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psnet.ahrq.gov/issue/uncertain-diagnoses-childrens-hospital-patient-characteristics-and-outcomes
March 17, 2021 - Study
Uncertain diagnoses in a children's hospital: patient characteristics and outcomes.
Citation Text:
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
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psnet.ahrq.gov/issue/coordinating-care-across-diseases-settings-and-clinicians-key-role-generalist-practice
July 01, 2020 - Review
Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice.
Citation Text:
Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005…
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psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-national-survey-paramedics
August 25, 2021 - Study
Pediatric prehospital medication dosing errors: a national survey of paramedics.
Citation Text:
Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.…
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psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospital-admission
March 18, 2015 - Study
Classic
Unintended medication discrepancies at the time of hospital admission.
Citation Text:
Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9.
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psnet.ahrq.gov/issue/medication-errors-impact-prescribing-and-transcribing-errors-preventable-harm-hospitalised
August 18, 2010 - Study
Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients.
Citation Text:
van Doormaal JE, van den Bemt PMLA, Mol PGM, et al. Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospit…
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psnet.ahrq.gov/issue/prescription-opioid-analgesics-commonly-unused-after-surgery-systematic-review
March 30, 2022 - Review
Prescription opioid analgesics commonly unused after surgery: a systematic review.
Citation Text:
Bicket MC, Long JJ, Pronovost PJ, et al. Prescription Opioid Analgesics Commonly Unused After Surgery. JAMA Surg. 2017;152(11):1066-1071. doi:10.1001/jamasurg.2017.0831.
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psnet.ahrq.gov/issue/discrepancies-written-versus-calculated-durations-opioid-prescriptions-pre-post-study
October 19, 2022 - Study
Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study.
Citation Text:
Slovis BH, Kairys J, Babula B, et al. Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. JMIR Med Inform. 2020;8(3). doi:10.2196/1…
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psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning-environment-content
June 19, 2024 - Study
Using patient safety reporting systems to understand the clinical learning environment: a content analysis.
Citation Text:
Sellers MM, Berger I, Myers JS, et al. Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis. J Surg Educ.…
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psnet.ahrq.gov/issue/patient-safety-factors-children-dying-paediatric-intensive-care-unit-picu-case-notes-review
December 03, 2014 - Study
Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study.
Citation Text:
Monroe K, Wang D, Vincent CA, et al. Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. BMJ …
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psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review
September 15, 2021 - Commentary
Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature.
Citation Text:
Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of t…
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psnet.ahrq.gov/issue/educational-targets-reduce-medication-errors-general-surgery-residents
October 19, 2022 - Study
Educational targets to reduce medication errors by general surgery residents.
Citation Text:
Chaitoff A, Strong AT, Bauer SR, et al. Educational Targets to Reduce Medication Errors by General Surgery Residents. J Surg Educ. 2019;76(6):1612-1621. doi:10.1016/j.jsurg.2019.04.009.
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psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
March 04, 2011 - Study
Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.
Citation Text:
Kozer E, Scolnik D, MacPherson A, et al. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency departme…
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psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal-care
August 21, 2024 - Study
The challenge of risk prevention in home healthcare-an interview study with nurses in municipal care.
Citation Text:
Lekman J, Lindén E, Ekstedt M. The challenge of risk prevention in home healthcare—an interview study with nurses in municipal care. Scand J Caring Sci. 2023;37(4):1…
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www.ahrq.gov/news/newsroom/case-studies/201601.html
January 01, 2018 - North Carolina’s CaroMont Regional Medical Center Uses AHRQ Toolkit to Reduce Urinary Infections
Search All Impact Case Studies
March 2016
CaroMont Regional Medical Center (CRMC), a 435-bed, not-for-profit hospital in Gastonia, North Carolina, significantly reduced catheter-associated urinary tract infectio…
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psnet.ahrq.gov/issue/systematic-review-strategies-reporting-neonatal-hospital-acquired-bloodstream-infections
January 09, 2018 - Review
A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections.
Citation Text:
Folgori L, Bielicki J, Sharland M. A systematic review of strategies for reporting of neonatal hospital-acquired bloodstream infections. Arch Dis Child Fetal Neon…
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psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
March 09, 2022 - Study
Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis.
Citation Text:
Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…
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psnet.ahrq.gov/issue/avoiding-handover-fumbles-controlled-trial-structured-handover-tool-versus-traditional
January 19, 2022 - Study
Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods.
Citation Text:
Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. BMJ…
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psnet.ahrq.gov/issue/iatrogenesis-neonatal-intensive-care-units-observational-and-interventional-prospective
June 21, 2016 - Study
Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study.
Citation Text:
Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicente…
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psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-medical-center
March 16, 2022 - Study
Classic
Medication misadventures resulting in emergency department visits at an HMO medical center.
Citation Text:
Medication misadventures resulting in emergency department visits at an HMO medical center. Schneitman-McIntire O, Farnen TA, Gordon N, et al…
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psnet.ahrq.gov/issue/randomized-controlled-trial-pictogram-based-intervention-reduce-liquid-medication-dosing
June 04, 2014 - Study
Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.
Citation Text:
Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention …