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psnet.ahrq.gov/issue/prevention-pediatric-medication-errors-hospital-pharmacists-and-potential-benefit
December 15, 2011 - Study
Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry.
Citation Text:
Wang JK, Herzog NS, Kaushal R, et al. Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of c…
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psnet.ahrq.gov/issue/chemotherapy-regimen-checks-performed-pharmacists-contribute-safe-administration-chemotherapy
April 01, 2010 - Study
Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy.
Citation Text:
Suzuki S, Chan A, Nomura H, et al. Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. J Oncol Pract. 2017;23(1…
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psnet.ahrq.gov/issue/lost-translation-silent-reporting-and-electronic-patient-records-nursing-handovers
October 20, 2021 - Study
Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study.
Citation Text:
Ihlebæk HM. Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. Int J Nurs Stud. 2020;109:1…
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psnet.ahrq.gov/issue/evaluation-web-based-education-program-reducing-medication-dosing-error-multicenter
May 18, 2022 - Study
Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.
Citation Text:
Frush K, Hohenhaus S, Luo X, et al. Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomiz…
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psnet.ahrq.gov/issue/patient-perceptions-deterioration-and-patient-and-family-activated-escalation-systems
June 26, 2024 - Study
Patient perceptions of deterioration and patient and family activated escalation systems—a qualitative study.
Citation Text:
Guinane J, Hutchinson AM, Bucknall T. Patient perceptions of deterioration and patient and family activated escalation systems-A qualitative study. J Clin Nu…
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psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
October 14, 2015 - Study
The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours.
Citation Text:
The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470.
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psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code-scanning-protocol
October 19, 2022 - Study
Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors.
Citation Text:
MacMaster HW, Gonzalez S, Maruoka A, et al. Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning…
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psnet.ahrq.gov/issue/impact-automated-email-notification-system-results-tests-pending-discharge-cluster-randomized
December 31, 2014 - Study
Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial.
Citation Text:
Dalal A, Roy CL, Poon EG, et al. Impact of an automated email notification system for results of tests pending at discharge: a cluster-r…
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psnet.ahrq.gov/issue/medication-reconciliation-process-and-classification-discrepancies-systematic-review
May 03, 2023 - Review
The medication reconciliation process and classification of discrepancies: a systematic review.
Citation Text:
Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. d…
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psnet.ahrq.gov/issue/how-should-us-hospitals-prepare-coronavirus-disease-2019-covid-19
June 14, 2017 - Commentary
How should U.S. hospitals prepare for Coronavirus disease 2019 (COVID-19)?
Citation Text:
Chopra V, Toner E, Waldhorn R, et al. How Should U.S. Hospitals Prepare for Coronavirus Disease 2019 (COVID-19)? Ann Intern Med. 2020;172(9):621-622. doi:10.7326/m20-0907.
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psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups-efforts
May 13, 2020 - Government Resource
Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts.
Citation Text:
Moran J, Scanlon D. Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. Health Aff (Millwood). 2013;32(1):27-35…
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psnet.ahrq.gov/issue/nighttime-cross-coverage-associated-decreased-intensive-care-unit-mortality-single-center
March 07, 2012 - Study
Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study.
Citation Text:
Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J R…
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psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-requiring-intensive-care-admission-systematic
May 16, 2018 - Review
Incidence and preventability of adverse events requiring intensive care admission: a systematic review.
Citation Text:
Vlayen A, Verelst S, Bekkering GE, et al. Incidence and preventability of adverse events requiring intensive care admission: a systematic review. J Eval Clin Pr…
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psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
March 09, 2022 - Study
Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis.
Citation Text:
Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…
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psnet.ahrq.gov/issue/technological-distractions-part-1-and-part-2
April 24, 2018 - Review
Technological distractions—part 1 and part 2.
Citation Text:
Kane-Gill SL, O'Connor MF, Rothschild JM, et al. Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics. Crit Care …
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psnet.ahrq.gov/issue/error-reduction-and-performance-improvement-emergency-department-through-formal-teamwork
June 24, 2015 - Study
Classic
Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project.
Citation Text:
Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in t…
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psnet.ahrq.gov/issue/hospital-organisation-management-and-structure-prevention-health-care-associated-infection
January 22, 2014 - Review
Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus.
Citation Text:
Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention of health-care-ass…
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psnet.ahrq.gov/issue/updating-eindhoven-clarifying-features-patient-safety-near-miss
March 13, 2024 - Study
Updating Eindhoven: clarifying the features of a patient safety near miss.
Citation Text:
Woodier N, Burnett C, Sampson P, et al. Updating Eindhoven: clarifying the features of a patient safety near miss. J Patient Saf Risk Manag. 2024;29(4):195-201. doi:10.1177/25160435241247096. …
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psnet.ahrq.gov/issue/challenges-patient-safety-improvement-research-era-electronic-health-records
November 11, 2020 - Commentary
Challenges in patient safety improvement research in the era of electronic health records.
Citation Text:
Russo E, Sittig DF, Murphy DR, et al. Challenges in patient safety improvement research in the era of electronic health records. Healthc (Amst). 2016;4(4):285-290. doi:10.…
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psnet.ahrq.gov/issue/am-i-safe-interpretative-phenomenological-analysis-vulnerability-experienced-patients
July 10, 2024 - Study
Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by patients with complications following surgery.
Citation Text:
Sutton E, Booth L, Ibrahim M, et al. Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by pat…