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psnet.ahrq.gov/issue/identifying-and-characterizing-preventable-adverse-drug-events-prioritizing-pharmacist
July 15, 2010 - Study
Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals.
Citation Text:
Jeon N, Staley B, Johns T, et al. Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospital…
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psnet.ahrq.gov/issue/recovery-covid-19-related-disruptions-cancer-detection
November 16, 2022 - Study
Recovery from COVID-19-related disruptions in cancer detection.
Citation Text:
Kim U, Rose J, Carroll BT, et al. Recovery from COVID-19-related disruptions in cancer detection. JAMA Netw Open. 2024;7(10):e2439263. doi:10.1001/jamanetworkopen.2024.39263.
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psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
March 28, 2012 - Study
Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review.
Citation Text:
Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retro…
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psnet.ahrq.gov/issue/teamwork-clinical-leadership-skills-and-environmental-factors-influence-missed-nursing-care
August 04, 2010 - Study
Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards.
Citation Text:
Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental factors that influence mi…
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psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-older-acutely-admitted-patients-longitudinal
June 08, 2022 - Study
The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study with 4292 patient records.
Citation Text:
Schouten B, Merten H, Spreeuwenberg PMM, et al. The incidence and preventability of adverse events in older acutely admitted patient…
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psnet.ahrq.gov/issue/risky-procedures-nurses-hospitals-problems-and-contemplated-refusals-orders-physicians-and
February 14, 2024 - Study
Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.
Citation Text:
de Bie J, Cuperus-Bosma JM, van der Jagt MAB, et al. Risky procedures by nurses in hospitals: proble…
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psnet.ahrq.gov/issue/automated-surveillance-adverse-drug-events-community-hospital-and-academic-medical-center
September 23, 2020 - Study
Automated surveillance for adverse drug events at a community hospital and an academic medical center.
Citation Text:
Kilbridge PM, Campbell UC, Cozart HB, et al. Automated surveillance for adverse drug events at a community hospital and an academic medical center. J Am Med Infor…
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psnet.ahrq.gov/issue/near-miss-transcription-errors-comparison-reporting-rates-between-novel-error-reporting
January 31, 2018 - Study
Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system.
Citation Text:
South DA, Skelley JW, Dang M, et al. Near-miss transcription errors: a comparison of reporting rates between a novel error…
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psnet.ahrq.gov/issue/deferral-care-serious-non-covid-19-conditions-hidden-harm-covid-19
June 22, 2022 - Commentary
Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19.
Citation Text:
DeJong C, Katz MH, Covinsky KE. Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. JAMA Intern Med. 2020;181(2):274. doi:10.1001/jamainternmed.2020.401…
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psnet.ahrq.gov/issue/can-preventable-adverse-events-be-predicted-among-hospitalized-older-patients-development-and
March 18, 2013 - Study
Can preventable adverse events be predicted among hospitalized older patients? The development and validation of a predictive model.
Citation Text:
Van De Steeg L, Langelaan M, Wagner C. Can preventable adverse events be predicted among hospitalized older patients? The development …
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psnet.ahrq.gov/issue/why-do-healthcare-professionals-fail-escalate-early-warning-system-ews-protocol-qualitative
August 25, 2021 - Review
Emerging Classic
Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation.
Citation Text:
O’Neill SM, Clyne B, Bell M, et al. Why do h…
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psnet.ahrq.gov/issue/why-do-systems-responding-concerns-and-complaints-so-often-fail-patients-families-and
June 16, 2021 - Study
Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff?
Citation Text:
Martin GP, Chew S, Dixon-Woods M. Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? A qualita…
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psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
May 24, 2015 - Study
Medication errors involving patient-controlled analgesia.
Citation Text:
Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194.
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psnet.ahrq.gov/issue/disclosing-adverse-events-clinical-practice-delicate-act-being-open
April 14, 2021 - Review
Disclosing adverse events in clinical practice: the delicate act of being open.
Citation Text:
Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.18…
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psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care
June 03, 2020 - Study
Classic
An alternative strategy for studying adverse events in medical care.
Citation Text:
Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical care. Lancet. 1997;349(9048):309-13.
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psnet.ahrq.gov/issue/nurse-physician-communication-long-term-care-setting-perceived-barriers-and-impact-patient
February 23, 2011 - Study
Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety.
Citation Text:
Tjia J, Mazor KM, Field T, et al. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. J Patient S…
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psnet.ahrq.gov/issue/hospital-nurses-and-physicians-experiences-practicing-patient-safety-work-recognize
October 20, 2021 - Study
Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study.
Citation Text:
Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deterio…
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psnet.ahrq.gov/issue/national-drug-shortages-worsen-during-covid-19-crisis-proposal-comprehensive-model-monitor
April 06, 2022 - Commentary
National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor and address critical drug shortages.
Citation Text:
Piatek OI, Ning JC-min, Touchette DR. National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive mo…
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psnet.ahrq.gov/issue/medication-errors-during-treatment-new-oral-anticancer-agents-consequences-clinical-practice
April 21, 2021 - Study
Medication errors during treatment with new oral anticancer agents: consequences for clinical practice based on the AMBORA Study.
Citation Text:
Schlichtig K, Dürr P, Dörje F, et al. Medication errors during treatment with new oral anticancer agents: consequences for clinical pract…
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psnet.ahrq.gov/issue/impact-initial-response-covid-19-long-term-care-people-intellectual-disability-interrupted
May 11, 2022 - Study
Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports.
Citation Text:
Schuengel C, Tummers J, Embregts PJCM, et al. Impact of the initial response to COVID‐19 on long‐term care f…