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psnet.ahrq.gov/issue/five-topics-health-care-simulation-can-address-improve-patient-safety-results-consensus
June 28, 2023 - Study
Five topics health care simulation can address to improve patient safety: results from a consensus process.
Citation Text:
Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process. J Patient Sa…
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psnet.ahrq.gov/issue/dosing-errors-made-paramedics-during-pediatric-patient-simulations-after-implementation-state
August 25, 2021 - Study
Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference.
Citation Text:
Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation …
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psnet.ahrq.gov/issue/impact-nursing-skill-mix-adverse-events-intensive-care-single-centre-cohort-study
November 21, 2021 - Study
The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study.
Citation Text:
Ross P, Hodgson CL, Ilic D, et al. The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study. Contemp Nurse. 2023;59(1):3-15. do…
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psnet.ahrq.gov/issue/pharmacists-rounding-teams-reduce-preventable-adverse-drug-events-hospital-general-medicine
October 19, 2022 - Study
Classic
Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units.
Citation Text:
Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse drug events in hospital …
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psnet.ahrq.gov/issue/intraoperative-sentinel-events-era-surgical-safety-checklists-results-national-survey
August 04, 2021 - Study
Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey.
Citation Text:
Cramer JD, Balakrishnan K, Roy S, et al. Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. OTO Open. 2020;4(4):…
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psnet.ahrq.gov/issue/systematic-narrative-review-coroners-prevention-future-deaths-reports-pfds-tool-patient
October 19, 2022 - Review
A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient safety in hospitals.
Citation Text:
Bremner BT, Heneghan CJ, Aronson JK, et al. A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool f…
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psnet.ahrq.gov/issue/standardizing-opioid-prescriptions-patients-after-ambulatory-oncologic-surgery-reduces
October 19, 2022 - Study
Standardizing opioid prescriptions to patients after ambulatory oncologic surgery reduces overprescription.
Citation Text:
Fearon NJ, Benfante N, Assel M, et al. Standardizing Opioid Prescriptions to Patients After Ambulatory Oncologic Surgery Reduces Overprescription. Jt Comm J Qu…
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psnet.ahrq.gov/issue/increasing-medication-error-reporting-rates-while-reducing-harm-through-simultaneous-cultural
April 24, 2018 - Study
Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit.
Citation Text:
Abstoss KM, Shaw BE, Owens TA, et al. Increasing medication error reporting rates while reducing harm through sim…
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psnet.ahrq.gov/issue/challenges-nurses-efforts-retrieving-documenting-and-communicating-patient-care-information
November 18, 2016 - Study
Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information.
Citation Text:
Keenan G, Yakel E, Lopez KD, et al. Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. J Am Med Inform Assoc. 2013…
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psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical-errors
June 07, 2023 - Study
Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors.
Citation Text:
Lederman R, Dreyfus S, Matchan J, et al. Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Nurs Outlook. 2013…
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psnet.ahrq.gov/issue/automation-i-pass-tool-improve-transitions-care
August 04, 2021 - Study
Automation of the I-PASS tool to improve transitions of care.
Citation Text:
Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174.
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psnet.ahrq.gov/issue/simulation-based-assessment-identifies-longitudinal-changes-cognitive-skills-anesthesiology
August 11, 2021 - Study
Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program.
Citation Text:
Sidi A, Gravenstein N, Vasilopoulos T, et al. Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesth…
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psnet.ahrq.gov/issue/best-practices-electronic-drug-alert-program-improve-safety-accountable-care-environment
May 29, 2019 - Study
Best practices: an electronic drug alert program to improve safety in an accountable care environment.
Citation Text:
Griesbach S, Lustig A, Malsin L, et al. Best Practices: An Electronic Drug Alert Program to Improve Safety in an Accountable Care Environment. J Manag Care Spec Pha…
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psnet.ahrq.gov/issue/patient-harm-events-and-associated-cost-outcomes-reported-patient-safety-organization
July 18, 2017 - Study
Patient harm events and associated cost outcomes reported to a patient safety organization.
Citation Text:
Miller S, Stockwell DC. Patient harm events and associated cost outcomes reported to a patient safety organization. J Patient Saf. 2024;20(7):e92-e96. doi:10.1097/pts.00000000…
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psnet.ahrq.gov/issue/impact-health-information-technology-interventions-improve-medication-laboratory-monitoring
August 11, 2010 - Review
Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review.
Citation Text:
Fischer SH, Tjia J, Field T. Impact of health information technology interventions to improve medication laboratory moni…
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psnet.ahrq.gov/issue/icu-admittance-rapid-response-team-versus-conventional-admittance-characteristics-and-outcome
January 28, 2010 - Study
ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome.
Citation Text:
Jäderling G, Bell M, Martling C-R, et al. ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome. Crit Care Med. 2013…
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psnet.ahrq.gov/issue/using-inpatient-hospital-discharge-data-monitor-patient-safety-events
March 02, 2011 - Study
Using inpatient hospital discharge data to monitor patient safety events.
Citation Text:
Taylor JA, Pandian RS, Mao L, et al. Using inpatient hospital discharge data to monitor patient safety events. J Healthc Risk Manag. 2013;32(4):26-33. doi:10.1002/jhrm.21107.
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psnet.ahrq.gov/issue/inattentional-blindness-anesthesiology-gorilla-worth-one-thousand-words
June 01, 2022 - Study
Inattentional blindness in anesthesiology: a gorilla is worth one thousand words.
Citation Text:
De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.02575…
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psnet.ahrq.gov/issue/dynamic-risk-management-approach-reducing-harm-invasive-bedside-procedures-performed-during
April 13, 2022 - Commentary
A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency.
Citation Text:
Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency.…
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psnet.ahrq.gov/issue/who-applies-intervention-influence-cultural-attributes-quality-improvement-collaborative
January 22, 2016 - Study
Who applies an intervention to influence cultural attributes in a quality improvement collaborative?
Citation Text:
Hsu Y-J, Marsteller JA. Who Applies an Intervention to Influence Cultural Attributes in a Quality Improvement Collaborative? J Patient Saf. 2020;16(1):1-6.
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