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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…
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-decision-support-evidence-based-pharmacotherapy/annual-summary/2011
January 01, 2011 - Improving Quality through Decision Support for Evidence-Based Pharmacotherapy - 2011
Project Name
Improving Quality through Decision Support for Evidence-Based Pharmacotherapy
Principal Investigator
Lobach, David
Organization
Duke University
Funding Mechanism
RFA: H…
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psnet.ahrq.gov/issue/using-text-mining-techniques-identify-health-care-providers-patient-safety-problems
July 27, 2022 - Study
Using text mining techniques to identify health care providers with patient safety problems: exploratory study.
Citation Text:
Hendrickx I, Voets T, van Dyk P, et al. Using text mining techniques to identify health care providers with patient safety problems: exploratory study. J M…
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psnet.ahrq.gov/issue/evolving-factors-hospital-safety-systematic-review-and-meta-analysis-hospital-adverse-events
February 02, 2022 - Review
Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events.
Citation Text:
Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. J Patient Saf. 2…
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psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
December 18, 2019 - Study
Emerging Classic
Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations.
Citation Text:
Härkänen M, Turunen H, Vehviläine…
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2012
January 01, 2012 - The Medication Metronome Project - 2012
Project Name
The Medication Metronome Project
Principal Investigator
Atlas, Steven J.
Organization
Massachusetts General Hospital
Funding Mechanism
PAR: HS08-270: Utilizing Health Information Technology to Improve Health Care …
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psnet.ahrq.gov/issue/effectiveness-barcode-medication-administration-system-reducing-preventable-adverse-drug
December 14, 2022 - Study
Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.
Citation Text:
Morriss FH, Abramowitz PW, Nelson S, et al. Effectiveness of a barcode medication administration s…
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psnet.ahrq.gov/issue/patient-safety-remote-primary-care-encounters-multimethod-qualitative-study-combining-safety
March 23, 2022 - Study
Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis.
Citation Text:
Payne R, Clarke A, Swann N, et al. Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety…
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psnet.ahrq.gov/issue/pharmacist-led-intervention-reduction-inappropriate-medication-use-patients-heart-failure
December 22, 2021 - Study
Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure: a systematic review of randomized trials and non-randomized intervention studies.
Citation Text:
Hernández-Prats C, López-Pintor E, Lumbreras B. Pharmacist-led intervention …
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psnet.ahrq.gov/issue/high-profile-investigations-hospital-safety-problems-england-did-not-prompt-patients-switch
July 11, 2012 - Study
High-profile investigations into hospital safety problems in England did not prompt patients to switch providers.
Citation Text:
Laverty AA, Smith PC, Pape UJ, et al. High-profile investigations into hospital safety problems in England did not prompt patients to switch providers.…
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psnet.ahrq.gov/issue/intensive-care-unit-critical-incident-analysis-objective-tool-select-content-simulation
June 28, 2023 - Study
Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum.
Citation Text:
Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Simul Healthc. 202…
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psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first
December 21, 2014 - Study
Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme.
Citation Text:
Neily J, Mills PD, Lee P, et al. Medical team training and coaching in the Veterans Health Administration; assessment and im…
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psnet.ahrq.gov/issue/predictors-adverse-events-patients-after-discharge-intensive-care-unit
December 08, 2021 - Study
Predictors of adverse events in patients after discharge from the intensive care unit.
Citation Text:
Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264.
Copy …
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psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening
May 21, 2009 - Study
Validation of hospital administrative dataset for adverse event screening.
Citation Text:
Verelst S, Jacques J, Van den Heede K, et al. Validation of Hospital Administrative Dataset for adverse event screening. Qual Saf Health Care. 2010;19(5):e25. doi:10.1136/qshc.2009.034306.
…
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psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center
September 25, 2011 - Study
Surgical case listing accuracy: failure analysis at a high-volume academic medical center.
Citation Text:
Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archs…
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psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach-observational-study
March 15, 2017 - Study
Classic
Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units.
Citation Text:
Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety us…
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psnet.ahrq.gov/issue/relationship-between-call-light-use-and-response-time-and-inpatient-falls-acute-care-settings
March 13, 2008 - Study
Relationship between call light use and response time and inpatient falls in acute care settings.
Citation Text:
Tzeng H-M, Yin C-Y. Relationship between call light use and response time and inpatient falls in acute care settings. J Clin Nurs. 2009;18(23):3333-41. doi:10.1111/j.1…
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psnet.ahrq.gov/issue/pharmacy-driven-performance-improvement-initiative-increase-compliance-intravenous-smart-pump
September 23, 2020 - Study
Pharmacy-driven performance improvement initiative to increase compliance with intravenous smart pump drug error reduction systems at a large urban academic medical center.
Citation Text:
Abboudi E, Baron SW, Goriacko P, et al. Pharmacy-driven performance improvement initiative to …
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psnet.ahrq.gov/issue/what-do-medical-records-tell-us-about-potentially-harmful-co-prescribing
December 19, 2011 - Study
Classic
What do medical records tell us about potentially harmful co-prescribing?
Citation Text:
Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co-prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-4…
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psnet.ahrq.gov/issue/health-care-cost-drug-related-morbidity-and-mortality-nursing-facilities
September 19, 2016 - Study
Classic
The health care cost of drug-related morbidity and mortality in nursing facilities.
Citation Text:
Bootman JL, Harrison DL, Cox E. The health care cost of drug-related morbidity and mortality in nursing facilities. Arch Intern Med. 1997;157(18):2…