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psnet.ahrq.gov/issue/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication
March 17, 2021 - Study
The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support.
Citation Text:
Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital…
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psnet.ahrq.gov/issue/multi-hospital-after-observational-study-using-point-prevalence-approach-infusion-safety
January 23, 2017 - Study
A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors.
Citation Text:
Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational …
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psnet.ahrq.gov/issue/what-contributes-diagnostic-error-or-delay-qualitative-exploration-across-diverse-acute-care
March 16, 2022 - Study
What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States.
Citation Text:
Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care se…
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psnet.ahrq.gov/issue/development-and-evaluation-i-pass-picu-standard-electronic-template-improve-referral
June 14, 2023 - Study
Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit.
Citation Text:
Parikh NR, Francisco LS, Balikai SC, et al. Development and evaluation of I-PASS-to-PICU:…
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psnet.ahrq.gov/issue/impact-covid-19-pandemic-cancer-care-global-collaborative-study
April 21, 2021 - Study
Emerging Classic
Impact of the COVID-19 pandemic on cancer care: a global collaborative study.
Citation Text:
Jazieh AR, Akbulut H, Curigliano G, et al. Impact of the COVID-19 pandemic on cancer care: a global collaborative study. JCO Glob Oncol. 2020;6)(6…
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digital.ahrq.gov/ahrq-funded-projects/devise-data-exchange-vaccine-information-between-immunization-information
January 01, 2023 - DEVISE: Data Exchange of Vaccine Information between an Immunization Information System and Electronic Health Record
Project Final Report ( PDF , 237.23 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for i…
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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/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/bachelors-degree-nurse-graduates-report-better-quality-and-safety-educational-preparedness
December 21, 2018 - Study
Bachelor's degree nurse graduates report better quality and safety educational preparedness than associate degree graduates.
Citation Text:
Djukic M, Stimpfel AW, Kovner C. Bachelor's Degree Nurse Graduates Report Better Quality and Safety Educational Preparedness than Associate De…
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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/impact-computerised-physician-order-entry-cpoe-incidence-chemotherapy-related-medication
May 25, 2022 - Review
Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review.
Citation Text:
Srinivasamurthy SK, Ashokkumar R, Kodidela S, et al. Impact of computerised physician order entry (CPOE) on the incidence of chemothe…
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psnet.ahrq.gov/issue/exploring-how-ward-staff-engage-implementation-patient-safety-intervention-uk-based
December 21, 2016 - Study
Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-based qualitative process evaluation.
Citation Text:
Sheard L, Marsh C, O'Hara JK, et al. Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-ba…
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psnet.ahrq.gov/issue/patient-identification-diagnostic-safety-blindspots-and-participation-good-catches-through
October 27, 2021 - Study
Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes.
Citation Text:
Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visi…
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psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-record
April 13, 2022 - Study
Charting diagnostic safety: exploring patient-provider discordance in medical record documentation.
Citation Text:
Giardina TD, Vaghani V, Upadhyay DK, et al. Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. J Gen Intern Med. 2025;…
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psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
February 15, 2023 - Study
Association of current opioid use with serious adverse events among older adult survivors of breast cancer.
Citation Text:
Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. JAMA Netw Open.…
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psnet.ahrq.gov/issue/user-testing-guidelines-improve-safety-intravenous-medicines-administration-randomised-situ
November 16, 2022 - Study
User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study.
Citation Text:
Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised i…
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psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement
March 22, 2023 - Study
Duplicate medication order errors: safety gaps and recommendations for improvement.
Citation Text:
Bocknek L, Kim T, Spaar P, et al. Duplicate medication order errors: safety gaps and recommendations for improvement. Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6.
Co…
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psnet.ahrq.gov/issue/use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k
April 13, 2022 - Study
Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls.
Citation Text:
Kramer DB, Yeh RW. Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) …
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psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units
September 29, 2021 - Review
Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review.
Citation Text:
Mohanna Z, Kusljic S, Jarden R. Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: a systematic revi…
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psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative
July 31, 2019 - Review
The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis.
Citation Text:
Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic rev…