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psnet.ahrq.gov/issue/establishing-multidisciplinary-taskforce-improve-anticoagulation-safety-large-health-system
July 08, 2020 - Commentary
Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system.
Citation Text:
Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst …
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psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality
July 19, 2023 - Study
Classic
The role of anesthesia in surgical mortality.
Citation Text:
DRIPPS RD, LAMONT A, ECKENHOFF JE. The role of anesthesia in surgical mortality. JAMA. 1961;178:261-6.
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psnet.ahrq.gov/issue/association-between-concurrent-use-prescription-opioids-and-benzodiazepines-and-overdose
November 16, 2022 - Study
Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analysis.
Citation Text:
Sun EC, Dixit A, Humphreys K, et al. Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analys…
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www.ahrq.gov/news/newsroom/press-releases/antibiotic-prescribing.html
July 01, 2022 - New Study Shows Reductions in Antibiotic Use at Ambulatory Care Clinics Participating in HHS-funded Program
Press Release Date: July 6, 2022
Antibiotic prescribing at ambulatory care clinics was cut almost in half in clinics that participated in a safety program funded by the Department of Health and Human Servic…
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psnet.ahrq.gov/issue/correlation-between-24-hour-predischarge-opioid-use-and-amount-opioids-prescribed-hospital
November 13, 2024 - Study
Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge.
Citation Text:
Chen EY, Marcantonio A, Tornetta P. Correlation Between 24-Hour Predischarge Opioid Use and Amount of Opioids Prescribed at Hospital Discharge. JAMA Surg. 2018…
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psnet.ahrq.gov/issue/adverse-drug-events-paediatric-intensive-care-unit-prospective-cohort
April 24, 2018 - Study
Adverse drug events in a paediatric intensive care unit: a prospective cohort.
Citation Text:
Silva DCB, Araujo OR, Arduini RG, et al. Adverse drug events in a paediatric intensive care unit: a prospective cohort. BMJ Open. 2013;3(2):e001868. doi:10.1136/bmjopen-2012-001868.
Co…
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psnet.ahrq.gov/issue/epidemiology-and-risk-factors-harmful-anti-infective-medication-errors-pediatric-hospital
March 22, 2017 - Study
Epidemiology of and risk factors for harmful anti-infective medication errors in a pediatric hospital.
Citation Text:
Modi A, Germain E, Soma V, et al. Epidemiology of and Risk Factors for Harmful Anti-Infective Medication Errors in a Pediatric Hospital. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/striving-zero-error-patient-surgical-journey-through-adoption-aviation-style-challenge-and
July 10, 2017 - Study
Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project.
Citation Text:
Low DK, Reed MA, Geiduschek JM, et al. Striving for a zero-error patient surgical journey through adoption …
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psnet.ahrq.gov/issue/national-pediatric-anesthesia-safety-quality-improvement-program-united-states
March 03, 2011 - Study
National pediatric anesthesia safety quality improvement program in the United States.
Citation Text:
Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.000…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-critical-care-environment-review-current-literature
September 19, 2012 - Review
Computerized physician order entry in the critical care environment: a review of current literature.
Citation Text:
Maslove DM, Rizk NW, Lowe HJ. Computerized Physician Order Entry in the Critical Care Environment: A Review of Current Literature. J Intensive Care Med. 2011;26(3)…
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psnet.ahrq.gov/issue/resident-duty-hour-regulation-and-patient-safety-establishing-balance-between-concerns-about
May 20, 2009 - Commentary
Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery.
Citation Text:
Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance betwee…
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psnet.ahrq.gov/issue/expanded-pharmacy-technician-roles-accepting-verbal-prescriptions-and-communicating
October 05, 2011 - Commentary
Expanded pharmacy technician roles: accepting verbal prescriptions and communicating prescription transfers.
Citation Text:
Frost TP, Adams AJ. Expanded pharmacy technician roles: Accepting verbal prescriptions and communicating prescription transfers. Res Social Adm Pharm. 20…
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psnet.ahrq.gov/issue/intensive-care-units-communication-between-nurses-and-physicians-and-patients-outcomes
May 28, 2008 - Study
Intensive care units, communication between nurses and physicians, and patients' outcomes.
Citation Text:
Manojlovich M, Antonakos CL, Ronis DL. Intensive care units, communication between nurses and physicians, and patients' outcomes. Am J Crit Care. 2009;18(1):21-30. doi:10.403…
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psnet.ahrq.gov/issue/tale-two-stories-contrasting-views-patient-safety
March 27, 2005 - Book/Report
Classic
A Tale of Two Stories: Contrasting Views of Patient Safety.
Citation Text:
A Tale of Two Stories: Contrasting Views of Patient Safety. Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1997.
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psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning-computerized-case
December 07, 2022 - Study
Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students.
Citation Text:
Covin Y, Longo P, Wick N, et al. Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentatio…
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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/patient-whiteboards-communication-tool-hospital-setting-survey-practices-and-recommendations
February 18, 2011 - Study
Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.
Citation Text:
Sehgal NL, Green A, Vidyarthi A, et al. Patient whiteboards as a communication tool in the hospital setting: a survey of practices and recommendations. J …
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psnet.ahrq.gov/issue/perceptions-use-names-recognition-roles-and-teamwork-after-labeling-surgical-caps
March 18, 2009 - Study
Perceptions of use of names, recognition of roles, and teamwork after labeling surgical caps.
Citation Text:
Wong BJ, Nassar AK, Earley M, et al. Perceptions of use of names, recognition of roles, and teamwork after labeling surgical caps. JAMA Netw Open. 2023;6(11):e2341182. doi:1…
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psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-targeting-few-affect-many
January 29, 2010 - Commentary
Hospitalists as emerging leaders in patient safety: targeting a few to affect many.
Citation Text:
Flanders SA, Kaufman SR, Saint S, et al. Hospitalists as emerging leaders in patient safety: targeting a few to affect many. J Patient Saf. 2005;1(2):78-82. doi:10.1097/pts.0b0…
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psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die
September 15, 2021 - Newspaper/Magazine Article
A nursing home’s 64-day Covid siege: ‘They’re all going to die’.
Citation Text:
Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10.
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