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psnet.ahrq.gov/issue/work-hours-work-stress-and-collaboration-among-ward-staff-relation-risk-hospital-associated
December 14, 2022 - Study
Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-associated infection among patients.
Citation Text:
Virtanen M, Kurvinen T, Terho K, et al. Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-asso…
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psnet.ahrq.gov/issue/anatomy-failure-sociotechnical-evaluation-laboratory-physician-order-entry-system
April 13, 2022 - Study
Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation.
Citation Text:
Peute LW, Aarts J, Bakker PJM, et al. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. Int J…
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psnet.ahrq.gov/issue/tenfold-medication-errors-5-years-experience-university-affiliated-pediatric-hospital
August 07, 2024 - Study
Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital.
Citation Text:
Doherty C, Donnell CM. Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. Pediatrics. 2012;129(5):916-924. doi:10.1542/peds.2011-2…
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psnet.ahrq.gov/issue/surgeon-agreement-time-handover-prospective-cohort-study
July 19, 2010 - Study
Surgeon agreement at the time of handover, a prospective cohort study.
Citation Text:
Hilsden R, Moffat B, Knowles S, et al. Surgeon agreement at the time of handover, a prospective cohort study. World J Emerg Surg. 2016;11:11. doi:10.1186/s13017-016-0065-6.
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psnet.ahrq.gov/issue/under-reporting-deaths-coroner-doctors-retrospective-review-deaths-two-hospitals-melbourne
April 24, 2018 - Study
Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hospitals in Melbourne, Australia.
Citation Text:
Charles A, Ranson D, Bohensky M, et al. Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hosp…
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-medication-prescription-errors-intensive-care-unit
May 15, 2013 - Study
Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled cross-sectional trial.
Citation Text:
Colpaert K, Claus B, Somers A, et al. Impact of computerized physician order entry on medication prescription errors in th…
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-fact-sheet.html
January 01, 2017 - Low Tidal Volume Ventilation Facts
AHRQ Safety Program for Mechanically Ventilated Patients
Did You Know?
Low tidal volume ventilation (LTVV) is one of the interventions specifically designed to prevent ventilator-associated conditions (VAC).
For patients without acute respiratory distress …
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psnet.ahrq.gov/issue/use-handheld-computer-application-voluntary-medication-event-reporting-inpatient-nurses-and
February 16, 2011 - Study
Use of a handheld computer application for voluntary medication event reporting by inpatient nurses and physicians.
Citation Text:
Dollarhide AW, Rutledge T, Weinger MB, et al. Use of a handheld computer application for voluntary medication event reporting by inpatient nurses and…
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psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
January 02, 2017 - Study
Contributing factors identified by hospital incident report narratives.
Citation Text:
Nuckols TK, Bell DS, Paddock SM, et al. Contributing factors identified by hospital incident report narratives. Qual Saf Health Care. 2008;17(5):368-72. doi:10.1136/qshc.2007.023721.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/tool.html
March 01, 2017 - Get to Know Your Health Care Team Tool
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Getting to know your health care team helps you get the best care possible.
The members of your health care team include:
You
Family or friends, as you wish.
Facility administrators or leaders.
Di…
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psnet.ahrq.gov/issue/host-hospital-24-hour-underreferral-rate-automated-measure-call-center-safety
September 23, 2020 - Study
The host hospital 24-hour underreferral rate: an automated measure of call-center safety.
Citation Text:
Hirsh DA, Simon HK, Massey R, et al. The host hospital 24-hour underreferral rate: an automated measure of call-center safety. Pediatrics. 2007;119(6):1139-1144.
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psnet.ahrq.gov/issue/quality-initiative-decrease-pathology-specimen-labeling-errors-using-radiofrequency
August 28, 2017 - Study
A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center.
Citation Text:
Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling errors using radiofrequenc…
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psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
February 10, 2015 - Commentary
What is driving hospitals' patient-safety efforts?
Citation Text:
Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood). 2004;23(2):103-15.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…
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psnet.ahrq.gov/issue/medication-errors-prospective-cohort-study-hand-written-and-computerised-physician-order
March 06, 2013 - Study
Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit.
Citation Text:
Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order …
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psnet.ahrq.gov/issue/caregivers-perspectives-ethical-challenges-and-patient-safety-tele-palliative-care
July 10, 2024 - Review
Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review.
Citation Text:
Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. J Hosp Palli…
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psnet.ahrq.gov/issue/effects-interorganisational-information-technology-networks-patient-safety-realist-synthesis
December 02, 2020 - Review
Effects of interorganisational information technology networks on patient safety: a realist synthesis.
Citation Text:
Keen J, Abdulwahid MA, King N, et al. Effects of interorganisational information technology networks on patient safety: a realist synthesis. BMJ Open. 2020;10(10):…
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psnet.ahrq.gov/issue/impact-electronic-health-record-interoperability-safety-and-quality-care-high-income
July 27, 2022 - Review
The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review.
Citation Text:
Li E, Clarke J, Ashrafian H, et al. The impact of electronic health record interoperability on safety and quality of care in high-incom…
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psnet.ahrq.gov/issue/implementation-and-sustainability-medication-reconciliation-toolkit-mixed-methods-evaluation
May 19, 2021 - Study
Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation.
Citation Text:
Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Am J Health Syst Ph…
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psnet.ahrq.gov/issue/perceptions-chief-clinical-information-officers-state-electronic-health-records-systems
October 05, 2022 - Study
Perceptions of chief clinical information officers on the state of electronic health records systems interoperability in NHS England: a qualitative interview study.
Citation Text:
Li E, Lounsbury O, Clarke J, et al. Perceptions of chief clinical information officers on the state of…
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psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual
March 22, 2023 - Study
Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter.
Citation Text:
Maul L, Regenstein M, Andres E, et al. Using a risk assessment approach to determine which f…