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digital.ahrq.gov/ahrq-funded-projects/develop-and-validate-health-it-safety-measures-capture-violations-five-rights/citation/risk
January 01, 2023 - Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems.
Citation
Adelman JS, Applebaum JR, Southern WN, Schechter CB, Aschner JL, Berger MA, Racine AD, Chacko B, Dadlez NM, Goffman D, Babineau J, Green RA, Vawdrey DK, M…
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digital.ahrq.gov/organization/childrens-research-institute
January 01, 2023 - Research Institute at Nationwide Children’s Hospital
A Randomized Clinical Trial of Smartphone Virtual Reality for Pain Management During Burn Care Transition
Description
This research will adapt a pain management virtual reality application for use on a smartphone to manage p…
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digital.ahrq.gov/organization/medical-college-wisconsin
January 01, 2023 - Medical College of Wisconsin
Perception and Use of a Patient Care Window to Improve Care and Family Engagement
Description
This project evaluated the use of an in-room interactive monitor to improve patient-centered care and family engagement within a pediatric intensive care …
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psnet.ahrq.gov/node/44989/psn-pdf
July 01, 2016 - Can medical record reviewers reliably identify errors and
adverse events in the ED?
July 1, 2016
Klasco RS, Wolfe RE, Lee T, et al. Can medical record reviewers reliably identify errors and adverse
events in the ED? Am J Emerg Med. 2016;34(6):1043-8. doi:10.1016/j.ajem.2016.03.001.
https://psnet.ahrq.gov/issue/can…
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psnet.ahrq.gov/node/47122/psn-pdf
June 13, 2018 - Intravenous chemotherapy compounding errors in a
follow-up pan-Canadian observational study.
June 13, 2018
Gilbert RE, Kozak MC, Dobish RB, et al. Intravenous Chemotherapy Compounding Errors in a Follow-Up
Pan-Canadian Observational Study. J Oncol Pract. 2018;14(5):e295-e303. doi:10.1200/JOP.17.00007.
https://psne…
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psnet.ahrq.gov/node/44407/psn-pdf
April 15, 2016 - Frequency and severity of parenteral nutrition medication
errors at a large children's hospital after implementation
of electronic ordering and compounding.
April 15, 2016
MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors
at a Large Children's Hospital After Im…
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psnet.ahrq.gov/node/74185/psn-pdf
January 01, 2022 - The aspects of healthcare quality that are important to
health professionals and patients: a qualitative study.
December 15, 2021
Hannawa AF, Wu AW, Kolyada A, et al. The aspects of healthcare quality that are important to health
professionals and patients: a qualitative study. Patient Educ Couns. 2022;105(6):1561-…
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psnet.ahrq.gov/node/853058/psn-pdf
August 30, 2023 - Diagnostic reliability in teledermatology: a systematic
review and a meta-analysis.
August 30, 2023
Bourkas AN, Barone N, Bourkas MEC, et al. Diagnostic reliability in teledermatology: a systematic review
and a meta-analysis. BMJ Open. 2023;13(8):e068207. doi:10.1136/bmjopen-2022-068207.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/44888/psn-pdf
April 06, 2016 - Transforming the morbidity and mortality conference to
promote safety and quality in a PICU.
April 6, 2016
Cifra CL, Bembea MM, Fackler JC, et al. Transforming the morbidity and mortality conference to promote
safety and quality in a PICU. Crit Care Med. 2016;17(1):58-66. doi:10.1097/PCC.0000000000000539.
https://…
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psnet.ahrq.gov/node/34730/psn-pdf
October 29, 2013 - Medication Errors. 2nd ed.
October 29, 2013
Cohen MR, ed. Washington DC: American Pharmacists Association; 2007.
https://psnet.ahrq.gov/issue/medication-errors-2nd-ed
Cohen, executive director of the Institute for Safe Medication Practices (ISMP), combined 25 years of
experience as a leader in medication safety wi…
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psnet.ahrq.gov/node/45717/psn-pdf
July 21, 2017 - What have we learnt after 15 years of research into the
'weekend effect'?
July 21, 2017
Bray BD, Steventon A. What have we learnt after 15 years of research into the 'weekend effect'? BMJ Qual
Saf. 2017;26(8):607-610. doi:10.1136/bmjqs-2016-005793.
https://psnet.ahrq.gov/issue/what-have-we-learnt-after-15-years-re…
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psnet.ahrq.gov/node/845345/psn-pdf
March 01, 2023 - The role of language barriers on efficacy of rapid
response teams.
March 1, 2023
Raff L, Moore C, Raff E. The role of language barriers on efficacy of rapid response teams. Hosp Pract
(1995). 2023;51(1):29-34. doi:10.1080/21548331.2022.2150416.
https://psnet.ahrq.gov/issue/role-language-barriers-efficacy-rapid-res…
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psnet.ahrq.gov/node/72659/psn-pdf
January 20, 2021 - Association between paediatric intraoperative
anaesthesia handover and adverse postoperative
outcomes.
January 20, 2021
Kannampallil TG, Lew D, Pfeifer EE, et al. Association between paediatric intraoperative anaesthesia
handover and adverse postoperative outcomes. BMJ Qual Saf. 2021;30(9):755-763. doi:10.1136/bmj…
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psnet.ahrq.gov/node/38804/psn-pdf
July 22, 2009 - Tenfold therapeutic dosing errors in young children
reported to US poison control centers.
July 22, 2009
Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison
control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10.2146/080377.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/45281/psn-pdf
September 01, 2016 - Screen flashes and pop-up reminders: 'alert fatigue'
spreads through medicine.
September 1, 2016
Luthra S. Kaiser Health News. June 15, 2016.
https://psnet.ahrq.gov/issue/screen-flashes-and-pop-reminders-alert-fatigue-spreads-through-medicine
Alert fatigue is known to contribute to medical error. This news article…
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psnet.ahrq.gov/node/40530/psn-pdf
September 25, 2011 - Patient safety factors in children dying in a paediatric
intensive care unit (PICU): a case notes review study.
September 25, 2011
Monroe K, Wang D, Vincent CA, et al. Patient safety factors in children dying in a paediatric intensive care
unit (PICU): a case notes review study. BMJ Qual Saf. 2011;20(10):863-8.
do…
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psnet.ahrq.gov/node/38777/psn-pdf
March 04, 2011 - Perceptions of standards-based electronic prescribing
systems as implemented in outpatient primary care: a
physician survey.
March 4, 2011
Wang J, Patel MH, Schueth AJ, et al. Perceptions of standards-based electronic prescribing systems as
implemented in outpatient primary care: a physician survey. J Am Med Infor…
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psnet.ahrq.gov/node/43284/psn-pdf
November 28, 2016 - Parental involvement in the preoperative surgical safety
checklist is welcomed by both parents and staff.
November 28, 2016
Corbally MT, Tierney E. Parental involvement in the preoperative surgical safety checklist is welcomed by
both parents and staff. Int J Pediatr. 2014;2014:791490. doi:10.1155/2014/791490.
htt…
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psnet.ahrq.gov/node/46909/psn-pdf
August 01, 2018 - Guidance on Safe Medical Staffing: Report of a Working
Party.
August 1, 2018
London, UK: Royal College of Physicians; 2018. ISBN: 9781860167270.
https://psnet.ahrq.gov/issue/guidance-safe-medical-staffing-report-working-party
Lack of appropriate staffing can diminish the safety and effectiveness of medical service…
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effectivehealthcare.ahrq.gov/products/stem-cell-children-future/research