-safety
May 25, 2022 - Study
Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study.
Citation Text:
Barger LK, Weaver MD, Sullivan JP, et al. Impact of work schedules of senior resident physicians on patient and resident physician s…
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psnet.ahrq.gov/issue/acgme-2011-duty-hours-restrictions-and-their-effects-surgical-residency-training-and-patients
August 26, 2020 - Review
ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review.
Citation Text:
Awan M, Zagales I, McKenney M, et al. ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients out…
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psnet.ahrq.gov/issue/drug-related-problems-and-polypharmacy-nursing-home-residents-cross-sectional-study
May 25, 2022 - Study
Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study.
Citation Text:
Díez R, Cadenas R, Susperregui J, et al. Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study. Int J Environ Res Public Health. 2022;19(7):…
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psnet.ahrq.gov/issue/using-patient-internet-portal-prevent-adverse-drug-events-randomized-controlled-trial
September 15, 2011 - Study
Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial.
Citation Text:
Weingart SN, Carbo AR, Tess A, et al. Using a Patient Internet Portal to Prevent Adverse Drug Events. J Patient Saf. 2013;9(3). doi:10.1097/pts.0b013e31829e4b95.
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psnet.ahrq.gov/issue/inadequate-hand-communication
April 02, 2015 - Sentinel Event Alerts
Inadequate hand-off communication.
Citation Text:
Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6.
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psnet.ahrq.gov/issue/implementing-national-program-reduce-catheter-associated-urinary-tract-infection-quality
June 08, 2016 - Study
Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies.
Citation Text:
Fakih MG, George C, Edson B, et al.…
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psnet.ahrq.gov/issue/patients-willingness-and-ability-identify-and-respond-errors-their-personal-health-records
March 10, 2021 - Study
Patients' willingness and ability to identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data.
Citation Text:
Lear R, Freise L, Kybert M, et al. Patients' willingness and ability to identify and respond to errors in thei…
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psnet.ahrq.gov/issue/using-radiofrequency-technology-prevent-retained-sponges-and-improve-patient-outcomes
November 25, 2020 - Study
Using radiofrequency technology to prevent retained sponges and improve patient outcomes.
Citation Text:
Primiano M, Sparks D, Murphy J, et al. Using radiofrequency technology to prevent retained sponges and improve patient outcomes. AORN J. 2020;112(4):345-352. doi:10.1002/aorn.13…
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psnet.ahrq.gov/issue/what-us-hospitals-are-doing-prevent-common-device-associated-infections-during-coronavirus
May 08, 2019 - Study
What US hospitals are doing to prevent common device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey in the United States.
Citation Text:
Saint S, Greene MT, Krein SL, et al. What US hospitals are doing to prevent common…
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psnet.ahrq.gov/issue/health-care-associated-infections-meta-analysis-costs-and-financial-impact-us-health-care
July 31, 2013 - Study
Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system.
Citation Text:
Zimlichman E, Henderson D, Tamir O, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JA…
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psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry
May 27, 2011 - Study
Classic
The extent and importance of unintended consequences related to computerized provider order entry.
Citation Text:
Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to computerized provider order entry…
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psnet.ahrq.gov/issue/evaluating-alert-fatigue-over-time-ehr-based-clinical-trial-alerts-findings-randomized
April 29, 2018 - Study
Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study.
Citation Text:
Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. J Am Med Inform…
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psnet.ahrq.gov/issue/comparison-medication-administration-errors-original-medication-packaging-and-multi
July 24, 2024 - Study
A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study.
Citation Text:
Gilmartin-Thomas JF-M, Smith F, Wolfe R, et al. A comparison of medication administration error…
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psnet.ahrq.gov/issue/impact-national-qi-programme-reducing-electronic-health-record-notifications-clinicians
February 24, 2021 - Study
Classic
Impact of a national QI programme on reducing electronic health record notifications to clinicians.
Citation Text:
Shah T, Patel-Teague S, Kroupa L, et al. Impact of a national QI programme on reducing electronic health record notifications to clin…
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psnet.ahrq.gov/issue/diagnostic-error-experiences-patients-and-families-limited-english-language-health-literacy
October 27, 2021 - Study
Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey.
Citation Text:
Bell SK, Dong J, Ngo L, et al. Diagnostic error experiences of patients and fa…
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psnet.ahrq.gov/issue/identifying-trigger-concepts-screen-emergency-department-visits-diagnostic-errors
March 12, 2025 - Study
Identifying trigger concepts to screen emergency department visits for diagnostic errors.
Citation Text:
Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/d…
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psnet.ahrq.gov/issue/bad-things-can-happen-are-medical-students-aware-patient-centered-care-and-safety
July 06, 2022 - Study
Bad things can happen: are medical students aware of patient centered care and safety?
Citation Text:
Gillissen A, Kochanek T, Zupanic M, et al. Bad things can happen: are medical students aware of patient centered care and safety? Diagnosis (Berl). 2023;10(2):110-120. doi:10.1515/…
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psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-bundled-intervention-reduce-interruptions-during-medication
August 26, 2020 - Study
Classic
Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study.
Citation Text:
Westbrook JI, Li L, Hooper TD, et al. Effectiveness of a 'Do not …
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psnet.ahrq.gov/issue/seven-features-safety-maternity-units-framework-based-multisite-ethnography-and-stakeholder
February 20, 2019 - Study
Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation.
Citation Text:
Liberati EG, Tarrant C, Willars J, et al. Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder con…
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psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality
September 08, 2021 - Study
Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project.
Citation Text:
Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality i…