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psnet.ahrq.gov/issue/prescribers-interactions-medication-alerts-point-prescribing-multi-method-situ-investigation
January 07, 2015 - Study
Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction.
Citation Text:
Russ AL, Zillich AJ, McManus S, et al. Prescribers' interactions with medication alerts at the point of prescribin…
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psnet.ahrq.gov/issue/identifying-barriers-effective-use-clinical-reminders-bootstrapping-multiple-methods
March 11, 2011 - Study
Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods.
Citation Text:
Patterson ES, Doebbeling BN, Fung CH, et al. Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. J Biomed Inform. 2005;38(3):…
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psnet.ahrq.gov/issue/economic-measurement-medical-errors
March 23, 2022 - Book/Report
The Economic Measurement of Medical Errors.
Citation Text:
The Economic Measurement of Medical Errors. Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010.
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psnet.ahrq.gov/issue/characteristics-healthcare-organisations-struggling-improve-quality-results-systematic-review
August 14, 2019 - Review
Classic
Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies.
Citation Text:
Vaughn VM, Saint S, Krein SL, et al. Characteristics of healthcare organisations struggling to impro…
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psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer
February 01, 2011 - Study
Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative.
Citation Text:
Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK …
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psnet.ahrq.gov/issue/reducing-catheter-associated-bloodstream-infections-pediatric-intensive-care-unit-business
November 23, 2016 - Study
Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement.
Citation Text:
Nowak JE, Brilli RJ, Lake MR, et al. Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: Business …
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psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-procedures-outside
March 01, 2011 - Study
Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium.
Citation Text:
Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatr…
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psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature
November 16, 2022 - Review
The "To Err Is Human Report" and the patient safety literature.
Citation Text:
Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature. Qual Saf Health Care. 2006;15(3):174-8.
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psnet.ahrq.gov/issue/electronic-handoff-instruments-truly-multidisciplinary-tool
September 26, 2012 - Study
Electronic handoff instruments: a truly multidisciplinary tool?
Citation Text:
Schuster KM, Jenq GY, Thung SF, et al. Electronic handoff instruments: a truly multidisciplinary tool? J Am Med Inform Assoc. 2014;21(e2):e352-e357. doi:10.1136/amiajnl-2013-002361.
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psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient
September 26, 2012 - Study
Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care.
Citation Text:
Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…
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psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-quality
February 04, 2015 - Commentary
Classic
Accidental deaths, saved lives, and improved quality.
Citation Text:
Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157.
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psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology
July 23, 2014 - Study
Medication reconciliation in ambulatory oncology.
Citation Text:
Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual Patient Saf. 2007;33(12):750-7.
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psnet.ahrq.gov/issue/national-study-frequency-types-causes-and-consequences-voluntarily-reported-emergency
April 15, 2014 - Study
National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.
Citation Text:
Pham JC, Story JL, Hicks RW, et al. National study on the frequency, types, causes, and consequences of voluntarily reported emergency d…
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psnet.ahrq.gov/issue/advancing-interprofessional-patient-safety-education-medical-nursing-and-pharmacy-learners
May 18, 2022 - Commentary
Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations.
Citation Text:
Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during…
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psnet.ahrq.gov/issue/wide-variation-and-overprescription-opioids-after-elective-surgery
April 24, 2018 - Study
Classic
Wide variation and overprescription of opioids after elective surgery.
Citation Text:
Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.00000…
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psnet.ahrq.gov/issue/experience-family-activation-rapid-response-teams
December 17, 2008 - Commentary
Experience with family activation of rapid response teams.
Citation Text:
Bogert S, Ferrell C, Rutledge DN. Experience with family activation of rapid response teams. Medsurg Nurs. 2010;19(4):215-22; quiz 223.
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psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian
May 11, 2022 - Study
Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study.
Citation Text:
Redley B, Raggatt M. Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mix…
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psnet.ahrq.gov/issue/patient-safety-climate-us-hospitals-variation-management-level
November 18, 2009 - Study
Classic
Patient safety climate in US hospitals: variation by management level.
Citation Text:
Singer SJ, Falwell A, Gaba DM, et al. Patient safety climate in US hospitals: variation by management level. Med Care. 2008;46(11):1149-56. doi:10.1097/MLR.0b013e…
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psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals
October 31, 2011 - Study
Extent of diagnostic agreement among medical referrals.
Citation Text:
Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747.
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psnet.ahrq.gov/issue/effects-learning-climate-and-registered-nurse-staffing-medication-errors
February 15, 2011 - Study
Effects of learning climate and registered nurse staffing on medication errors.
Citation Text:
Chang YK, Mark BA. Effects of Learning Climate and Registered Nurse Staffing on Medication Errors. Nurs Res. 2010;60(1). doi:10.1097/nnr.0b013e3181ff73cc.
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