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psnet.ahrq.gov/issue/effects-computerized-physician-order-entry-and-clinical-decision-support-systems-medication
May 27, 2011 - Review
Classic
Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review.
Citation Text:
Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision s…
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psnet.ahrq.gov/issue/deployment-second-victim-peer-support-program-replication-study
January 12, 2022 - Study
Deployment of a second victim peer support program: a replication study.
Citation Text:
Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031.
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psnet.ahrq.gov/issue/medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar
June 28, 2010 - Study
Classic
Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy.
Citation Text:
Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events …
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psnet.ahrq.gov/issue/systematic-review-medication-safety-assessment-methods
January 03, 2017 - Review
Systematic review of medication safety assessment methods.
Citation Text:
Meyer-Massetti C, Cheng CM, Schwappach DLB, et al. Systematic review of medication safety assessment methods. Am J Health Syst Pharm. 2011;68(3):227-40. doi:10.2146/ajhp100019.
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psnet.ahrq.gov/issue/physician-task-load-and-risk-burnout-among-us-physicians-national-survey
October 26, 2022 - Study
Physician task load and the risk of burnout among US physicians in a national survey.
Citation Text:
Harry EM, Sinsky CA, Dyrbye LN, et al. Physician task load and the risk of burnout among US physicians in a national survey. Jt Comm J Qual Patient Saf. 2021;47(2):76-85. doi:10.101…
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psnet.ahrq.gov/issue/underreporting-quality-measures-and-associated-facility-characteristics-and-racial
August 09, 2023 - Study
Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings.
Citation Text:
Sanghavi P, Chen Z. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home rati…
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psnet.ahrq.gov/issue/vestibular-syndromes-diagnosis-and-diagnostic-errors-patients-dizziness-presenting-emergency
May 17, 2023 - Study
Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness presenting to the emergency department: a cross-sectional study.
Citation Text:
Comolli L, Korda A, Zamaro E, et al. Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness pre…
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psnet.ahrq.gov/issue/should-health-care-providers-be-forced-apologise-after-things-go-wrong
March 14, 2016 - Commentary
Should health care providers be forced to apologise after things go wrong?
Citation Text:
McLennan S, Walker S, Rich LE. Should health care providers be forced to apologise after things go wrong? J Bioeth Inq. 2014;11(4):431-5. doi:10.1007/s11673-014-9571-y.
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psnet.ahrq.gov/issue/detecting-medication-order-discrepancies-nursing-homes-how-rns-and-lpns-differ
August 15, 2013 - Study
Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ.
Citation Text:
Vogelsmeier A, Anbari A, Ganong L, et al. Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. J Nurs Reg. 2015;6(3):48-56. doi:10.1016/s2155-8256(15)30…
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psnet.ahrq.gov/issue/challenges-implementing-centers-disease-control-and-prevention-opioid-guideline-consensus
January 25, 2017 - Commentary
Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report.
Citation Text:
Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consens…
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psnet.ahrq.gov/issue/roles-and-role-ambiguity-patient-and-caregiver-performed-outpatient-parenteral-antimicrobial
November 20, 2024 - Study
Roles and role ambiguity in patient- and caregiver-performed outpatient parenteral antimicrobial therapy.
Citation Text:
Keller SC, Cosgrove SE, Arbaje AI, et al. Roles and Role Ambiguity in Patient- and Caregiver-Performed Outpatient Parenteral Antimicrobial Therapy. Jt Comm J Qua…
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psnet.ahrq.gov/issue/opioid-related-critical-care-resource-use-us-childrens-hospitals
June 10, 2020 - Study
Emerging Classic
Opioid-related critical care resource use in US children's hospitals.
Citation Text:
Kane JM, Colvin JD, Bartlett AH, et al. Opioid-Related Critical Care Resource Use in US Children's Hospitals. Pediatrics. 2018;141(4):e20173335. doi:10.15…
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psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes
March 25, 2017 - Study
Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes.
Citation Text:
Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. A…
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psnet.ahrq.gov/issue/comparing-evolution-risk-culture-radiation-oncology-aviation-and-nuclear-power
October 07, 2020 - Study
Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power.
Citation Text:
Abdulla A, Schell KR, Schell MC. Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. J Patient Saf. 2020;16(4):e352-e358. doi:10.1097/p…
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psnet.ahrq.gov/issue/chemotherapy-regimen-checks-performed-pharmacists-contribute-safe-administration-chemotherapy
April 01, 2010 - Study
Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy.
Citation Text:
Suzuki S, Chan A, Nomura H, et al. Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. J Oncol Pract. 2017;23(1…
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psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery
November 28, 2018 - Study
Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery.
Citation Text:
Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-3…
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psnet.ahrq.gov/issue/toward-patient-centered-cancer-care-patient-perceptions-problematic-events-impact-and
March 11, 2013 - Study
Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response.
Citation Text:
Mazor KM, Roblin DW, Greene SM, et al. Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response. J Clin Oncol. 2012;30(…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Get Ready
Previous Page Next Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Chart
Appendix B. Prioritize Opportunities for I…
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psnet.ahrq.gov/issue/comfort-uncertainty-reframing-our-conceptions-how-clinicians-navigate-complex-clinical
February 06, 2013 - Review
Emerging Classic
Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations.
Citation Text:
Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians navigate…
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psnet.ahrq.gov/issue/evaluation-web-based-education-program-reducing-medication-dosing-error-multicenter
May 18, 2022 - Study
Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.
Citation Text:
Frush K, Hohenhaus S, Luo X, et al. Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomiz…