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psnet.ahrq.gov/issue/usability-computerised-drug-monitoring-programme-detect-adverse-drug-events-and-non
December 21, 2014 - Study
Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care.
Citation Text:
Auger C, Forster AJ, Oake N, et al. Usability of a computerised drug monitoring programme to detect adverse drug events and non-comp…
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psnet.ahrq.gov/issue/results-and-lessons-hospital-wide-initiative-incentivised-delivery-system-reform-improve
March 02, 2022 - Study
Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care.
Citation Text:
Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised by delivery system…
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psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized-controlled-trial
December 21, 2017 - Study
Understanding and preventing wrong-patient electronic orders: a randomized controlled trial.
Citation Text:
Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305…
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psnet.ahrq.gov/issue/process-failures-increase-risk-infection-through-respiratory-droplets-study-patient-safety
March 24, 2021 - Study
Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania.
Citation Text:
Harper A, Kukielka E, Jones RM. Process failures that increase the risk of infection through respiratory dro…
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psnet.ahrq.gov/issue/influence-opioid-prescription-policy-overdoses-and-related-adverse-effects-primary-care
March 24, 2021 - Study
Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population.
Citation Text:
Harder VS, Plante TB, Koh I, et al. Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population. J Gen Int…
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psnet.ahrq.gov/curated-library/video-library
November 10, 2025 - Breadcrumb
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Created By: AHRQ
Date Created: November 30, 2022…
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psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients
February 27, 2019 - Study
Classic
Vital signs: improving antibiotic use among hospitalized patients.
Citation Text:
Fridkin SK, Baggs J, Fagan R, et al. Vital signs: improving antibiotic use among hospitalized patients. MMWR Morb Mortal Wkly Rep. 2014;63(9):194-200.
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psnet.ahrq.gov/issue/what-us-hospitals-are-currently-doing-prevent-common-device-associated-infections-results
June 21, 2023 - Study
What US hospitals are currently doing to prevent common device-associated infections: results from a national survey.
Citation Text:
Saint S, Greene MT, Fowler KE, et al. What US hospitals are currently doing to prevent common device-associated infections: results from a national s…
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psnet.ahrq.gov/issue/disentangling-quality-and-safety-indicator-data-longitudinal-comparative-study-hand-hygiene
March 23, 2011 - Study
Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance and accreditation outcomes in 96 Australian hospitals.
Citation Text:
Mumford V, Greenfield D, Hogden A, et al. Disentangling quality and safety indicator data: a longitudi…
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psnet.ahrq.gov/issue/understanding-differences-electronic-health-record-ehr-use-linking-individual-physicians
November 17, 2015 - Study
Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care.
Citation Text:
Lanham HJ, Sittig DF, Leykum LK, et al. Understanding differences in electronic health record (EHR) u…
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psnet.ahrq.gov/issue/communication-between-primary-and-secondary-care-deficits-and-danger
September 23, 2020 - Study
Communication between primary and secondary care: deficits and danger.
Citation Text:
Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037.
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psnet.ahrq.gov/issue/health-economic-evaluation-infection-prevention-and-control-program-are-quality-and-patient
June 02, 2021 - Study
Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment?
Citation Text:
Raschka S, Dempster L, Bryce E. Health economic evaluation of an infection prevention and control program: are quality and patien…
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psnet.ahrq.gov/issue/effect-standardized-handoff-curriculum-improved-clinician-preparedness-intensive-care-unit
October 19, 2022 - Study
Classic
Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial.
Citation Text:
Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curr…
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psnet.ahrq.gov/issue/impact-electronic-alert-notification-system-embedded-radiologists-workflow-closed-loop
November 26, 2014 - Study
Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis.
Citation Text:
Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in radiolo…
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psnet.ahrq.gov/node/46377/psn-pdf
October 29, 2017 - Why it is so hard to talk about overuse in pediatrics and
why it matters.
October 29, 2017
Ralston SL, Schroeder AR. Why It Is So Hard to Talk About Overuse in Pediatrics and Why It Matters.
JAMA Pediatr. 2017;171(10):931-932. doi:10.1001/jamapediatrics.2017.2239.
https://psnet.ahrq.gov/issue/why-it-so-hard-talk-a…
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psnet.ahrq.gov/node/45539/psn-pdf
November 18, 2016 - Overuse of medical imaging and its radiation
exposure: who’s minding our children?
November 18, 2016
Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our
Children? JAMA Pediatr. 2016;170(11):1037-1038. doi:10.1001/jamapediatrics.2016.2147.
https://psnet.ahrq.gov/issue/o…
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psnet.ahrq.gov/node/46364/psn-pdf
September 24, 2017 - Exploring the potential for using drug indications to
prevent look-alike and sound-alike drug errors.
September 24, 2017
Seoane-Vazquez E, Rodriguez-Monguio R, Alqahtani S, et al. Exploring the potential for using drug
indications to prevent look-alike and sound-alike drug errors. Expert Opin Drug Saf. 2017;16(10):…
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psnet.ahrq.gov/node/43860/psn-pdf
March 25, 2015 - Pharmacy dispensing errors: claims study emphasizes
need for systematic vigilance.
March 25, 2015
Webb J. Drug Topics. March 10, 2015.
https://psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic-
vigilance
Pharmacies can serve as gatekeepers to ensure patients receive the corre…
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psnet.ahrq.gov/node/855095/psn-pdf
November 08, 2023 - Identifying barriers and enablers for a robust independent
second check of medication in adult intensive care.
November 8, 2023
Milic V, Cameron L, Jones C. Identifying barriers and enablers for a robust independent second check of
medication in adult intensive care. Br J Nurs. 2023;32(17):840-848. doi:10.12968/bjo…
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psnet.ahrq.gov/node/45845/psn-pdf
December 19, 2017 - You can't blame the wreck on the train.
December 19, 2017
Potts JR. You can't blame the wreck on the train. Am J Surg. 2017;214(5):974-978.
doi:10.1016/j.amjsurg.2016.11.046.
https://psnet.ahrq.gov/issue/you-cant-blame-wreck-train
Insufficient supervision can limit resident education, which may increase risks to p…