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psnet.ahrq.gov/issue/emergency-departments-are-higher-risk-locations-wrong-blood-tube-errors
November 17, 2021 - Study
Emergency departments are higher-risk locations for wrong blood in tube errors.
Citation Text:
Dunbar NM, Delaney M, Murphy MF, et al. Emergency departments are higher‐risk locations for wrong blood in tube errors. Transfusion (Paris). 2021;61(9):2601-2610. doi:10.1111/trf.16588.
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psnet.ahrq.gov/issue/influence-shift-duration-cognitive-performance-emergency-physicians-prospective-cross
November 07, 2018 - Study
Influence of shift duration on cognitive performance of emergency physicians: a prospective cross-sectional study.
Citation Text:
Persico N, Maltese F, Ferrigno C, et al. Influence of Shift Duration on Cognitive Performance of Emergency Physicians: A Prospective Cross-Sectional Stu…
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psnet.ahrq.gov/issue/systematic-literature-review-and-narrative-synthesis-risks-medical-discharge-letters-patients
June 26, 2019 - Review
Emerging Classic
A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety.
Citation Text:
Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the …
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psnet.ahrq.gov/issue/i-made-mistake-narrative-analysis-experienced-physicians-stories-preventable-error
September 26, 2016 - Study
“I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error.
Citation Text:
Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. J Eval Clin Pract. 2021;27(…
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psnet.ahrq.gov/issue/use-cpoe-log-analysis-physicians-behavior-when-responding-drug-duplication-reminders
October 27, 2016 - Study
The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders.
Citation Text:
Long A-J, Chang P, Li Y-C, et al. The use of a CPOE log for the analysis of physicians’ behavior when responding to drug-duplication reminders. Int J Med I…
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psnet.ahrq.gov/issue/patient-safety-climate-psc-perceptions-frontline-staff-acute-care-hospitals-examining-role
March 28, 2012 - Study
Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership.
Citation Text:
Zaheer S, Ginsburg LR, Chuang Y-T, et al. Patient safety climate (PSC) perceptions of f…
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psnet.ahrq.gov/issue/relationship-between-hospital-systems-load-and-patient-harm
November 12, 2008 - Study
The relationship between hospital systems load and patient harm.
Citation Text:
Pedroja AT, Blegen MA, Abravanel R, et al. The relationship between hospital systems load and patient harm. J Patient Saf. 2014;10(3):168-75. doi:10.1097/PTS.0b013e31829e4f82.
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psnet.ahrq.gov/issue/underlying-risk-factors-prescribing-errors-long-term-aged-care-qualitative-study
August 26, 2020 - Study
Underlying risk factors for prescribing errors in long-term aged care: a qualitative study.
Citation Text:
Tariq A, Georgiou A, Raban MZ, et al. Underlying risk factors for prescribing errors in long-term aged care: a qualitative study. BMJ Qual Saf. 2016;25(9):704-15. doi:10.1136/…
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psnet.ahrq.gov/issue/systematic-review-computerized-prescriber-order-entry-and-clinical-decision-support
August 23, 2017 - Review
Systematic review of computerized prescriber order entry and clinical decision support.
Citation Text:
Vélez-Díaz-Pallarés M, Pérez-Menéndez-Conde C, Bermejo-Vicedo T. Systematic review of computerized prescriber order entry and clinical decision support. Am J Health Syst Pharm. 2…
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psnet.ahrq.gov/issue/why-there-another-persons-name-my-infusion-bag-patient-safety-chemotherapy-care-review
May 01, 2024 - Review
'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care—a review of the literature.
Citation Text:
Kullberg A, Larsen J, Sharp L. 'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care - a review of the l…
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psnet.ahrq.gov/issue/leading-successful-rapid-response-teams-multisite-implementation-evaluation
August 04, 2010 - Image/Poster
Leading successful rapid response teams: a multisite implementation evaluation.
Citation Text:
Donaldson N, Shapiro S, Scott M, et al. Leading successful rapid response teams: A multisite implementation evaluation. J Nurs Adm. 2009;39(4):176-81. doi:10.1097/NNA.0b013e31819…
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psnet.ahrq.gov/issue/exploring-physician-perspectives-residency-holdover-handoffs-qualitative-study-understand
April 27, 2015 - Study
Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff.
Citation Text:
Duong JA, Jensen TP, Morduchowicz S, et al. Exploring Physician Perspectives of Residency Holdover Handoffs: A Qualitative St…
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psnet.ahrq.gov/issue/assessing-anticipated-consequences-computer-based-provider-order-entry-three-community
May 27, 2011 - Study
Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument.
Citation Text:
Sittig DF, Ash JS, Guappone KP, et al. Assessing the anticipated consequences of Computer-based Provid…
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psnet.ahrq.gov/issue/computerized-provider-order-entry-adoption-implications-clinical-workflow
May 27, 2011 - Study
Computerized provider order entry adoption: implications for clinical workflow.
Citation Text:
Campbell EM, Guappone KP, Sittig DF, et al. Computerized provider order entry adoption: implications for clinical workflow. J Gen Intern Med. 2009;24(1):21-6. doi:10.1007/s11606-008-085…
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psnet.ahrq.gov/issue/screening-adverse-drug-events-randomized-trial-automated-calls-coupled-phone-based-pharmacist
June 05, 2018 - Study
Screening for adverse drug events: a randomized trial of automated calls coupled with phone-based pharmacist counseling.
Citation Text:
Schiff G, Klinger E, Salazar A, et al. Screening for Adverse Drug Events: a Randomized Trial of Automated Calls Coupled with Phone-Based Pharmacis…
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psnet.ahrq.gov/issue/healthcare-worker-serious-safety-events-applying-concepts-patient-safety-improve-healthcare
July 06, 2022 - Study
Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety.
Citation Text:
Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety…
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psnet.ahrq.gov/issue/assessment-attitudes-toward-deprescribing-older-medicare-beneficiaries-united-states
June 30, 2021 - Study
Classic
Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States.
Citation Text:
Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States.…
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psnet.ahrq.gov/issue/reductions-sepsis-mortality-and-costs-after-design-and-implementation-nurse-based-early
March 09, 2016 - Study
Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program.
Citation Text:
Jones SL, Ashton CM, Kiehne L, et al. Reductions in sepsis mortality and costs after design and implementation of a nurse-based early rec…
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psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-care-attempts-improvement
March 28, 2011 - Study
Medication reconciliation in ambulatory care: attempts at improvement.
Citation Text:
Nassaralla CL, Naessens JM, Hunt VL, et al. Medication reconciliation in ambulatory care: attempts at improvement. Qual Saf Health Care. 2009;18(5):402-7. doi:10.1136/qshc.2007.024513.
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psnet.ahrq.gov/issue/new-approach-assessing-patient-safety-aspects-routine-practice-using-example-doctors
April 24, 2019 - Study
A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions."
Citation Text:
Sendlhofer G, Pregartner G, Gombotz V, et al. A new approach of assessing patient safety aspects in routine practice using the example of …