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psnet.ahrq.gov/issue/acceptance-recommendations-inpatient-pharmacy-case-managers-unintended-consequences
November 16, 2022 - Study
Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care.
Citation Text:
Anderegg S, Demik DE, Carter BL, et al. Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hosp…
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psnet.ahrq.gov/issue/compliance-technical-guidelines-radiotherapy-treatment-relation-patient-safety
December 10, 2014 - Study
Compliance to technical guidelines for radiotherapy treatment in relation to patient safety.
Citation Text:
Simons PAM, Houben RMA, Backes HH, et al. Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. Int J Qual Health Care. 2010;22(3):18…
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psnet.ahrq.gov/issue/emergency-department-checklist-innovation-improve-safety-emergency-care
December 20, 2023 - Commentary
Emergency department checklist: an innovation to improve safety in emergency care.
Citation Text:
Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-00…
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psnet.ahrq.gov/issue/educating-medical-trainees-medication-reconciliation-systematic-review
October 16, 2019 - Review
Educating medical trainees on medication reconciliation: a systematic review.
Citation Text:
Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5.
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psnet.ahrq.gov/issue/practical-framework-patient-care-teams-prospectively-identify-and-mitigate-clinical-hazards
March 01, 2011 - Commentary
A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.
Citation Text:
Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Jt Comm J Qu…
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psnet.ahrq.gov/issue/resident-uncertainty-clinical-decision-making-and-impact-patient-care-qualitative-study
March 28, 2011 - Study
Resident uncertainty in clinical decision making and impact on patient care: a qualitative study.
Citation Text:
Farnan JM, Johnson JK, Meltzer DO, et al. Resident uncertainty in clinical decision making and impact on patient care: a qualitative study. Qual Saf Health Care. 2008;…
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psnet.ahrq.gov/issue/simulation-based-education-train-learners-speak-clinical-environment-results-randomized-trial
September 27, 2023 - Study
Simulation-based education to train learners to "speak up" in the clinical environment: results of a randomized trial.
Citation Text:
Oner C, Fisher N, Atallah F, et al. Simulation-Based Education to Train Learners to "Speak Up" in the Clinical Environment: Results of a Randomized …
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psnet.ahrq.gov/issue/legibility-prescription-medication-labelling-canada-moving-pharmacy-centred-patient-centred
September 23, 2020 - Study
The legibility of prescription medication labelling in Canada: moving from pharmacy-centred to patient-centred labels.
Citation Text:
Leat SJ, Ahrens K, Krishnamoorthy A, et al. The legibility of prescription medication labelling in Canada: Moving from pharmacy-centred to patient-c…
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psnet.ahrq.gov/issue/delayed-medical-emergency-team-calls-and-associated-outcomes
October 13, 2018 - Study
Delayed medical emergency team calls and associated outcomes.
Citation Text:
Boniatti MM, Azzolini N, Viana M, et al. Delayed medical emergency team calls and associated outcomes. Crit Care Med. 2014;42(1):26-30. doi:10.1097/CCM.0b013e31829e53b9.
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psnet.ahrq.gov/issue/reducing-retained-foreign-objects-operating-room-quality-improvement-initiative
April 19, 2023 - Study
Reducing retained foreign objects in the operating room: a quality improvement initiative.
Citation Text:
Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.10…
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psnet.ahrq.gov/issue/error-traps-pediatric-patient-blood-management-perioperative-period
January 12, 2022 - Commentary
Error traps in pediatric patient blood management in the perioperative period.
Citation Text:
Tan GM, Murto K, Downey LA, et al. Error traps in pediatric patient blood management in the perioperative period. Paediatr Anaesth. 2023;33(8):609-619. doi:10.1111/pan.14683.
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psnet.ahrq.gov/issue/interrogating-and-uprooting-systemic-racism-emergency-department
March 05, 2025 - Commentary
Interrogating and uprooting systemic racism in the emergency department.
Citation Text:
Sangal RB, Khidir H, Agarwal AK. Interrogating and uprooting systemic racism in the emergency department. JAMA Health Forum. 2024;5(8):e242347. doi:10.1001/jamahealthforum.2024.2347.
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psnet.ahrq.gov/issue/patient-safety-and-staff-competence-managing-challenging-behavior-based-feedback-former
October 15, 2016 - Study
Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients.
Citation Text:
Tölli S, Kontio R, Partanen P, et al. Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatr…
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psnet.ahrq.gov/issue/impact-individual-and-team-features-patient-safety-climate-survey-family-practices
January 08, 2014 - Study
Impact of individual and team features of patient safety climate: a survey in family practices.
Citation Text:
Hoffmann B, Miessner C, Albay Z, et al. Impact of individual and team features of patient safety climate: a survey in family practices. Ann Fam Med. 2013;11(4):355-62. d…
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psnet.ahrq.gov/issue/using-logic-model-design-and-evaluate-quality-and-patient-safety-improvement-programs
November 10, 2010 - Commentary
Using a logic model to design and evaluate quality and patient safety improvement programs.
Citation Text:
Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. …
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psnet.ahrq.gov/issue/using-evidence-rigorous-measurement-and-collaboration-eliminate-central-catheter-associated
January 15, 2014 - Study
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.
Citation Text:
Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstr…
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psnet.ahrq.gov/issue/effect-automated-alerts-provider-ordering-behavior-outpatient-setting
November 23, 2016 - Study
The effect of automated alerts on provider ordering behavior in an outpatient setting.
Citation Text:
Steele AW, Eisert S, Witter J, et al. The effect of automated alerts on provider ordering behavior in an outpatient setting. PLoS Med. 2005;2(9):e255. doi:10.1371/journal.pmed.…
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psnet.ahrq.gov/issue/what-expect-when-youre-evaluating-healthcare-improvement-concordat-approach-managing
February 17, 2011 - Commentary
What to expect when you're evaluating healthcare improvement: a concordat approach to managing collaboration and uncomfortable realities.
Citation Text:
Brewster L, Aveling E-L, Martin G, et al. What to expect when you're evaluating healthcare improvement: a concordat approach…
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psnet.ahrq.gov/issue/executivesenior-leader-checklist-improve-culture-and-reduce-central-line-associated
August 25, 2010 - Commentary
Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections.
Citation Text:
Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream…
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psnet.ahrq.gov/issue/data-catalyst-change-stories-frontlines
July 28, 2023 - Commentary
Data as a catalyst for change: stories from the frontlines.
Citation Text:
Siegal D, Ruoff G. Data as a catalyst for change: stories from the frontlines. J Healthc Risk Manag. 2015;34(3):18-25. doi:10.1002/jhrm.21161.
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