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psnet.ahrq.gov/issue/pending-studies-hospital-discharge-pre-post-analysis-electronic-medical-record-tool-improve
September 16, 2020 - Study
Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge.
Citation Text:
Kantor MA, Evans KH, Shieh L. Pending studies at hospital discharge: a pre-post analysis of an electronic medical record to…
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psnet.ahrq.gov/issue/linking-acknowledgement-action-closing-loop-non-urgent-clinically-significant-test-results
July 02, 2019 - Study
Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record.
Citation Text:
Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non-urgent, clinically signific…
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psnet.ahrq.gov/issue/improving-quality-insulin-prescribing-people-diabetes-being-discharged-hospital
November 16, 2022 - Journal Article
Improving the quality of insulin prescribing for people with diabetes being discharged from hospital
Citation Text:
Bain A, Silcock J, Kavanagh S, et al. Improving the quality of insulin prescribing for people with diabetes being discharged from hospital. BMJ Open Qual. 2…
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psnet.ahrq.gov/issue/adherence-drug-drug-interaction-alerts-high-risk-patients-trial-context-enhanced-alerting
February 21, 2018 - Study
Adherence to drug–drug interaction alerts in high-risk patients: a trial of context-enhanced alerting.
Citation Text:
Duke JD, Li X, Dexter P. Adherence to drug-drug interaction alerts in high-risk patients: a trial of context-enhanced alerting. J Am Med Inform Assoc. 2013;20(3):49…
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psnet.ahrq.gov/issue/education-initiatives-cognitive-debiasing-improve-diagnostic-accuracy-student-providers
October 21, 2020 - Review
Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review.
Citation Text:
Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scopin…
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psnet.ahrq.gov/issue/incomplete-ehr-adoption-late-uptake-patient-safety-and-cost-control-functions
July 25, 2011 - Commentary
Incomplete EHR adoption: late uptake of patient safety and cost control functions.
Citation Text:
Menachemi N, Ford E, Beitsch LM, et al. Incomplete EHR adoption: late uptake of patient safety and cost control functions. Am J Med Qual. 2007;22(5):319-26.
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psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
September 25, 2024 - Study
Classic
Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error.
Citation Text:
Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…
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psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
April 13, 2017 - Study
Emerging Classic
An assessment of the impact of just culture on quality and safety in US hospitals.
Citation Text:
Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177…
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psnet.ahrq.gov/issue/impact-pharmacist-interventions-medication-errors-hospitalized-pediatric-patients-systematic
August 04, 2021 - Review
Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis.
Citation Text:
Naseralallah LM, Hussain TA, Jaam M, et al. Impact of pharmacist interventions on medication errors in hospitalized pediatric patients:…
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psnet.ahrq.gov/issue/measuring-adverse-events-and-levels-harm-pediatric-inpatients-global-trigger-tool
December 18, 2013 - Study
Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool.
Citation Text:
Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e12…
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psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer
February 01, 2011 - Study
Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative.
Citation Text:
Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK …
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psnet.ahrq.gov/issue/does-seasonal-variation-orthopaedic-trauma-volume-correlate-adverse-hospital-events-and
May 25, 2022 - Study
Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout?
Citation Text:
Waldron J, Denisiuk M, Sharma R, et al. Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout? Injury. 2022;53(6…
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psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care
December 09, 2020 - Study
Pharmacist-led program to improve transitions from acute care to skilled nursing facility care.
Citation Text:
Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12)…
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psnet.ahrq.gov/issue/surgical-teams-attitudes-about-surgical-safety-and-surgical-safety-checklist-10-years
March 17, 2021 - Study
Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey.
Citation Text:
Urban D, Burian BK, Patel K, et al. Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational s…
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psnet.ahrq.gov/issue/review-application-safety-attitudes-questionnaire-saq-primary-care-systematic-synthesis
November 13, 2024 - Review
Review: application of the Safety Attitudes Questionnaire (SAQ) in primary care - a systematic synthesis on validity, descriptive and comparative results, and variance across organisational units.
Citation Text:
Olesen AE, Juhl MH, Deilkås ET, et al. Review: application of the Saf…
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psnet.ahrq.gov/issue/workplace-engagement-and-workers-compensation-claims-predictors-patient-safety-culture
March 08, 2023 - Study
Workplace engagement and workers' compensation claims as predictors for patient safety culture.
Citation Text:
Thorp J, Baqai W, Witters D, et al. Workplace engagement and workers' compensation claims as predictors for patient safety culture. J Patient Saf. 2012;8(4):194-201. doi…
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psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure
July 20, 2022 - Study
Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries.
Citation Text:
Abela G. Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. J Tissue Viability. 2021;30(3):3…
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psnet.ahrq.gov/issue/potential-costs-and-consequences-associated-medication-error-hospital-discharge-expert
September 05, 2018 - Study
Potential costs and consequences associated with medication error at hospital discharge: an expert judgement study.
Citation Text:
Kirwan G, O’Leary A, Walsh C, et al. Potential costs and consequences associated with medication error at hospital discharge: an expert judgement study…
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psnet.ahrq.gov/issue/new-problems-and-iatrogenic-events-among-older-adults-first-30-days-post-acute-rehabilitation
March 16, 2022 - Study
New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation.
Citation Text:
Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-3…
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psnet.ahrq.gov/issue/association-opioid-prescribing-opioid-consumption-after-surgery-michigan
December 02, 2020 - Study
Classic
Association of opioid prescribing with opioid consumption after surgery in Michigan.
Citation Text:
Howard R, Fry B, Gunaseelan V, et al. Association of Opioid Prescribing With Opioid Consumption After Surgery in Michigan. JAMA Surg. 2019;154(1):e1…