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psnet.ahrq.gov/issue/reducing-anticoagulant-medication-adverse-events-and-avoidable-patient-harm
May 19, 2021 - Study
Reducing anticoagulant medication adverse events and avoidable patient harm.
Citation Text:
Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200.
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psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-targeting-few-affect-many
January 29, 2010 - Commentary
Hospitalists as emerging leaders in patient safety: targeting a few to affect many.
Citation Text:
Flanders SA, Kaufman SR, Saint S, et al. Hospitalists as emerging leaders in patient safety: targeting a few to affect many. J Patient Saf. 2005;1(2):78-82. doi:10.1097/pts.0b0…
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psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
November 18, 2015 - Study
Using Six Sigma to reduce medication errors in a home-delivery pharmacy service.
Citation Text:
Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24.
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psnet.ahrq.gov/issue/stand-alone-artificial-intelligence-breast-cancer-detection-mammography-comparison-101
November 15, 2023 - Study
Classic
Stand-alone artificial intelligence for breast cancer detection in mammography: comparison with 101 radiologists.
Citation Text:
Rodriguez-Ruiz A, Lång K, Gubern-Merida A, et al. Stand-Alone Artificial Intelligence for Breast Cancer Detection in Ma…
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psnet.ahrq.gov/issue/toolkit-disseminate-best-practices-inpatient-medication-reconciliation-multi-center
January 23, 2019 - Commentary
A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS).
Citation Text:
Mueller SK, Kripalani S, Stein J, et al. A toolkit to disseminate best practices in inpatient medicatio…
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psnet.ahrq.gov/issue/reflections-implementing-hospital-wide-provider-based-electronic-inpatient-mortality-review
August 12, 2020 - Study
Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt.
Citation Text:
Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lesson…
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psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die
June 24, 2020 - Newspaper/Magazine Article
When COVID-19 hit, many elderly were left to die.
Citation Text:
Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York Times. 2020;August 8.
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psnet.ahrq.gov/issue/inappropriate-prescriptions-direct-oral-anticoagulants-doacs-hospitalized-patients-narrative
November 21, 2018 - Review
Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review.
Citation Text:
van der Horst SFB, van Rein N, van Mens TE, et al. Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative…
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psnet.ahrq.gov/issue/clinical-decision-support-drug-related-events-moving-towards-better-prevention
December 16, 2020 - Commentary
Clinical decision support for drug related events: moving towards better prevention.
Citation Text:
Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards better prevention. World J Crit Care Med. 2016;5(4):204-211.
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psnet.ahrq.gov/issue/validity-ahrq-patient-safety-indicators-derived-icd-10-hospital-discharge-abstract-data-chart
October 30, 2024 - Study
Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study).
Citation Text:
Quan H, Eastwood C, Cunningham CT, et al. Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart re…
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psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review
October 31, 2014 - Review
Requirements for implementing a 'just culture' within healthcare organisations: an integrative review.
Citation Text:
Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…
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psnet.ahrq.gov/issue/sensemaking-and-co-production-safety-qualitative-study-primary-medical-care-patients
August 26, 2015 - Study
Sensemaking and the co-production of safety: a qualitative study of primary medical care patients.
Citation Text:
Rhodes P, McDonald R, Campbell S, et al. Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. Sociol Health Illn. 2016;38(…
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psnet.ahrq.gov/issue/smartphone-distraction-during-nursing-care-systematic-literature-review
February 09, 2022 - Review
Smartphone distraction during nursing care: systematic literature review.
Citation Text:
Fiorinelli M, Di Mario S, Surace A, et al. Smartphone distraction during nursing care: systematic literature review. Appl Nurs Res. 2021;58:151405. doi:10.1016/j.apnr.2021.151405.
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psnet.ahrq.gov/issue/operational-failures-detected-frontline-acute-care-nurses
July 19, 2023 - Study
Operational failures detected by frontline acute care nurses.
Citation Text:
Stevens KR, Engh EP, Tubbs-Cooley HL, et al. Operational Failures Detected by Frontline Acute Care Nurses. Res Nurs Health. 2017;40(3):197-205. doi:10.1002/nur.21791.
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psnet.ahrq.gov/issue/safety-home-care-mapping-review-international-literature
February 10, 2012 - Review
Safety in home care: a mapping review of the international literature.
Citation Text:
Harrison MB, Keeping-Burke L, Godfrey CM, et al. Safety in home care: a mapping review of the international literature. Int J Evid Based Healthc. 2013;11(3). doi:10.1111/1744-1609.12027.
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psnet.ahrq.gov/issue/receptionist-input-quality-and-safety-repeat-prescribing-uk-general-practice-ethnographic
March 23, 2022 - Study
Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case study.
Citation Text:
Swinglehurst D, Greenhalgh T, Russell J, et al. Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case …
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psnet.ahrq.gov/issue/quiet-please-drug-round-tabards-are-they-effective-and-accepted-mixed-method-study
May 19, 2018 - Study
Quiet please! Drug round tabards: are they effective and accepted? A mixed method study.
Citation Text:
Verweij L, Smeulers M, Maaskant JM, et al. Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. J Nurs Scholarsh. 2014;46(5):340-8. doi:10.111…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-overview-surveys.pdf
January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Gray
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
What is Patient Safety Culture?
Organization
13
What are the SOPS Surveys?
• Surveys of providers and st…
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psnet.ahrq.gov/issue/heatwaves-hospitals-and-health-system-resilience-england-qualitative-assessment-frontline
May 20, 2020 - Study
Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019.
Citation Text:
Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a qualitative assessment o…
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psnet.ahrq.gov/issue/improving-resident-education-and-patient-safety-method-balance-initial-caseloads-academic
January 27, 2016 - Study
Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer.
Citation Text:
Young JQ, Niehaus B, Lieu SC, et al. Improving resident education and patient safety: a method to balance initial caseloads at academic year-end tran…