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psnet.ahrq.gov/issue/problems-detecting-medication-errors-hospitals
February 01, 2012 - Study
Classic
The problems of detecting medication errors in hospitals.
Citation Text:
Barker KN, McConnell WE. The Problems of Detecting Medication Errors in Hospitals. Am J Health Syst Pharm. 1962;19(8):360-369. doi:10.1093/ajhp/19.8.360.
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psnet.ahrq.gov/issue/suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient-safety-incident
July 22, 2020 - Study
Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident.
Citation Text:
Stovall M, Hansen L. Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. Worldviews Evid Based Nurs…
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psnet.ahrq.gov/issue/evolving-quality-improvement-support-strategies-improve-plan-do-study-act-cycle-fidelity
March 17, 2014 - Study
Emerging Classic
Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study.
Citation Text:
McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to …
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www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
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Efforts To Improve Patient Safety Result in 1.3 Mill…
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psnet.ahrq.gov/issue/information-exchange-among-physicians-caring-same-patient-community
March 28, 2011 - Study
Classic
Information exchange among physicians caring for the same patient in the community.
Citation Text:
van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same patient in the community. CMAJ. 2008;179(10):…
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psnet.ahrq.gov/issue/experience-family-activation-rapid-response-teams
December 17, 2008 - Commentary
Experience with family activation of rapid response teams.
Citation Text:
Bogert S, Ferrell C, Rutledge DN. Experience with family activation of rapid response teams. Medsurg Nurs. 2010;19(4):215-22; quiz 223.
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psnet.ahrq.gov/issue/identifying-electronic-health-record-contributions-diagnostic-error-ambulatory-settings
January 25, 2023 - Study
Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis.
Citation Text:
Krevat S, Samuel S, Boxley C, et al. Identifying electronic health record contributions to diagnostic error in ambulatory settings through leg…
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psnet.ahrq.gov/issue/clinical-deterioration-nurse-sensitive-indicator-out-hospital-context-scoping-review
July 19, 2023 - Review
Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review.
Citation Text:
Mccullough K, Baker M, Bloxsome D, et al. Clinical deterioration as a nurse sensitive indicator in the out‐of‐hospital context: a scoping review. J Clin Nurs. 202…
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psnet.ahrq.gov/issue/effect-bar-code-assisted-medication-administration-medication-administration-errors-and
October 26, 2022 - Study
Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas.
Citation Text:
Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication administration errors and a…
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psnet.ahrq.gov/issue/errors-after-hours-phone-consultations-simulation-study
March 21, 2017 - Study
Errors in after-hours phone consultations: a simulation study.
Citation Text:
Joffe E, Turley JP, Hwang KO, et al. Errors in after-hours phone consultations: a simulation study. BMJ Qual Saf. 2014;23(5):398-405. doi:10.1136/bmjqs-2013-002243.
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psnet.ahrq.gov/issue/iatrogenic-events-contributing-icu-admission-prospective-study
November 29, 2023 - Study
Iatrogenic events contributing to ICU admission: a prospective study.
Citation Text:
Mercier E, Giraudeau B, Giniès G, et al. Iatrogenic events contributing to ICU admission: a prospective study. Intensive Care Med. 2010;36(6):1033-7. doi:10.1007/s00134-010-1793-9.
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psnet.ahrq.gov/issue/beyond-team-understanding-interprofessional-work-two-north-american-icus
January 14, 2014 - Study
Beyond the team: understanding interprofessional work in two North American ICUs.
Citation Text:
Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.000000000000113…
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psnet.ahrq.gov/issue/evaluating-iatrogenic-prescribing-development-oncology-focused-trigger-tool
December 23, 2020 - Study
Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool.
Citation Text:
Hébert G, Netzer F, Ferrua M, et al. Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. Eur J Cancer. 2015;51(3):427-35. doi:10.1016/j.ejca.2014.12.00…
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psnet.ahrq.gov/issue/accuracy-trigger-tools-detect-preventable-adverse-events-primary-care-systematic-review
January 22, 2016 - Review
The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review.
Citation Text:
Davis JJ, Harrington N, Fagan HB, et al. The Accuracy of Trigger Tools to Detect Preventable Adverse Events in Primary Care: A Systematic Review. J Am Board Fam …
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psnet.ahrq.gov/issue/review-patient-safety-measures-based-routinely-collected-hospital-data
February 10, 2012 - Review
A review of patient safety measures based on routinely collected hospital data.
Citation Text:
Tsang C, Palmer WL, Bottle A, et al. A review of patient safety measures based on routinely collected hospital data. Am J Med Qual. 2012;27(2):154-69. doi:10.1177/1062860611414697.
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www.ahrq.gov/patient-safety/index.html
January 01, 2024 - Patient Safety and Quality Improvement
AHRQ Safety Program for Perinatal Care, Phase 2
Resources to help labor and delivery units reduce obstetric hemorrhage and severe hypertension in pregnancy
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psnet.ahrq.gov/issue/teamgains-tool-structured-debriefings-simulation-based-team-trainings
October 08, 2016 - Study
TeamGAINS: a tool for structured debriefings for simulation-based team trainings.
Citation Text:
Kolbe M, Weiss M, Grote G, et al. TeamGAINS: a tool for structured debriefings for simulation-based team trainings. BMJ Qual Saf. 2013;22(7):541-53. doi:10.1136/bmjqs-2012-000917.
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psnet.ahrq.gov/issue/rapid-response-teams-systematic-review-and-meta-analysis
December 21, 2014 - Review
Classic
Rapid response teams: a systematic review and meta-analysis.
Citation Text:
Chan PS, Jain R, Nallmothu BK, et al. Rapid Response Teams: A Systematic Review and Meta-analysis. Arch Intern Med. 2010;170(1):18-26. doi:10.1001/archinternmed.2009.424…
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www.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012
This document provides estimates of the national rate of hospital-acquired conditions (HACs) for the Partnership for Patients (PFP) program for calendar years 2011 and 2012. The methods used to compute this data are identical to t…
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psnet.ahrq.gov/issue/injury-and-liability-associated-monitored-anesthesia-care-closed-claims-analysis
June 23, 2009 - Study
Injury and liability associated with monitored anesthesia care: a closed claims analysis.
Citation Text:
Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia care: a closed claims analysis. Anesthesiology. 2006;104(2):228-234.
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