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psnet.ahrq.gov/issue/development-rapid-response-capabilities-large-covid-19-alternate-care-site-using-failure
September 16, 2020 - Commentary
Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation.
Citation Text:
Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19 alternate ca…
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psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication
February 16, 2022 - Review
The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging.
Citation Text:
Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…
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psnet.ahrq.gov/issue/estimating-impact-patient-safety-enabling-digital-transfer-patients-prescription-information
May 24, 2023 - Study
Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS.
Citation Text:
Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription…
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psnet.ahrq.gov/issue/risk-reduction-adverse-drug-events-through-sequential-implementation-patient-safety
June 03, 2020 - Study
Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital.
Citation Text:
Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiat…
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psnet.ahrq.gov/issue/unplanned-transfers-medical-intensive-care-unit-causes-and-relationship-preventable-errors
July 19, 2023 - Study
Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.
Citation Text:
Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. J …
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psnet.ahrq.gov/issue/use-complete-medication-history-identify-and-correct-transitions-care-medication-errors
October 28, 2020 - Study
Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.
Citation Text:
Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication erro…
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psnet.ahrq.gov/issue/cost-benefit-analysis-medical-emergency-team-childrens-hospital
November 06, 2015 - Study
Cost-benefit analysis of a medical emergency team in a children's hospital.
Citation Text:
Bonafide CP, Localio R, Song L, et al. Cost-benefit analysis of a medical emergency team in a children's hospital. Pediatrics. 2014;134(2):235-41. doi:10.1542/peds.2014-0140.
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-medical-errors-antineoplastic-drugs-5-years
November 17, 2021 - Study
The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation.
Citation Text:
Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on medical errors with antineoplasti…
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digital.ahrq.gov/ahrq-funded-projects/industrial-systems-engineering-and-health-care-critical-areas-research-workshop/industrial-and-systems-engineering-and-health-care-critical-areas-research-workshop-participants
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/issue/are-we-there-yet-ten-persistent-hazards-and-inefficiencies-use-medication-administration
August 04, 2021 - Study
"Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses.
Citation Text:
Taft T, Rudd EA, Thraen I, et al. “Are we there yet?” Ten persistent hazards and inefficiencies with the use …
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psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
September 23, 2020 - Study
Classic
Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system.
Citation Text:
Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a commerciall…
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psnet.ahrq.gov/issue/combining-systems-and-teamwork-approaches-enhance-effectiveness-safety-improvement
January 20, 2015 - Study
Combining systems and teamwork approaches to enhance the effectiveness of safety improvement interventions in surgery: the Safer Delivery of Surgical Services (S3) program.
Citation Text:
McCulloch P, Morgan L, New S, et al. Combining Systems and Teamwork Approaches to Enhance the …
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psnet.ahrq.gov/issue/patient-handovers-within-hospital-translating-knowledge-motor-racing-healthcare
April 01, 2015 - Study
Classic
Patient handovers within the hospital: translating knowledge from motor racing to healthcare.
Citation Text:
Catchpole K, Sellers R, Goldman A, et al. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Q…
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psnet.ahrq.gov/issue/evaluation-laboratory-monitoring-alerts-within-computerized-physician-order-entry-system
October 06, 2011 - Study
Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders.
Citation Text:
Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication o…
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psnet.ahrq.gov/issue/medication-safety-amid-technological-change-usability-evaluation-inform-inpatient-nurses
March 22, 2023 - Study
Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition.
Citation Text:
Reale C, Ariosto DA, Weinger MB, et al. Medication safety amid technological change: usability evaluation to inform inpatient nur…
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psnet.ahrq.gov/issue/effects-two-commercial-electronic-prescribing-systems-prescribing-error-rates-hospital
September 01, 2016 - Study
Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.
Citation Text:
Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on prescribing error rates in hos…
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psnet.ahrq.gov/issue/do-clinicians-know-which-their-patients-have-central-venous-catheters-multicenter
June 08, 2016 - Study
Do clinicians know which of their patients have central venous catheters?: A multicenter observational study.
Citation Text:
Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous catheters?: a multicenter observational study. Ann Intern…
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psnet.ahrq.gov/issue/what-evidence-supports-use-computerized-alerts-and-prompts-improve-clinicians-prescribing
August 04, 2021 - Review
What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?
Citation Text:
Schedlbauer A, Prasad V, Mulvaney C, et al. What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior…
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psnet.ahrq.gov/issue/risk-adjusted-survival-adults-following-hospital-cardiac-arrest-day-week-and-time-day
July 01, 2017 - Study
Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study.
Citation Text:
Robinson EJ, Smith GB, Power GS, et al. Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time o…
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psnet.ahrq.gov/issue/can-targeted-educational-approach-improve-situational-awareness-paramedicine-during-911
October 05, 2022 - Study
Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls?
Citation Text:
Hunter J, Porter M, Cody P, et al. Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? Int Emerg Nu…