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psnet.ahrq.gov/issue/impact-comprehensive-patient-safety-strategy-obstetric-adverse-events
October 20, 2014 - Study
Impact of a comprehensive patient safety strategy on obstetric adverse events.
Citation Text:
Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200(5):492.e1-8. doi:10.1016/j.ajog.2009.0…
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psnet.ahrq.gov/issue/older-adult-misuse-over-counter-medications-effectiveness-novel-pharmacy-based-intervention
March 23, 2022 - Study
Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety.
Citation Text:
Gilson AM, Chladek JS, Stone JA, et al. Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based int…
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psnet.ahrq.gov/issue/handoff-mnemonics-used-perioperative-handoff-intervention-studies-systematic-review
November 16, 2022 - Review
Handoff mnemonics used in perioperative handoff intervention studies: a systematic review.
Citation Text:
Patel SM, Fuller S, Michael MM, et al. Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. Anesth Analg. 2024;Epub Nov 26. doi:10.1213/a…
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psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
December 31, 2018 - Study
Emerging Classic
The influence of organizational culture, climate and commitment on speaking up about medical errors.
Citation Text:
Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on speaking up about medical…
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psnet.ahrq.gov/issue/interventions-targeted-reducing-diagnostic-error-systematic-review
March 10, 2021 - Review
Interventions targeted at reducing diagnostic error: systematic review.
Citation Text:
Dave N, Bui S, Morgan C, et al. Interventions targeted at reducing diagnostic error: systematic review. BMJ Qual Saf. 2022;31(4):297-307. doi:10.1136/bmjqs-2020-012704.
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psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
July 11, 2012 - Commentary
Classic
Effectiveness and efficiency of root cause analysis in medicine.
Citation Text:
Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685.
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psnet.ahrq.gov/issue/contraindicated-medication-use-dialysis-patients-undergoing-percutaneous-coronary
February 03, 2011 - Study
Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention.
Citation Text:
Tsai TT, Maddox TM, Roe MT, et al. Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention. JAMA. 2009;302(22):2458-64. doi:…
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psnet.ahrq.gov/issue/caregivers-perspectives-ethical-challenges-and-patient-safety-tele-palliative-care
July 10, 2024 - Review
Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review.
Citation Text:
Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. J Hosp Palli…
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psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
April 12, 2019 - Study
Sharing lessons learned to prevent adverse events in anesthesiology nationwide.
Citation Text:
Soncrant C, Neily J, Sum-Ping SJT, et al. Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. J Patient Saf. 2021;17(4):e343-e349. doi:10.1097/PTS.000000000000…
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psnet.ahrq.gov/issue/using-lean-improve-medication-administration-safety-search-perfect-dose
September 16, 2015 - Study
Using Lean to improve medication administration safety: in search of the "perfect dose."
Citation Text:
Ching JM, Long C, Williams BL, et al. Using lean to improve medication administration safety: in search of the "perfect dose". Jt Comm J Qual Patient Saf. 2013;39(5):195-204.
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psnet.ahrq.gov/issue/multiple-component-patient-safety-intervention-english-hospitals-controlled-evaluation-second
February 23, 2011 - Study
Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase.
Citation Text:
Benning A, Dixon-Woods M, Nwulu U, et al. Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. BMJ. 20…
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psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue
January 26, 2022 - Commentary
Rapid response teams as a patient safety practice for failure to rescue.
Citation Text:
Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510.
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psnet.ahrq.gov/issue/value-improving-patient-safety-health-economic-considerations-rapid-response-systems-rapid
January 07, 2015 - Review
Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table.
Citation Text:
Subbe CP, Hughes DA, Lewis S, et al. Value of improving patient safety: health economic considerations for rapid res…
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psnet.ahrq.gov/issue/exploration-ward-based-nurses-perspectives-their-preparedness-recognize-clinical
December 14, 2022 - Review
Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review.
Citation Text:
Mikhail J, King L. Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review.…
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psnet.ahrq.gov/issue/enabling-learning-healthcare-system-automated-computer-protocols-produce-replicable-and
September 23, 2020 - Commentary
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.
Citation Text:
Morris AH, Stagg B, Lanspa M, et al. Enabling a learning healthcare system with automated computer protocols that produce replicab…
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psnet.ahrq.gov/issue/ambulatory-prescribing-errors-among-community-based-providers-two-states
July 10, 2008 - Study
Ambulatory prescribing errors among community-based providers in two states.
Citation Text:
Abramson EL, Bates DW, Jenter CA, et al. Ambulatory prescribing errors among community-based providers in two states. J Am Med Inform Assoc. 2012;19(4):644-8. doi:10.1136/amiajnl-2011-000345…
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psnet.ahrq.gov/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check-override-rates
October 19, 2022 - Study
Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system.
Citation Text:
Lin C-P, Payne TH, Nichol P, et al. Evaluating clinical decision support systems: monitoring CPOE ord…
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psnet.ahrq.gov/issue/computerised-provider-order-entry-combined-clinical-decision-support-systems-improve
March 20, 2013 - Review
Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review.
Citation Text:
Ranji SR, Rennke S, Wachter R. Computerised provider order entry combined with clinical decision support systems to improve medication…
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psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-prescribing-us-nursing-homes-2013-2017
March 27, 2024 - Study
Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017.
Citation Text:
Riester MR, Goyal P, Steinman MA, et al. Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. J Gen Intern Med. 2023;38(6):1563-15…
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psnet.ahrq.gov/issue/time-take-hearing-loss-seriously
September 23, 2020 - Commentary
Time to take hearing loss seriously.
Citation Text:
Blustein J, Wallhagen MI, Weinstein BE, et al. Time to take hearing loss seriously. Jt Comm J Qual Patient Saf. 2019;46(1):53-58. doi:10.1016/j.jcjq.2019.10.003.
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