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psnet.ahrq.gov/issue/organizational-learning-starting-points-and-presuppositions-case-study-hospitals-surgical
September 25, 2024 - Study
Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department.
Citation Text:
Jaakkola M, Lemmetty S, Collin K, et al. Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. …
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psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medication-use-older-adults
September 02, 2015 - Commentary
Clinical alerts to decrease high-risk medication use in older adults.
Citation Text:
Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04.
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psnet.ahrq.gov/issue/enhancing-high-alert-medication-knowledge-among-pharmacy-nursing-and-medical-staff
December 15, 2021 - Study
Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff.
Citation Text:
Sullivan KM, Le PL, Ditoro MJ, et al. Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. J Patient Saf. 2021;17(4):311-315. doi:10.1097/pts.0b013e…
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psnet.ahrq.gov/issue/emergency-department-trigger-tool-novel-approach-screening-quality-and-safety-events
August 24, 2022 - Study
The emergency department trigger tool: a novel approach to screening for quality and safety events.
Citation Text:
Griffey RT, Schneider RM, Todorov AA. The emergency department trigger tool: a novel approach to screening for quality and safety events. Ann Emerg Med. 2020;76(2):230…
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psnet.ahrq.gov/issue/electronic-tools-support-medication-reconciliation-systematic-review
August 18, 2021 - Review
Electronic tools to support medication reconciliation—a systematic review.
Citation Text:
Marien S, Krug B, Spinewine A. Electronic tools to support medication reconciliation: a systematic review. J Am Med Inform Assoc. 2017;24(1):227-240. doi:10.1093/jamia/ocw068.
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psnet.ahrq.gov/issue/prevalence-potentially-harmful-multidrug-interactions-medication-lists-elderly-ambulatory
May 27, 2011 - Study
Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients.
Citation Text:
Anand TV, Wallace BK, Chase HS. Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. BMC Geriatr. 2021…
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psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-safety
July 01, 2017 - Commentary
Classic
Paying the piper: investing in infrastructure for patient safety.
Citation Text:
Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8.
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psnet.ahrq.gov/issue/medical-line-entanglement-unspoken-patient-safety-hazard-medical-devices
May 08, 2019 - Study
Medical line entanglement: the unspoken patient safety hazard of medical devices.
Citation Text:
Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000.
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psnet.ahrq.gov/issue/do-remote-community-telepharmacies-have-higher-medication-error-rates-traditional-community
October 17, 2012 - Study
Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project.
Citation Text:
Friesner DL, Scott DM, Rathke AM, et al. Do remote community telepharmacies have higher medication erro…
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psnet.ahrq.gov/issue/prevalence-and-nature-adverse-medical-device-events-hospitalized-children
October 05, 2011 - Study
Prevalence and nature of adverse medical device events in hospitalized children.
Citation Text:
Brady PW, Varadarajan K, Peterson LE, et al. Prevalence and nature of adverse medical device events in hospitalized children. J Hosp Med. 2013;8(7):390-3. doi:10.1002/jhm.2058.
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psnet.ahrq.gov/issue/descriptive-study-nurse-reported-missed-care-neonatal-intensive-care-units
January 27, 2019 - Study
A descriptive study of nurse-reported missed care in neonatal intensive care units.
Citation Text:
Tubbs-Cooley HL, Pickler RH, Younger JB, et al. A descriptive study of nurse-reported missed care in neonatal intensive care units. J Adv Nurs. 2015;71(4):813-24. doi:10.1111/jan.1257…
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psnet.ahrq.gov/issue/clinicians-perceptions-opioid-error-contributing-factors-inpatient-palliative-care-services
June 01, 2016 - Study
Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study.
Citation Text:
Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: A qualit…
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psnet.ahrq.gov/issue/nurses-antimicrobial-stewards-recognition-confidence-and-organizational-factors-across-nine
August 15, 2012 - Study
Nurses as antimicrobial stewards: recognition, confidence, and organizational factors across nine hospitals.
Citation Text:
Monsees E, Goldman J, Vogelsmeier A, et al. Nurses as antimicrobial stewards: Recognition, confidence, and organizational factors across nine hospitals. Am J …
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psnet.ahrq.gov/issue/using-patient-safety-morbidity-and-mortality-conferences-promote-transparency-and-culture
March 28, 2011 - Study
Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety.
Citation Text:
Szekendi MK, Barnard C, Creamer J, et al. Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. Jt Comm J Qua…
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psnet.ahrq.gov/issue/inter-and-intra-disciplinary-collaboration-and-patient-safety-outcomes-us-acute-care-hospital
August 07, 2024 - Study
Emerging Classic
Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study.
Citation Text:
Ma C, Park SH, Shang J. Inter- and intra-disciplinary collaboration and patient safety outco…
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psnet.ahrq.gov/issue/identification-and-characterization-failures-infectious-agent-transmission-precaution
October 13, 2018 - Study
Emerging Classic
Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study.
Citation Text:
Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in …
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psnet.ahrq.gov/issue/adverse-events-and-hospital-acquired-conditions-associated-potential-low-value-care-medicare
May 19, 2021 - Study
Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries.
Citation Text:
Chalmers K, Gopinath V, Brownlee S, et al. Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare benefic…
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psnet.ahrq.gov/issue/factors-influencing-hospital-prescribing-errors-systematic-review
March 23, 2022 - Review
Factors influencing in-hospital prescribing errors: a systematic review.
Citation Text:
Mahomedradja RF, Schinkel M, Sigaloff KCE, et al. Factors influencing in‐hospital prescribing errors: a systematic review. Br J Clin Pharmacol. 2023;89(6):1724-1735. doi:10.1111/bcp.15694.
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psnet.ahrq.gov/issue/interventions-primary-care-reduce-medication-related-adverse-events-and-hospital-admissions
April 06, 2011 - Review
Interventions in primary care to reduce medication related adverse events and hospital admissions: systematic review and meta-analysis.
Citation Text:
Royal S, Smeaton L, Avery A, et al. Interventions in primary care to reduce medication related adverse events and hospital admis…
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psnet.ahrq.gov/issue/double-checking-second-look
August 28, 2017 - Study
Double checking: a second look.
Citation Text:
Hewitt T, Chreim S, Forster AJ. Double checking: a second look. J Eval Clin Pract. 2016;22(2):267-74. doi:10.1111/jep.12468.
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