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psnet.ahrq.gov/issue/delayed-or-failure-follow-abnormal-breast-cancer-screening-mammograms-primary-care-systematic
December 08, 2021 - Review
Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review.
Citation Text:
Reece JC, Neal EFG, Nguyen P, et al. Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. B…
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psnet.ahrq.gov/issue/trigger-alerts-associated-laboratory-abnormalities-identifying-potentially-preventable
August 30, 2017 - Study
Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward.
Citation Text:
Buckley MS, Rasmussen JR, Bikin DS, et al. Trigger alerts associated with laboratory abnormalities on ident…
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psnet.ahrq.gov/issue/implementing-computerized-provider-order-entry-acute-care-hospitals-united-states-could
March 30, 2022 - Study
Implementing computerized provider order entry in acute care hospitals in the United States could generate substantial savings to society.
Citation Text:
Nuckols TK, Asch SM, Patel V, et al. Implementing Computerized Provider Order Entry in Acute Care Hospitals in the United States…
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psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting
October 12, 2016 - Study
Safety incidents in the primary care office setting.
Citation Text:
Rees P, Edwards A, Panesar S, et al. Safety incidents in the primary care office setting. Pediatrics. 2015;135(6):1027-35. doi:10.1542/peds.2014-3259.
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psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic-review
October 16, 2024 - Review
Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis.
Citation Text:
Mahmoud HA, Thavorn K, Mulpuru S, et al. Barriers and facilitators to improving patient safety learning systems: a systematic revie…
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psnet.ahrq.gov/issue/combined-impact-medicares-hospital-pay-performance-programs-quality-and-safety-outcomes-mixed
December 08, 2021 - Study
Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed.
Citation Text:
Waters TM, Burns N, Kaplan CM, et al. Combined impact of Medicare’s hospital pay for performance programs on quality and safety outcomes is mixed. BMC Health …
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psnet.ahrq.gov/issue/association-provider-specialty-abortion-related-morbidity-and-adverse-events-among-patients
December 16, 2020 - Study
Association of provider specialty with abortion-related morbidity and adverse events among patients having procedural and medication abortions.
Citation Text:
Patel D, Liu G, Roberts SCM, et al. Association of provider specialty with abortion-related morbidity and adverse events am…
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psnet.ahrq.gov/issue/effect-hospital-electronic-health-record-adoption-nurse-assessed-quality-care-and-patient
March 28, 2012 - Study
The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety.
Citation Text:
Kutney-Lee A, Kelly D. The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. J Nurs Adm. 2011;41(…
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psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk
September 11, 2019 - Study
Classic
Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare.
Citation Text:
Liberati EG, Peerally MF, Dixon-Woods M. Learning from high risk industries may not be strai…
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psnet.ahrq.gov/issue/effect-patient-and-medication-related-factors-inpatient-medication-reconciliation-errors
May 08, 2017 - Study
Effect of patient- and medication-related factors on inpatient medication reconciliation errors.
Citation Text:
Salanitro AH, Osborn CY, Schnipper JL, et al. Effect of patient- and medication-related factors on inpatient medication reconciliation errors. J Gen Intern Med. 2012;27(8…
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psnet.ahrq.gov/issue/improving-timely-recognition-and-treatment-sepsis-pediatric-icu
December 09, 2020 - Study
Improving timely recognition and treatment of sepsis in the pediatric ICU.
Citation Text:
Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU. Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005. …
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psnet.ahrq.gov/issue/i-readi-quality-and-safety-framework-health-systems-response-airway-complications
June 09, 2021 - Commentary
The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19.
Citation Text:
Ginestra JC, Atkins JH, Mikkelsen ME, et al. The I-READI Quality and Safety Framework: a health system’s response to a…
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psnet.ahrq.gov/issue/using-global-trigger-tool-surgical-and-neurosurgical-patients-feasibility-study
June 09, 2021 - Study
Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study.
Citation Text:
Brösterhaus M, Hammer A, Gruber R, et al. Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. PLoS ONE. 2022;17(8):e0272853. doi:10.1371/…
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psnet.ahrq.gov/issue/systematic-review-safety-checklists-use-medical-care-teams-acute-hospital-settings-limited
July 29, 2020 - Review
Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness.
Citation Text:
Ko HCH, Turner TJ, Finnigan MA. Systematic review of safety checklists for use by medical care teams in acute hospital settings--limi…
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psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-application-and-process-redesign-potential
June 09, 2011 - Study
Classic
Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.
Citation Text:
Schnipper JL, Hamann C, Ndumele CD, et al. Effect of an electronic medication reconcil…
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psnet.ahrq.gov/issue/design-and-implementation-automated-email-notification-system-results-tests-pending-discharge
March 04, 2015 - Study
Design and implementation of an automated email notification system for results of tests pending at discharge.
Citation Text:
Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am M…
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psnet.ahrq.gov/issue/improving-clinical-handover-between-intensive-care-unit-and-general-ward-professionals
January 30, 2019 - Review
Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge.
Citation Text:
van Sluisveld N, Hesselink G, van der Hoeven JG, et al. Improving clinical handover between intensive care unit and general ward professionals at…
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psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify
May 25, 2022 - Study
Classic
Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events.
Citation Text:
Kang H, Wang J, Yao B, et al. Toward safer health care: a review strate…
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psnet.ahrq.gov/issue/factors-associated-wrong-blood-tube-errors-international-case-series-best-collaborative-study
September 29, 2021 - Study
Factors associated with wrong blood in tube errors: an international case series - The BEST collaborative study.
Citation Text:
Dunbar NM, Kaufman RM. Factors associated with wrong blood in tube errors: an international case series – The BEST collaborative study. Transfusion (Paris…
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psnet.ahrq.gov/issue/ethical-issues-patient-safety-research-systematic-review-literature
April 21, 2021 - Review
Ethical issues in patient safety research: a systematic review of the literature.
Citation Text:
Whicher DM, Kass NE, Audera-Lopez C, et al. Ethical issues in patient safety research: a systematic review of the literature. J Patient Saf. 2015;11(3):174-184. doi:10.1097/PTS.0000000…