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psnet.ahrq.gov/issue/hospital-implementation-computerized-provider-order-entry-systems-results-2003-leapfrog-group
November 21, 2021 - Study
Hospital implementation of computerized provider order entry systems: results from the 2003 Leapfrog Group quality and safety survey.
Citation Text:
Hillman JM, Given RS. Hospital implementation of computerized provider order entry systems: results from the 2003 leapfrog group qu…
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psnet.ahrq.gov/issue/effect-crew-resource-management-training-multidisciplinary-obstetrical-setting
March 06, 2005 - Study
Effect of crew resource management training in a multidisciplinary obstetrical setting.
Citation Text:
Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:…
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psnet.ahrq.gov/issue/sustaining-improvement-hospital-wide-initiative-patient-safety-and-quality-systematic-scoping
September 01, 2021 - Review
Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review.
Citation Text:
Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. BMJ Open Qual…
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psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
March 23, 2022 - Study
Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm.
Citation Text:
Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1)…
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psnet.ahrq.gov/issue/physician-burnout-well-being-and-work-unit-safety-grades-relationship-reported-medical-errors
June 01, 2022 - Study
Classic
Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors.
Citation Text:
Tawfik DS, Profit J, Morgenthaler TI, et al. Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reporte…
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psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care
June 03, 2020 - Study
Classic
An alternative strategy for studying adverse events in medical care.
Citation Text:
Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical care. Lancet. 1997;349(9048):309-13.
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psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic
July 29, 2020 - Study
Classic
Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study.
Citation Text:
Srigley JA, Furness CD, Baker R, et al. Quantification of the Hawthorne effect in hand …
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psnet.ahrq.gov/issue/defining-identifying-and-addressing-problematic-polypharmacy-within-multimorbidity-primary
July 22, 2015 - Review
Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review.
Citation Text:
Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scop…
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psnet.ahrq.gov/issue/impact-introducing-automated-dispensing-cabinets-barcode-medication-administration-and-closed
March 10, 2021 - Review
Emerging Classic
The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review.
C…
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psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
June 09, 2010 - Review
Classic
Human factor in cardiac surgery: errors and near misses in a high technology medical domain.
Citation Text:
Carthey J, de Leval MR, Reason JT. The human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Tho…
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psnet.ahrq.gov/issue/designing-intervention-improve-medication-safety-nursing-home-residents-based-experiential
February 14, 2024 - Commentary
Designing an intervention to improve medication safety for nursing home residents based on experiential knowledge related to patient safety culture at the nursing home front line: cocreative process study.
Citation Text:
Juhl MH, Soerensen AL, Vardinghus-Nielsen H, et al. Desi…
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psnet.ahrq.gov/issue/measuring-psychological-safety-and-local-learning-enable-high-reliability-organisational
May 05, 2021 - Study
Measuring psychological safety and local learning to enable high reliability organisational change.
Citation Text:
Cartland J, Green M, Kamm D, et al. Measuring psychological safety and local learning to enable high reliability organisational change. BMJ Open Qual. 2022;11(4):e0017…
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psnet.ahrq.gov/issue/application-trigger-tool-near-real-time-inform-quality-improvement-activities-prospective
September 26, 2012 - Study
Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward.
Citation Text:
Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality improvement activities: a p…
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psnet.ahrq.gov/issue/cluster-randomized-trial-two-implementation-strategies-deliver-audit-and-feedback-equipped
September 01, 2018 - Study
A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program.
Citation Text:
Vaughan CP, Burningham Z, Kelleher JL, et al. A cluster‐randomized trial of two implementation strategies to deliver audit and feedbac…
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psnet.ahrq.gov/issue/cost-adverse-drug-events-related-potentially-inappropriate-medication-use-systematic-review
December 21, 2022 - Review
Cost of adverse drug events related to potentially inappropriate medication use: a systematic review.
Citation Text:
Schiavo G, Forgerini M, Lucchetta RC, et al. Cost of adverse drug events related to potentially inappropriate medication use: a systematic review. J Am Pharm Assoc …
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psnet.ahrq.gov/issue/improving-specificity-drug-drug-interaction-alerts-can-it-be-done
September 07, 2022 - Study
Improving the specificity of drug-drug interaction alerts: can it be done?
Citation Text:
Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045.
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psnet.ahrq.gov/issue/overall-performance-drug-drug-interaction-clinical-decision-support-system-quantitative
August 10, 2022 - Study
Overall performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey.
Citation Text:
Van De Sijpe G, Quintens C, Walgraeve K, et al. Overall performance of a drug–drug interaction clinical decision support system: quantitative…
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psnet.ahrq.gov/issue/effects-multimodal-transitional-care-intervention-patients-high-risk-readmission-target-read
August 18, 2021 - Study
Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinical trial.
Citation Text:
Donzé JD, John G, Genné D, et al. Effects of a multimodal transitional care intervention in patients at high risk of readmission…
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psnet.ahrq.gov/issue/impact-pharmacist-led-admission-medication-reconciliation-patient-outcomes-large-health
March 17, 2010 - Study
Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system.
Citation Text:
Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. J Patie…
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psnet.ahrq.gov/issue/clinical-supervision-general-practice-training-interweaving-supervisor-trainee-and-patient
October 13, 2021 - Study
Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning.
Citation Text:
Sturman N, Parker M, Jorm C. Clinical supervision in general practice training: the interw…