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psnet.ahrq.gov/issue/decreasing-misdiagnoses-urinary-tract-infections-pediatric-emergency-department
October 26, 2022 - Study
Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department.
Citation Text:
Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/pe…
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psnet.ahrq.gov/issue/risk-factors-hospital-admissions-associated-adverse-drug-events
October 18, 2018 - Study
Risk factors for hospital admissions associated with adverse drug events.
Citation Text:
Kongkaew C, Hann M, Mandal J, et al. Risk factors for hospital admissions associated with adverse drug events. Pharmacotherapy. 2013;33(8):827-37. doi:10.1002/phar.1287.
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psnet.ahrq.gov/issue/cross-check-qa-quality-assurance-workflow-prevent-missed-diagnoses-alerting-inadvertent
March 04, 2015 - Study
Cross-Check QA: a quality assurance workflow to prevent missed diagnoses by alerting inadvertent discordance between the radiologist and AI in the interpretation of high acuity CT scans.
Citation Text:
Chekmeyan M, Baccei SJ, Garwood ER. Cross-Check QA: a quality assurance workflow…
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psnet.ahrq.gov/issue/impact-nighttime-rapid-response-team-activation-outcomes-hospitalized-patients-acute
April 06, 2022 - Study
Impact of nighttime rapid response team activation on outcomes of hospitalized patients with acute deterioration.
Citation Text:
Fernando SM, Reardon PM, Bagshaw SM, et al. Impact of nighttime Rapid Response Team activation on outcomes of hospitalized patients with acute deteriorat…
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psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural
September 15, 2011 - Study
The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses.
Citation Text:
Wang C-J, Fetzer SJ, Yang Y-C, et al. The impacts of using community health volunteers to coach medication safety behaviors among rural e…
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psnet.ahrq.gov/issue/healthcare-personnels-working-conditions-relation-risk-behaviours-organism-transmission-mixed
June 15, 2022 - Study
Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: a mixed-methods study.
Citation Text:
Arvidsson L, Lindberg M, Skytt B, et al. Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: A m…
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psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers-system-community
May 12, 2021 - Study
A comprehensive program to reduce rates of hospital-acquired pressure ulcers in a system of community hospitals.
Citation Text:
Englebright J, Westcott R, McManus K, et al. A Comprehensive Program to Reduce Rates of Hospital-Acquired Pressure Ulcers in a System of Community Hospita…
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psnet.ahrq.gov/issue/improving-quality-drug-error-reporting
December 21, 2016 - Study
Improving the quality of drug error reporting.
Citation Text:
Armitage G, Newell R, Wright J. Improving the quality of drug error reporting. J Eval Clin Pract. 2010;16(6):1189-97. doi:10.1111/j.1365-2753.2009.01293.x.
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psnet.ahrq.gov/issue/active-surveillance-vaccine-safety-system-detect-early-signs-adverse-events
March 29, 2010 - Study
Active surveillance of vaccine safety: a system to detect early signs of adverse events.
Citation Text:
Davis RL, Kolczak M, Lewis E, et al. Active surveillance of vaccine safety: a system to detect early signs of adverse events. Epidemiology. 2005;16(3):336-41.
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psnet.ahrq.gov/issue/impact-post-fall-huddles-repeat-fall-rates-and-perceptions-safety-culture-quasi-experimental
December 30, 2014 - Journal Article
The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project
Citation Text:
Jones KJ, Crowe J, Allen JA, et al. The impact of post-fall huddles on repeat fall rates and pe…
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psnet.ahrq.gov/issue/improved-pain-resolution-hospitalized-patients-through-targeting-pain-mismanagement-medical
March 24, 2019 - Study
Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error.
Citation Text:
Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage.…
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psnet.ahrq.gov/issue/patient-safety-perception-within-hospitals-examination-job-type-handoffs-and-information
December 18, 2014 - Study
Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support.
Citation Text:
Ming Y, Meehan R. Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, an…
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psnet.ahrq.gov/issue/hospital-inpatient-falls-across-clinical-departments
September 15, 2021 - Study
Hospital inpatient falls across clinical departments.
Citation Text:
Mikos M, Banas T, Czerw A, et al. Hospital inpatient falls across clinical departments. Int J Environ Res Public Health. 2021;18(15):8167. doi:10.3390/ijerph18158167.
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psnet.ahrq.gov/issue/trends-prevalence-intraoperative-adverse-events-two-academic-hospitals-after-implementation
August 09, 2017 - Study
Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system.
Citation Text:
Wanderer JP, Gratch DM, St Jacques P, et al. Trends in the Prevalence of Intraoperative Adverse Events at Two Academic Hospitals …
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psnet.ahrq.gov/issue/role-pediatric-nurses-during-preventable-adverse-event-disclosure-scoping-review
October 19, 2022 - Review
The role of pediatric nurses during preventable adverse event disclosure: a scoping review.
Citation Text:
Sexton JR, Kelly-Weeder S. The role of pediatric nurses during preventable adverse event disclosure: a scoping review. J Patient Saf. 2024;20(6):381-387. doi:10.1097/pts.0000…
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psnet.ahrq.gov/issue/qualitative-study-senior-hospital-managers-views-current-and-innovative-strategies-improve
March 08, 2023 - Study
A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene.
Citation Text:
McInnes E, Phillips R, Middleton S, et al. A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand…
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psnet.ahrq.gov/issue/standardisation-handoffs-large-academic-paediatric-emergency-department-using-i-pass
October 21, 2020 - Study
The standardisation of handoffs in a large academic paediatric emergency department using I-PASS.
Citation Text:
Chladek MS, Doughty C, Patel B, et al. The Standardisation of handoffs in a large academic paediatric emergency department using I-PASS. BMJ Open Qual. 2021;10(3):e00125…
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psnet.ahrq.gov/issue/suicide-attempts-and-completions-medical-surgical-and-intensive-care-units
June 21, 2017 - Study
Suicide attempts and completions on medical-surgical and intensive care units.
Citation Text:
Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141.
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psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists
September 21, 2022 - Study
Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists.
Citation Text:
Heesen M, Steuer C, Wiedemeier P, et al. Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. J Patient Saf. 2022;18(8):e1226-e1230. doi:10.1097…
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psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
June 16, 2021 - Review
Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis.
Citation Text:
McGraw C, Drennan VM. Evaluation of the suitability of root cause analysis frameworks for the i…