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psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation-scoping-review
March 18, 2020 - Review
Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes.
Citation Text:
Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and medication reconciliatio…
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psnet.ahrq.gov/issue/preparedness-covid-19-situ-simulation-enhance-infection-control-systems-intensive-care-unit
June 29, 2011 - Commentary
Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit.
Citation Text:
Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br …
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psnet.ahrq.gov/issue/does-employee-safety-matter-patients-too-employee-safety-climate-and-patient-safety-culture
September 01, 2021 - Study
Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care.
Citation Text:
Mohr DC, Eaton JL, McPhaul KM, et al. Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care. J P…
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psnet.ahrq.gov/issue/using-generic-analysis-method-analyze-sentinel-event-reports-across-hospitals-retrospective
May 18, 2022 - Study
Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study.
Citation Text:
Baartmans MC, van Schoten SM, Smit BJ, et al. Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospe…
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psnet.ahrq.gov/issue/associations-between-stopping-prescriptions-opioids-length-opioid-treatment-and-overdose-or
April 05, 2017 - Study
Classic
Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths in US veterans: observational evaluation.
Citation Text:
Oliva EM, Bowe T, Manhapra A, et al. Associations between stopping prescrip…
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psnet.ahrq.gov/issue/medication-reconciliation-patients-after-their-discharge-intensive-care-unit-hospital-ward
March 09, 2022 - Study
Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward.
Citation Text:
Pradeda AM, Pérez MSA, Oliveira CF, et al. Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. Farm Hos…
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psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation-pharmacist-led
February 17, 2021 - Study
Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care.
Citation Text:
Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system…
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psnet.ahrq.gov/issue/how-do-nurses-use-early-warning-scoring-systems-detect-and-act-patient-deterioration-ensure
June 16, 2021 - Review
Emerging Classic
How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review.
Citation Text:
Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect an…
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psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
July 15, 2020 - Study
The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.
Citation Text:
Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical e…
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psnet.ahrq.gov/issue/nosocomial-sars-cov-2-infections-and-mortality-during-unique-covid-19-epidemic-waves
February 14, 2024 - Study
Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves.
Citation Text:
Dave N, Sjöholm D, Hedberg P, et al. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. JAMA Netw Open. 2023;6(11):e2341936. doi:10.1001/jamanetwo…
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psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
November 16, 2022 - Commentary
The next organizational challenge: finding and addressing diagnostic error.
Citation Text:
Graber ML, Trowbridge RL, Myers JS, et al. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102-10.
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psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations
July 06, 2022 - Study
2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database.
Citation Text:
Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s l…
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psnet.ahrq.gov/issue/reasons-bias-ambulance-clinicians-assessments-non-conveyed-patients-mixed-methods-study
January 26, 2022 - Study
Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study.
Citation Text:
Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non-conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(…
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psnet.ahrq.gov/issue/nicu-medication-errors-identifying-risk-profile-medication-errors-neonatal-intensive-care
September 21, 2008 - Study
NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit.
Citation Text:
Stavroudis TA, Shore AD, Morlock L, et al. NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. J Pe…
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psnet.ahrq.gov/issue/design-and-implementation-automated-email-notification-system-results-tests-pending-discharge
March 04, 2015 - Study
Design and implementation of an automated email notification system for results of tests pending at discharge.
Citation Text:
Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am M…
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psnet.ahrq.gov/issue/anybody-learning-deaths-sequential-content-and-reflexive-thematic-analysis-national-statutory
March 01, 2023 - Study
Is anybody 'Learning' from deaths? Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in England 2017-2020.
Citation Text:
Brummell Z, Braun D, Hussein Z, et al. Is anybody ‘Learning’ from deaths? Sequential content and reflexive thema…
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psnet.ahrq.gov/issue/room-hazards-comparison-differences-safety-hazard-recognition-among-various-hospital-based
April 01, 2020 - Study
Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room.
Citation Text:
Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard …
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psnet.ahrq.gov/issue/calm-storm-utilizing-situ-simulation-evaluate-preparedness-alternative-care-hospital-during
December 23, 2020 - Commentary
The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic.
Citation Text:
Petrone G, Brown L, Binder W, et al. The calm before the storm: utilizing in situ simulation to evaluate for preparedne…
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psnet.ahrq.gov/issue/variability-antibiotic-use-across-nursing-homes-and-risk-antibiotic-related-adverse-outcomes
November 06, 2015 - Study
Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents.
Citation Text:
Daneman N, Bronskill SE, Gruneir A, et al. Variability in Antibiotic Use Across Nursing Homes and the Risk of Antibiotic-Related Adverse O…
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psnet.ahrq.gov/issue/performance-fail-safe-system-follow-abnormal-mammograms-primary-care
September 11, 2013 - Study
Performance of a fail-safe system to follow up abnormal mammograms in primary care.
Citation Text:
Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal mammograms in primary care. J Patient Saf. 2010;6(3):172-179.
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