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psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry
September 14, 2022 - Study
Developing and aligning a safety event taxonomy for inpatient psychiatry.
Citation Text:
Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935.
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psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review
December 01, 2021 - Review
Errors in adult trauma resuscitation: a systematic review.
Citation Text:
Nikouline A, Quirion A, Jung JJ, et al. Errors in adult trauma resuscitation: a systematic review. CJEM. 2021;23:537–546. doi:10.1007/s43678-021-00118-7.
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psnet.ahrq.gov/issue/implementing-high-reliability-organization-principles-practice-rapid-evidence-review
October 21, 2020 - Review
Implementing high-reliability organization principles into practice: a rapid evidence review.
Citation Text:
Veazie S, Peterson K, Bourne D, et al. Implementing high-reliability organization principles into practice: a rapid evidence review. J Patient Saf. 2022;18(1):e320-e328. do…
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psnet.ahrq.gov/issue/resident-duty-hours-and-resident-and-patient-outcomes-systematic-review-and-meta-analysis
July 14, 2021 - Review
Resident duty hours and resident and patient outcomes: systematic review and meta-analysis.
Citation Text:
Sephien A, Reljic T, Jordan J, et al. Resident duty hours and resident and patient outcomes: systematic review and meta‐analysis. Med Educ. 2023;57(3):221-232. doi:10.1111/me…
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psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported
June 29, 2011 - Study
Classic
What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents.
Citation Text:
Weingart SN, Pagovich O, Sands DZ, et al. What can hospitalized patients tell us about adverse events? Learning from patient-rep…
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psnet.ahrq.gov/issue/system-related-interventions-reduce-diagnostic-errors-narrative-review
May 29, 2015 - Review
Classic
System-related interventions to reduce diagnostic errors: a narrative review.
Citation Text:
Singh H, Graber ML, Kissam SM, et al. System-related interventions to reduce diagnostic errors: a narrative review. BMJ Qual Saf. 2012;21(2):160-170. do…
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psnet.ahrq.gov/issue/defining-and-studying-errors-surgical-care-systematic-review
July 20, 2022 - Review
Defining and studying errors in surgical care: a systematic review.
Citation Text:
Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351.
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psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses
March 24, 2021 - Study
Use of an audit with feedback implementation strategy to promote medication error reporting by nurses.
Citation Text:
Hutchinson A, Brotto V, Chapman A, et al. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. J Clin Nurs. 2020;2…
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psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
June 08, 2022 - Study
Debrief it all: a tool for inclusion of Safety-II.
Citation Text:
Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3.
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psnet.ahrq.gov/issue/deprescribing-medicines-older-people-living-multimorbidity-and-polypharmacy-tailor-evidence
April 03, 2005 - Review
Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis.
Citation Text:
Reeve J, Maden M, Hill R, et al. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. H…
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psnet.ahrq.gov/issue/diagnostic-errors-emergency-department-systematic-review
October 27, 2021 - Book/Report
Diagnostic Errors in the Emergency Department: A Systematic Review.
Citation Text:
Diagnostic Errors in the Emergency Department: A Systematic Review. Newman-Toker DE, Peterson SM, Badihian S, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2022.&nb…
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psnet.ahrq.gov/issue/patient-safety-resident-education-and-resident-well-being-following-implementation-2003-acgme
June 20, 2012 - Review
Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules.
Citation Text:
Fletcher KE, Reed DA, Arora V. Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rule…
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psnet.ahrq.gov/issue/consumer-mobile-apps-potential-drug-drug-interaction-check-systematic-review-and-content
March 04, 2020 - Review
Emerging Classic
Consumer mobile apps for potential drug–drug interaction check: systematic review and content analysis using the Mobile App Rating Scale (MARS).
Citation Text:
Kim BY, Sharafoddini A, Tran N, et al. Consumer Mobile Apps for Potential Drug…
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psnet.ahrq.gov/issue/caregiver-and-clinician-perspectives-discharge-medication-counseling-qualitative-study
January 31, 2024 - Study
Caregiver and clinician perspectives on discharge medication counseling: a qualitative study.
Citation Text:
Carroll AR, Schlundt D, Bonnet K, et al. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Hosp Pediatr. 2023;13(4):325-342. doi:…
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psnet.ahrq.gov/issue/can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication-between-healthcare
June 22, 2022 - Review
Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review.
Citation Text:
Lo L, Rotteau L, Shojania KG. Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A sys…
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psnet.ahrq.gov/issue/parents-medication-administration-errors-role-dosing-instruments-and-health-literacy
May 31, 2017 - Study
Parents' medication administration errors: role of dosing instruments and health literacy.
Citation Text:
Yin S, Mendelsohn A, Wolf MS, et al. Parents' medication administration errors: role of dosing instruments and health literacy. Arch Pediatr Adolesc Med. 2010;164(2):181-6. doi…
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psnet.ahrq.gov/issue/effect-multispecialty-faculty-handoff-initiative-safety-culture-and-handoff-quality
March 10, 2019 - Study
Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality.
Citation Text:
Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. …
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psnet.ahrq.gov/issue/standardized-handoff-simulation-promotes-recovery-auditory-distractions-resident-physicians
March 09, 2016 - Study
A standardized handoff simulation promotes recovery from auditory distractions in resident physicians.
Citation Text:
Matern LH, Farnan JM, Hirsch KW, et al. A Standardized Handoff Simulation Promotes Recovery From Auditory Distractions in Resident Physicians. Simul Healthc. 2018;1…
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psnet.ahrq.gov/issue/effect-nonpayment-preventable-infections-us-hospitals
July 03, 2016 - Study
Classic
Effect of nonpayment for preventable infections in U.S. hospitals.
Citation Text:
Lee GM, Kleinman K, Soumerai SB, et al. Effect of nonpayment for preventable infections in U.S. hospitals. N Engl J Med. 2012;367(15):1428-37. doi:10.1056/NEJMsa120…
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psnet.ahrq.gov/issue/barriers-and-facilitators-implementing-interventions-reducing-avoidable-hospital-readmission
April 25, 2018 - Review
Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies.
Citation Text:
Fu BQ, Zhong CCW, Wong CHL, et al. Barriers and facilitators to implementing interventions for reducing avoidable hospital …