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psnet.ahrq.gov/node/40946/psn-pdf
January 19, 2012 - effects-multicentre-teamwork-and-communication-programme-patient-
outcomes-results-triad
Focused efforts to enhance teamwork and communication have led … Although a related study demonstrated that the interventions led to improved safety
culture, this study
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psnet.ahrq.gov/node/41557/psn-pdf
August 01, 2012 - However, in this study, 1342 triggers—representing 622 unique
episodes—led to only 91 identified ADEs … The poor specificity of triggers led the authors to conclude that
these abnormal laboratory values are
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psnet.ahrq.gov/issue/changes-medication-safety-indicators-england-throughout-covid-19-pandemic-using-opensafely
October 19, 2022 - This article evaluated the impact of a pharmacist-led information technology intervention ( PINCER ) … September 23, 2020
Scaling-up a pharmacist-led information technology intervention (PINCER
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psnet.ahrq.gov/issue/new-index-obstetrics-safety-and-quality-care-integrating-cesarean-delivery-rates-maternal-and
March 16, 2022 - Among obstetricians in one large hospital, researchers found that this metric led to significantly different … September 22, 2021
Pharmacist-led educational interventions provided to healthcare providers
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psnet.ahrq.gov/issue/association-safety-program-improving-antibiotic-use-antibiotic-use-and-hospital-onset
July 20, 2022 - The program led to a significant reduction in antibiotic use over the 1-year period and a 20% reduction … October 11, 2017
The impact of a nursing-led intervention bundle with a bedside checklist
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psnet.ahrq.gov/issue/barriers-and-facilitators-hospital-pharmacists-engagement-medication-safety-activities
April 15, 2016 - Download Citation
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Pharmacy-led … January 11, 2017
Pharmacist-led admission medication reconciliation before and after … July 17, 2019
The impact of pharmacists-led medicines reconciliation on healthcare outcomes
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psnet.ahrq.gov/issue/examining-variations-prescribing-safety-uk-general-practice-cross-sectional-study-using
July 22, 2015 - December 16, 2020
Scaling-up a pharmacist-led information technology intervention (PINCER … Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led … Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led
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psnet.ahrq.gov/issue/costs-intravenous-adverse-drug-events-academic-and-nonacademic-intensive-care-units
August 11, 2021 - This study discovered that adverse drug events (ADEs) associated with intravenous administration led … The majority of events led primarily to temporary physical injuries.
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psnet.ahrq.gov/node/33596/psn-pdf
January 29, 2025 - Throughout the 1990s, anesthesiologists led efforts to promote the capacity to detect and respond to … Medical emergency and rapid response teams (RRTs), including nurse-led teams with intensivist
physician … knowledge about signs of deterioration and care escalation.5 However, equity in the use of patient-led … also investigating the impact of patient-activated RRTs and other
approaches to patient- and family-led … https://psnet.ahrq.gov/issue/understanding-enablers-and-barriers-implementing-patient-led-escalation-system-qualitative
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - That led me to want to study their journey—and that led me to the
postdischarge period and readmission … RW: What led you to characterize what happens to patients after they leave the hospital as a syndrome … This led me to think about
what might be the mechanism.
Where the idea came from is interesting. … That jet-lag experience led me to think about this toxicity. … Leora Horwitz (now at
NYU) led a study that we did together in which we documented that people, soon
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psnet.ahrq.gov/issue/physicians-attitudes-towards-copy-and-pasting-electronic-note-writing
March 04, 2015 - examine clinical outcomes or actual errors in documentation, the potential safety issues raised have led … commentary discussed how inaccurate clinical information pasted forward through a hospitalization led
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psnet.ahrq.gov/issue/evaluation-evidence-based-nurse-driven-checklist-prevent-hospital-acquired-catheter
June 03, 2013 - Adoption of a nurse-driven checklist led to reductions in catheter days and catheter-associated urinary … June 27, 2012
Evaluation of a nurse-led safety program in a critical care unit.
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psnet.ahrq.gov/issue/diffusion-surgical-innovations-patient-safety-and-minimally-invasive-radical-prostatectomy
June 06, 2008 - The increasing technological sophistication of hospital care has led to greater appreciation of the potential … Safety Indicators to examine whether the introduction of a new medical device, the da Vinci robot, led
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psnet.ahrq.gov/issue/understanding-causes-intravenous-medication-administration-errors-hospitals-qualitative
June 25, 2014 - The investigators found that high workload and lack of support led to nurses employing workarounds that … Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led
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psnet.ahrq.gov/issue/swiss-cheese-conference-integrating-and-aligning-quality-improvement-education-hospital
March 14, 2016 - Core elements of the program rely on effective case selection, root cause analysis , and resident-led … 2017
Engaging pediatric resident physicians in quality improvement through resident-led
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psnet.ahrq.gov/issue/introduction-rapid-response-system-united-states-veterans-affairs-hospital-reduced-cardiac
January 02, 2017 - This study demonstrated a 57% reduction in cardiac arrests following implementation of a physician-led … January 2, 2017
Four years' experience with a hospitalist-led medical emergency team:
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psnet.ahrq.gov/issue/improving-admission-medication-reconciliation-pharmacists-or-pharmacy-technicians-emergency
May 08, 2017 - Pharmacist and technician reconciliation led to similarly large decreases in minor and life-threatening … Although pharmacist-led reconciliation reduces in-hospital ADEs in research settings, real-world implementation
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psnet.ahrq.gov/issue/factors-influencing-doctors-ability-calculate-drug-doses-correctly
March 19, 2019 - March 20, 2013
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psnet.ahrq.gov/issue/poor-medication-history-plus-slow-symptom-onset-delays-diagnosis
October 12, 2022 - August 14, 2024
Impact of pharmacist-led discharge medication reconciliation on error … June 9, 2021
Pharmacist-led program to improve transitions from acute care to skilled
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psnet.ahrq.gov/issue/irked-drug-interaction-alerts-customize-them-experts-advise
May 20, 2020 - Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led … June 5, 2018
Pharmacist-led admission medication reconciliation before and after the