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psnet.ahrq.gov/issue/steep-increase-domestic-fatal-medication-errors-use-alcohol-andor-street-drugs
September 20, 2011 - Study
A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs.
Citation Text:
Phillips DP, Barker GEC, Eguchi MM. A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. Arch Intern Med. 2008;168(14):1561-6. doi:1…
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psnet.ahrq.gov/issue/patient-outcomes-after-introduction-statewide-icu-nurse-staffing-regulations
June 19, 2019 - Study
Patient outcomes after the introduction of statewide ICU nurse staffing regulations.
Citation Text:
Law AC, Stevens JP, Hohmann S, et al. Patient Outcomes After the Introduction of Statewide ICU Nurse Staffing Regulations. Crit Care Med. 2018;46(10):1563-1569. doi:10.1097/CCM.00000…
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psnet.ahrq.gov/issue/identifying-opportunities-quality-improvement-surgical-site-infection-prevention
June 14, 2017 - Study
Identifying opportunities for quality improvement in surgical site infection prevention.
Citation Text:
Gagliardi AR, Eskicioglu C, McKenzie M, et al. Identifying opportunities for quality improvement in surgical site infection prevention. Am J Infect Control. 2009;37(5):398-402.…
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psnet.ahrq.gov/issue/organisational-crisis-resource-management-leading-academic-department-emergency-medicine
September 29, 2021 - Commentary
Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic.
Citation Text:
Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic department of emergency medicine t…
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psnet.ahrq.gov/issue/relationships-between-medications-used-mental-health-hospital-and-types-medication-errors
November 29, 2023 - Study
Relationships between medications used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year period.
Citation Text:
Lebas R, Calvet B, Schadler L, et al. Relationships between medications used in a mental health hospital and types of med…
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psnet.ahrq.gov/issue/association-adverse-effects-medical-treatment-mortality-united-states-secondary-analysis
November 11, 2020 - Study
Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study.
Citation Text:
Sunshine JE, Meo N, Kassebaum NJ, et al. Association of Adverse Effects of Medical Treatm…
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psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
August 24, 2022 - Review
U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned.
Citation Text:
Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf.…
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psnet.ahrq.gov/issue/safety-trade-offs-home-care-during-covid-19-mixed-methods-study-capturing-perspective
September 01, 2021 - Study
Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers.
Citation Text:
Osei-Poku G, Szczerepa O, Potter A, et al. Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontli…
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psnet.ahrq.gov/issue/driven-distraction-prospective-controlled-study-simulated-ward-round-experience-improve
March 14, 2022 - Study
Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students.
Citation Text:
Thomas I, Nicol L, Regan L, et al. Driven to distraction: a prospective controlled study of a simulated ward round expe…
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psnet.ahrq.gov/issue/preventing-hospital-acquired-infections-national-survey-practices-reported-us-hospitals-2005
July 03, 2014 - Study
Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009.
Citation Text:
Krein SL, Kowalski CP, Hofer TP, et al. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and…
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psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease-2019-pandemic
May 25, 2022 - Commentary
A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic.
Citation Text:
Pollock BD, Dykhoff HJ, Breeher LE, et al. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Mayo Clin Proc …
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psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
July 29, 2020 - Commentary
Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening.
Citation Text:
Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifyin…
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psnet.ahrq.gov/issue/e-delphi-study-obtain-expert-consensus-level-risk-associated-preventable-e-prescribing-events
January 19, 2022 - Study
An e-Delphi study to obtain expert consensus on the level of risk associated with preventable e-prescribing events.
Citation Text:
Heed J, Klein S, Slee A, et al. An e‐Delphi study to obtain expert consensus on the level of risk associated with preventable e‐prescribing events. Br…
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psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
August 24, 2022 - Study
Emerging Classic
Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare.
Citation Text:
Sanghavi P, Pan S, Caudry D. Assessment of nursing home reporting of major injury falls for quality measurement on n…
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psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national-analysis-2008-2017
March 18, 2020 - Study
Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017.
Citation Text:
Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Vox Sang. 2021;116…
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit3-develop-implement-antibiogram-program.html
November 01, 2016 - Toolkit 3. The Nursing Home Antibiogram Program Toolkit: How To Develop and Implement an Antibiogram Program
Toolkit Effectiveness
This toolkit reflects the results of preliminary work with three nursing homes to develop the antibiogram, train staff, and implement the program. 1
Overview of the Toolkit
Wh…
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psnet.ahrq.gov/issue/prognosis-undiagnosed-chest-pain-linked-electronic-health-record-cohort-study
March 19, 2018 - Study
Prognosis of undiagnosed chest pain: linked electronic health record cohort study.
Citation Text:
Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194.
Copy Citation
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psnet.ahrq.gov/issue/risk-adjusted-morbidity-teaching-hospitals-correlates-reported-levels-communication-and
July 12, 2010 - Study
Classic
Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions.
Citation Text:
Davenport DL…
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psnet.ahrq.gov/issue/unpacking-complexity-covid-19-fatalities-adverse-events-contributing-factors-single-center
January 25, 2023 - Study
Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic.
Citation Text:
Zińczuk A, Rorat M, Simon K, et al. Unpacking the complexity of COVID-19 fatalities: adverse event…
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psnet.ahrq.gov/issue/how-can-we-improve-recognition-reporting-and-resolution-medical-device-related-incidents
May 06, 2015 - Study
How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses.
Citation Text:
Polisena J, Gagliardi AR, Clifford T. How can we improve the recognition, reporting and resolution …