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psnet.ahrq.gov/issue/impact-surgical-count-technology-retained-surgical-items-rates-veterans-health-administration
January 17, 2019 - Study
The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration.
Citation Text:
Gunnar W, Soncrant C, Lynn MM, et al. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. J Pat…
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psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic-medical-center
July 31, 2013 - Study
Medication errors during medical emergencies in a large, tertiary care, academic medical center.
Citation Text:
Gokhman R, Seybert AL, Phrampus P, et al. Medication errors during medical emergencies in a large, tertiary care, academic medical center. Resuscitation. 2012;83(4):482…
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psnet.ahrq.gov/issue/successful-implementation-unit-based-quality-nurse-reduce-central-line-associated-bloodstream
September 23, 2020 - Study
Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections.
Citation Text:
Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Am J …
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psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015
January 23, 2019 - Study
Classic
Increases in drug and opioid overdose deaths—United States, 2000–2015.
Citation Text:
Rudd RA, Seth P, David F, et al. Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. MMWR Morb Mortal Wkly Rep. 2016;65(50-51):1445-…
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psnet.ahrq.gov/issue/resident-and-family-engagement-medication-management-aged-care-facilities-systematic-review
August 11, 2021 - Review
Resident and family engagement in medication management in aged care facilities: a systematic review.
Citation Text:
Manias E, Bucknall T, Hutchinson AM, et al. Resident and family engagement in medication management in aged care facilities: a systematic review. Expert Opin Drug S…
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psnet.ahrq.gov/issue/understanding-challenges-and-successes-implementing-hybrid-interventions-healthcare-settings
October 23, 2024 - Study
Understanding the challenges and successes of implementing 'hybrid' interventions in healthcare settings: findings from a process evaluation of a patient involvement trial.
Citation Text:
Hampton S, Murray J, Lawton R, et al. Understanding the challenges and successes of implementi…
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psnet.ahrq.gov/issue/cost-effectiveness-computerized-provider-order-entry-system-improving-medication-safety
August 09, 2017 - Study
Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care.
Citation Text:
Forrester SH, Hepp Z, Roth JA, et al. Cost-Effectiveness of a Computerized Provider Order Entry System in Improving Medication Safety Ambulatory Care. Val…
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psnet.ahrq.gov/issue/incidence-and-or-team-awareness-near-miss-and-retained-surgical-sharps-national-survey-united
December 02, 2020 - Study
Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms.
Citation Text:
Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United …
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psnet.ahrq.gov/issue/correlation-between-number-patient-reported-adverse-events-adverse-drug-events-and-quality
August 10, 2022 - Study
Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study.
Citation Text:
Beerlage-Davids CJ, Ponjee GHM, Vanhommerig JW, et al. Correlation between the number of patient-reported adverse ev…
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psnet.ahrq.gov/issue/preventing-critical-failure-can-routinely-collected-data-be-repurposed-predict-avoidable
July 02, 2014 - Study
Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study.
Citation Text:
Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be repurposed to predict…
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psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-hospital-acquired-conditions-policy-central-line
July 03, 2016 - Study
Centers for Medicare and Medicaid Services hospital-acquired conditions policy for central line–associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) shows minimal impact on hospital reimbursement.
Citation Text:
Calderwood MS, Kawai AT, …
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psnet.ahrq.gov/issue/effect-nonpayment-hospital-acquired-catheter-associated-urinary-tract-infection-statewide
October 17, 2017 - Study
Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis.
Citation Text:
Meddings JA, Reichert H, Rogers MAM, et al. Effect of nonpayment for hospital-acquired, catheter-associated urinary tract infection: a statewide analysis.…
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psnet.ahrq.gov/issue/health-care-associated-infections-meta-analysis-costs-and-financial-impact-us-health-care
July 31, 2013 - Study
Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system.
Citation Text:
Zimlichman E, Henderson D, Tamir O, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JA…
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psnet.ahrq.gov/issue/clinically-inconsequential-alerts-characteristics-opioid-drug-alerts-and-their-utility
May 18, 2022 - Study
Clinically inconsequential alerts: the characteristics of opioid drug alerts and their utility in preventing adverse drug events in the emergency department.
Citation Text:
Genco EK, Forster JE, Flaten H, et al. Clinically Inconsequential Alerts: The Characteristics of Opioid Drug …
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psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health
March 24, 2019 - Study
When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record.
Citation Text:
Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…
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psnet.ahrq.gov/issue/impact-hospital-acquired-pneumonia-medicare-program
August 07, 2013 - Study
Impact of hospital-acquired pneumonia on the Medicare program.
Citation Text:
Baker DL, Giuliano KK, Desmarais M, et al. Impact of hospital-acquired pneumonia on the Medicare program. Infect Control Hosp Epidemiol. 2024;45(3):316-321. doi:10.1017/ice.2023.221.
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psnet.ahrq.gov/issue/risk-factors-clinically-relevant-deviations-patients-medication-lists-reported-patients
March 23, 2022 - Study
Risk factors for clinically relevant deviations in patients' medication lists reported by patients in personal health records: a prospective cohort study in a hospital setting.
Citation Text:
van der Nat DJ, Taks M, Huiskes VJB, et al. Risk factors for clinically relevant deviation…
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psnet.ahrq.gov/issue/classification-medication-incidents-associated-information-technology
November 23, 2012 - Study
Classification of medication incidents associated with information technology.
Citation Text:
Cheung K-C, van der Veen W, Bouvy ML, et al. Classification of medication incidents associated with information technology. J Am Med Inform Assoc. 2014;21(e1):e63-70. doi:10.1136/amiajnl-2…
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psnet.ahrq.gov/issue/national-trends-hospital-acquired-preventable-adverse-events-after-major-cancer-surgery-usa
September 12, 2016 - Study
National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA.
Citation Text:
Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6)…
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psnet.ahrq.gov/issue/advanced-medication-reconciliation-systematic-review-impact-medication-errors-and-adverse
December 18, 2017 - Review
Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care.
Citation Text:
Killin L, Hezam A, Anderson KK, et al. Advanced medication reconciliation: a systematic review of the impact on me…