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psnet.ahrq.gov/issue/classifying-and-predicting-errors-inpatient-medication-reconciliation
February 15, 2011 - Study
Classifying and predicting errors of inpatient medication reconciliation.
Citation Text:
Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication reconciliation. J Gen Intern Med. 2008;23(9):1414-22. doi:10.1007/s11606-008-0687-9.
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psnet.ahrq.gov/issue/walkrounds-practice-corrupting-or-enhancing-quality-improvement-intervention-qualitative
December 30, 2014 - Study
Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study.
Citation Text:
Martin G, Ozieranski P, Willars J, et al. Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Jt Comm J Qual …
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psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospital
August 04, 2021 - Study
Classic
High rates of adverse drug events in a highly computerized hospital.
Citation Text:
Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized hospital. Arch Intern Med. 2005;165(10):1111-6.
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psnet.ahrq.gov/issue/how-safe-prehospital-care-systematic-review
February 24, 2021 - Review
How safe is prehospital care? A systematic review.
Citation Text:
O’Connor P, O’malley R, Lambe KA, et al. How safe is prehospital care? A systematic review. Int J Qual Health Care. 2021;33(4):mzab138. doi:10.1093/intqhc/mzab138.
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psnet.ahrq.gov/issue/mixed-methods-evaluation-real-time-safety-reporting-hospitalized-patients-and-their-care
August 03, 2022 - Study
Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application.
Citation Text:
Collins SA, Couture B, Smith A, et al. Mixed-Methods Evaluation of Real-Time Safety Reporting by Hospitalized Patients and Their Care …
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psnet.ahrq.gov/issue/association-between-electronic-medical-record-implementation-default-opioid-prescription
April 27, 2022 - Study
Association between electronic medical record implementation of default opioid prescription quantities and prescribing behavior in two emergency departments.
Citation Text:
Delgado K, Shofer FS, Patel MS, et al. Association between Electronic Medical Record Implementation of Defaul…
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psnet.ahrq.gov/issue/development-and-testing-objective-structured-clinical-exam-osce-assess-socio-cultural
January 15, 2014 - Study
Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency.
Citation Text:
Ginsburg LR, Tregunno D, Norton PG, et al. Development and testing of an objective structured clinical exam (OSCE) to assess soci…
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psnet.ahrq.gov/issue/intercepting-wrong-patient-orders-computerized-provider-order-entry-system
May 29, 2019 - Study
Intercepting wrong-patient orders in a computerized provider order entry system.
Citation Text:
Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed…
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psnet.ahrq.gov/issue/pharmacy-driven-performance-improvement-initiative-increase-compliance-intravenous-smart-pump
September 23, 2020 - Study
Pharmacy-driven performance improvement initiative to increase compliance with intravenous smart pump drug error reduction systems at a large urban academic medical center.
Citation Text:
Abboudi E, Baron SW, Goriacko P, et al. Pharmacy-driven performance improvement initiative to …
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psnet.ahrq.gov/issue/lost-information-during-handover-critically-injured-trauma-patients-mixed-methods-study
October 04, 2023 - Study
Lost information during the handover of critically injured trauma patients: a mixed-methods study.
Citation Text:
Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(1…
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psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health
July 22, 2009 - Study
The frequency of missed test results and associated treatment delays in a highly computerized health system.
Citation Text:
Wahls TL, Cram PM. The frequency of missed test results and associated treatment delays in a highly computerized health system. BMC Fam Pract. 2007;8:32.
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psnet.ahrq.gov/issue/qualitative-content-analysis-coworkers-safety-reports-unprofessional-behavior-physicians-and
February 14, 2017 - Study
Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals.
Citation Text:
Martinez W, Pichert JW, Hickson GB, et al. Qualitative Content Analysis of Coworkers' Safety Reports of Unprofessional Behavior by …
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psnet.ahrq.gov/issue/implementation-barcode-medication-administration-bmca-technology-infusion-pumps-operating
April 12, 2019 - Study
Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms.
Citation Text:
Hogerwaard M, Stolk M, Dijk L van, et al. Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms. B…
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psnet.ahrq.gov/issue/strategic-approach-managing-conflict-hospitals-responding-joint-commission-leadership
December 01, 2007 - Commentary
A strategic approach for managing conflict in hospitals: responding to The Joint Commission leadership standard—part 1 and part 2.
Citation Text:
Scott C, Gerardi D. A strategic approach for managing conflict in hospitals: responding to the Joint Commission leadership standard…
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psnet.ahrq.gov/issue/impact-weekend-effect-postoperative-mortality-patients-undergoing-emergency-general-surgery
December 04, 2016 - Review
Impact of weekend effect on postoperative mortality in patients undergoing emergency General surgery procedures: meta-analysis of prospectively maintained national databases across the world.
Citation Text:
Hajibandeh S, Hajibandeh S, Satyadas T. Impact of weekend effect on postop…
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psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning
May 22, 2024 - Commentary
Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events.
Citation Text:
McCarthy SE, Hogan C, Jenkins L, et al. Videos of simulated after action reviews: a training resource to support social and inclusi…
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psnet.ahrq.gov/issue/icd-10-codes-used-identify-adverse-drug-events-administrative-data-systematic-review
September 14, 2016 - Review
ICD-10 codes used to identify adverse drug events in administrative data: a systematic review.
Citation Text:
Hohl CM, Karpov A, Reddekopp L, et al. ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. J Am Med Inform Assoc. 2014;21(3):547…
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psnet.ahrq.gov/issue/prevalence-copied-information-attendings-and-residents-critical-care-progress-notes
September 28, 2017 - Study
Prevalence of copied information by attendings and residents in critical care progress notes.
Citation Text:
Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med. 2013;41(2):382-…
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psnet.ahrq.gov/issue/nonfatal-opioid-overdoses-urban-emergency-department-during-covid-19-pandemic
March 24, 2021 - Study
Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic.
Citation Text:
Ochalek TA, Cumpston KL, Wills BK, et al. Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. JAMA. 2020;324(16):1673-1674. doi:10.1001/jama.…
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psnet.ahrq.gov/issue/development-and-measurement-perioperative-patient-safety-indicators
February 09, 2022 - Study
Development and measurement of perioperative patient safety indicators.
Citation Text:
Emond YE, Stienen JJ, Wollersheim HC, et al. Development and measurement of perioperative patient safety indicators. Br J Anaesth. 2015;114(6):963-72. doi:10.1093/bja/aeu561.
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