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psnet.ahrq.gov/issue/speaking-about-care-concerns-icu-patient-and-family-experiences-attitudes-and-perceived
August 09, 2018 - Study
Emerging Classic
Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers.
Citation Text:
Bell SK, Roche S, Mueller A, et al. Speaking up about care concerns in the ICU: patient and family experiences, at…
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psnet.ahrq.gov/issue/primary-care-collaboration-improve-diagnosis-and-screening-colorectal-cancer
July 13, 2022 - Study
Classic
Primary care collaboration to improve diagnosis and screening for colorectal cancer.
Citation Text:
Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for Colorectal Cancer. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/issue/impact-health-information-technology-management-and-follow-test-results-systematic-review
August 19, 2020 - Review
The impact of health information technology on the management and follow-up of test results—a systematic review.
Citation Text:
Georgiou A, Li J, Thomas J, et al. The impact of health information technology on the management and follow-up of test results - a systematic review. J A…
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psnet.ahrq.gov/issue/patient-groups-clinicians-and-healthcare-professionals-agree-all-test-results-need-be-seen
September 27, 2023 - Study
Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up.
Citation Text:
Dahm MR, Georgiou A, Herkes R, et al. Patient groups, clinicians and healthcare professionals agree - all test results need to be seen, underst…
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psnet.ahrq.gov/issue/identification-priorities-improvement-medication-safety-primary-care-prioritize-study
October 05, 2016 - Study
Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study.
Citation Text:
Car LT, Papachristou N, Gallagher J, et al. Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. BMC Fam Pract. 20…
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psnet.ahrq.gov/issue/defining-and-measuring-diagnostic-uncertainty-medicine-systematic-review
June 21, 2018 - Review
Classic
Defining and measuring diagnostic uncertainty in medicine: a systematic review.
Citation Text:
Bhise V, Rajan SS, Sittig DF, et al. Defining and Measuring Diagnostic Uncertainty in Medicine: A Systematic Review. J Gen Intern Med. 2018;33(1):103-11…
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psnet.ahrq.gov/issue/association-adverse-events-opioid-addiction-treatment-quality-measure-continuity
March 09, 2022 - Study
Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy.
Citation Text:
Liu Y, Becker A, Mattke S. Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy. J Health…
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psnet.ahrq.gov/issue/demonstrating-high-reliability-accountability-measures-johns-hopkins-hospital
January 27, 2016 - Study
Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital.
Citation Text:
Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531…
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psnet.ahrq.gov/issue/medication-reconciliation-geriatric-unit-impact-maintenance-post-hospitalization
December 01, 2021 - Study
Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions.
Citation Text:
Montaleytang M, Correard F, Spiteri C, et al. Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescrip…
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psnet.ahrq.gov/issue/private-patient-rooms-and-hospital-acquired-methicillin-resistant-staphylococcus-aureus
March 11, 2020 - Study
Private patient rooms and hospital-acquired methicillin-resistant Staphylococcus aureus: hospital-level analysis of administrative data from the United States.
Citation Text:
Park S-H, Stockbridge EL, Miller TL, et al. Private patient rooms and hospital-acquired methicillin-resista…
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psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
July 07, 2021 - Review
Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review.
Citation Text:
Hada A, Coyer F. Shift‐to‐shift nursing handover interventions associated with improved …
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psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality-conference
July 22, 2020 - Study
Classic
A systems approach to morbidity and mortality conference.
Citation Text:
Szostek JH, Wieland ML, Loertscher LL, et al. A systems approach to morbidity and mortality conference. Am J Med. 2010;123(7):663-668. doi:10.1016/j.amjmed.2010.03.010.
Co…
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psnet.ahrq.gov/issue/frailty-gaps-care-coordination-and-preventable-adverse-events
January 18, 2023 - Study
Frailty, gaps in care coordination, and preventable adverse events.
Citation Text:
Akinyelure OP, Colvin CL, Sterling MR, et al. Frailty, gaps in care coordination, and preventable adverse events. BMC Geriatr. 2022;22(1):476. doi:10.1186/s12877-022-03164-7.
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psnet.ahrq.gov/issue/racial-disparities-preventable-adverse-events-attributed-poor-care-coordination-reported
January 18, 2023 - Study
Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults.
Citation Text:
Pinheiro LC, Reshetnyak E, Safford MM, et al. Racial disparities in preventable adverse events attributed to poor care coordination …
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psnet.ahrq.gov/issue/assessing-safety-electronic-health-records-national-longitudinal-study-medication-related
July 29, 2020 - Study
Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support.
Citation Text:
Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national longitudinal study of medication-related decisio…
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-alerts-prescribing-older-patients
September 23, 2020 - Study
Impact of computerized physician order entry alerts on prescribing in older patients.
Citation Text:
Lester PE, Rios-Rojas L, Islam S, et al. Impact of computerized physician order entry alerts on prescribing in older patients. Drugs Aging. 2015;32(3):227-33. doi:10.1007/s40266-015…
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psnet.ahrq.gov/issue/alternatives-opioid-education-and-prescription-drug-monitoring-program-cumulatively-decreased
April 06, 2022 - Study
Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions.
Citation Text:
Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased…
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psnet.ahrq.gov/issue/understanding-medication-safety-involving-patient-transfer-intensive-care-hospital-ward
November 14, 2018 - Study
Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study.
Citation Text:
Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from intensive care to hosp…
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psnet.ahrq.gov/issue/association-between-prolonged-stay-emergency-department-and-adverse-events-older-patients
March 13, 2015 - Study
The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study.
Citation Text:
Ackroyd-Stolarz S, Guernsey R, Mackinnon NJ, et al. The association between a prolonged stay in the emergen…
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psnet.ahrq.gov/issue/prevalence-contributing-factors-and-interventions-reduce-medication-errors-outpatient-and
January 12, 2022 - Study
Prevalence, contributing factors, and interventions to reduce medication errors in outpatient and ambulatory settings: a systematic review.
Citation Text:
Naseralallah L, Stewart D, Price M, et al. Prevalence, contributing factors, and interventions to reduce medication errors in o…