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psnet.ahrq.gov/issue/nursing-surveillance-concept-analysis
May 26, 2021 - Review
Nursing surveillance: a concept analysis
Citation Text:
Halverson CC, Scott Tilley D. Nursing surveillance: a concept analysis. Nurs Forum. 2022;57(3):454-460. doi:10.1111/nuf.12702.
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psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired-diagnoses
July 23, 2008 - Study
An adverse event screening tool based on routinely collected hospital-acquired diagnoses.
Citation Text:
Brand CA, Tropea J, Gorelik A, et al. An adverse event screening tool based on routinely collected hospital-acquired diagnoses. Int J Qual Health Care. 2012;24(3):266-78. doi:10…
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psnet.ahrq.gov/issue/medical-students-benefit-learning-about-patient-safety-interprofessional-team
November 03, 2015 - Image/Poster
Medical students benefit from learning about patient safety in an interprofessional team.
Citation Text:
Anderson E, Thorpe L, Heney D, et al. Medical students benefit from learning about patient safety in an interprofessional team. Med Educ. 2009;43(6):542-52. doi:10.1111…
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psnet.ahrq.gov/issue/popi-pediatrics-omission-prescriptions-and-inappropriate-prescriptions-development-tool
June 30, 2011 - Study
POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): development of a tool to identify inappropriate prescribing.
Citation Text:
Prot-Labarthe S, Weil T, Angoulvant F, et al. POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): deve…
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psnet.ahrq.gov/issue/incidence-medication-errors-and-adverse-drug-events-icu-systematic-review
October 16, 2019 - Review
Incidence of medication errors and adverse drug events in the ICU: a systematic review.
Citation Text:
Wilmer A, Louie K, Dodek P, et al. Incidence of medication errors and adverse drug events in the ICU: a systematic review. Qual Saf Health Care. 2010;19(5):e7. doi:10.1136/qshc…
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psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis-voluntary
January 06, 2017 - Study
Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database.
Citation Text:
Zhan C, Hicks RW, Blanchette CM, et al. Potential benefits and problems with computerized prescriber order entry: analysis of a vo…
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psnet.ahrq.gov/issue/improving-quality-through-effective-implementation-information-technology-healthcare
October 17, 2016 - Study
Improving quality through effective implementation of information technology in healthcare.
Citation Text:
Øvretveit J, Scott T, Rundall TG, et al. Improving quality through effective implementation of information technology in healthcare. Int J Qual Health Care. 2007;19(5):259-6…
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psnet.ahrq.gov/issue/algorithmic-prediction-failure-modes-healthcare
September 06, 2023 - Study
Algorithmic prediction of failure modes in healthcare.
Citation Text:
Kobo-Greenhut A, Sharlin O, Adler Y, et al. Algorithmic prediction of failure modes in healthcare. Int J Qual Health Care. 2021;33(1):mzaa151. doi:10.1093/intqhc/mzaa151.
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psnet.ahrq.gov/issue/development-web-based-surgical-booking-and-informed-consent-system-reduce-potential-error-and
November 16, 2022 - Study
Development of a Web-based surgical booking and informed consent system to reduce the potential for error and improve communication.
Citation Text:
Siracuse JJ, Benoit E, Burke J, et al. Development of a Web-based surgical booking and informed consent system to reduce the potential…
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psnet.ahrq.gov/issue/application-human-factor-analysis-and-classification-system-hfacs-model-prevention-medical
October 05, 2022 - Review
Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical errors and adverse events: a systematic review.
Citation Text:
Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical er…
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psnet.ahrq.gov/issue/increased-mortality-associated-after-hours-and-weekend-admission-intensive-care-unit
May 31, 2023 - Study
Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retrospective analysis.
Citation Text:
Bhonagiri D, Pilcher D, Bailey MJ. Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retros…
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psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgical-intensive-care-unit
May 01, 2013 - Study
Classification of adverse events occurring in a surgical intensive care unit.
Citation Text:
Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care unit. Am J Surg. 2007;194(3):328-32.
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psnet.ahrq.gov/issue/effect-emergency-medicine-pharmacists-medication-error-reporting-emergency-department
July 26, 2011 - Study
Effect of emergency medicine pharmacists on medication-error reporting in an emergency department.
Citation Text:
Weant KA, Humphries RL, Hite K, et al. Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Am J Health Syst Pharm. 2010…
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psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder
January 02, 2017 - Commentary
Communication about harm reduction with patients who have opioid use disorder.
Citation Text:
Hawk M, Jawa R, Kay ES. Communication about harm reduction with patients who have opioid use disorder. JAMA. 2025;333(2):163-164. doi:10.1001/jama.2024.21307.
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psnet.ahrq.gov/issue/nursing-home-administrators-opinions-resident-safety-culture-nursing-homes
April 06, 2011 - Study
Nursing home administrators' opinions of the resident safety culture in nursing homes.
Citation Text:
Castle NG, Handler S, Engberg J, et al. Nursing home administrators' opinions of the resident safety culture in nursing homes. Health Care Manage Rev. 2007;32(1):66-76.
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psnet.ahrq.gov/issue/predictors-completeness-patients-self-reported-personal-medication-lists-and-discrepancies
October 19, 2022 - Study
Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists.
Citation Text:
Lee KP, Nishimura K, Ngu B, et al. Predictors of completeness of patients' self-reported personal medication lists and discrepancies with…
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psnet.ahrq.gov/issue/medication-safety-operating-room-survey-preparation-methods-and-drug-concentration
December 22, 2018 - Study
Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States.
Citation Text:
Shaw RE, Litman RS. Medication Safety in the Operating Room: A Survey of Preparation Methods and Drug Concentra…
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psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice-centers-disease
December 21, 2022 - Press Release/Announcement
Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention.
Citation Text:
Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control …
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psnet.ahrq.gov/issue/case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system
January 12, 2022 - Commentary
Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system.
Citation Text:
Schnoor J, Rogalski C, Frontini R, et al. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Patien…
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psnet.ahrq.gov/issue/implementation-medication-error-reporting-through-med-safe-tool-clinical-pharmacists-and
December 16, 2011 - Study
Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach.
Citation Text:
Elnour AA, Ellahham NH, Al Qassas HI. Implementation of Medication Error Reporting Through Med Safe Tool. J Patient …