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psnet.ahrq.gov/issue/neuroradiology-diagnostic-errors-tertiary-academic-centre-effect-participation-tumour-boards
September 15, 2021 - Study
Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician experience.
Citation Text:
Ivanovic V, Assadsangabi R, Hacein-Bey L, et al. Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation…
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psnet.ahrq.gov/issue/non-intercepted-dose-errors-prescribing-antineoplastic-treatment-prospective-comparative
June 18, 2013 - Study
Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study.
Citation Text:
Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann O…
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psnet.ahrq.gov/issue/antidepressant-and-antipsychotic-medication-errors-reported-united-states-poison-control
March 24, 2021 - Study
Antidepressant and antipsychotic medication errors reported to United States poison control centers.
Citation Text:
Kamboj A, Spiller HA, Casavant MJ, et al. Antidepressant and antipsychotic medication errors reported to United States poison control centers. Pharmacoepidemiol Drug …
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psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review
December 21, 2017 - Review
Adverse drug event reporting systems: a systematic review.
Citation Text:
Bailey C, Peddie D, Wickham ME, et al. Adverse drug event reporting systems: a systematic review. Br J Clin Pharm. 2016;82(1):17-29. doi:10.1111/bcp.12944.
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psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
November 03, 2021 - Review
Missed nursing care in emergency departments: a scoping review.
Citation Text:
Duhalde H, Bjuresäter K, Karlsson I, et al. Missed nursing care in emergency departments: a scoping review. Int Emerg Nurs. 2023;69:101296. doi:10.1016/j.ienj.2023.101296.
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psnet.ahrq.gov/issue/computerized-provider-order-entry-adoption-implications-clinical-workflow
May 27, 2011 - Study
Computerized provider order entry adoption: implications for clinical workflow.
Citation Text:
Campbell EM, Guappone KP, Sittig DF, et al. Computerized provider order entry adoption: implications for clinical workflow. J Gen Intern Med. 2009;24(1):21-6. doi:10.1007/s11606-008-085…
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psnet.ahrq.gov/issue/amelie-project-failure-mode-effects-and-criticality-analysis-model-evaluate-nurse-medication
September 24, 2016 - Study
The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process on the floor.
Citation Text:
Nguyen C, Côté J, Lebel D, et al. The AMÉLIE project: failure mode, effects and criticality analysis: a model to evalua…
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psnet.ahrq.gov/issue/relationship-between-preventable-hospital-deaths-and-other-measures-safety-exploratory-study
November 12, 2014 - Study
Relationship between preventable hospital deaths and other measures of safety: an exploratory study.
Citation Text:
Hogan H, Healey F, Neale G, et al. Relationship between preventable hospital deaths and other measures of safety: an exploratory study. Int J Qual Health Care. 2014;2…
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psnet.ahrq.gov/issue/hospital-covid-19-burden-and-adverse-event-rates
June 22, 2022 - Study
Hospital COVID-19 burden and adverse event rates.
Citation Text:
Metersky ML, Rodrick D, Ho S-Y, et al. Hospital COVID-19 burden and adverse event rates. JAMA Netw Open. 2024;7(11):e2442936. doi:10.1001/jamanetworkopen.2024.42936.
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psnet.ahrq.gov/issue/how-dangerous-day-hospital-model-adverse-events-and-length-stay-medical-inpatients
February 09, 2012 - Study
Classic
How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients.
Citation Text:
Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients. Med…
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psnet.ahrq.gov/issue/frailty-and-potentially-inappropriate-prescribing-older-people-polypharmacy-bi-directional
November 16, 2022 - Review
Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship?
Citation Text:
Randles MA. Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? Drugs Aging. 2022;39(8…
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psnet.ahrq.gov/issue/understanding-factors-influencing-doctors-intentions-report-patient-safety-concerns
July 29, 2020 - Study
Understanding the factors influencing doctors’ intentions to report patient safety concerns: a qualitative study.
Citation Text:
Rich A, Viney R, Griffin A. Understanding the factors influencing doctors' intentions to report patient safety concerns: a qualitative study. J R Soc Med…
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psnet.ahrq.gov/issue/errors-medication-history-hospital-admission-prevalence-and-predicting-factors
October 14, 2020 - Study
Errors in medication history at hospital admission: prevalence and predicting factors.
Citation Text:
Hellström LM, Bondesson Å, Höglund P, et al. Errors in medication history at hospital admission: prevalence and predicting factors. BMC Clin Pharmacol. 2012;12(9):9. doi:10.1186/…
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psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
February 17, 2016 - Study
Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine.
Citation Text:
Okafor N, Payne VL, Chathampally Y, et al. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. Emerg Med J. 2016;33(4):245-252. d…
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www.ahrq.gov/cahps/surveys-guidance/hp/about/Development-CAHPS-HP-Survey.html
May 01, 2022 - Development of the CAHPS Health Plan Survey
AHRQ launched the development of the CAHPS Health Plan Survey in 1995 and released the first version for public use in 1997. Since that time, the CAHPS team has clarified and updated the survey instrument several times to reflect changes in healthcare delivery, survey…
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psnet.ahrq.gov/issue/how-do-patients-want-physicians-handle-mistakes-survey-internal-medicine-patients-academic
September 23, 2020 - Study
Classic
How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting.
Citation Text:
Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of internal medicine pat…
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psnet.ahrq.gov/issue/universal-screening-methicillin-resistant-staphylococcus-aureus-hospital-admission-and
January 27, 2021 - Study
Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients.
Citation Text:
Harbarth S, Fankhauser C, Schrenzel J, et al. Universal screening for methicillin-resistant Staphylococcus aureus at hospital ad…
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psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why
February 22, 2011 - Study
Classic
Preventable deaths: who, how often, and why?
Citation Text:
Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Educate & Engage Residents, Family
Toolkit To Educate and Engage Residents and Family Members
Tool 1. Talking With Residents—short checklist version
What are antibiotics?
• Antibiotics are medicines that fight infections caused by bacteria. Antibiotics work by
targ…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.docx
October 01, 2016 - Tool 1. Talking With Residents—short checklist version
· What are antibiotics?
Antibiotics are medicines that fight infections caused by bacteria. Antibiotics work by targeting and killing harmful bacteria.
· How do people get bacterial infections?
Normally, your immune system helps control the bacteria you have. But, …