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psnet.ahrq.gov/issue/cost-implications-actual-and-potential-adverse-events-prevented-interventions-critical-care
June 28, 2010 - Study
Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist.
Citation Text:
Kopp BJ, Mrsan M, Erstad BL, et al. Cost implications of and potential adverse events prevented by interventions of a critical care pharmacist. Am J H…
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psnet.ahrq.gov/issue/using-situ-simulation-improve-hospital-cardiopulmonary-resuscitation
January 02, 2017 - Study
Using in situ simulation to improve in-hospital cardiopulmonary resuscitation.
Citation Text:
Lighthall GK, Poon T, Harrison K. Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Jt Comm J Qual Patient Saf. 2010;36(5):209-16.
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psnet.ahrq.gov/issue/measuring-communication-surgical-icu-better-communication-equals-better-care
April 03, 2005 - Study
Measuring communication in the surgical ICU: better communication equals better care.
Citation Text:
Williams M, Hevelone N, Alban RF, et al. Measuring communication in the surgical ICU: better communication equals better care. J Am Coll Surg. 2010;210(1):17-22. doi:10.1016/j.jamc…
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psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therapy
June 12, 2018 - Organizational Policy/Guidelines
ASPEN Safe Practices for Enteral Nutrition Therapy.
Citation Text:
Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053.
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psnet.ahrq.gov/issue/increase-us-medication-error-deaths-between-1983-and-1993
March 14, 2022 - Study
Classic
Increase in US medication-error deaths between 1983 and 1993.
Citation Text:
Phillips DP, Christenfeld N, Glynn LM. Increase in US medication-error deaths between 1983 and 1993. Lancet. 1998;351(9103):643-4.
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psnet.ahrq.gov/issue/inaccuracies-assignment-clinical-stage-localized-prostate-cancer
April 06, 2022 - Study
Inaccuracies in assignment of clinical stage for localized prostate cancer.
Citation Text:
Reese AC, Sadetsky N, Carroll PR, et al. Inaccuracies in assignment of clinical stage for localized prostate cancer. Cancer. 2011;117(2):283-9. doi:10.1002/cncr.25596.
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psnet.ahrq.gov/issue/non-health-care-facility-cardiovascular-medication-errors-united-states
November 28, 2018 - Study
Non–health care facility cardiovascular medication errors in the United States.
Citation Text:
Kamboj AK, Spiller HA, Casavant MJ, et al. Non-Health Care Facility Cardiovascular Medication Errors in the United States. Ann Pharmacother. 2017;51(10):825-833. doi:10.1177/1060028017714…
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psnet.ahrq.gov/issue/clinical-reasoning-wild-premature-closure-during-covid-19-pandemic
September 02, 2020 - Commentary
Clinical reasoning in the wild: premature closure during the COVID-19 pandemic.
Citation Text:
Boyle JG, Walters MR, Jamieson S, et al. Clinical reasoning in the wild: premature closure during the COVID-19 pandemic. Diagnosis (Berl). 2020;7(3):177-179. doi:10.1515/dx-2020-0061…
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psnet.ahrq.gov/issue/medical-emergency-team-calls-radiology-department-patient-characteristics-and-outcomes
July 06, 2011 - Study
Medical emergency team calls in the radiology department: patient characteristics and outcomes.
Citation Text:
Ott LK, Pinsky MR, Hoffman LA, et al. Medical emergency team calls in the radiology department: patient characteristics and outcomes. BMJ Qual Saf. 2012;21(6):509-18. d…
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psnet.ahrq.gov/issue/impact-performance-obstacles-intensive-care-nurses-workload-perceived-quality-and-safety-care
March 11, 2020 - Study
Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of care, and quality of working life.
Citation Text:
Gurses AP, Carayon P, Wall M. Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of …
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psnet.ahrq.gov/issue/five-ways-you-can-reduce-inappropriate-prescribing-elderly-systematic-review
September 23, 2020 - Review
Five ways you can reduce inappropriate prescribing in the elderly: a systematic review.
Citation Text:
Garcia RM. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. J Fam Pract. 2006;55(4):305-12.
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psnet.ahrq.gov/issue/automated-and-electronically-assisted-hand-hygiene-monitoring-systems-systematic-review
July 30, 2014 - Review
Automated and electronically assisted hand hygiene monitoring systems: a systematic review.
Citation Text:
Ward MA, Schweizer ML, Polgreen PM, et al. Automated and electronically assisted hand hygiene monitoring systems: a systematic review. Am J Infect Control. 2014;42(5):472-8. …
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psnet.ahrq.gov/issue/time-out-charting-path-improving-performance-measurement
March 06, 2005 - Commentary
Classic
Time out—charting a path for improving performance measurement.
Citation Text:
MacLean CH, Kerr EA, Qaseem A. Time Out - Charting a Path for Improving Performance Measurement. N Engl J Med. 2018;378(19):1757-1761. doi:10.1056/NEJMp1802595.
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psnet.ahrq.gov/issue/participating-multisite-study-exploring-operational-failures-encountered-frontline-nurses
July 05, 2017 - Commentary
Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned.
Citation Text:
Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Lea…
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psnet.ahrq.gov/issue/stressful-intensive-care-unit-medical-crises-how-individual-responses-impact-team-performance
May 26, 2010 - Study
Stressful intensive care unit medical crises: how individual responses impact on team performance.
Citation Text:
Piquette D, Reeves S, LeBlanc VR. Stressful intensive care unit medical crises: How individual responses impact on team performance. Crit Care Med. 2009;37(4):1251-12…
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psnet.ahrq.gov/issue/incidence-speech-recognition-errors-emergency-department
February 14, 2017 - Study
Incidence of speech recognition errors in the emergency department.
Citation Text:
Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J Med Inform. 2016;93:70-73. doi:10.1016/j.ijmedinf.2016.05.005.
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psnet.ahrq.gov/issue/improving-patient-safety-radiology-concepts-comprehensive-patient-safety-program
December 14, 2016 - Commentary
Improving patient safety in radiology: concepts for a comprehensive patient safety program.
Citation Text:
Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety in radiology: concepts for a comprehensive patient safety program. Semin Ultrasound CT MR. 2010…
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psnet.ahrq.gov/issue/perceptions-effective-and-ineffective-nurse-physician-communication-hospitals
June 28, 2017 - Study
Perceptions of effective and ineffective nurse–physician communication in hospitals.
Citation Text:
Robinson P, Gorman G, Slimmer LW, et al. Perceptions of effective and ineffective nurse-physician communication in hospitals. Nurs Forum. 2010;45(3):206-16. doi:10.1111/j.1744-6198…
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psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs
August 30, 2023 - Study
Adverse events and near miss reporting in the NHS.
Citation Text:
Shaw R. Adverse events and near miss reporting in the NHS. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010553.
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psnet.ahrq.gov/issue/examining-nature-interprofessional-interventions-designed-promote-patient-safety-narrative
August 17, 2018 - Review
Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review.
Citation Text:
Reeves ST, Clark E, Lawton S, et al. Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. Inter…