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psnet.ahrq.gov/issue/does-clinical-supervision-health-professionals-improve-patient-safety-systematic-review-and
August 04, 2021 - Review
Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis.
Citation Text:
Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Int…
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psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective-assessment
November 11, 2020 - Study
Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement.
Citation Text:
Danielis M, Destrebecq A, Terzoni S, et al. Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcar…
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psnet.ahrq.gov/issue/scaling-diagnostic-pause-icu-ward-transition-exploration-barriers-and-facilitators
July 19, 2019 - Study
Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool.
Citation Text:
Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploratio…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/chart-abstraction-instructions-smoking-cessation.pdf
June 02, 2025 - Chart Abstraction Instructions –Smoking Cessation and Intervention
1
Chart Abstraction Instructions –Smoking Cessation and
Intervention
Part 1:
First, determine the Measurement Date (RepPeriod) (Note this date serves as the beginning
and end date for the measurement period. For example: this project includes…
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psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital
November 16, 2022 - Study
Classic
Systematic root cause analysis of adverse drug events in a tertiary referral hospital.
Citation Text:
Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…
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psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning-successes-and-failures
May 08, 2017 - Study
Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts.
Citation Text:
Hibbert PD, Stewart S, Wiles LK, et al. Improving patient safety governance and systems through learning from …
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psnet.ahrq.gov/issue/what-evidence-supports-use-computerized-alerts-and-prompts-improve-clinicians-prescribing
August 04, 2021 - Review
What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?
Citation Text:
Schedlbauer A, Prasad V, Mulvaney C, et al. What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior…
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psnet.ahrq.gov/issue/strategies-safe-interhospital-transfer-intubated-patient-or-where-readiness-intubation-needed
July 31, 2013 - Study
Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study.
Citation Text:
Almqvist D, Norberg D, Larsson F, et al. Strategies for a safe interhospital transfer with an intubated patient or where re…
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psnet.ahrq.gov/issue/assessment-perioperative-outcomes-among-surgeons-who-operated-night
March 06, 2019 - Study
Assessment of perioperative outcomes among surgeons who operated the night before.
Citation Text:
Sun EC, Mello MM, Vaughn MT, et al. Assessment of perioperative outcomes among surgeons who operated the night before. JAMA Intern Med. 2022;182(7):720-728. doi:10.1001/jamainternmed.2…
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psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
May 17, 2017 - Study
Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices.
Citation Text:
Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events: qualitative i…
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psnet.ahrq.gov/issue/learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff-and-patients
June 11, 2008 - Study
Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network.
Citation Text:
Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: R…
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psnet.ahrq.gov/issue/patient-safety-events-and-harms-during-medical-and-surgical-hospitalizations-persons-serious
August 09, 2017 - Study
Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness.
Citation Text:
Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Ment…
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psnet.ahrq.gov/issue/using-potentially-aggressiveviolent-patient-huddle-improve-health-care-safety
November 16, 2022 - Commentary
Using a potentially aggressive/violent patient huddle to improve health care safety.
Citation Text:
Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.…
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psnet.ahrq.gov/issue/design-and-evaluation-simulation-scenarios-program-introducing-patient-safety-teamwork-safety
February 08, 2017 - Study
Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers.
Citation Text:
Cooper JB, Singer SJ, Hayes J, et al. Design and evaluation of simulation scenarios for a program…
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psnet.ahrq.gov/issue/opioid-prescribing-opioid-naive-patients-emergency-departments-and-other-settings
August 29, 2018 - Study
Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use.
Citation Text:
Jeffery MM, Hooten M, Hess EP, et al. Opioid Prescribing for Opioid-Naive Patients in Emergency Departments …
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psnet.ahrq.gov/issue/factors-associated-intern-fatigue
October 28, 2009 - Study
Factors associated with intern fatigue.
Citation Text:
Friesen LD, Vidyarthi A, Baron RB, et al. Factors associated with intern fatigue. J Gen Intern Med. 2008;23(12):1981-6. doi:10.1007/s11606-008-0798-3.
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Format:
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psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-application-and-process-redesign-potential
June 09, 2011 - Study
Classic
Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.
Citation Text:
Schnipper JL, Hamann C, Ndumele CD, et al. Effect of an electronic medication reconcil…
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psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
November 18, 2016 - Study
Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program.
Citation Text:
Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…
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psnet.ahrq.gov/issue/exploring-role-guidelines-contributing-medication-errors-descriptive-analysis-national
November 16, 2022 - Study
Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data.
Citation Text:
Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of …
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psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest
April 12, 2023 - Study
Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival.
Citation Text:
McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qua…