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psnet.ahrq.gov/issue/patient-safety-perception-within-hospitals-examination-job-type-handoffs-and-information
December 18, 2014 - Study
Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support.
Citation Text:
Ming Y, Meehan R. Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, an…
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psnet.ahrq.gov/issue/review-patient-safety-incidents-submitted-critical-care-units-england-wales-uk-national
July 16, 2008 - Study
Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency.
Citation Text:
Thomas AN, Panchagnula U, Taylor RJ. Review of patient safety incidents submitted from Critical Care Units in England & Wales to the U…
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psnet.ahrq.gov/issue/medication-errors-how-reliable-are-severity-ratings-reported-national-reporting-and-learning
September 09, 2015 - Study
Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System?
Citation Text:
Williams SD, Ashcroft DM. Medication errors: how reliable are the severity ratings reported to the national reporting and learning system? Int J Qual He…
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psnet.ahrq.gov/issue/acetaminophen-icon-helps-reduce-medication-decision-errors-experimental-setting
January 12, 2022 - Study
An acetaminophen icon helps reduce medication decision errors in an experimental setting.
Citation Text:
Shiffman S, Cotton H, Jessurun C, et al. An acetaminophen icon helps reduce medication decision errors in an experimental setting. J Am Pharm Assoc (2003). 2016;56(5):495-503.e4…
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psnet.ahrq.gov/issue/improving-governance-patient-safety-emergency-care-systematic-review-interventions
March 06, 2013 - Review
Improving the governance of patient safety in emergency care: a systematic review of interventions.
Citation Text:
Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a systematic review of interventions. BMJ Open. 2016;6(1):e009837…
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psnet.ahrq.gov/issue/exploring-organizational-context-and-structure-predictors-medication-errors-and-patient-falls
January 22, 2020 - Study
Exploring organizational context and structure as predictors of medication errors and patient falls.
Citation Text:
Mark BA, Hughes LC, Belyea M, et al. Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls. J Patient Saf. 2008;4(2). …
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psnet.ahrq.gov/issue/do-calculation-errors-nurses-cause-medication-errors-clinical-practice-literature-review
December 14, 2016 - Review
Do calculation errors by nurses cause medication errors in clinical practice? A literature review.
Citation Text:
Wright K. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Nurse Educ Today. 2010;30(1):85-97. doi:10.1016/j.nedt.2…
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psnet.ahrq.gov/issue/risk-and-pharmacoeconomic-analyses-injectable-medication-process-paediatric-and-neonatal
December 17, 2014 - Study
Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units.
Citation Text:
De Giorgi I, Fonzo-Christe C, Cingria L, et al. Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric an…
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psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-10-internal-medicine-departments
August 17, 2016 - Study
The nature and causes of unintended events reported at 10 internal medicine departments.
Citation Text:
Lubberding S, Zwaan L, Timmermans D, et al. The nature and causes of unintended events reported at 10 internal medicine departments. J Patient Saf. 2011;7(4):224-31. doi:10.109…
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psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals
October 31, 2011 - Study
Extent of diagnostic agreement among medical referrals.
Citation Text:
Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747.
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psnet.ahrq.gov/issue/automation-i-pass-tool-improve-transitions-care
August 04, 2021 - Study
Automation of the I-PASS tool to improve transitions of care.
Citation Text:
Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174.
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psnet.ahrq.gov/issue/implementation-simulation-training-during-covid-19-pandemic-new-york-hospital-experience
February 15, 2023 - Commentary
Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience.
Citation Text:
Pan D, Rajwani K. Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. Simul Healthc. 2020;16(1):46-51. doi:10.1097…
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psnet.ahrq.gov/issue/medication-safety-alert-fatigue-may-be-reduced-interaction-design-and-clinical-role-tailoring
December 31, 2014 - Review
Emerging Classic
Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review.
Citation Text:
Hussain MI, Reynolds TL, Zheng K. Medication safety alert fatigue may be reduced via interaction design…
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psnet.ahrq.gov/issue/accuracy-laboratory-data-communication-icu-daily-rounds-using-electronic-health-record
July 27, 2016 - Study
Accuracy of laboratory data communication on ICU daily rounds using an electronic health record.
Citation Text:
Artis KA, Dyer E, Mohan V, et al. Accuracy of Laboratory Data Communication on ICU Daily Rounds Using an Electronic Health Record. Crit Care Med. 2017;45(2):179-186. doi:…
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psnet.ahrq.gov/issue/moral-distress-intensive-care-unit-personnel-not-consistently-associated-adverse-medication
November 02, 2010 - Study
Moral distress in intensive care unit personnel is not consistently associated with adverse medication events and other adverse events
Citation Text:
Dodek P, Norena M, Ayas N, et al. Moral distress in intensive care unit personnel is not consistently associated with adverse medica…
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psnet.ahrq.gov/issue/best-practices-electronic-drug-alert-program-improve-safety-accountable-care-environment
May 29, 2019 - Study
Best practices: an electronic drug alert program to improve safety in an accountable care environment.
Citation Text:
Griesbach S, Lustig A, Malsin L, et al. Best Practices: An Electronic Drug Alert Program to Improve Safety in an Accountable Care Environment. J Manag Care Spec Pha…
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psnet.ahrq.gov/issue/increasing-rate-detection-wrong-patient-radiographs-use-photographs-obtained-time-radiography
June 13, 2015 - Study
Increasing rate of detection of wrong-patient radiographs: use of photographs obtained at time of radiography.
Citation Text:
Tridandapani S, Ramamurthy S, Galgano SJ, et al. Increasing Rate of Detection of Wrong-Patient Radiographs: Use of Photographs Obtained at Time of Radiograp…
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psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision
November 16, 2022 - Study
Medication reconciliation improvement utilizing process redesign and clinical decision support.
Citation Text:
Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/issue/impact-health-information-technology-interventions-improve-medication-laboratory-monitoring
August 11, 2010 - Review
Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review.
Citation Text:
Fischer SH, Tjia J, Field T. Impact of health information technology interventions to improve medication laboratory moni…
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psnet.ahrq.gov/issue/effect-electronic-health-records-ambulatory-care-retrospective-serial-cross-sectional-study
March 24, 2019 - Study
Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study.
Citation Text:
Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. BMJ. 2005;330(7491):581…