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psnet.ahrq.gov/issue/implementation-specialized-pharmacy-team-monitor-high-risk-medications-during-discharge
September 23, 2020 - Commentary
Implementation of a specialized pharmacy team to monitor high-risk medications during discharge.
Citation Text:
Martin ES, Overstreet RL, Jackson-Khalil LR, et al. Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. Am J Health S…
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psnet.ahrq.gov/issue/bridging-gaps-handoffs-continuity-care-based-approach
January 07, 2015 - Study
Bridging gaps in handoffs: a continuity of care based approach.
Citation Text:
Abraham J, Kannampallil TG, Patel VL. Bridging gaps in handoffs: a continuity of care based approach. J Biomed Inform. 2012;45(2):240-54. doi:10.1016/j.jbi.2011.10.011.
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psnet.ahrq.gov/issue/communication-discrepancies-between-physicians-and-hospitalized-patients
October 12, 2022 - Study
Classic
Communication discrepancies between physicians and hospitalized patients.
Citation Text:
Olson DP, Windish DM. Communication discrepancies between physicians and hospitalized patients. Arch Intern Med. 2010;170(15):1302-1307. doi:10.1001/archintern…
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psnet.ahrq.gov/issue/validation-mobile-app-reducing-errors-administration-medications-emergency
September 23, 2020 - Study
Validation of a mobile app for reducing errors of administration of medications in an emergency.
Citation Text:
Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):…
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psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and-medication
March 02, 2012 - Study
Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors.
Citation Text:
Thomas L, Donohue-Porter P, Fishbein JS. Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administratio…
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psnet.ahrq.gov/issue/nurses-perceptions-simulation-based-interprofessional-training-program-rapid-response-and
January 04, 2012 - Study
Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.
Citation Text:
Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. Nurses' perceptions of simulation-based interprofessional training program for rapid response and code …
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psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through-pragmatic
May 23, 2018 - Study
Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis.
Citation Text:
Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a …
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psnet.ahrq.gov/issue/selecting-indicators-patient-safety-health-system-level-oecd-countries
June 28, 2011 - Study
Selecting indicators for patient safety at the health system level in OECD countries.
Citation Text:
McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20.
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psnet.ahrq.gov/issue/engaging-frontline-staff-performance-improvement-american-organization-nurse-executives
February 13, 2008 - Study
Engaging frontline staff in performance improvement: the American Organization of Nurse Executives implementation of Transforming Care at the Bedside collaborative.
Citation Text:
Needleman J, Pearson ML, Upenieks V, et al. Engaging Frontline Staff in Performance Improvement: The A…
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psnet.ahrq.gov/issue/team-situation-awareness-and-anticipation-patient-progress-during-icu-rounds
May 06, 2009 - Study
Team situation awareness and the anticipation of patient progress during ICU rounds.
Citation Text:
Reader TW, Flin R, Mearns K, et al. Team situation awareness and the anticipation of patient progress during ICU rounds. BMJ Qual Saf. 2011;20(12):1035-42. doi:10.1136/bmjqs.2010.0…
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psnet.ahrq.gov/issue/microsystems-health-care-part-2-creating-rich-information-environment
July 19, 2023 - Study
Classic
Microsystems in health care: Part 2. Creating a rich information environment.
Citation Text:
Nelson EC, Batalden PB, Homa K, et al. Microsystems in health care: Part 2. Creating a rich information environment. Jt Comm J Qual Patient Saf. 2003;29(…
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psnet.ahrq.gov/issue/5-year-analysis-rapid-response-system-activation-hospital-haemodialysis-unit
March 24, 2011 - Study
A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit.
Citation Text:
Galhotra S, Devita MA, Dew MA, et al. A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. Qual Saf Health Care. 2010;19(6):e38. doi:1…
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psnet.ahrq.gov/issue/prospective-controlled-trial-effect-multi-faceted-intervention-early-recognition-and
June 13, 2011 - Study
A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients.
Citation Text:
Mitchell IA, McKay H, Van Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted interve…
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psnet.ahrq.gov/issue/leaving-patients-their-own-devices-smart-technology-safety-and-therapeutic-relationships
December 04, 2024 - Commentary
Emerging Classic
Leaving patients to their own devices? Smart technology, safety and therapeutic relationships.
Citation Text:
Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. BMC Med Ethics…
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psnet.ahrq.gov/issue/second-victim-phenomenon-after-clinical-error-design-and-evaluation-website-reduce-caregivers
October 11, 2017 - Study
The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce caregivers' emotional responses after a clinical error.
Citation Text:
Mira JJ, Carrillo I, Guilabert M, et al. The Second Victim Phenomenon After a Clinical Error: The Design and …
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psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases
October 23, 2018 - Commentary
Unintended adverse consequences of a clinical decision support system: two cases.
Citation Text:
Stone EG. Unintended adverse consequences of a clinical decision support system: two cases. J Am Med Inform Assoc. 2018;25(5):564-567. doi:10.1093/jamia/ocx096.
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psnet.ahrq.gov/issue/design-safety-dashboard-patients
March 16, 2022 - Study
Design of a safety dashboard for patients.
Citation Text:
Gibson B, Butler J, Schnock KO, et al. Design of a safety dashboard for patients. Patient Educ Couns. 2019;103(4):741-747. doi:10.1016/j.pec.2019.10.021.
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psnet.ahrq.gov/issue/leading-article-how-can-i-optimise-my-role-leader-within-surgical-team
October 29, 2017 - Review
Leading article: how can I optimise my role as a leader within the surgical team?
Citation Text:
Green B, Mitchell DA, Stevenson P, et al. Leading article: how can I optimise my role as a leader within the surgical team? Br J Oral Maxillofac Surg. 2016;54(8):847-850. doi:10.1016/j…
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psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare-professional-responsiveness
May 01, 2017 - Grant Announcement
Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01).
Citation Text:
Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). Rockville, MD: Agency for …
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psnet.ahrq.gov/issue/effectiveness-facilitated-introduction-standard-operating-procedure-routine-processes
February 04, 2015 - Study
Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series.
Citation Text:
Morgan L, New S, Robertson ER, et al. Effectiveness of facilitated introduction of a standard operating …