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psnet.ahrq.gov/issue/preventing-medical-injury
February 18, 2011 - Study
Classic
Preventing medical injury.
Citation Text:
Leape LL, Lawthers AG, Brennan TA, et al. Preventing medical injury. QRB - Qual Rev Bull. 1993;19(5):144-149. doi:10.1016/s0097-5990(16)30608-x.
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psnet.ahrq.gov/issue/costs-adverse-drug-events-hospitalized-patients
February 10, 2011 - Study
Classic
The costs of adverse drug events in hospitalized patients.
Citation Text:
Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group. JAMA. 1997;277(4):307-11.
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel/annual-summary/2010
January 01, 2010 - Improving Patient Access and Patient-Clinician Continuity Through Panel Redesign - 2010
Project Name
Improving Patient Access and Patient-Clinician Continuity through Panel Redesign
Principal Investigator
Balasubramanian, Hari
Organization
University of Massachusetts Amherst …
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psnet.ahrq.gov/issue/inpatient-ehr-user-experience-and-hospital-ehr-safety-performance
April 24, 2018 - Study
Inpatient EHR user experience and hospital EHR safety performance.
Citation Text:
Classen DC, Longhurst CA, Davis T, et al. Inpatient EHR user experience and hospital EHR safety performance. JAMA Netw Open. 2023;6(9):e2333152. doi:10.1001/jamanetworkopen.2023.33152.
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psnet.ahrq.gov/issue/relationship-between-culture-safety-and-rate-adverse-events-long-term-care-facilities
June 09, 2021 - Study
The relationship between culture of safety and rate of adverse events in long-term care facilities.
Citation Text:
Abusalem S, Polivka B, Coty M-B, et al. The Relationship Between Culture of Safety and Rate of Adverse Events in Long-Term Care Facilities. J Patient Saf. 2021;17(4):2…
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psnet.ahrq.gov/issue/development-and-validation-brief-culture-safety-survey
May 26, 2021 - Study
Development and validation of a brief culture-of-safety survey.
Citation Text:
Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006.
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psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery
July 19, 2023 - Study
Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery.
Citation Text:
Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasur…
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psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-medical-center
March 16, 2022 - Study
Classic
Medication misadventures resulting in emergency department visits at an HMO medical center.
Citation Text:
Medication misadventures resulting in emergency department visits at an HMO medical center. Schneitman-McIntire O, Farnen TA, Gordon N, et al…
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psnet.ahrq.gov/issue/reducing-drug-prescription-errors-and-adverse-drug-events-application-probabilistic-machine
March 12, 2025 - Study
Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting.
Citation Text:
Segal G, Segev A, Brom A, et al. Reducing drug prescription errors and adverse drug events by…
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psnet.ahrq.gov/issue/effect-pharmacist-led-multicomponent-intervention-focusing-medication-monitoring-phase
June 29, 2011 - Study
Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.
Citation Text:
Lapane KL, Hughes C, Daiello LA, et al. Effect of a pharmacist-led multicomponent intervention focusing on …
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psnet.ahrq.gov/issue/physiology-failure-identifying-risk-factors-mortality-emergency-general-surgery-patients
March 23, 2022 - Study
The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record.
Citation Text:
Baimas-George M, Ross SW, Hetherington T, et al. The physiology of failure: identifying risk f…
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psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
March 23, 2022 - Study
Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths.
Citation Text:
LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…
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psnet.ahrq.gov/issue/prospective-evaluation-consultant-surgeon-sleep-deprivation-and-outcomes-more-4000
October 19, 2022 - Study
Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures.
Citation Text:
Chu MWA, Stitt LW, Fox SA, et al. Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 cons…
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psnet.ahrq.gov/issue/pharmacists-reducing-medication-risk-medical-outpatient-clinics-retrospective-study-18
June 16, 2021 - Study
Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics.
Citation Text:
Snoswell CL, De Guzman KR, Barras M. Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. Intern Med J. 2023;5…
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psnet.ahrq.gov/issue/serious-experience-events-applying-patient-safety-concepts-improve-patient-experience
August 04, 2021 - Commentary
Serious experience events: applying patient safety concepts to improve patient experience.
Citation Text:
Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety concepts to improve patient experience. J Patient Exp. 2022;9:23743735…
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psnet.ahrq.gov/issue/barriers-incident-reporting-behavior-among-nursing-staff-study-based-theory-planned-behavior
February 27, 2019 - Study
Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior.
Citation Text:
Lee Y-H, Yang C-C, Chen T-T. Barriers to incident-reporting behavior among nursing staff: A study based on the theory of planned behavior. J Manag Organ. 201…
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psnet.ahrq.gov/issue/improved-medication-management-introduction-perioperative-and-prescribing-pharmacist-service
August 05, 2020 - Study
Improved medication management with introduction of a perioperative and prescribing pharmacist service.
Citation Text:
Nguyen AD, Lam A, Banakh I, et al. Improved medication management with introduction of a perioperative and prescribing pharmacist service. J Pharm Pract. 2020;33(3…
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psnet.ahrq.gov/issue/impact-daily-huddle-safety-perioperative-services
March 03, 2021 - Study
Impact of a daily huddle on safety in perioperative services.
Citation Text:
Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012.
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psnet.ahrq.gov/issue/how-accurately-do-older-adult-emergency-department-patients-recall-their-medications
September 02, 2020 - Study
How accurately do older adult emergency department patients recall their medications?
Citation Text:
Goldberg EM, Marks SJ, Merchant RC, et al. How accurately do older adult emergency department patients recall their medications? Acad Emerg Med. 2021;28(2):248-252. doi:10.1111/acem…
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psnet.ahrq.gov/issue/safety-criterion-quality-critical-nursing-situation-index-paediatric-critical-care
March 01, 2011 - Study
Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study.
Citation Text:
de Neef M, Bos AP, Tol D. Safety as a criterion for quality: the critical nursing situation index in paediatric critical care, an observatio…