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psnet.ahrq.gov/issue/clinical-handovers-between-prehospital-and-hospital-staff-literature-review
March 23, 2022 - Review
Clinical handovers between prehospital and hospital staff: literature review.
Citation Text:
Wood K, Crouch R, Rowland E, et al. Clinical handovers between prehospital and hospital staff: literature review. Emerg Med J. 2015;32(7):577-581. doi:10.1136/emermed-2013-203165.
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psnet.ahrq.gov/issue/peer-support-healthcare-professionals-supporting-each-other-after-adverse-medical-events
July 24, 2024 - Study
Peer support: healthcare professionals supporting each other after adverse medical events.
Citation Text:
van Pelt F. Peer support: healthcare professionals supporting each other after adverse medical events. Qual Saf Health Care. 2008;17(4):249-52. doi:10.1136/qshc.2007.025536. …
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psnet.ahrq.gov/issue/impact-interruptions-clinical-task-completion
September 26, 2016 - Study
The impact of interruptions on clinical task completion.
Citation Text:
Westbrook JI, Coiera E, Dunsmuir WTM, et al. The impact of interruptions on clinical task completion. Qual Saf Health Care. 2010;19(4):284-9. doi:10.1136/qshc.2009.039255.
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psnet.ahrq.gov/issue/can-we-make-airway-management-even-safer-lessons-national-audit
March 01, 2023 - Review
Can we make airway management (even) safer?—lessons from national audit.
Citation Text:
Woodall N, Frerk C, Cook TM. Can we make airway management (even) safer?--lessons from national audit. Anaesthesia. 2011;66 Suppl 2:27-33. doi:10.1111/j.1365-2044.2011.06931.x.
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psnet.ahrq.gov/issue/introduction-neurosurgical-postoperative-checklist-improved-quality-care-and-patient-safety
August 03, 2022 - Study
The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety.
Citation Text:
Hall AJ, Toner NS, Bhatt PM. The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety. Br J Neurosurg. 2019;33(5):4…
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psnet.ahrq.gov/issue/usability-evaluation-order-sets-computerized-provider-order-entry-system
May 04, 2011 - Study
Usability evaluation of order sets in a computerized provider order entry system.
Citation Text:
Chan J, Shojania KG, Easty AC, et al. Usability evaluation of order sets in a computerised provider order entry system. BMJ Qual Saf. 2011;20(11):932-40. doi:10.1136/bmjqs.2010.050021…
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psnet.ahrq.gov/issue/hospitalized-patients-participation-and-its-impact-quality-care-and-patient-safety
March 23, 2012 - Study
Hospitalized patients' participation and its impact on quality of care and patient safety.
Citation Text:
Weingart SN, Zhu J, Chiappetta L, et al. Hospitalized patients' participation and its impact on quality of care and patient safety. Int J Qual Health Care. 2011;23(3):269-77. d…
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psnet.ahrq.gov/issue/effect-physicians-long-term-use-cpoe-their-test-management-work-practices
March 23, 2011 - Study
The effect of physicians' long-term use of CPOE on their test management work practices.
Citation Text:
Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test management work practices. J Am Med Inform Assoc. 2006;13(6):643-52.
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psnet.ahrq.gov/issue/minimizing-electronic-health-record-patient-note-mismatches
December 27, 2014 - Study
Minimizing electronic health record patient–note mismatches.
Citation Text:
Wilcox AB, Chen Y-H, Hripcsak G. Minimizing electronic health record patient-note mismatches. J Am Med Inform Assoc. 2011;18(4):511-4. doi:10.1136/amiajnl-2010-000068.
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psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective-records-review-study
December 01, 2021 - Study
Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study.
Citation Text:
doi:http://doi.org/10.1136/bmjopen-2020-048316.
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psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-recommendations
June 13, 2011 - Study
Communicating critical test results: safe practice recommendations.
Citation Text:
Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qual Patient Saf. 2005;31(2):68-80.
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psnet.ahrq.gov/issue/home-medication-reviews-novel-approach-improving-patient-care-through-coordination-care
July 01, 2016 - Study
In-home medication reviews: a novel approach to improving patient care through coordination of care.
Citation Text:
Willis JS, Hoy RH, Jenkins WD. In-home medication reviews: a novel approach to improving patient care through coordination of care. J Community Health. 2011;36(6):1…
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psnet.ahrq.gov/issue/checking-it-twice-evaluation-checklists-detecting-medication-errors-bedside-using
September 26, 2016 - Study
Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model.
Citation Text:
White RE, Trbovich PL, Easty AC, et al. Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a c…
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psnet.ahrq.gov/issue/are-opioid-dependence-and-methadone-maintenance-treatment-mmt-documented-medical-record
August 15, 2018 - Study
Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.
Citation Text:
Walley AY, Farrar D, Cheng DM, et al. Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patie…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
November 15, 2011 - Review
Patient safety and quality improvement: reducing risk of harm.
Citation Text:
Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev. 2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448.
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psnet.ahrq.gov/issue/achieving-institute-medicines-6-aims-quality-midst-opioid-crisis-considerations-emergency
June 24, 2015 - Commentary
Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department.
Citation Text:
Waszak DL, Fennimore LA. Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: consider…
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psnet.ahrq.gov/issue/associations-between-communication-climate-and-frequency-medical-error-reporting-among
July 18, 2016 - Study
Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting.
Citation Text:
Patterson ME, Pace HA, Fincham JE. Associations between communication climate and the frequency of medical error reporting among ph…
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psnet.ahrq.gov/issue/interruptions-during-delivery-high-risk-medications
September 26, 2016 - Study
Interruptions during the delivery of high-risk medications.
Citation Text:
Trbovich PL, Prakash V, Stewart J, et al. Interruptions during the delivery of high-risk medications. J Nurs Adm. 2010;40(5):211-8. doi:10.1097/NNA.0b013e3181da4047.
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psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and
March 30, 2011 - Commentary
An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety.
Citation Text:
Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a hospital system level to improve quality and …
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018648-atlas-final-report-2014.pdf
January 01, 2014 - The analytic cohort of patients consisted of those
individuals who were prescribed medications used … When one of these study medications was prescribed, the intervention
physician had the opportunity … Prescribed study medications by participating PCPs were
obtained from the EHR. … Over the 12-‐month study period, 3022 eligible study
medications were prescribed for 2049 patients … Table 1: Patient characteristics by intervention and control group (3655 unique patients
prescribed