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psnet.ahrq.gov/issue/informing-design-new-pragmatic-registry-stimulate-near-miss-reporting-ambulatory-care
January 12, 2011 - Review
Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care.
Citation Text:
Pfoh ER, Engineer L, Singh H, et al. Informing the Design of a New Pragmatic Registry to Stimulate Near Miss Reporting in Ambulatory Care. J Patient Saf. 2021;17(3)…
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psnet.ahrq.gov/issue/implementation-structured-hospital-wide-morbidity-and-mortality-rounds-model
January 20, 2015 - Study
Implementation of a structured hospital-wide morbidity and mortality rounds model.
Citation Text:
Kwok ESH, Calder LA, Barlow-Krelina E, et al. Implementation of a structured hospital-wide morbidity and mortality rounds model. BMJ Qual Saf. 2017;26(6):439-448. doi:10.1136/bmjqs-201…
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psnet.ahrq.gov/issue/handoffs-and-teamwork-framework-care-transition-communication
September 28, 2022 - Commentary
Handoffs and teamwork: a framework for care transition communication.
Citation Text:
Webster KLW, Keebler JR, Lazzara EH, et al. Handoffs and teamwork: a framework for care transition communication. Jt Comm Qual Patient Saf. 2022;48(6-7):343-353. doi:10.1016/j.jcjq.2022.04.001…
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psnet.ahrq.gov/issue/analysis-medication-safety-intervention-pediatric-emergency-department
August 02, 2012 - Study
Analysis of a medication safety intervention in the pediatric emergency department.
Citation Text:
Samuels-Kalow ME, Tassone R, Manning W, et al. Analysis of a medication safety intervention in the pediatric emergency department. JAMA Netw Open. 2024;7(1):e2351629. doi:10.1001/jama…
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psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care
September 07, 2016 - Government Resource
Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care.
Citation Text:
Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16-328.…
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psnet.ahrq.gov/issue/improving-quality-and-safety-care-medical-ward-review-and-synthesis-evidence-base
November 03, 2015 - Review
Improving the quality and safety of care on the medical ward: a review and synthesis of the evidence base.
Citation Text:
Pannick S, Beveridge I, Wachter R, et al. Improving the quality and safety of care on the medical ward: A review and synthesis of the evidence base. Eur J Inte…
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psnet.ahrq.gov/issue/how-many-hospital-pharmacy-medication-dispensing-errors-go-undetected
October 25, 2010 - Study
How many hospital pharmacy medication dispensing errors go undetected?
Citation Text:
Cina J, Gandhi TK, Churchill WW, et al. How many hospital pharmacy medication dispensing errors go undetected? Jt Comm J Qual Patient Saf. 2006;32(2):73-80.
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psnet.ahrq.gov/issue/toolkit-disseminate-best-practices-inpatient-medication-reconciliation-multi-center
January 23, 2019 - Commentary
A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS).
Citation Text:
Mueller SK, Kripalani S, Stein J, et al. A toolkit to disseminate best practices in inpatient medicatio…
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psnet.ahrq.gov/issue/hospital-workload-and-adverse-events
August 31, 2011 - Study
Classic
Hospital workload and adverse events.
Citation Text:
Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care. 2007;45(5):448-55.
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Google Scholar PubMed BibTeX EndNote X3 XML…
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psnet.ahrq.gov/issue/understanding-procedural-violations-using-safety-i-and-safety-ii-case-community-pharmacies
February 06, 2019 - Study
Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies.
Citation Text:
Jones CEL, Phipps D, Ashcroft DM. Understanding procedural violations using Safety-I and Safety-II: The case of community pharmacies. Saf Sci. 2018;105:114-120. doi:10…
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psnet.ahrq.gov/issue/variation-rates-adverse-events-between-hospitals-and-hospital-departments
July 26, 2011 - Study
Variation in the rates of adverse events between hospitals and hospital departments.
Citation Text:
Zegers M, de Bruijne M, Spreeuwenberg P, et al. Variation in the rates of adverse events between hospitals and hospital departments. Int J Qual Health Care. 2011;23(2):126-33. doi:10…
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psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
January 26, 2022 - Study
Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements?
Citation Text:
Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525.
C…
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psnet.ahrq.gov/issue/prospective-observational-study-incidence-medication-errors-during-simulated-resuscitation
April 22, 2011 - Study
Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department.
Citation Text:
Kozer E, Seto W, Verjee Z, et al. Prospective observational study on the incidence of medication errors during simulated resus…
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psnet.ahrq.gov/issue/using-lean-automation-human-touch-improve-medication-safety-step-closer-perfect-dose
September 16, 2015 - Study
Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose."
Citation Text:
Ching JM, Williams BL, Idemoto LM, et al. Using lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose". Jt Co…
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psnet.ahrq.gov/issue/emergency-department-visits-antibiotic-associated-adverse-events
October 31, 2014 - Study
Emergency department visits for antibiotic-associated adverse events.
Citation Text:
Shehab N, Patel PR, Srinivasan A, et al. Emergency department visits for antibiotic-associated adverse events. Clin Infect Dis. 2008;47(6):735-43. doi:10.1086/591126.
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digital.ahrq.gov/funding-mechanism/disseminating-and-implementing-patient-centered-outcomes-research-pcor-evidence
January 01, 2023 - Disseminating and Implementing Patient-Centered Outcomes Research (PCOR) Evidence into Practice through Interoperable Clinical Decision Support (R18)
Development of SMART on FHIR Interoperable Clinical Decision Support for Emergency Department Patients with Pneumonia and Pilot Deploymen…
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psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm-during-childbirth
July 24, 2013 - Commentary
Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth.
Citation Text:
Petrovic M, Nicholls J, Siassakos D. Proceed with reasonable care: when legal principles inform training to prevent harm during childbirth. Best Pract Res …
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psnet.ahrq.gov/issue/safe-implementation-standard-concentration-infusions-paediatric-intensive-care
June 17, 2014 - Study
Safe implementation of standard concentration infusions in paediatric intensive care.
Citation Text:
Arenas-López S, Stanley IM, Tunstell P, et al. Safe implementation of standard concentration infusions in paediatric intensive care. Journal of Pharmacy and Pharmacology. 2016;69(5)…
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psnet.ahrq.gov/issue/impact-pharmacist-led-discharge-medication-reconciliation-error-and-patient-harm-prevention
March 27, 2019 - Study
Impact of pharmacist-led discharge medication reconciliation on error and patient harm prevention at a large academic medical center.
Citation Text:
Zheng L, Pon T, Bajorek SA, et al. Impact of pharmacist‐led discharge medication reconciliation on error and patient harm prevention …
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psnet.ahrq.gov/issue/safety-evaluation-impact-maternity-orientated-human-factors-training-safety-culture-tertiary
October 19, 2022 - Study
A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit.
Citation Text:
Ansari SP, Rayfield ME, Wallis VA, et al. A Safety Evaluation of the Impact of Maternity-Orientated Human Factors Training on Safety Cultu…