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psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - SPOTLIGHT CASE
A Pill Organizing Plight
Citation Text:
McGalliard B, Shane R, Rosen S. A Pill Organizing Plight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/case-patient-flow-management
February 23, 2019 - The Case for Patient Flow Management
Citation Text:
Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/node/40669/psn-pdf
August 27, 2013 - STate Action on Avoidable Rehospitalizations.
August 27, 2013
Institute for Healthcare Improvement. 2009 -2013.
https://psnet.ahrq.gov/issue/state-action-avoidable-rehospitalizations
This Web site supports an initiative to reduce avoidable rehospitalizations by improving transitions in care
and communication betwe…
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psnet.ahrq.gov/issue/transforming-medication-regimen-review-process-using-telemedicine-prevent-adverse-events
November 11, 2015 - Study
Transforming the medication regimen review process using telemedicine to prevent adverse events.
Citation Text:
Kane‐Gill SL, Wong A, Culley CM, et al. Transforming the medication regimen review process using telemedicine to prevent adverse events. J Am Geriatr Soc. 2020;69(2):530-…
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psnet.ahrq.gov/issue/impact-prescribing-safety-alerts-elderly-persons-electronic-medical-record-interrupted-time
July 10, 2008 - Study
The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.
Citation Text:
Smith DH, Perrin N, Feldstein AC, et al. The impact of prescribing safety alerts for elderly persons in an electronic medical record:…
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psnet.ahrq.gov/issue/using-failure-mode-effect-and-criticality-analysis-improve-safety-cancer-treatment
October 21, 2020 - Study
Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process.
Citation Text:
Buja A, De Luca G, Ottolitri K, et al. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment…
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psnet.ahrq.gov/issue/association-between-transfer-emergency-department-boarders-inpatient-hallways-and-mortality-4
October 28, 2020 - Study
The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.
Citation Text:
Viccellio A, Santora C, Singer AJ, et al. The association between transfer of emergency department boarders to inpatient hallways and mortali…
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psnet.ahrq.gov/issue/evaluating-implementation-and-impact-pharmacy-technician-supported-medicines-administration
November 14, 2018 - Study
Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study.
Citation Text:
Seston EM, Ashcroft DM, Lamerton E, et al. Evaluating the implementation and impact of a p…
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psnet.ahrq.gov/issue/multi-hospital-after-observational-study-using-point-prevalence-approach-infusion-safety
January 23, 2017 - Study
A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors.
Citation Text:
Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational …
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psnet.ahrq.gov/issue/views-practicing-physicians-and-public-medical-errors
August 03, 2009 - Study
Classic
Views of practicing physicians and the public on medical errors.
Citation Text:
Blendon RJ, DesRoches CM, Brodie M, et al. Views of practicing physicians and the public on medical errors. N Engl J Med. 2002;347(24):1933-40.
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psnet.ahrq.gov/issue/association-between-limiting-number-open-records-tele-critical-care-setting-and-retract
July 22, 2020 - Study
Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors.
Citation Text:
Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele-critical care setting and retract–reorder error…
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psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-adults-2019
September 30, 2020 - Study
Opioid prescribing to US children and young adults in 2019.
Citation Text:
Chua K-P, Brummett CM, Conti RM, et al. Opioid prescribing to US children and young adults in 2019. Pediatrics. 2021;148(3):e2021051539. doi:10.1542/peds.2021-051539.
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psnet.ahrq.gov/issue/efficacy-mindful-practice-improving-diagnosis-healthcare-systematic-review-and-evidence
May 05, 2021 - Review
The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synthesis.
Citation Text:
Pinnock R, Ritchie D, Gallagher S, et al. The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synth…
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psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm
May 17, 2023 - Study
Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care.
Citation Text:
Garzón González G, Alonso Safont T, Conejos Míquel D, et al. Validation of a reduced set of high-performance triggers for identifying patient …
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psnet.ahrq.gov/issue/error-reduction-pediatric-chemotherapy-computerized-order-entry-and-failure-modes-and-effects
August 02, 2010 - Study
Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis.
Citation Text:
Kim G, Chen AR, Arceci RJ, et al. Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. Arch Pediatr Ad…
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psnet.ahrq.gov/issue/randomized-trial-reducing-ambulatory-malpractice-and-safety-risk-results-massachusetts
February 25, 2015 - Study
Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project.
Citation Text:
Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Proje…
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psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration
August 21, 2024 - Study
Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration.
Citation Text:
Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:…
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psnet.ahrq.gov/issue/could-breaks-reduce-general-practitioner-burnout-and-improve-safety-daily-diary-study
August 24, 2016 - Study
Could breaks reduce general practitioner burnout and improve safety? A daily diary study.
Citation Text:
Hall LH, Johnson J, Watt I, et al. Could breaks reduce general practitioner burnout and improve safety? A daily diary study. PLoS ONE. 2024;19(8):e0307513. doi:10.1371/journal.p…
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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…
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psnet.ahrq.gov/issue/cdc-guideline-opioid-prescribing-associated-reduced-dispensing-certain-patients-chronic-pain
October 13, 2018 - Study
CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain.
Citation Text:
Townsend T, Cerdá M, Bohnert AS, et al. CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. Healt…