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psnet.ahrq.gov/issue/health-care-safety-during-pandemic-and-beyond-building-system-ensures-resilience
July 20, 2022 - Commentary
Health care safety during the pandemic and beyond--building a system that ensures resilience.
Citation Text:
Fleisher LA, Schreiber M, Cardo D, et al. Health care safety during the pandemic and beyond--building a system that ensures resilience. N Engl J Med. 2022;386(7):609-61…
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psnet.ahrq.gov/issue/wrong-site-and-wrong-patient-procedures-universal-protocol-era-analysis-prospective-database
October 13, 2010 - Study
Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences.
Citation Text:
Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol era: analysis …
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digital.ahrq.gov/sites/default/files/docs/survey/tests-pending-at-discharge-survey.pdf
June 16, 2021 - Tests Pending at Discharge Survey
Tests Pending at Discharge Survey
Brigham and Women’s Hospital; Boston, Massachusetts
This is a questionnaire designed to be completed by physicians in an inpatient setting. The tool
includes questions to assess the current state of a…
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psnet.ahrq.gov/issue/adverse-events-experienced-homecare-patients-scoping-review-literature
October 19, 2022 - Review
Adverse events experienced by homecare patients: a scoping review of the literature.
Citation Text:
Masotti P, McColl MA, Green M. Adverse events experienced by homecare patients: a scoping review of the literature. Int J Health Care Qual. 2010;22(2):115-125. doi:10.1093/intqhc/…
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psnet.ahrq.gov/issue/healthcare-leaders-and-elected-politicians-approach-support-systems-and-requirements
February 28, 2024 - Study
Healthcare leaders' and elected politicians' approach to support-systems and requirements for complying with quality and safety regulation in nursing homes - a case study.
Citation Text:
Magerøy MR, Braut GS, Macrae C, et al. Healthcare leaders’ and elected politicians’ approach to…
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psnet.ahrq.gov/issue/adverse-events-intensive-care-and-continuing-care-units-during-bed-bath-procedures
March 05, 2025 - Study
Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study.
Citation Text:
Decormeille G, Maurer-Maouchi V, Mercier G, et al. Adverse events in intensive care and continuing care u…
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psnet.ahrq.gov/issue/impact-professional-interpreters-outcomes-hospitalized-children-migrant-and-refugee-families
December 21, 2018 - Review
Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review.
Citation Text:
Boylen S, Cherian S, Gill FJ, et al. Impact of professional interpreters on outcomes for hospitalized c…
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psnet.ahrq.gov/issue/medication-errors-pediatric-emergency-departments-systematic-review-and-recommendations
January 11, 2023 - Review
Medication errors in pediatric emergency departments: a systematic review and recommendations for enhancing medication safety.
Citation Text:
Alsabri M, Eapen D, Sabesan V, et al. Medication errors in pediatric emergency departments: a systematic review and recommendations for enh…
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psnet.ahrq.gov/issue/systematic-review-safety-checklists-use-medical-care-teams-acute-hospital-settings-limited
July 29, 2020 - Review
Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness.
Citation Text:
Ko HCH, Turner TJ, Finnigan MA. Systematic review of safety checklists for use by medical care teams in acute hospital settings--limi…
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psnet.ahrq.gov/issue/role-modeling-and-medical-error-disclosure-national-survey-trainees
December 21, 2017 - Study
Role-modeling and medical error disclosure: a national survey of trainees.
Citation Text:
Martinez W, Hickson GB, Miller BM, et al. Role-modeling and medical error disclosure: a national survey of trainees. Acad Med. 2014;89(3):482-9. doi:10.1097/ACM.0000000000000156.
Copy Citati…
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psnet.ahrq.gov/issue/electronic-prescribing-ambulatory-care-setting-cluster-randomized-trial
October 31, 2011 - Study
Electronic prescribing in an ambulatory care setting: a cluster randomized trial.
Citation Text:
Dainty KN, Adhikari NKJ, Kiss A, et al. Electronic prescribing in an ambulatory care setting: a cluster randomized trial. J Eval Clin Pract. 2012;18(4):761-7. doi:10.1111/j.1365-2753.…
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psnet.ahrq.gov/issue/patients-and-providers-perceptions-preventability-hospital-readmission-prospective
September 07, 2016 - Study
Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries.
Citation Text:
van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of hospital read…
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psnet.ahrq.gov/issue/monitoring-harm-associated-use-anticoagulants-pediatric-populations-through-trigger-based
November 11, 2015 - Study
Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event detection.
Citation Text:
Patregnani JT, Spaeder MC, Lemon V, et al. Monitoring the harm associated with use of anticoagulants in pediatric populations t…
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psnet.ahrq.gov/issue/understanding-nature-medication-errors-icu-computerized-physician-order-entry-system
August 24, 2015 - Study
Understanding the nature of medication errors in an ICU with a computerized physician order entry system.
Citation Text:
Cho IS, Park H, Choi YJ, et al. Understanding the nature of medication errors in an ICU with a computerized physician order entry system. PLoS One. 2014;9(12):e1…
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psnet.ahrq.gov/issue/effectiveness-written-hospitalist-sign-outs-answering-overnight-inquiries
January 15, 2014 - Study
Effectiveness of written hospitalist sign-outs in answering overnight inquiries.
Citation Text:
Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090.
C…
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psnet.ahrq.gov/issue/improving-diagnostic-fidelity-approach-standardizing-process-patients-emerging-critical
August 04, 2021 - Journal Article
Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness
Citation Text:
Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Criti…
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psnet.ahrq.gov/issue/clinical-application-computerized-system-physician-order-entry-clinical-decision-support
February 26, 2009 - Study
Clinical application of a computerized system for physician order entry with clinical decision support to prevent adverse drug events in long-term care.
Citation Text:
Rochon P, Field T, Bates DW, et al. Clinical application of a computerized system for physician order entry with…
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psnet.ahrq.gov/issue/complications-associated-anesthesia-transport-pediatric-patients-analysis-wake-safe-database
February 12, 2020 - Study
Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database.
Citation Text:
Haydar B, Baetzel A, Stewart M, et al. Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Saf…
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psnet.ahrq.gov/issue/speaking-about-safety-concerns-multi-setting-qualitative-study-patients-views-and-experiences
May 18, 2016 - Study
Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences.
Citation Text:
Entwistle VA, McCaughan D, Watt I, et al. Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences. Qual Saf Health C…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0262_05-11-2007.pdf
January 01, 2007 - Effective Health Care
Topic Number(s): 0111
Document Completion Date: 5-19-09
1
Results of Topic Selection Process & Next Steps
Urinary incontinence will go forward for refinement as an update to or expansion of an existing
comparative effectiveness or effectiveness review. The scope of thi…