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psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest
April 12, 2023 - Study
Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival.
Citation Text:
McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qua…
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psnet.ahrq.gov/issue/international-recommendations-national-patient-safety-incident-reporting-systems-expert
February 14, 2018 - Study
International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process.
Citation Text:
Howell A-M, Burns EM, Hull L, et al. International recommendations for national patient safety incident reporting systems: an expert Del…
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psnet.ahrq.gov/issue/determining-medication-errors-adult-intensive-care-unit
February 15, 2017 - Study
Determining medication errors in an adult intensive care unit.
Citation Text:
Castro R da NS de, Aguiar LB de, Volpe CRG, et al. Determining medication errors in an adult intensive care unit. Int J Environ Res Public Health. 2023;20(18):6788. doi:10.3390/ijerph20186788.
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psnet.ahrq.gov/issue/towards-understanding-and-improving-medication-safety-patients-mental-illness-primary-care
February 28, 2024 - Study
Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study.
Citation Text:
Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients with mental illness in primary care: a…
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psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors
June 27, 2018 - Study
Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals.
Citation Text:
Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe…
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psnet.ahrq.gov/issue/optimization-drug-drug-interaction-alert-rules-pediatric-hospitals-electronic-health-record
May 20, 2019 - Study
Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard.
Citation Text:
Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electro…
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psnet.ahrq.gov/issue/comparing-va-and-non-va-quality-care-systematic-review
May 15, 2024 - Review
Comparing VA and Non-VA quality of care: a systematic review.
Citation Text:
O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2.
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psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
May 05, 2021 - Study
Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.
Citation Text:
Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a common…
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psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
January 12, 2022 - Study
Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors.
Citation Text:
Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to improve transitions of care for patients …
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psnet.ahrq.gov/issue/exploring-black-box-recommendation-generation-local-health-care-incident-investigations
November 16, 2016 - Review
Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review.
Citation Text:
Lea W, Lawton R, Vincent CA, et al. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping …
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psnet.ahrq.gov/issue/patients-experiences-and-perspectives-patient-reported-outcome-measures-clinical-care
October 27, 2021 - Review
Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis.
Citation Text:
Carfora L, Foley CM, Hagi-Diakou P, et al. Patients’ experiences and perspectives of patient-reported outcome measures i…
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psnet.ahrq.gov/issue/multifactorial-interventions-reduce-duration-and-variability-delays-identification-serious
July 20, 2022 - Study
Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients.
Citation Text:
Saleem J, Sarma D, Wright H, et al. Multifactorial interventions to reduce duration and variability in delays to identifi…
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psnet.ahrq.gov/issue/application-trigger-tools-detecting-adverse-drug-events-older-people-systematic-review-and
June 15, 2022 - Review
Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis.
Citation Text:
Schiavo G, Forgerini M, Varallo FR, et al. Application of trigger tools for detecting adverse drug events in older people: a systematic review and …
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psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and
April 28, 2021 - Study
Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data.
Citation Text:
de Vos MS, Hamming JF, Chua-Hendriks JJC, et al. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and co…
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psnet.ahrq.gov/issue/systematic-review-nurses-safety-attitudes-and-their-impact-patient-outcomes-acute-care
December 16, 2020 - Review
Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals.
Citation Text:
Alanazi FK, Sim J, Lapkin S. Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals. Nurs Open. 2022;9(1):30-4…
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psnet.ahrq.gov/issue/cdc-guideline-opioid-prescribing-associated-reduced-dispensing-certain-patients-chronic-pain
October 13, 2018 - Study
CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain.
Citation Text:
Townsend T, Cerdá M, Bohnert AS, et al. CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. Healt…
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psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time
May 19, 2021 - Study
Increased patient safety-related incidents following the transition into Daylight Savings Time.
Citation Text:
Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):…
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psnet.ahrq.gov/issue/nurse-bias-and-nursing-care-disparities-related-patient-characteristics-scoping-review
March 17, 2021 - Review
Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence
Citation Text:
Groves PS, Bunch JL, Sabin JA. Nurse bias and nursing care disparities related to patient characteristics: a scoping review of t…
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psnet.ahrq.gov/issue/prevalence-causes-and-severity-medication-administration-errors-neonatal-intensive-care-unit
January 17, 2024 - Review
Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis.
Citation Text:
Henry Basil J, Premakumar CM, Mhd Ali A, et al. Prevalence, causes and severity of medication administration errors in the…
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psnet.ahrq.gov/issue/understanding-medication-safety-involving-patient-transfer-intensive-care-hospital-ward
November 14, 2018 - Study
Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study.
Citation Text:
Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from intensive care to hosp…