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psnet.ahrq.gov/issue/patient-reported-safety-incidents-older-patients-long-term-conditions-large-cross-sectional
October 14, 2015 - Study
Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study.
Citation Text:
Panagioti M, Blakeman T, Hann M, et al. Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study. BMJ Ope…
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psnet.ahrq.gov/issue/national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors
January 05, 2012 - Study
National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings.
Citation Text:
Latif A, Rawat N, Pustavoitau A, et al. National study on the distribution, causes, and consequences of voluntarily reported…
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psnet.ahrq.gov/issue/impact-rapid-response-system-implementation-critical-deterioration-events-children
November 06, 2015 - Study
Impact of rapid response system implementation on critical deterioration events in children.
Citation Text:
Bonafide CP, Localio R, Roberts KE, et al. Impact of rapid response system implementation on critical deterioration events in children. JAMA Pediatr. 2014;168(1):25-33. doi:1…
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-quality-care-improving-usability-electronic-health-record
March 04, 2011 - Commentary
Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA.
Citation Text:
Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electro…
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psnet.ahrq.gov/issue/evaluation-and-mitigation-limitations-large-language-models-clinical-decision-making
March 09, 2022 - Commentary
Evaluation and mitigation of the limitations of large language models in clinical decision-making.
Citation Text:
Hager P, Jungmann F, Holland R, et al. Evaluation and mitigation of the limitations of large language models in clinical decision-making. Nat Med. 2024;30(9):2613-…
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psnet.ahrq.gov/issue/national-and-institutional-trends-adverse-events-over-time-systematic-review-and-meta
February 03, 2021 - Review
National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies.
Citation Text:
Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a sys…
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psnet.ahrq.gov/issue/multi-team-shared-expectations-tool-mt-set-exercise-improve-teamwork-across-health-care-teams
May 22, 2019 - Commentary
Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams.
Citation Text:
Marsteller JA, Rosen MA, Wyskiel R, et al. Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. Jt Comm J Q…
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psnet.ahrq.gov/issue/improving-appropriate-use-peripherally-inserted-central-catheters-through-statewide
April 14, 2021 - Study
Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hospital initiative: a cost-effectiveness analysis.
Citation Text:
Heath M, Bernstein SJ, Paje D, et al. Improving appropriate use of peripherally inserted central catheters throu…
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psnet.ahrq.gov/issue/can-patients-contribute-enhancing-safety-and-effectiveness-test-result-follow-qualitative
August 19, 2020 - Study
Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop.
Citation Text:
Thomas J, Dahm MR, Li J, et al. Can patients contribute to enhancing the safety and effectiveness of test‐result follow‐u…
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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/complication-rates-hospital-size-and-bias-cms-hospital-acquired-condition-reduction-program
October 19, 2022 - Study
Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program.
Citation Text:
Koenig L, Soltoff SA, Demiralp B, et al. Complication Rates, Hospital Size, and Bias in the CMS Hospital-Acquired Condition Reduction Program. Am J Med Qual. 2017;32…
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psnet.ahrq.gov/issue/impact-opioid-administration-intensive-care-unit-and-subsequent-use-opioid-naive-patients
April 06, 2022 - Study
Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients.
Citation Text:
Krancevich NM, Belfer JJ, Draper HM, et al. Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. Ann Pharmacothe…
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psnet.ahrq.gov/issue/covid-19-patient-safety-and-quality-improvement-skills-deploy-during-surge
March 23, 2022 - Commentary
COVID-19: patient safety and quality improvement skills to deploy during the surge.
Citation Text:
Staines A, Amalberti R, Berwick DM, et al. COVID-19: patient safety and quality improvement skills to deploy during the surge. Int J Qual Health Care. 2021;33(1):mzaa050. doi:10.…
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psnet.ahrq.gov/issue/using-event-reports-real-time-identify-and-mitigate-patient-safety-concerns-during-covid-19
March 23, 2022 - Commentary
Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic.
Citation Text:
Kasda EM, Robson C, Saunders J, et al. Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic.…
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psnet.ahrq.gov/issue/using-machine-learning-system-identify-and-prevent-medication-prescribing-errors-clinical-and
June 05, 2018 - Study
Emerging Classic
Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation.
Citation Text:
Rozenblum R, Rodriguez-Monguio R, Volk LA, et al. Using a machine learning system to identify an…
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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/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
April 22, 2015 - Study
Classic
Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients.
Citation Text:
Hamilton H, Gallagher P, Ryan C, et al. Potentially inappropriate medications defined by STOPP crit…
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psnet.ahrq.gov/issue/clinical-and-safety-impact-inpatient-pharmacist-directed-anticoagulation-service
September 23, 2020 - Study
Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.
Citation Text:
Schillig J, Kaatz S, Hudson M, et al. Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service. J Hosp Med. 2011;6(6):322-8. doi:10.1002/jhm.910.
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psnet.ahrq.gov/issue/eliciting-willingness-pay-prevent-hospital-medication-administration-errors-uk-contingent
March 28, 2012 - Study
Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey.
Citation Text:
Hill SR, Bhattarai N, Tolley CL, et al. Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a continge…
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psnet.ahrq.gov/issue/situation-awareness-and-mitigation-risk-associated-patient-deterioration-meta-narrative
December 08, 2021 - Review
Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice.
Citation Text:
Walshe N, Ryng S, Drennan J, et al. Situation awareness and the mitigation of risk associate…