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psnet.ahrq.gov/issue/electronic-tools-support-medication-reconciliation-systematic-review
August 18, 2021 - Review
Electronic tools to support medication reconciliation—a systematic review.
Citation Text:
Marien S, Krug B, Spinewine A. Electronic tools to support medication reconciliation: a systematic review. J Am Med Inform Assoc. 2017;24(1):227-240. doi:10.1093/jamia/ocw068.
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psnet.ahrq.gov/issue/how-avoid-catastrophic-events-ward
February 03, 2011 - Review
How to avoid catastrophic events on the ward.
Citation Text:
Bein B, Seewald S, Gräsner J-T. How to avoid catastrophic events on the ward. Best Pract Res Clin Anaesthesiol. 2016;30(2):237-45. doi:10.1016/j.bpa.2016.04.003.
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psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients
March 02, 2011 - Study
Classic
The effect of workload on infection risk in critically ill patients.
Citation Text:
Hugonnet S, Chevrolet J-C, Pittet D. The effect of workload on infection risk in critically ill patients. Crit Care Med. 2007;35(1):76-81.
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psnet.ahrq.gov/issue/what-scale-prescribing-errors-committed-junior-doctors-systematic-review
January 30, 2013 - Review
What is the scale of prescribing errors committed by junior doctors? A systematic review.
Citation Text:
Ross S, Bond C, Rothnie H, et al. What is the scale of prescribing errors committed by junior doctors? A systematic review. Br J Clin Pharmacol. 2009;67(6):629-40. doi:10.111…
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psnet.ahrq.gov/issue/medication-order-errors-hospital-admission-among-children-medical-complexity
July 20, 2022 - Study
Medication order errors at hospital admission among children with medical complexity
Citation Text:
Blaine K, Wright J, Pinkham A, et al. Medication Order Errors at Hospital Admission Among Children With Medical Complexity. J Patient Saf. 2022;18(1):e156-e162. doi:10.1097/pts.00000…
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psnet.ahrq.gov/issue/drug-manufacturers-delayed-disclosure-serious-and-unexpected-adverse-events-us-food-and-drug
July 10, 2017 - Study
Drug manufacturers' delayed disclosure of serious and unexpected adverse events to the US Food and Drug Administration.
Citation Text:
Ma P, Marinovic I, Karaca-Mandic P. Drug Manufacturers' Delayed Disclosure of Serious and Unexpected Adverse Events to the US Food and Drug Adminis…
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psnet.ahrq.gov/issue/sustaining-innovations-complex-health-care-environments-multiple-case-study-rapid-response
November 03, 2015 - Study
Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams.
Citation Text:
Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 202…
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psnet.ahrq.gov/issue/medication-administration-errors-nursing-homes-using-automated-medication-dispensing-system
January 23, 2019 - Study
Medication administration errors in nursing homes using an automated medication dispensing system.
Citation Text:
van den Bemt PMLA, Idzinga JC, Robertz H, et al. Medication administration errors in nursing homes using an automated medication dispensing system. J Am Med Inform As…
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psnet.ahrq.gov/issue/exploratory-analysis-association-between-hospital-quality-measures-and-financial-performance
September 11, 2024 - Study
An exploratory analysis of the association between hospital quality measures and financial performance.
Citation Text:
Beauvais B, Dolezel D, Ramamonjiarivelo Z. An exploratory analysis of the association between hospital quality measures and financial performance. Healthcare (Base…
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psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care
September 23, 2020 - Study
Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care.
Citation Text:
Goyder CR, Jones CHD, Heneghan CJ, et al. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Br J Gen Pract. 2015;65(641):e838-e844. d…
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-attitudes-and-practices-physicians-and-trainees
February 15, 2011 - Study
Disclosing medical errors to patients: attitudes and practices of physicians and trainees.
Citation Text:
Kaldjian LC, Jones EW, Wu BJ, et al. Disclosing medical errors to patients: attitudes and practices of physicians and trainees. J Gen Intern Med. 2007;22(7):988-96.
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psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
February 17, 2016 - Study
Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine.
Citation Text:
Okafor N, Payne VL, Chathampally Y, et al. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. Emerg Med J. 2016;33(4):245-252. d…
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psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why
February 22, 2011 - Study
Classic
Preventable deaths: who, how often, and why?
Citation Text:
Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9.
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psnet.ahrq.gov/issue/did-hospital-readmissions-reduction-program-reduce-readmissions-assessment-prior-evidence-and
August 25, 2021 - Study
Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates.
Citation Text:
Ziedan E, Kaestner R. Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. Eval …
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psnet.ahrq.gov/issue/improving-resident-morning-sign-out-use-daily-events-reports
March 04, 2020 - Study
Improving resident morning sign-out by use of daily events reports.
Citation Text:
Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56.
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psnet.ahrq.gov/issue/does-overlapping-surgery-result-worse-surgical-outcomes-systematic-review-and-meta-analysis
April 29, 2020 - Review
Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis.
Citation Text:
Gartland RM, Alves K, Brasil NC, et al. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. Am J Surg. 2019;218(1):181-1…
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psnet.ahrq.gov/issue/laboratory-session-improve-first-year-pharmacy-students-knowledge-and-confidence-concerning
September 08, 2021 - Study
Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors.
Citation Text:
Kiersma ME, Darbishire PL, Plake KS, et al. Laboratory session to improve first-year pharmacy students' knowledge and confidence conce…
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
November 01, 2024 - Toolkit 1. Suspected UTI SBAR Toolkit
Toolkit Effectiveness A study in 12 nursing homes in Texas found that using the Suspected UTI SBAR form reduced antibiotic prescriptions for asymptomatic bacteriuria by about one-third. 1 Overview of the Toolkit Why Should a Nursing Home Use the Suspected UTI SBAR Toolkit? …
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Educate & Engage Residents, Family
Toolkit To Educate and Engage Residents and Family Members
Tool 1. Talking With Residents—short checklist version
What are antibiotics?
• Antibiotics are medicines that fight infections caused by bacteria. Antibiotics work by
targ…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.docx
October 01, 2016 - Tool 1. Talking With Residents—short checklist version
· What are antibiotics?
Antibiotics are medicines that fight infections caused by bacteria. Antibiotics work by targeting and killing harmful bacteria.
· How do people get bacterial infections?
Normally, your immune system helps control the bacteria you have. But, …