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psnet.ahrq.gov/node/47745/psn-pdf
March 06, 2019 - "I am administering medication—please do not interrupt
me": red tabards preventing interruptions as perceived by
surgical patients.
March 6, 2019
Palese A, Ferro M, Pascolo M, et al. "I Am Administering Medication-Please Do Not Interrupt Me": Red
Tabards Preventing Interruptions as Perceived by Surgical Patients. …
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psnet.ahrq.gov/node/44929/psn-pdf
February 08, 2017 - The Irish National Adverse Events Study (INAES): the
frequency and nature of adverse events in Irish
hospitals—a retrospective record review study.
February 8, 2017
Rafter N, Hickey A, Conroy RM, et al. The Irish National Adverse Events Study (INAES): the frequency and
nature of adverse events in Irish hospitals-a…
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psnet.ahrq.gov/node/867222/psn-pdf
December 04, 2024 - How many is too many? Using cognitive load theory to
determine the maximum safe number of inpatient
consultations for trainees.
December 4, 2024
Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine
the maximum safe number of inpatient consultations for trainees. Ac…
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psnet.ahrq.gov/node/867096/psn-pdf
November 06, 2024 - Hospital Differences in Adult Inpatient Stays with
Healthcare-Associated Infections, 2019 and 2021.
November 6, 2024
Miller MA, Lin L, Calfee DP, et al. Hospital Differences In Adult Inpatient Stays With Healthcare-Associated
Infections, 2019 And 2021. Rockville, MD: Agency for Healthcare Research and Quality; Octo…
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psnet.ahrq.gov/node/46878/psn-pdf
June 25, 2018 - Patient perceptions of deterioration and patient and
family activated escalation systems—a qualitative study.
June 25, 2018
Guinane J, Hutchinson AM, Bucknall T. Patient perceptions of deterioration and patient and family
activated escalation systems-A qualitative study. J Clin Nurs. 2018;27(7-8):1621-1631.
doi:10…
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psnet.ahrq.gov/node/866070/psn-pdf
June 05, 2024 - Large language models for preventing medication
direction errors in online pharmacies.
June 5, 2024
Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online
pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8.
https://psnet.ahrq.gov/issue/large…
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psnet.ahrq.gov/node/39772/psn-pdf
December 21, 2014 - Communication discrepancies between physicians and
hospitalized patients.
December 21, 2014
Olson DP, Windish DM. Communication discrepancies between physicians and hospitalized patients. Arch
Intern Med. 2010;170(15):1302-1307. doi:10.1001/archinternmed.2010.239.
https://psnet.ahrq.gov/issue/communication-discrep…
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psnet.ahrq.gov/node/866433/psn-pdf
August 07, 2024 - Sepsis alert systems, mortality, and adherence in
emergency departments: a systematic review and meta-
analysis.
August 7, 2024
Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments:
a systematic review and meta-analysis. JAMA Netw Open. 2024;7(7):e2422823.
doi:10…
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psnet.ahrq.gov/node/850354/psn-pdf
June 14, 2023 - The effects of electronic nursing handover on patient
safety in the general (non-COVID-19) and COVID-19
intensive care units: a quasi-experimental study.
June 14, 2023
Tataei A, Rahimi B, Afshar HL, et al. The effects of electronic nursing handover on patient safety in the
general (non-COVID-19) and COVID-19 inten…
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psnet.ahrq.gov/node/47721/psn-pdf
April 24, 2019 - Effects of chemotherapy prescription clinical decision-
support systems on the chemotherapy process: a
systematic review.
April 24, 2019
Rahimi R, Moghaddasi H, Rafsanjani KA, et al. Effects of chemotherapy prescription clinical decision-
support systems on the chemotherapy process: A systematic review. Int J Med …
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psnet.ahrq.gov/node/47890/psn-pdf
June 15, 2019 - Systems engineering and human factors support of a
system of novel EHR-integrated tools to prevent harm in
the hospital.
June 15, 2019
Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of
novel EHR-integrated tools to prevent harm in the hospital. J Am Med Inform Ass…
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psnet.ahrq.gov/node/846709/psn-pdf
March 29, 2023 - The safety and acceptability of using telehealth for follow-
up of patients following cancer surgery: a systematic
review.
March 29, 2023
Xiao K, Yeung JC, Bolger JC. The safety and acceptability of using telehealth for follow-up of patients
following cancer surgery: a systematic review. Eur J Surg Oncol. 2023;49(…
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psnet.ahrq.gov/node/46509/psn-pdf
May 17, 2018 - Impact of out-of-hours admission on patient mortality:
longitudinal analysis in a tertiary acute hospital.
May 17, 2018
Han L, Sutton M, Clough S, et al. Impact of out-of-hours admission on patient mortality: longitudinal
analysis in a tertiary acute hospital. BMJ Qual Saf. 2018;27(6):445-454. doi:10.1136/bmjqs-201…
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psnet.ahrq.gov/node/47216/psn-pdf
July 11, 2018 - Progress Made Towards Improving Opioid Safety, But
Further Efforts to Assess Progress and Reduce Risk Are
Needed.
July 11, 2018
Washington, DC: United States Government Accountability Office; May 2018. Publication GAO-18-380.
https://psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-effort…
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psnet.ahrq.gov/node/866637/psn-pdf
September 04, 2024 - Impact of rounding checklists on the outcomes of
patients admitted to ICUs: a systematic review and meta-
analysis.
September 4, 2024
MacKinnon KM, Seshadri S, Mailman JF, et al. Impact of rounding checklists on the outcomes of patients
admitted to ICUs: a systematic review and meta-analysis. Crit Care Explor. 202…
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psnet.ahrq.gov/node/47465/psn-pdf
October 17, 2018 - Mix-ups between epidural analgesia and IV antibiotics in
labor and delivery units continue to cause harm.
October 17, 2018
ISMP Medication Safety Alert! Acute Care Edition. October 4, 2018;23:1-4.
https://psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-
units-continue-…
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psnet.ahrq.gov/node/47269/psn-pdf
August 15, 2018 - AHRQ Announces Interest in Health Services Research to
Address the Opioids Crisis.
August 15, 2018
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. August 2, 2018.
Publication No. NOT-HS-18-015.
https://psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-address…
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psnet.ahrq.gov/node/841474/psn-pdf
January 01, 2023 - Factors that affect opioid quality improvement initiatives
in primary care: insights from ten health systems.
December 14, 2022
Childs E, Tano CA, Mikosz CA, et al. Factors that affect opioid quality improvement initiatives in primary
care: insights from ten health systems. Jt Comm J Qual Patient Saf. 2023;49(1):26…
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psnet.ahrq.gov/node/60541/psn-pdf
May 01, 2013 - Targeted versus universal decolonization to prevent ICU
infection.
May 1, 2013
Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU
infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa1207290.
https://psnet.ahrq.gov/issue/targeted-versus-universal-decoloni…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-residents.pdf
June 01, 2021 - Four Questions To Ask Your Doctor or Nurse About Antibiotics
Question 1
Do I need an
antibiotic?
Question 2
Is this the right
antibiotic?
Question 3
How long
do I need to be on
antibiotics?
Question 4
Do I still need
to take
anti…