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psnet.ahrq.gov/issue/predictors-medication-errors-among-elderly-hospital-patients
September 23, 2020 - Study
Predictors of medication errors among elderly hospital patients.
Citation Text:
Picone DM, Titler MG, Dochterman J, et al. Predictors of medication errors among elderly hospitalized patients. Am J Med Qual. 2008;23(2):115-127. doi:10.1177/1062860607313143.
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psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events
January 16, 2008 - Study
Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events.
Citation Text:
Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.100…
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psnet.ahrq.gov/issue/preventable-or-potentially-inappropriate-psychotropics-and-adverse-health-outcomes-older
November 20, 2013 - Review
Preventable or potentially inappropriate psychotropics and adverse health outcomes in older adults: systematic review and meta-analysis.
Citation Text:
Corvaisier M, Brangier A, Annweiler C, et al. Preventable or potentially inappropriate psychotropics and adverse health outcomes …
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psnet.ahrq.gov/issue/study-error-reporting-nurses-significant-impact-nursing-team-dynamics
April 12, 2014 - Study
A study of error reporting by nurses: the significant impact of nursing team dynamics.
Citation Text:
Munn LT, Lynn MR, Knafl GJ, et al. A study of error reporting by nurses: the significant impact of nursing team dynamics. J Res Nurs. 2023;28(5):354-364. doi:10.1177/17449871231194…
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psnet.ahrq.gov/issue/rapid-cycle-improvement-during-covid-19-pandemic-using-safety-reports-inform-incident-command
August 12, 2020 - Commentary
Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command.
Citation Text:
Desai S, Eappen S, Murray K, et al. Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. Jt Comm J Qual Patie…
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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/using-enhanced-oral-chemotherapy-computerized-provider-order-entry-system-reduce-prescribing
October 20, 2014 - Study
Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.
Citation Text:
Collins CM, Elsaid KA. Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve …
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psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name
December 04, 2016 - Review
A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name.
Citation Text:
Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. BMJ Qual Saf. 2017;26(7):572-577. doi:10.1136/bmjqs-2016-006245.
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psnet.ahrq.gov/issue/postsurgical-prescriptions-opioid-naive-patients-and-association-overdose-and-misuse
October 19, 2022 - Study
Classic
Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study.
Citation Text:
Brat GA, Agniel D, Beam A, et al. Postsurgical prescriptions for opioid naive patients and association with ov…
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psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing
August 02, 2017 - Study
Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting.
Citation Text:
Stojkovic T, Marinkovic V, Jaehde U, et al. Using Failure mode and Effects Analysis to reduce patient safety risks related to t…
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psnet.ahrq.gov/issue/does-nursing-home-compare-reflect-patient-safety-nursing-homes
February 10, 2015 - Study
Does Nursing Home Compare reflect patient safety in nursing homes?
Citation Text:
Brauner D, Werner RM, Shippee TP, et al. Does Nursing Home Compare Reflect Patient Safety In Nursing Homes? Health Aff (Millwood). 2018;37(11):1770-1778. doi:10.1377/hlthaff.2018.0721.
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psnet.ahrq.gov/issue/disclosure-medical-error-parents-and-paediatric-patients-assessment-parents-attitudes-and
November 16, 2022 - Study
Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors.
Citation Text:
Matlow AG, Moody L, Laxer R, et al. Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influe…
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psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
January 13, 2012 - Commentary
Classic
40 years behind the mask: safety revisited.
Citation Text:
Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology. 1996;84(4):965-975.
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psnet.ahrq.gov/issue/us-internal-medicine-program-director-perceptions-alignment-graduate-medical-education-and
July 02, 2014 - Study
US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety.
Citation Text:
Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of Ali…
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psnet.ahrq.gov/issue/separate-medication-preparation-rooms-reduce-interruptions-and-medication-errors-hospital
March 11, 2013 - Study
Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: a prospective observational study.
Citation Text:
Huckels-Baumgart S, Baumgart A, Buschmann U, et al. Separate Medication Preparation Rooms Reduce Interruptions and Medication …
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psnet.ahrq.gov/issue/healthcare-complaints-analysis-tool-development-and-reliability-testing-method-service
November 29, 2023 - Study
The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service monitoring and organisational learning.
Citation Text:
Gillespie A, Reader TW. The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service m…
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psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
October 16, 2019 - Study
Emerging Classic
First-year analysis of the Operating Room Black Box study.
Citation Text:
Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863.
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psnet.ahrq.gov/issue/transforming-team-performance-through-reimplementation-surgical-safety-checklist
March 09, 2022 - Study
Transforming team performance through reimplementation of the surgical safety checklist.
Citation Text:
Etheridge JC, Moyal-Smith R, Yong TT, et al. Transforming team performance through reimplementation of the surgical safety checklist. JAMA Surg. 2024;159(1):78-86. doi:10.1001/ja…
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psnet.ahrq.gov/issue/iatrogenesis-neonatal-intensive-care-units-observational-and-interventional-prospective
June 21, 2016 - Study
Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study.
Citation Text:
Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicente…
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psnet.ahrq.gov/issue/impact-intraoperative-distractions-patient-safety-prospective-descriptive-study-using
August 18, 2017 - Study
Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments.
Citation Text:
Sevdalis N, Undre S, McDermott J, et al. Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated ins…