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psnet.ahrq.gov/issue/it-time-mental-health-field-consider-unplanned-discharge-key-metric-patient-safety
June 01, 2022 - Study
Is it time for the mental health field to consider unplanned discharge a key metric of patient safety?
Citation Text:
Riblet NB, Gottlieb DJ, Watts BV, et al. Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? J Nerv Ment Dis. 202…
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psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-improvement
October 21, 2020 - Study
Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives.
Citation Text:
Mackenhauer J, Winsløv J-H, Holmskov J, et al. Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiativ…
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psnet.ahrq.gov/issue/coping-medical-error-systematic-review-papers-assess-effects-involvement-medical-errors
March 04, 2015 - Review
Coping with medical error: a systematic review of papers to assess the effects of involvement in medical errors on healthcare professionals' psychological well-being.
Citation Text:
Sirriyeh R, Lawton R, Gardner P, et al. Coping with medical error: a systematic review of papers …
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psnet.ahrq.gov/issue/comparing-outcomes-reporting-and-trigger-tool-methods-capture-adverse-events-emergency
May 04, 2017 - Study
Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department.
Citation Text:
Lee W-H, Zhang E, Chiang C-Y, et al. Comparing the Outcomes of Reporting and Trigger Tool Methods to Capture Adverse Events in the Emergency Department…
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psnet.ahrq.gov/issue/posttraumatic-growth-and-second-victim-distress-resulting-medical-mishaps-among-physicians
January 12, 2022 - Study
Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses.
Citation Text:
Pado K, Fraus K, Mulhem E, et al. Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. J Clin Psychol Me…
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digital.ahrq.gov/research-method/case-report
January 01, 2023 - Case Report
Evidence of clinically meaningful drug-drug interaction with concomitant use of colchicine and clarithromycin.
Citation
Villa Zapata L, Hansten PD, Horn JR, Boyce RD, Gephart S, Subbian V, Romero A, Malone DC. Evidence of clinically meaningful drug-drug interaction…
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psnet.ahrq.gov/issue/findings-first-consensus-conference-medical-emergency-teams
August 04, 2021 - Commentary
Findings of the first consensus conference on medical emergency teams.
Citation Text:
DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e.
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psnet.ahrq.gov/issue/impact-pharmacist-led-multidisciplinary-medication-review-safety-and-medication-cost-elderly
May 25, 2022 - Study
Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study.
Citation Text:
Leguelinel-Blache G, Castelli C, Rolain J, et al. Impact of pharmacist-led multidisciplinary medicatio…
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psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
September 15, 2021 - Study
The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England.
Citation Text:
Damery S, Flanagan S, Jones J, et al. The effect of providing staff tr…
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psnet.ahrq.gov/issue/finding-right-balance-evidence-informed-guidance-document-support-re-opening-canadian-nursing
November 18, 2020 - Commentary
Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic.
Citation Text:
Stall NM, Johnstone J, McGeer AJ, et al. Finding the right balan…
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psnet.ahrq.gov/issue/systematic-review-exploring-content-and-outcomes-interventions-improve-psychological-safety
October 28, 2020 - Review
Classic
A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour.
Citation Text:
O’Donovan R, McAuliffe E. A systematic review exploring the content and outcomes of interventi…
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psnet.ahrq.gov/issue/patient-safety-culture-and-second-victim-phenomenon-connecting-culture-staff-distress-nurses
December 21, 2016 - Study
Patient safety culture and the second victim phenomenon: connecting culture to staff distress in nurses.
Citation Text:
Quillivan RR, Burlison JD, Browne EK, et al. Patient Safety Culture and the Second Victim Phenomenon: Connecting Culture to Staff Distress in Nurses. Jt Comm J Qu…
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psnet.ahrq.gov/issue/effect-transitional-pharmaceutical-care-program-occurrence-ades-after-discharge-hospital
September 08, 2021 - Study
The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy.
Citation Text:
Uitvlugt EB, Heer SE, van den Bemt BJF, et al. The effect of a transitional pharmaceutical care program on the occurrence o…
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psnet.ahrq.gov/issue/organisational-factors-associated-safety-climate-patient-satisfaction-and-self-reported
April 07, 2021 - Study
Organisational factors associated with safety climate, patient satisfaction and self-reported medicines adherence in community pharmacies.
Citation Text:
Jacobs S, Hann M, Bradley F, et al. Organisational factors associated with safety climate, patient satisfaction and self-reporte…
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psnet.ahrq.gov/issue/predictive-power-trigger-tool-detection-adverse-events-general-surgery-multicenter
September 13, 2023 - Study
Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study.
Citation Text:
Pérez Zapata AI, Rodríguez Cuéllar E, de la Fuente Bartolomé M, et al. Predictive power of the "Trigger Tool" for the detectio…
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psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-interventions-operating-room-intensive-care-unit-handoffs
July 08, 2020 - Review
Emerging Classic
Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs.
Citation Text:
Abraham J, Meng A, Tripathy S, et al. Systematic review and meta-analysis of interventions for operating room to inten…
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psnet.ahrq.gov/issue/how-can-interventions-more-directly-address-drivers-unprofessional-behaviour-between
October 09, 2024 - Study
How can interventions more directly address drivers of unprofessional behaviour between healthcare staff?
Citation Text:
Aunger JA, Abrams R, Mannion R, et al. How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? BMJ Open Qual. 2…
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psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm
October 05, 2022 - Study
Operating room to intensive care unit handoffs and the risks of patient harm.
Citation Text:
McElroy LM, Collins KM, Koller FL, et al. Operating room to intensive care unit handoffs and the risks of patient harm. Surgery. 2015;158(3):588-594. doi:10.1016/j.surg.2015.03.061.
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www.ahrq.gov/news/newsroom/case-studies/202001.html
April 01, 2020 - Maine Hospital Speeds Patients’ Admitting Time from the Emergency Department After Using AHRQ Tools
Search All Impact Case Studies
April 2020
LincolnHealth, a 25-bed critical access hospital in Damariscotta, Maine, improved the timeliness of admitting patients from the emergency department into a hospital u…
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psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-portal-medication-discrepancies-randomized
April 27, 2022 - Study
The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study.
Citation Text:
Ebbens MM, Gombert-Handoko KB, Wesselink EJ, et al. The effect of medication reconciliation via a patient portal on medication discrepancies: …