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psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
December 09, 2020 - Study
Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.
Citation Text:
Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…
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psnet.ahrq.gov/issue/reduction-omission-events-after-implementing-rapid-response-system-mortality-review
April 20, 2022 - Study
Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery.
Citation Text:
Olsen SL, Nedrebø BS, Strand K, et al. Reduction in omission events after implementing a Rapid Response System: a mortality review…
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psnet.ahrq.gov/issue/strategic-solution-preventing-harm-associated-ambulance-handover-delays
July 22, 2020 - Study
A strategic solution to preventing the harm associated with ambulance handover delays.
Citation Text:
Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199.
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psnet.ahrq.gov/issue/safety-and-efficiency-new-generic-package-labelling-and-after-study-simulated-setting
January 08, 2025 - Study
Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting.
Citation Text:
Garcia BH, Elenjord R, Bjornstad C, et al. Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. BMJ Qual S…
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psnet.ahrq.gov/issue/initiative-deprescribe-high-risk-drugs-older-adults-presenting-emergency-department-after
August 18, 2021 - Study
Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls.
Citation Text:
Selman K, Roberts E, Niznik J, et al. Initiative to deprescribe high‐risk drugs for older adults presenting to the emergency department after falls. J Am Ge…
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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/relationship-between-job-stress-and-patient-safety-culture-among-nurses-systematic-review
March 29, 2023 - Review
The relationship between job stress and patient safety culture among nurses: a systematic review.
Citation Text:
Zabin LM, Zaitoun RSA, Sweity EM, et al. The relationship between job stress and patient safety culture among nurses: a systematic review. BMC Nurs. 2023;22(1):39. doi:…
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psnet.ahrq.gov/issue/systems-level-factors-affecting-registered-nurses-during-care-women-labor-experiencing
November 10, 2021 - Study
Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration.
Citation Text:
Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical de…
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking/annual-summary/2011
January 01, 2011 - Using Information Technology for Patient-Centered Communication and Decisionmaking about Medications - 2011
Project Name
Using Information Technology for Patient-Centered Communication and Decisionmaking about Medications
Principal Investigator
Wolf, Michael
Organization
Nort…
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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/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/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/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/clinical-safety-englands-national-programme-it-retrospective-analysis-all-reported-safety
December 31, 2014 - Study
Classic
Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011.
Citation Text:
Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective …
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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/retained-surgical-items-problem-yet-be-solved
September 24, 2014 - Study
Retained surgical items: a problem yet to be solved.
Citation Text:
Stawicki SPA, Moffatt-Bruce SD, Ahmed HM, et al. Retained surgical items: a problem yet to be solved. J Am Coll Surg. 2013;216(1):15-22. doi:10.1016/j.jamcollsurg.2012.08.026.
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digital.ahrq.gov/funding-mechanism/state-and-regional-demonstrations-health-information-technology
January 01, 2023 - State and Regional Demonstrations in Health Information Technology
Real time alert system: a disease management system leveraging health information exchange.
Citation
Anand V, Sheley ME, Xu S, et al. Real time alert system: a disease management system leveraging health inform…
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digital.ahrq.gov/population/veteran
January 01, 2023 - Veteran
A Longitudinal Machine Learning Approach Providing Clinicians Timely Detection to Prevent Military Suicide
Description
This research will develop and validate a clinician-facing longitudinal risk-prediction tool using self-reported data from US military service members…
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psnet.ahrq.gov/issue/effects-teamwork-training-adverse-outcomes-and-process-care-labor-and-delivery-randomized
January 10, 2017 - Study
Classic
Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial.
Citation Text:
Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of care …
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psnet.ahrq.gov/issue/medication-errors-pediatric-emergency-departments-systematic-review-and-recommendations
January 11, 2023 - Review
Medication errors in pediatric emergency departments: a systematic review and recommendations for enhancing medication safety.
Citation Text:
Alsabri M, Eapen D, Sabesan V, et al. Medication errors in pediatric emergency departments: a systematic review and recommendations for enh…