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psnet.ahrq.gov/issue/results-effort-integrate-quality-and-safety-medical-and-nursing-school-curricula-and-foster
September 08, 2021 - Study
Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning.
Citation Text:
Headrick LA, Barton AJ, Ogrinc G, et al. Results of an effort to integrate quality and safety into medical and nursing school curricula and fos…
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psnet.ahrq.gov/issue/unrealized-potential-and-residual-consequences-electronic-prescribing-pharmacy-workflow
December 31, 2014 - Study
Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy.
Citation Text:
Nanji KC, Rothschild JM, Boehne JJ, et al. Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the o…
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psnet.ahrq.gov/issue/defining-impact-rapid-response-team-qualitative-study-nurses-physicians-and-hospital
September 26, 2012 - Study
Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators.
Citation Text:
Benin AL, Borgstrom CP, Jenq GY, et al. Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators.…
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psnet.ahrq.gov/issue/implementation-integrated-computerized-prescriber-order-entry-system-chemotherapy-multisite
August 30, 2023 - Commentary
Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system.
Citation Text:
Chung C, Patel S, Lee R, et al. Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a …
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www.ahrq.gov/research/findings/evidence-based-reports/er221-abstract.html
April 01, 2018 - Behavioral Programs for Diabetes Mellitus
This report reviews the effectiveness of behavioral programs for diabetes.
Structured Abstract
Objectives: To conduct a systematic review focusing on the effectiveness of behavioral programs for type 1 diabetes (T1DM) and identifying factors contributing to program…
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psnet.ahrq.gov/issue/incidence-and-severity-prescribing-errors-parenteral-nutrition-pediatric-inpatients-neonatal
June 23, 2021 - Study
Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit.
Citation Text:
Hermanspann T, Schoberer M, Robel-Tillig E, et al. Incidence and Severity of Prescribing Errors in Parenteral Nutrition for …
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psnet.ahrq.gov/issue/teaching-hospital-five-year-mortality-trends-wake-duty-hour-reforms
November 26, 2014 - Study
Teaching hospital five-year mortality trends in the wake of duty hour reforms.
Citation Text:
Volpp KG, Small DS, Romano PS, et al. Teaching hospital five-year mortality trends in the wake of duty hour reforms. J Gen Intern Med. 2013;28(8):1048-55. doi:10.1007/s11606-013-2401-9.
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psnet.ahrq.gov/issue/four-states-robust-prescription-drug-monitoring-programs-reduced-opioid-dosages
June 21, 2016 - Study
Classic
Four states with robust prescription drug monitoring programs reduced opioid dosages.
Citation Text:
Haffajee RL, Mello MM, Zhang F, et al. Four States With Robust Prescription Drug Monitoring Programs Reduced Opioid Dosages. Health Aff (Millwood).…
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psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health
July 22, 2009 - Study
The frequency of missed test results and associated treatment delays in a highly computerized health system.
Citation Text:
Wahls TL, Cram PM. The frequency of missed test results and associated treatment delays in a highly computerized health system. BMC Fam Pract. 2007;8:32.
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psnet.ahrq.gov/issue/predictors-adverse-events-patients-after-discharge-intensive-care-unit
December 08, 2021 - Study
Predictors of adverse events in patients after discharge from the intensive care unit.
Citation Text:
Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264.
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psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same
February 02, 2022 - Study
Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study.
Citation Text:
Harada Y, Otaka Y, Katsukura S, et al. Effect of contextual factors on the prevalence of…
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psnet.ahrq.gov/issue/association-sleep-and-fatigue-decision-regret-among-critical-care-nurses
July 14, 2021 - Study
Association of sleep and fatigue with decision regret among critical care nurses.
Citation Text:
Scott LD, Arslanian-Engoren C, Engoren MC. Association of sleep and fatigue with decision regret among critical care nurses. Am J Crit Care. 2014;23(1):13-23. doi:10.4037/ajcc2014191. …
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psnet.ahrq.gov/issue/understanding-nature-medication-errors-icu-computerized-physician-order-entry-system
August 24, 2015 - Study
Understanding the nature of medication errors in an ICU with a computerized physician order entry system.
Citation Text:
Cho IS, Park H, Choi YJ, et al. Understanding the nature of medication errors in an ICU with a computerized physician order entry system. PLoS One. 2014;9(12):e1…
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psnet.ahrq.gov/issue/factors-influencing-nurses-decision-question-medication-administration-neonatal-clinical-care
April 21, 2021 - Study
Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit.
Citation Text:
Aydon L, Hauck Y, Zimmer M, et al. Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. J Clin Nur…
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psnet.ahrq.gov/issue/icd-10-codes-used-identify-adverse-drug-events-administrative-data-systematic-review
September 14, 2016 - Review
ICD-10 codes used to identify adverse drug events in administrative data: a systematic review.
Citation Text:
Hohl CM, Karpov A, Reddekopp L, et al. ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. J Am Med Inform Assoc. 2014;21(3):547…
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psnet.ahrq.gov/issue/do-ahrq-patient-safety-indicators-flag-conditions-are-present-time-hospital-admission
September 12, 2016 - Study
Classic
Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission?
Citation Text:
Bahl V, Thompson MA, Kau T-Y, et al. Do the AHRQ patient safety indicators flag conditions that are present at the time of ho…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/16-engaging-stakeholders-pitch.docx
June 01, 2023 - AHRQ Safety Program for Improving
Surgical Care and Recovery
Developing an Elevator Pitch: A Tool for Building and Communicating a Vision for the Program
What Is This Tool?
Once your team has identified stakeholders for the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Surgical Care a…
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psnet.ahrq.gov/issue/are-surgeons-and-anesthesiologists-lying-each-other-or-gaming-system-national-random-sample
June 29, 2022 - Study
Are surgeons and anesthesiologists lying to each other or gaming the system? A national random sample survey about "truth-telling practices" in the perioperative setting in the United States.
Citation Text:
Nurok M, Lee Y-Y, Ma Y, et al. Are surgeons and anesthesiologists lying to …
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psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic-medical-center
July 31, 2013 - Study
Medication errors during medical emergencies in a large, tertiary care, academic medical center.
Citation Text:
Gokhman R, Seybert AL, Phrampus P, et al. Medication errors during medical emergencies in a large, tertiary care, academic medical center. Resuscitation. 2012;83(4):482…
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psnet.ahrq.gov/issue/association-between-leapfrog-safe-practices-score-and-hospital-mortality-major-surgery
September 29, 2017 - Study
Association between Leapfrog safe practices score and hospital mortality in major surgery.
Citation Text:
Qian F, Lustik SJ, Diachun CA, et al. Association between Leapfrog safe practices score and hospital mortality in major surgery. Med Care. 2011;49(12):1082-1088. doi:10.1097/…