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psnet.ahrq.gov/issue/medication-complexity-medication-number-and-their-relationships-medication-discrepancies
November 16, 2022 - Study
Medication complexity, medication number, and their relationships to medication discrepancies.
Citation Text:
Patel CH, Zimmerman KM, Fonda JR, et al. Medication Complexity, Medication Number, and Their Relationships to Medication Discrepancies. Ann Pharmacother. 2016;50(7):534-40.…
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psnet.ahrq.gov/issue/initial-clinical-evaluation-handheld-device-detecting-retained-surgical-gauze-sponges-using
August 18, 2010 - Study
Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology.
Citation Text:
Macario A, Morris D, Morris S. Initial clinical evaluation of a handheld device for detecting retained surgical gauze spon…
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psnet.ahrq.gov/issue/therapeutic-errors-involving-adults-community-setting-nature-causes-and-outcomes
May 24, 2009 - Study
Therapeutic errors involving adults in the community setting: nature, causes and outcomes.
Citation Text:
Taylor D, Robinson J, MacLeod D, et al. Therapeutic errors involving adults in the community setting: nature, causes and outcomes. Aust N Z J Public Health. 2009;33(4):388-94…
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psnet.ahrq.gov/issue/feasibility-centre-based-incident-reporting-primary-healthcare-spiegel-study
October 05, 2011 - Study
Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study.
Citation Text:
Zwart DLM, Steerneman AHM, van Rensen ELJ, et al. Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. BMJ Qual Saf. 2011;20(2):121-7. doi:1…
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psnet.ahrq.gov/issue/nurses-discuss-bedside-handover-and-using-written-handover-sheets
January 24, 2018 - Study
Nurses discuss bedside handover and using written handover sheets.
Citation Text:
Johnson M, Cowin LS. Nurses discuss bedside handover and using written handover sheets. J Nurs Manag. 2013;21(1):121-9. doi:10.1111/j.1365-2834.2012.01438.x.
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psnet.ahrq.gov/issue/management-arterial-lines-and-blood-sampling-intensive-care-threat-patient-safety
November 12, 2014 - Study
Management of arterial lines and blood sampling in intensive care: a threat to patient safety.
Citation Text:
Leslie RA, Gouldson S, Habib N, et al. Management of arterial lines and blood sampling in intensive care: a threat to patient safety. Anaesthesia. 2013;68(11). doi:10.1111…
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psnet.ahrq.gov/issue/evaluation-frequency-dispensing-electronically-discontinued-medications-and-associated
March 03, 2019 - Study
Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes.
Citation Text:
Copi EJ, Kelley LR, Fisher KK. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. J Am Pharm Assoc (2003…
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psnet.ahrq.gov/issue/usability-testing-mobile-app-report-medication-errors-anonymously-mixed-methods-approach
May 12, 2021 - Study
Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.
Citation Text:
George D, Hassali MA, Hss A-S. Usability Testing of a Mobile App to Report Medication Errors Anonymously: Mixed-Methods Approach. JMIR Hum Factors. 2018;5(4):e12232. do…
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psnet.ahrq.gov/issue/evidence-guiding-practice-reported-versus-observed-adherence-contact-precautions-pilot-study
June 28, 2017 - Study
Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study.
Citation Text:
Jessee MA, Mion LC. Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. Am J Infect Control. 2013;41(11):965-…
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psnet.ahrq.gov/issue/how-do-black-serving-hospitals-perform-patient-safety-indicators-implications-national-public
February 18, 2011 - Study
How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance.
Citation Text:
Ly DP, López L, Isaac T, et al. How do black-serving hospitals perform on patient safety indicators? Implications for national …
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psnet.ahrq.gov/issue/communication-failures-patient-sign-out-and-suggestions-improvement-critical-incident
April 16, 2008 - Study
Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis.
Citation Text:
Arora VM, Johnson JK, Lovinger D, et al. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. Qual Saf Hea…
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psnet.ahrq.gov/issue/psych-mnemonic-help-psychiatric-residents-decrease-patient-handoff-communication-errors
November 16, 2022 - Study
PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors.
Citation Text:
Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316…
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psnet.ahrq.gov/issue/computerized-rounding-report-implementation-model-system-support-transitions-care
October 19, 2022 - Study
The computerized rounding report: implementation of a model system to support transitions of care.
Citation Text:
Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7.…
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psnet.ahrq.gov/issue/design-and-trial-new-ambulance-emergency-department-handover-protocol-imist-ambo
March 14, 2022 - Study
Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.'
Citation Text:
Iedema R, Ball C, Daly B, et al. Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO'. BMJ Qual Saf. 2012;21(8):627-33. doi:10.1136/b…
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psnet.ahrq.gov/issue/evaluation-detected-medication-errors-within-operating-room-academic-medical-center
October 19, 2022 - Study
Evaluation of detected medication errors within the operating room at an academic medical center.
Citation Text:
Wolf M, Rolf J, Nelson D, et al. Evaluation of detected medication errors within the operating room at an academic medical center. Hosp Pharm. 2023;58(3):309-314. doi:10…
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psnet.ahrq.gov/issue/process-changes-increase-compliance-universal-protocol-bedside-procedures
December 01, 2014 - Study
Process changes to increase compliance with the Universal Protocol for bedside procedures.
Citation Text:
Barsuk JH, Brake H, Caprio T, et al. Process changes to increase compliance with the universal protocol for bedside procedures. Arch Intern Med. 2011;171(10):947-9. doi:10.10…
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psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room-communication-using
October 04, 2023 - Study
Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS.
Citation Text:
Stephens WA, Anderson MJ, Levy BE, et al. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. J Am Coll Surg. 2024;…
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psnet.ahrq.gov/issue/using-objective-structured-clinical-examination-test-adherence-joint-commission-national
September 26, 2012 - Study
Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors.
Citation Text:
Pernar LIM, Shaw T, Pozner CN, et al. Using an Objective Structured Clinical Examination to test adherence to Joint Commissio…
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psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples
October 20, 2021 - Press Release/Announcement
Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples.
Citation Text:
Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. US Food and Drug Administration. October 7, 2021.
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psnet.ahrq.gov/issue/use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-patient-falls
September 23, 2020 - Study
Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls.
Citation Text:
Bursiek AA, Hopkins MR, Breitkopf DM, et al. Use of High-Fidelity Simulation to Enhance Interdisciplinary Collaboration and Reduce Patient Falls. J Patient Saf. 2020;…