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psnet.ahrq.gov/issue/evaluating-accuracy-electronic-pediatric-drug-dosing-rules
May 08, 2017 - Study
Evaluating the accuracy of electronic pediatric drug dosing rules.
Citation Text:
Kirkendall E, Spooner A, Logan JR. Evaluating the accuracy of electronic pediatric drug dosing rules. J Am Med Inform Assoc. 2014;21(e1):e43-9. doi:10.1136/amiajnl-2013-001793.
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psnet.ahrq.gov/issue/approaches-reducing-most-important-patient-errors-primary-health-care-patient-and
April 12, 2011 - Study
Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives.
Citation Text:
Buetow S, Kiata L, Liew T, et al. Approaches to reducing the most important patient errors in primary health-care: patient and professional persp…
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psnet.ahrq.gov/issue/impact-built-environment-patient-falls-hospital-rooms-integrative-review
July 27, 2022 - Review
The impact of the built environment on patient falls in hospital rooms: an integrative review.
Citation Text:
Pati D, Valipoor S, Lorusso L, et al. The impact of the built environment on patient falls in hospital rooms: an integrative review. J Patient Saf. 2021;17(4):273-281. doi…
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psnet.ahrq.gov/issue/connecting-dots-leveraging-visual-analytics-make-sense-patient-safety-event-reports
May 29, 2024 - Commentary
'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports.
Citation Text:
Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:1…
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psnet.ahrq.gov/issue/safety-using-computerized-rounding-and-sign-out-system-reduce-resident-duty-hours
June 23, 2009 - Study
Safety of using a computerized rounding and sign-out system to reduce resident duty hours.
Citation Text:
Van Eaton EG, McDonough K, Lober WB, et al. Safety of Using a Computerized Rounding and Sign-Out System to Reduce Resident Duty Hours. Academic Medicine. 2010;85(7). doi:10.1…
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psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
January 18, 2013 - Study
Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system.
Citation Text:
Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(…
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psnet.ahrq.gov/issue/medication-errors-and-trainees-advice-learners-and-organizations
April 10, 2019 - Commentary
Medication errors and trainees: advice for learners and organizations.
Citation Text:
Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092.
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psnet.ahrq.gov/issue/perceptual-and-interpretive-error-diagnostic-radiology-causes-and-potential-solutions
November 13, 2024 - Commentary
Perceptual and interpretive error in diagnostic radiology—causes and potential solutions.
Citation Text:
Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.101…
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psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals
February 18, 2011 - Study
The costs of adverse drug events in community hospitals.
Citation Text:
Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6.
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digital.ahrq.gov/sites/default/files/docs/resource/Karen_Fox_IQHIT_Q4_Measures_of_Impact_for_BLUES_Project.pdf
June 16, 2021 - Measures of Impact for BLUES project
Measures of Impact for BLUES project
Lead Agency: Delta Health Alliance
There has been significant discussion about how to effectively measure the BLUES project’s
impact during the past quarter. Although no baseline data is available at this time, the table
below solidifie…
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psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns
June 30, 2011 - Study
Medication safety in older adults: home-based practice patterns.
Citation Text:
Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am Geriatr Soc. 2005;53(6):976-982.
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psnet.ahrq.gov/issue/effectiveness-information-technology-intervention-improve-prophylactic-antibacterial-use
September 01, 2016 - Study
Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period.
Citation Text:
Haynes K, Linkin DR, Fishman NO, et al. Effectiveness of an information technology intervention to improve prophylactic antibacterial use …
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psnet.ahrq.gov/issue/medication-reconciliation-academic-medical-center-implementation-comprehensive-program
April 24, 2018 - Commentary
Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge.
Citation Text:
Murphy EM, Oxencis CJ, Klauck JA, et al. Medication reconciliation at an academic medical center: implementation of a comprehensive …
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psnet.ahrq.gov/issue/solving-alarm-fatigue-smartphone-technology
October 04, 2023 - Commentary
Solving alarm fatigue with smartphone technology.
Citation Text:
Short K, Chung YJ. Solving alarm fatigue with smartphone technology. Nursing (Brux). 2019;49(1):52-57. doi:10.1097/01.NURSE.0000549728.37810.d9.
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psnet.ahrq.gov/issue/comparing-errors-ed-computer-assisted-vs-conventional-pediatric-drug-dosing-and
November 22, 2017 - Study
Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.
Citation Text:
Yamamoto LG, Kanemori J. Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. Am J Emerg Med. 2010;28(5):588-92. doi:10.…
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psnet.ahrq.gov/issue/prescriber-barriers-and-enablers-minimising-potentially-inappropriate-medications-adults
September 23, 2020 - Review
Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis.
Citation Text:
Anderson K, Stowasser D, Freeman C, et al. Prescriber barriers and enablers to minimising potentially inappropriate medication…
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psnet.ahrq.gov/issue/patient-centered-prescription-opioid-tapering-community-outpatients-chronic-pain
May 17, 2017 - Study
Emerging Classic
Patient-centered prescription opioid tapering in community outpatients with chronic pain.
Citation Text:
Darnall BD, Ziadni MS, Stieg RL, et al. Patient-Centered Prescription Opioid Tapering in Community Outpatients With Chronic Pain. JAMA…
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psnet.ahrq.gov/issue/building-safety-net
December 21, 2009 - Newspaper/Magazine Article
Building a safety net.
Citation Text:
Rogoski RR. Building a safety net. By leveraging huge amounts of data and applying it to a wide array of projects and purposes, hospitals stay focused on patient safety and make headway. Health management technology. 2006…
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psnet.ahrq.gov/issue/systematic-approach-identification-and-classification-near-miss-events-labor-and-delivery
May 21, 2019 - Study
A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system.
Citation Text:
Clark SL, Meyers JA, Frye DR, et al. A systematic approach to the identification and classification of near-miss events…
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psnet.ahrq.gov/issue/reducing-emergency-department-charting-and-ordering-errors-room-number-watermark-electronic
November 22, 2017 - Study
Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record display.
Citation Text:
Yamamoto LG. Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record dis…