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psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
August 26, 2020 - Study
Classic
Association of interruptions with an increased risk and severity of medication administration errors.
Citation Text:
Westbrook JI, Woods A, Rob MI, et al. Association of interruptions with an increased risk and severity of medication administration…
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psnet.ahrq.gov/issue/risk-factors-associated-medication-administration-errors-children-prospective-direct
August 28, 2024 - Study
Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients.
Citation Text:
Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective…
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psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health
October 05, 2022 - Review
Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review.
Citation Text:
Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical E…
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psnet.ahrq.gov/issue/my-patient-ready-safe-transfer-lower-intensity-care-setting-nursing-complexity-independent
April 26, 2023 - Study
Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as an independent predictor of adverse events risk after ICU discharge.
Citation Text:
Sanson G, Marino C, Valenti A, et al. Is my patient ready for a safe transfer to a lower-intensity ca…
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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-medical-imaging-services-systematic-review
June 14, 2017 - Study
The impact of computerized provider order entry systems on medical-imaging services: a systematic review.
Citation Text:
Georgiou A, Prgomet M, Markewycz A, et al. The impact of computerized provider order entry systems on medical-imaging services: a systematic review. J Am Med I…
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psnet.ahrq.gov/issue/interprofessional-clinical-event-debriefing-does-it-make-difference-attitudes-emergency
April 06, 2022 - Study
Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings.
Citation Text:
Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? At…
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psnet.ahrq.gov/issue/implementing-safer-and-more-reliable-system-monitor-test-results-teaching-university
November 07, 2018 - Commentary
Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report.
Citation Text:
Dorimain M-V, Plouffe-Malette M, Paquette M, et al. Implementing a safer and more…
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psnet.ahrq.gov/issue/relationship-between-organizational-culture-and-family-satisfaction-critical-care
April 25, 2012 - Study
The relationship between organizational culture and family satisfaction in critical care.
Citation Text:
Dodek P, Wong H, Heyland DK, et al. The relationship between organizational culture and family satisfaction in critical care. Crit Care Med. 2012;40(5):1506-12. doi:10.1097/CCM.…
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psnet.ahrq.gov/issue/self-reported-uptake-recommendations-after-dissemination-medication-incident-alerts
January 07, 2015 - Study
Self-reported uptake of recommendations after dissemination of medication incident alerts.
Citation Text:
Cheung K-C, Wensing M, Bouvy ML, et al. Self-reported uptake of recommendations after dissemination of medication incident alerts. BMJ Qual Saf. 2012;21(12):1009-18. doi:10.1…
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psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional-study
April 14, 2021 - Study
Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study.
Citation Text:
Ballangrud R, Hedelin B, Hall-Lord ML. Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study. Intensive Crit Care Nurs. 2012;28(6…
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psnet.ahrq.gov/issue/effect-rapid-response-team-major-clinical-outcome-measures-community-hospital
October 19, 2022 - Study
The effect of a rapid response team on major clinical outcome measures in a community hospital.
Citation Text:
Dacey MJ, Mirza ER, Wilcox V, et al. The effect of a rapid response team on major clinical outcome measures in a community hospital. Crit Care Med. 2007;35(9):2076-82.
…
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psnet.ahrq.gov/issue/efficacy-medical-team-training-improved-team-performance-and-decreased-operating-room-delays
October 06, 2016 - Study
The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases.
Citation Text:
Wolf FA, Way LW, Stewart L. The efficacy of medical team training: improved team performance and decreased operating room delays…
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psnet.ahrq.gov/issue/impact-pharmacist-led-admission-medication-reconciliation-patient-outcomes-large-health
March 17, 2010 - Study
Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system.
Citation Text:
Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. J Patie…
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psnet.ahrq.gov/issue/creating-high-reliability-health-care-system-improving-performance-core-processes-care-johns
January 27, 2016 - Study
Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine.
Citation Text:
Pronovost P, Armstrong M, Demski R, et al. Creating a high-reliability health care system: improving performance on core processes of care at Jo…
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psnet.ahrq.gov/issue/communication-regarding-adverse-neonatal-birth-events-experiences-parents-and-clinicians
May 13, 2020 - Study
Communication regarding adverse neonatal birth events: experiences of parents and clinicians.
Citation Text:
Loren DL, Lyerly AD, Lipira L, et al. Communication regarding adverse neonatal birth events: experiences of parents and clinicians. J Patient Saf Risk Manag. 2021;26(5):200-…
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psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
July 13, 2022 - Study
Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.
Citation Text:
Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multiste…
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psnet.ahrq.gov/issue/helping-healthcare-teams-debrief-effectively-associations-debriefers-actions-and-participants
February 02, 2022 - Study
Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings.
Citation Text:
Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively: associations of debriefers’ a…
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psnet.ahrq.gov/issue/burden-peri-operative-work-night-perceived-anaesthesiologists-international-survey
May 08, 2024 - Study
The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey.
Citation Text:
Cortegiani A, Ippolito M, Lakbar I, et al. The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. Eur J Anaesthesi…
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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - While
guidelines for managing sepsis in adult patients reflect the benefits of initiating volume resuscitation
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psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
February 26, 2020 - Ischemia
August 31, 2022
WebM&M Cases
Errors in Managing