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psnet.ahrq.gov/issue/economic-burden-nurse-sensitive-adverse-events-22-medical-surgical-units-retrospective-and
December 15, 2021 - Study
The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis.
Citation Text:
Tchouaket E, Dubois C-A, D'Amour D. The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching…
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psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter
June 29, 2009 - Study
Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study.
Citation Text:
Sinopoli DJ, Needham DM, Thompson DA, et al. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. J Cr…
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digital.ahrq.gov/ahrq-funded-projects/project-echo-hepatitis-c-ambulatory-care-quality-improvement-new-mexico-through/annual-summary/2012
January 01, 2012 - Project ECHO: Hepatitis C Ambulatory Care Quality Improvement in New Mexico Through Health Information Technology - 2012
Project Name
Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology
Principal Investigator
Arora, Sanjeev
…
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psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
November 15, 2017 - Study
Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system.
Citation Text:
Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int…
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psnet.ahrq.gov/issue/bundle-interventions-used-reduce-prescribing-and-administration-errors-hospitalized-children
September 09, 2015 - Review
Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review.
Citation Text:
Bannan DF, Tully MP. Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review. J C…
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2010
January 01, 2010 - The Medication Metronome Project - 2010
Project Name
The Medication Metronome Project
Principal Investigator
Grant, Richard
Organization
Massachusetts General Hospital
Funding Mechanism
PAR: HS08-270: Utilizing Health Information Technology (IT) to Improve Health Ca…
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psnet.ahrq.gov/issue/impact-unacceptable-behaviour-between-healthcare-workers-clinical-performance-and-patient
April 27, 2022 - Review
Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review.
Citation Text:
Guo L, Ryan B, Leditschke IA, et al. Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcom…
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psnet.ahrq.gov/issue/care-coordination-strategies-and-barriers-during-medication-safety-incidents-qualitative
March 17, 2021 - Study
Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis.
Citation Text:
Russ-Jara AL, Luckhurst CL, Dismore RA, et al. Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive…
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psnet.ahrq.gov/issue/safety-climate-associated-adverse-events-nursing-homes-national-va-study
September 08, 2021 - Study
Safety climate associated with adverse events in nursing homes: a national VA study.
Citation Text:
Quach ED, Kazis LE, Zhao S, et al. Safety climate associated with adverse events in nursing homes: a national VA study. J Am Med Dir Assoc. 2021;22(2):388-392. doi:10.1016/j.jamda.20…
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psnet.ahrq.gov/issue/state-medical-board-regulation-compounding-physician-offices
July 13, 2022 - Study
State medical board regulation of compounding in physician offices.
Citation Text:
Reynolds KA, Hellquist K, Ibrahim SA, et al. State medical board regulation of compounding in physician offices. Arch Dermatol Res. 2022;314(4):363-367. doi:10.1007/s00403-021-02237-8.
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psnet.ahrq.gov/issue/designing-and-evaluating-automated-system-real-time-medication-administration-error-detection
November 04, 2020 - Study
Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care unit.
Citation Text:
Ni Y, Lingren T, Hall ES, et al. Designing and evaluating an automated system for real-time medication administration error detecti…
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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/community-pharmacy-survey-patient-safety-culture-2019-user-comparative-database-report
February 20, 2019 - Book/Report
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report.
Citation Text:
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report. Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Res…
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psnet.ahrq.gov/issue/relationship-between-nursing-home-staffing-and-resident-safety-outcomes-systematic-review
April 20, 2022 - Review
The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews.
Citation Text:
Blatter C, Osińska M, Simon M, et al. The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. Int J Nurs…
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psnet.ahrq.gov/issue/managers-perceptions-factors-affecting-resident-and-patient-safety-work-residential-settings
October 25, 2023 - Review
Managers' perceptions of the factors affecting resident and patient safety work in residential settings and nursing homes: a qualitative systematic review.
Citation Text:
Kiljunen O, Savela R‐M, Välimäki T, et al. Managers' perceptions of the factors affecting resident and patient…
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psnet.ahrq.gov/issue/impact-computerised-physician-order-entry-and-clinical-decision-support-pharmacist-physician
August 24, 2016 - Study
The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study.
Citation Text:
Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clin…
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psnet.ahrq.gov/issue/widespread-misinterpretation-advance-directives-and-portable-orders-life-sustaining
December 18, 2019 - Commentary
Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment.
Citation Text:
Mirarchi FL, Pope TM. Widespread misinterpretation of advance directives and Portable Orde…
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psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection
June 01, 1989 - Study
Classic
Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes.
Citation Text:
Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical Errors and Advers…
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-critique-postpartum-readmission-rate
September 22, 2021 - Commentary
Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality metric.
Citation Text:
Combs CA, Goffman D, Pettker CM. Society for Maternal-Fetal Medicine Special Statement: A critique of postpartum readmission rate as a quality m…
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psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers
December 16, 2020 - Study
Leading causes of anesthesia-related liability claims in ambulatory surgery centers.
Citation Text:
Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…