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psnet.ahrq.gov/issue/prescribing-discrepancies-likely-cause-adverse-drug-events-after-patient-transfer
December 08, 2010 - Study
Prescribing discrepancies likely to cause adverse drug events after patient transfer.
Citation Text:
Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc…
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psnet.ahrq.gov/issue/barriers-and-facilitators-adverse-event-reporting-adolescent-patients-and-their-families
February 15, 2023 - Study
Barriers and facilitators of adverse event reporting by adolescent patients and their families.
Citation Text:
Sawhney PN, Davis LS, Daraiseh NM, et al. Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. J Patient Saf. 2020;16(3):232-237…
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psnet.ahrq.gov/issue/intervention-decrease-narcotic-related-adverse-drug-events-childrens-hospitals
April 11, 2011 - Study
An intervention to decrease narcotic-related adverse drug events in children's hospitals.
Citation Text:
Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1…
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psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health
October 05, 2022 - Review
Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review.
Citation Text:
Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical E…
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-its-not-what-you-say-its-what-they-hear
October 26, 2010 - Study
Classic
Disclosing medical errors to patients: it's not what you say, it's what they hear.
Citation Text:
Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what they hear. J Gen Intern Med. 2009;24(9):1…
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psnet.ahrq.gov/issue/standardized-formulary-reduce-pediatric-medication-dosing-errors-mixed-methods-study
August 25, 2021 - Study
A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study.
Citation Text:
Bosson N, Kaji AH, Gausche-Hill M. A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study. Prehosp Emerg Care. 2022;26(4):492-502. doi:…
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psnet.ahrq.gov/issue/surgical-safety-and-hospital-volume-across-wide-range-interventions
April 04, 2011 - Study
Surgical safety and hospital volume across a wide range of interventions.
Citation Text:
Eggli Y, Halfon P, Meylan D, et al. Surgical safety and hospital volume across a wide range of interventions. Med Care. 2010;48(11):962-71. doi:10.1097/MLR.0b013e3181eaf9f6.
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psnet.ahrq.gov/issue/investigation-mental-and-physical-health-nurses-associated-errors-clinical-practice
September 21, 2022 - Study
Investigation of mental and physical health of nurses associated with errors in clinical practice.
Citation Text:
Pappa D, Koutelekos I, Evangelou E, et al. Investigation of mental and physical health of nurses associated with errors in clinical practice. Healthcare (Basel). 2022;1…
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psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting
August 28, 2013 - Study
Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings.
Citation Text:
Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings. J Pati…
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psnet.ahrq.gov/issue/can-aviation-based-team-training-elicit-sustainable-behavioral-change
July 19, 2023 - Study
Can aviation-based team training elicit sustainable behavioral change?
Citation Text:
Sax HC, Browne P, Mayewski RJ, et al. Can aviation-based team training elicit sustainable behavioral change? Arch Surg. 2009;144(12):1133-1137. doi:10.1001/archsurg.2009.207.
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psnet.ahrq.gov/issue/cluster-randomized-trial-evaluate-impact-team-training-surgical-outcomes
April 24, 2018 - Study
Cluster randomized trial to evaluate the impact of team training on surgical outcomes.
Citation Text:
Duclos A, Peix JL, Piriou V, et al. Cluster randomized trial to evaluate the impact of team training on surgical outcomes. Br J Surg. 2016;103(13):1804-1814. doi:10.1002/bjs.10295.…
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psnet.ahrq.gov/issue/antibiotic-resistant-infection-treatment-costs-have-doubled-2002-now-exceeding-2-billion
July 02, 2019 - Study
Classic
Antibiotic-resistant infection treatment costs have doubled since 2002, now exceeding $2 billion annually.
Citation Text:
Thorpe KE, Joski P, Johnston KJ. Antibiotic-Resistant Infection Treatment Costs Have Doubled Since 2002, Now Exceeding $2 Bill…
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psnet.ahrq.gov/node/42581/psn-pdf
July 12, 2016 - Partnering with Patients to Drive Shared Decisions, Better
Value, and Care Improvement—Workshop Proceedings.
July 12, 2016
Roundtable on Value and Science Driven Healthcare; Institute of Medicine. Washington, DC: National
Academies Press; 2013. ISBN: 9780309288965.
https://psnet.ahrq.gov/issue/partnering-patients-…
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psnet.ahrq.gov/node/43880/psn-pdf
February 04, 2015 - Healthcare Safety for Nursing Personnel: An
Organizational Guide to Achieving Results.
February 4, 2015
Tweedy JT. Boca Raton, FL: CRC Press; 2014. ISBN: 9781482230277.
https://psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results
This publication provides information abou…
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psnet.ahrq.gov/node/60527/psn-pdf
May 27, 2020 - The flaw of medicine: addressing racial and gender
disparities in critical care.
May 27, 2020
Hilton EJ, Goff KL, Sreedharan R, et al. The flaw of medicine: addressing racial and gender disparities in
critical care. Anesthesiol Clin. 2020;38(2):357-368. doi:10.1016/j.anclin.2020.01.011.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/42157/psn-pdf
April 22, 2013 - High performance teamwork training and systems
redesign in outpatient oncology.
April 22, 2013
Bunnell CA, Gross AH, Weingart SN, et al. High performance teamwork training and systems redesign in
outpatient oncology. BMJ Qual Saf. 2013;22(5):405-13. doi:10.1136/bmjqs-2012-000948.
https://psnet.ahrq.gov/issue/high-…
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psnet.ahrq.gov/node/39663/psn-pdf
June 09, 2011 - Value of human factors to medication and patient safety
in the intensive care unit.
June 9, 2011
Scanlon M, Karsh B-T. Value of human factors to medication and patient safety in the intensive care unit.
Crit Care Med. 2010;38. doi:10.1097/ccm.0b013e3181dd8de2.
https://psnet.ahrq.gov/issue/value-human-factors-medic…
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psnet.ahrq.gov/node/45926/psn-pdf
May 17, 2017 - Toolkit To Improve Safety in Ambulatory Surgery Centers.
May 17, 2017
Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
https://psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers
Ambulatory surgery centers provide care to growing numbers of patients. This toolkit draws fr…
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psnet.ahrq.gov/node/37752/psn-pdf
May 07, 2019 - Guidance for the Safe Use of Automated Dispensing
Cabinets.
May 7, 2019
Horsham, PA: Institute for Safe Medication Practices; 2019.
https://psnet.ahrq.gov/issue/guidance-safe-use-automated-dispensing-cabinets
Drug dispensing systems have been adopted in hospitals to prevent medication errors, but accidents
associ…
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psnet.ahrq.gov/node/36545/psn-pdf
January 10, 2011 - Transition of care for hospitalized elderly
patients—development of a discharge checklist for
hospitalists.
January 10, 2011
Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly
patients—Development of a discharge checklist for hospitalists. J Hosp Med. 2006;1(6).
doi:10.1002/…