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psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
June 22, 2022 - Study
Classic
The Veterans Affairs root cause analysis system in action.
Citation Text:
Bagian JP, Gosbee JW, Lee CZ, et al. The Veterans Affairs Root Cause Analysis System in Action. Jt Comm J Qual Improv. 2016;28(10):531-545. doi:10.1016/s1070-3241(02)28057-8.…
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psnet.ahrq.gov/issue/hospital-based-medication-reconciliation-practices-systematic-review
April 05, 2013 - Review
Classic
Hospital-based medication reconciliation practices: a systematic review.
Citation Text:
Mueller SK, Sponsler KC, Kripalani S, et al. Hospital-based medication reconciliation practices: a systematic review. Arch Intern Med. 2012;172(14):1057-69. do…
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psnet.ahrq.gov/issue/nurses-and-nursing-assistants-perceptions-patient-safety-culture-nursing-homes
December 15, 2011 - Study
Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes.
Citation Text:
Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-6.
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psnet.ahrq.gov/issue/potentially-inappropriate-medications-according-stopp-j-criteria-and-risks-hospitalization
January 27, 2021 - Study
Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services
Citation Text:
Huang C-H, Umegaki H, Watanabe Y, et al. Potentially inappropriate medications according to STOPP-…
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psnet.ahrq.gov/issue/effects-accreditation-council-graduate-medical-education-duty-hour-limits-sleep-work-hours
March 03, 2011 - Study
Classic
Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety.
Citation Text:
Landrigan CP, Fahrenkopf AM, Lewin D, et al. Effects of the accreditation council for graduate medical education…
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psnet.ahrq.gov/issue/association-between-sleep-health-and-rates-self-reported-medical-errors-intern-physicians
February 07, 2024 - Study
Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study.
Citation Text:
Hassinger AB, Velez C, Wang J, et al. Association between sleep health and rates of self-reported medical errors in inte…
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psnet.ahrq.gov/issue/impact-work-schedules-senior-resident-physicians-patient-and-resident-physician-safety
May 25, 2022 - Study
Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study.
Citation Text:
Barger LK, Weaver MD, Sullivan JP, et al. Impact of work schedules of senior resident physicians on patient and resident physician s…
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psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
July 13, 2022 - Study
Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.
Citation Text:
Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multiste…
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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/annual-summary/2011
January 01, 2011 - Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors - 2011
Project Name
Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors
Principal Investigator
Basco, William
Organization
Medical University of South Carolina
Funding Mechanism…
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psnet.ahrq.gov/issue/association-safety-program-improving-antibiotic-use-antibiotic-use-and-hospital-onset
July 20, 2022 - Study
Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals
Citation Text:
Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with an…
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psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among-low-income-urban
February 22, 2011 - Study
What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.
Citation Text:
Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambu…
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psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-national-patient-safety-imperative
March 21, 2012 - Study
Eliminating central line-associated bloodstream infections: a national patient safety imperative.
Citation Text:
Berenholtz SM, Lubomski LH, Weeks K, et al. Eliminating central line-associated bloodstream infections: a national patient safety imperative. Infect Control Hosp Epidem…
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digital.ahrq.gov/medical-condition/coronary-artery-disease-cad
January 01, 2024 - Coronary Artery Disease (CAD)
Rural EMS STEMI patients - why the delay to PCI?
Citation
Stopyra JP, Snavely AC, Ashburn NP, Supples MW, Brown WM, Miller CD, Mahler SA. Rural EMS STEMI patients - why the delay to PCI? Prehosp Emerg Care. 2024 Jan 18:1-8. doi: 10.1080/10903127.2…
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psnet.ahrq.gov/issue/quasi-experimental-evaluation-effectiveness-large-scale-readmission-reduction-program
January 07, 2015 - Study
Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program.
Citation Text:
Jenq GY, Doyle MM, Belton BM, et al. Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale Readmission Reduction Program. JAMA Intern Med. 2016;176(5):681…
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psnet.ahrq.gov/issue/impact-introducing-automated-dispensing-cabinets-barcode-medication-administration-and-closed
March 10, 2021 - Review
Emerging Classic
The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review.
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psnet.ahrq.gov/issue/making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices
March 13, 2013 - Book/Report
Classic
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices.
Citation Text:
Shekelle PG, Wachter RM, Pronovost PJ, et al. Making Health Care Safer Ii: An Updated Critical Analysis Of The Evidence For…
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psnet.ahrq.gov/issue/overall-performance-drug-drug-interaction-clinical-decision-support-system-quantitative
August 10, 2022 - Study
Overall performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey.
Citation Text:
Van De Sijpe G, Quintens C, Walgraeve K, et al. Overall performance of a drug–drug interaction clinical decision support system: quantitative…
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psnet.ahrq.gov/issue/exploring-situational-awareness-diagnostic-errors-primary-care
September 20, 2011 - Study
Exploring situational awareness in diagnostic errors in primary care.
Citation Text:
Singh H, Giardina TD, Petersen LA, et al. Exploring situational awareness in diagnostic errors in primary care. BMJ Qual Saf. 2011;21(1):30-38. doi:10.1136/bmjqs-2011-000310.
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psnet.ahrq.gov/issue/performance-global-assessment-pediatric-patient-safety-gapps-tool
August 14, 2018 - Study
Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool.
Citation Text:
Landrigan CP, Stockwell DC, Toomey SL, et al. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool. Pediatrics. 2016;137(6). doi:10.1542/peds.2015-4076.
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psnet.ahrq.gov/issue/electronic-health-record-based-surveillance-diagnostic-errors-primary-care
April 09, 2013 - Study
Electronic health record-based surveillance of diagnostic errors in primary care.
Citation Text:
Singh H, Giardina TD, Forjuoh SN, et al. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf. 2012;21(2):93-100. doi:10.1136/bmjqs-2011-0003…