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psnet.ahrq.gov/issue/disclosing-errors-and-adverse-events-intensive-care-unit
February 17, 2017 - Study
Disclosing errors and adverse events in the intensive care unit.
Citation Text:
Boyle DJ, O'Connell D, Platt FW, et al. Disclosing errors and adverse events in the intensive care unit. Crit Care Med. 2006;34(5):1532-7.
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psnet.ahrq.gov/issue/prevalence-adverse-drug-events-ambulatory-care-systematic-review
July 29, 2020 - Review
Prevalence of adverse drug events in ambulatory care: a systematic review.
Citation Text:
Taché S, Sönnichsen A, Ashcroft DM. Prevalence of adverse drug events in ambulatory care: a systematic review. Ann Pharmacother. 2011;45(7-8):977-89. doi:10.1345/aph.1P627.
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psnet.ahrq.gov/issue/high-reliability-pediatric-heart-centers-always-working-toward-getting-better
September 18, 2024 - Commentary
High reliability pediatric heart centers: always working toward getting better.
Citation Text:
Torzone A, Birely A. High reliability pediatric heart centers: always working toward getting better. Curr Opin Cardiol. 2024;39(4):356-363. doi:10.1097/hco.0000000000001143.
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psnet.ahrq.gov/issue/five-ways-you-can-reduce-inappropriate-prescribing-elderly-systematic-review
September 23, 2020 - Review
Five ways you can reduce inappropriate prescribing in the elderly: a systematic review.
Citation Text:
Garcia RM. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. J Fam Pract. 2006;55(4):305-12.
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psnet.ahrq.gov/issue/why-pediatricians-fail-diagnose-hypertension-multicenter-survey
August 26, 2020 - Study
Why pediatricians fail to diagnose hypertension: a multicenter survey.
Citation Text:
Bijlsma MW, Blufpand HN, Kaspers GJL, et al. Why pediatricians fail to diagnose hypertension: a multicenter survey. J Pediatr. 2014;164(1):173-177.e7. doi:10.1016/j.jpeds.2013.08.066.
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psnet.ahrq.gov/issue/practice-advisory-prevention-and-management-operating-room-fires
December 14, 2010 - Commentary
Practice advisory for the prevention and management of operating room fires.
Citation Text:
Fires AS of ATF on OR, Caplan RA, Barker SJ, et al. Practice advisory for the prevention and management of operating room fires. Anesthesiology. 2008;108(5):786-801; quiz 971-2. doi:10…
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psnet.ahrq.gov/issue/evaluating-implementation-rapid-response-team-considering-alternative-outcome-measures
October 19, 2022 - Study
Evaluating implementation of a rapid response team: considering alternative outcome measures.
Citation Text:
Moriarty JP, Schiebel NE, Johnson MG, et al. Evaluating implementation of a rapid response team: considering alternative outcome measures. Int J Qual Health Care. 2014;26(1)…
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psnet.ahrq.gov/issue/achieving-institute-medicines-6-aims-quality-midst-opioid-crisis-considerations-emergency
June 24, 2015 - Commentary
Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department.
Citation Text:
Waszak DL, Fennimore LA. Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: consider…
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psnet.ahrq.gov/issue/qualitative-exploration-patients-attitudes-towards-participate-inform-notice-know-pink
July 06, 2012 - Study
A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video.
Citation Text:
Pinto A, Vincent CA, Darzi A, et al. A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patien…
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psnet.ahrq.gov/issue/surgical-adverse-outcomes-and-patients-evaluation-quality-care-inherent-risk-or-reduced
March 22, 2011 - Study
Surgical adverse outcomes and patients’ evaluation of quality of care: inherent risk or reduced quality of care?
Citation Text:
van de Mheen PJM-, van Duijn-Bakker N, Kievit J. Surgical adverse outcomes and patients' evaluation of quality of care: inherent risk or reduced quality…
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psnet.ahrq.gov/issue/practically-speaking-rethinking-hand-hygiene-improvement-programs-health-care-settings
September 03, 2011 - Study
Practically speaking: rethinking hand hygiene improvement programs in health care settings.
Citation Text:
Son C, Chuck T, Childers T, et al. Practically speaking: Rethinking hand hygiene improvement programs in health care settings. Am J Infect Control. 2011;39(9). doi:10.1016/j…
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psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery
August 02, 2015 - Study
Classic
Variation in hospital mortality associated with inpatient surgery.
Citation Text:
Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa090304…
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psnet.ahrq.gov/issue/identifying-patient-safety-problems-during-team-rounds-ethnographic-study
May 11, 2022 - Study
Identifying patient safety problems during team rounds: an ethnographic study.
Citation Text:
Lamba R, Linn K, Fletcher KE. Identifying patient safety problems during team rounds: an ethnographic study. BMJ Qual Saf. 2014;23(8):667-9. doi:10.1136/bmjqs-2013-002324.
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psnet.ahrq.gov/issue/connected-care-reducing-errors-through-automated-vital-signs-data-upload
September 01, 2018 - Study
Connected care: reducing errors through automated vital signs data upload.
Citation Text:
Smith LB, Banner L, Lozano D, et al. Connected care: reducing errors through automated vital signs data upload. Comput Inform Nurs. 2009;27(5):318-23. doi:10.1097/NCN.0b013e3181b21d65.
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psnet.ahrq.gov/issue/lack-timely-follow-abnormal-imaging-results-and-radiologists-recommendations
April 13, 2017 - Study
Lack of timely follow-up of abnormal imaging results and radiologists' recommendations.
Citation Text:
Al-Mutairi A, Meyer AND, Chang P, et al. Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. J Am Coll Radiol. 2015;12(4):385-389. doi:10.1016/…
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psnet.ahrq.gov/issue/problem-preventable-deaths
July 24, 2024 - Commentary
The problem with preventable deaths.
Citation Text:
Hogan H. The problem with preventable deaths. BMJ Qual Saf. 2016;25(5):320-3. doi:10.1136/bmjqs-2015-004983.
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psnet.ahrq.gov/issue/interventions-improve-hand-hygiene-compliance-patient-care
September 09, 2020 - Review
Interventions to improve hand hygiene compliance in patient care.
Citation Text:
Gould DJ, Moralejo D, Drey N, et al. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;9(9):CD005186. doi:10.1002/14651858.cd005186.pub4.
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psnet.ahrq.gov/issue/standard-drug-concentrations-and-smart-pump-technology-reduce-continuous-medication-infusion
October 06, 2011 - Study
Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients.
Citation Text:
Larsen G, Parker HB, Cash J, et al. Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in ped…
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psnet.ahrq.gov/issue/doctors-and-dentists-still-flooding-us-opioid-prescriptions
October 13, 2018 - Newspaper/Magazine Article
Doctors and dentists still flooding U.S. with opioid prescriptions.
Citation Text:
Mann B. Doctors and dentists still flooding U.S. with opioid prescriptions. National Public Radio. 2020;July 17.
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psnet.ahrq.gov/issue/oral-outpatient-chemotherapy-medication-errors-children-acute-lymphoblastic-leukemia
August 12, 2020 - Study
Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia.
Citation Text:
Taylor JA, Winter L, Geyer LJ, et al. Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. Cancer. 2006;107(6):1400-6.
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