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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/observing-sources-system-resilience-using-situ-alarm-simulations
August 30, 2023 - Study
Observing sources of system resilience using in situ alarm simulations.
Citation Text:
McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217.
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psnet.ahrq.gov/issue/encouraging-resident-adverse-event-reporting-qualitative-study-suggestions-front-lines
July 19, 2023 - Study
Encouraging resident adverse event reporting: a qualitative study of suggestions from the front lines.
Citation Text:
Szymusiak J, Walk TJ, Benson M, et al. Encouraging Resident Adverse Event Reporting: A Qualitative Study of Suggestions from the Front Lines. Ped Qual Saf. 2019;4(3…
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psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration
August 21, 2024 - Study
Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration.
Citation Text:
Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:…
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psnet.ahrq.gov/issue/qualitative-analysis-impact-electronic-health-records-ehr-healthcare-quality-and-safety
October 05, 2022 - Study
A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: clinicians' lived experiences.
Citation Text:
Upadhyay S, Hu H-fen. . A Qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: …
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psnet.ahrq.gov/issue/effect-two-different-electronic-health-record-user-interfaces-intensive-care-provider-task
March 16, 2022 - Study
The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance.
Citation Text:
Ahmed A, Chandra S, Herasevich V, et al. The effect of two different electronic health record user interfaces on intensi…
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psnet.ahrq.gov/issue/poison-information-centre-can-provide-important-assessment-and-guidance-regarding-medication
May 11, 2022 - Study
A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study.
Citation Text:
Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and guidance rega…
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psnet.ahrq.gov/issue/use-pediatric-injectable-medicines-guidelines-and-associated-medication-administration-errors
December 18, 2019 - Study
Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis.
Citation Text:
Jones MD, Clarke J, Feather C, et al. Use of pediatric injectable medicines guidelines and associated medication administration errors: a h…
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psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation-scoping-review
March 18, 2020 - Review
Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes.
Citation Text:
Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and medication reconciliatio…
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psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie
February 14, 2024 - Study
Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model.
Citation Text:
Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification o…
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psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify
May 25, 2022 - Study
Classic
Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events.
Citation Text:
Kang H, Wang J, Yao B, et al. Toward safer health care: a review strate…
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psnet.ahrq.gov/issue/evaluating-independent-double-checks-pediatric-intensive-care-unit-human-factors-engineering
October 07, 2013 - Study
Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach.
Citation Text:
Konwinski L, Steenland C, Miller K, et al. Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach…
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psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
May 05, 2021 - Study
Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.
Citation Text:
Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a common…
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psnet.ahrq.gov/issue/addition-electronic-prescription-transmission-computerized-prescriber-order-entry-effect
March 13, 2019 - Study
Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies.
Citation Text:
Moniz TT, Seger AC, Keohane CA, et al. Addition of electronic prescription transmission to computerized prescriber order en…
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psnet.ahrq.gov/issue/providers-perceptions-communication-breakdowns-cancer-care
March 11, 2013 - Study
Providers' perceptions of communication breakdowns in cancer care.
Citation Text:
Prouty CD, Mazor KM, Greene SM, et al. Providers' perceptions of communication breakdowns in cancer care. J Gen Intern Med. 2014;29(8):1122-30. doi:10.1007/s11606-014-2769-1.
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psnet.ahrq.gov/issue/evaluation-harm-associated-high-dose-range-clinical-decision-support-overrides-intensive-care
August 17, 2018 - Study
Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit.
Citation Text:
Wong A, Rehr C, Seger DL, et al. Evaluation of Harm Associated with High Dose-Range Clinical Decision Support Overrides in the Intensive Care Unit. Drug…
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psnet.ahrq.gov/issue/exposures-structural-racism-and-racial-discrimination-among-pregnant-and-early-post-partum
August 12, 2019 - Study
Exposures to structural racism and racial discrimination among pregnant and early post-partum Black women living in Oakland, California.
Citation Text:
Chambers BD, Arabia SE, Arega HA, et al. Exposures to structural racism and racial discrimination among pregnant and early post‐pa…
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psnet.ahrq.gov/issue/accuracy-computer-generated-spanish-language-medicine-labels
March 01, 2023 - Study
Accuracy of computer-generated, Spanish-language medicine labels.
Citation Text:
Sharif I, Tse J. Accuracy of computer-generated, spanish-language medicine labels. Pediatrics. 2010;125(5):960-5. doi:10.1542/peds.2009-2530.
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psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton-vertex-cesarean
October 19, 2022 - Study
Classic
Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate.
Citation Text:
Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous term singleton ver…
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psnet.ahrq.gov/issue/multifactorial-interventions-reduce-duration-and-variability-delays-identification-serious
July 20, 2022 - Study
Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients.
Citation Text:
Saleem J, Sarma D, Wright H, et al. Multifactorial interventions to reduce duration and variability in delays to identifi…