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psnet.ahrq.gov/issue/clinicians-insights-emergency-department-boarding-explanatory-mixed-methods-study-evaluating
October 23, 2019 - Study
Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being.
Citation Text:
Loke DE, Green KA, Wessling EG, et al. Clinicians' insights on emergency department boarding: an explanatory mixed methods stud…
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psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event
April 10, 2019 - Review
Supporting involved health care professionals (second victims) following an adverse health event: a literature review.
Citation Text:
Seys D, Scott SD, Wu AW, et al. Supporting involved health care professionals (second victims) following an adverse health event: a literature revi…
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psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
February 15, 2011 - Study
Classic
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Citation Text:
Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…
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psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu
June 16, 2011 - Study
Classic
An intervention to decrease catheter-related bloodstream infections in the ICU.
Citation Text:
Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(2…
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psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic
November 07, 2012 - Review
Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review.
Citation Text:
Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. BMJ Qual Saf.…
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psnet.ahrq.gov/issue/lifetime-prevalence-and-correlates-patient-perceived-medical-errors-experienced-us-ambulatory
June 09, 2021 - Study
Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study.
Citation Text:
Sundwall DN, Munger MA, Tak CR, et al. Lifetime prevalence and correlates of patient-perceived medical errors experienced in t…
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psnet.ahrq.gov/issue/engaging-hospital-patients-medication-reconciliation-process-using-tablet-computers
January 07, 2015 - Study
Engaging hospital patients in the medication reconciliation process using tablet computers.
Citation Text:
Prey JE, Polubriaginof F, Grossman L, et al. Engaging hospital patients in the medication reconciliation process using tablet computers. J Am Med Inform Assoc. 2018;25(11):146…
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psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm
March 28, 2011 - Study
Medication discrepancies in resident sign-outs and their potential to harm.
Citation Text:
Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5.
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psnet.ahrq.gov/issue/2019-novel-coronavirus-covid-19-pandemic-built-environment-considerations-reduce-transmission
January 12, 2022 - Commentary
2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission.
Citation Text:
Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. mSystems. 2020;5(2):e0024…
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psnet.ahrq.gov/issue/impact-work-schedules-senior-resident-physicians-patient-and-resident-physician-safety
May 25, 2022 - Study
Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study.
Citation Text:
Barger LK, Weaver MD, Sullivan JP, et al. Impact of work schedules of senior resident physicians on patient and resident physician s…
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psnet.ahrq.gov/issue/inadequate-hand-communication
April 02, 2015 - Sentinel Event Alerts
Inadequate hand-off communication.
Citation Text:
Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6.
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psnet.ahrq.gov/issue/differences-medication-reconciliation-interventions-between-six-hospitals-mixed-method-study
September 08, 2021 - Study
Differences in medication reconciliation interventions between six hospitals: a mixed method study.
Citation Text:
Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions between six hospitals: a mixed method study. BMC Health Serv R…
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psnet.ahrq.gov/issue/components-pharmacist-led-medication-reviews-and-their-relationship-outcomes-systematic
November 16, 2022 - Review
Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic review and narrative synthesis.
Citation Text:
Craske ME, Hardeman W, Steel N, et al. Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic r…
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psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events
October 07, 2020 - Study
Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals.
Citation Text:
Harper A, Kukielka E, Jones RM. Patient harm resulting from medication reconciliation process failures: a study of serious events rep…
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psnet.ahrq.gov/issue/impact-pharmacist-led-admission-medication-reconciliation-patient-outcomes-large-health
March 17, 2010 - Study
Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system.
Citation Text:
Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. J Patie…
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psnet.ahrq.gov/issue/standardized-assessment-medication-reconciliation-post-acute-care
December 16, 2020 - Study
Standardized assessment of medication reconciliation in post-acute care.
Citation Text:
Fischer SH, Shih RA, McMullen TL, et al. Standardized assessment of medication reconciliation in post‐acute care. J Am Geriatr Soc. 2022;70(4):1047-1056. doi:10.1111/jgs.17655.
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psnet.ahrq.gov/issue/large-scale-observational-study-ai-based-patient-and-surgical-material-verification-system
August 27, 2012 - Study
Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology: real-world evaluation in 37 529 cases.
Citation Text:
Tabuchi H, Ishitobi N, Deguchi H, et al. Large-scale observational study of AI-based patient and surgical material v…
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psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality
July 21, 2021 - Study
Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis.
Citation Text:
Liberman AL, Holl JL, Romo E, et al. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Acad Eme…
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psnet.ahrq.gov/issue/twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-errors-and-user
November 04, 2020 - Study
Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study.
Citation Text:
Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and dose selection …
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psnet.ahrq.gov/issue/does-suggested-diagnosis-general-practitioners-referral-question-impact-diagnostic-reasoning
September 14, 2022 - Study
Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study.
Citation Text:
Staal J, Speelman M, Brand R, et al. Does a suggested diagnosis in a general practitioners’ referral question impact diagnostic reasoning: an …