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psnet.ahrq.gov/issue/medication-related-interventions-delivered-both-hospital-and-following-discharge-systematic
August 26, 2020 - Review
Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis.
Citation Text:
Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and following discharge: a systematic …
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psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
May 01, 2015 - Study
Classic
A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program.
Citation Text:
Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: eva…
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psnet.ahrq.gov/issue/three-scans-are-better-two-follow-automatic-method-finding-missed-and-misidentified-lesions
August 17, 2022 - Study
Three scans are better than two for follow-up: an automatic method for finding missed and misidentified lesions in cross-sectional follow-up of oncology patients.
Citation Text:
Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic…
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psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
August 24, 2022 - Review
U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned.
Citation Text:
Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf.…
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psnet.ahrq.gov/issue/incidents-resulting-staff-leaving-normal-duties-attend-medical-emergency-team-calls
July 13, 2010 - Study
Incidents resulting from staff leaving normal duties to attend medical emergency team calls.
Citation Text:
Investigators CMETIS, Cheung W, Sahai V, et al. Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Med J Aust. 2014;201(9):528-31.
…
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psnet.ahrq.gov/issue/psychological-safety-and-error-reporting-within-veterans-health-administration-hospitals
November 24, 2021 - Study
Psychological safety and error reporting within Veterans Health Administration hospitals.
Citation Text:
Derickson R, Fishman J, Osatuke K, et al. Psychological safety and error reporting within Veterans Health Administration hospitals. J Patient Saf. 2015;11(1):60-66. doi:10.1097/…
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psnet.ahrq.gov/issue/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
May 18, 2022 - Study
The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.
Citation Text:
Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication ad…
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psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative
September 24, 2017 - Study
Classic
Mortality trends after a voluntary checklist-based surgical safety collaborative.
Citation Text:
Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Ann Surg. 2017;266(6):923-9…
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psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital
November 16, 2022 - Study
Classic
Systematic root cause analysis of adverse drug events in a tertiary referral hospital.
Citation Text:
Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…
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psnet.ahrq.gov/issue/adherence-surgical-care-improvement-project-measures-and-association-postoperative-infections
November 25, 2020 - Study
Classic
Adherence to Surgical Care Improvement Project measures and the association with postoperative infections.
Citation Text:
Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures and the association wit…
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psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times
June 21, 2023 - Study
Medication safety event reporting: factors that contribute to safety events during times of organizational stress.
Citation Text:
Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stre…
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psnet.ahrq.gov/issue/trigger-alerts-associated-laboratory-abnormalities-identifying-potentially-preventable
August 30, 2017 - Study
Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward.
Citation Text:
Buckley MS, Rasmussen JR, Bikin DS, et al. Trigger alerts associated with laboratory abnormalities on ident…
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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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psnet.ahrq.gov/issue/scaling-safety-south-carolina-surgical-safety-checklist-experience
February 07, 2018 - Study
Scaling safety: the South Carolina Surgical Safety Checklist experience.
Citation Text:
Berry WR, Edmondson L, Gibbons LR, et al. Scaling Safety: The South Carolina Surgical Safety Checklist Experience. Health Aff (Millwood). 2018;37(11):1779-1786. doi:10.1377/hlthaff.2018.0717.
…
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psnet.ahrq.gov/issue/early-warning-systems-and-rapid-response-systems-prevention-patient-deterioration-acute-adult
July 29, 2020 - Review
Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards.
Citation Text:
McGaughey J, Fergusson DA, Van Bogaert P, et al. Early warning systems and rapid response systems for the prevention of patient deterioration …
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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/improving-patient-safety-governance-and-systems-through-learning-successes-and-failures
May 08, 2017 - Study
Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts.
Citation Text:
Hibbert PD, Stewart S, Wiles LK, et al. Improving patient safety governance and systems through learning from …
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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…
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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/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…