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psnet.ahrq.gov/issue/impact-opioid-safety-initiative-opioid-related-prescribing-veterans
February 10, 2021 - Study
Classic
Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans.
Citation Text:
Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Pain. 2017;158(5):833-839. doi:…
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psnet.ahrq.gov/issue/patient-reported-safety-incidents-older-patients-long-term-conditions-large-cross-sectional
October 14, 2015 - Study
Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study.
Citation Text:
Panagioti M, Blakeman T, Hann M, et al. Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study. BMJ Ope…
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psnet.ahrq.gov/issue/health-professionals-perspectives-safety-issues-mental-health-services-qualitative-study
August 05, 2020 - Study
Health professionals' perspectives of safety issues in mental health services: a qualitative study.
Citation Text:
Albutt AK, Berzins K, Louch G, et al. Health professionals’ perspectives of safety issues in mental health services: A qualitative study. nt J Ment Health Nurs. 2021;3…
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psnet.ahrq.gov/issue/supporting-carers-improve-patient-safety-and-maintain-their-well-being-transitions-mental
May 31, 2023 - Study
Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique.
Citation Text:
McMullen S, Panagioti M, Planner C, et al. Supporting carers to improve patient safety an…
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psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-patients-pharmacist-key-resources-and-relationship
June 07, 2023 - Study
Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation.
Citation Text:
Bourne RS, Shulman R, Jennings JK. Reducing medication errors in critical care patients: pharmacist key resources and relationship with medici…
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psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample
November 04, 2020 - Study
Classic
The July effect: an analysis of never events in the nationwide inpatient sample.
Citation Text:
Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:1…
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psnet.ahrq.gov/issue/incidence-and-method-suicide-hospitals-united-states
October 04, 2023 - Study
Incidence and method of suicide in hospitals in the United States.
Citation Text:
Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002.
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psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events
July 16, 2019 - Study
Classic
Evaluation of perioperative medication errors and adverse drug events.
Citation Text:
Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events. Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000…
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psnet.ahrq.gov/issue/randomized-ambora-trial-clinical-practice-comparison-medication-errors-oral-antitumor-therapy
April 21, 2021 - Study
From the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor therapy.
Citation Text:
Cuba L, Dürr P, Dörje F, et al. From the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor therapy. Clin Ph…
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psnet.ahrq.gov/issue/home-health-agency-patient-experience-measures-and-their-relationship-joint-commission
July 10, 2024 - Study
Home health agency patient experience measures and their relationship to Joint Commission accreditation.
Citation Text:
Longo BA, Schmaltz SP, Barrett SC, et al. Home health agency patient experience measures and their relationship to Joint Commission accreditation. Jt Comm J Qual …
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psnet.ahrq.gov/issue/association-adverse-effects-medical-treatment-mortality-united-states-secondary-analysis
November 11, 2020 - Study
Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study.
Citation Text:
Sunshine JE, Meo N, Kassebaum NJ, et al. Association of Adverse Effects of Medical Treatm…
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psnet.ahrq.gov/issue/how-useful-are-voluntary-medication-error-reports-case-warfarin-related-medication-errors
May 27, 2011 - Study
How useful are voluntary medication error reports? The case of warfarin-related medication errors.
Citation Text:
Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;3…
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psnet.ahrq.gov/issue/implementation-mandatory-checklist-protocols-and-objectives-improves-compliance-wide-range
September 22, 2010 - Study
Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.
Citation Text:
Byrnes MC, Schuerer DJE, Schallom ME, et al. Implementation of a mandatory checklist of protocols and objectiv…
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psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis
December 16, 2020 - Study
Medication errors in the outpatient setting: classification and root cause analysis.
Citation Text:
Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284.
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psnet.ahrq.gov/issue/improving-patients-intensive-care-admission-through-multidisciplinary-simulation-based-crisis
August 23, 2023 - Study
Improving patients' intensive care admission through multidisciplinary simulation-based crisis resource management: a qualitative study.
Citation Text:
Jensen JF, Ramos J, Ørom M‐L, et al. Improving patients' intensive care admission through multidisciplinary simulation‐based crisi…
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psnet.ahrq.gov/issue/decision-making-trauma-settings-simulation-improve-diagnostic-skills
December 20, 2017 - Study
Decision making in trauma settings: simulation to improve diagnostic skills.
Citation Text:
Murray DJ, Freeman BD, Boulet JR, et al. Decision making in trauma settings: simulation to improve diagnostic skills. Simul Healthc. 2015;10(3):139-145. doi:10.1097/SIH.0000000000000073.
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psnet.ahrq.gov/issue/report-information-technology-and-health-deficiencies-us-nursing-homes
October 28, 2020 - Study
A report of information technology and health deficiencies in U.S. nursing homes.
Citation Text:
Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390.
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psnet.ahrq.gov/issue/factors-contributing-increase-duplicate-medication-order-errors-after-cpoe-implementation
December 31, 2014 - Study
Factors contributing to an increase in duplicate medication order errors after CPOE implementation.
Citation Text:
Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc. …
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psnet.ahrq.gov/issue/non-conveyance-older-adult-patients-and-association-subsequent-clinical-and-adverse-events
October 27, 2021 - Study
Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis.
Citation Text:
Lederman J, Lindström V, Elmqvist C, et al. Non-conveyance of older adult patients and association …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
May 28, 2008 - accurately repeat back medication use instructions,
parental literacy level was not associated with use of preventive