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psnet.ahrq.gov/issue/interventions-employed-improve-intrahospital-handover-systematic-review
January 20, 2015 - Review
Interventions employed to improve intrahospital handover: a systematic review.
Citation Text:
Robertson ER, Morgan L, Bird S, et al. Interventions employed to improve intrahospital handover: a systematic review. BMJ Qual Saf. 2014;23(7):600-7. doi:10.1136/bmjqs-2013-002309.
Copy…
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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/contextual-errors-and-failures-individualizing-patient-care-multicenter-study
October 29, 2012 - Study
Classic
Contextual errors and failures in individualizing patient care: a multicenter study.
Citation Text:
Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010…
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psnet.ahrq.gov/issue/decision-making-trauma-settings-simulation-improve-diagnostic-skills
December 20, 2017 - Study
Decision making in trauma settings: simulation to improve diagnostic skills.
Citation Text:
Murray DJ, Freeman BD, Boulet JR, et al. Decision making in trauma settings: simulation to improve diagnostic skills. Simul Healthc. 2015;10(3):139-145. doi:10.1097/SIH.0000000000000073.
C…
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psnet.ahrq.gov/issue/effects-multimodal-transitional-care-intervention-patients-high-risk-readmission-target-read
August 18, 2021 - Study
Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinical trial.
Citation Text:
Donzé JD, John G, Genné D, et al. Effects of a multimodal transitional care intervention in patients at high risk of readmission…
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psnet.ahrq.gov/issue/electronic-medical-record-based-interventions-encourage-opioid-prescribing-best-practices
September 01, 2021 - Study
Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department.
Citation Text:
Smalley CM, Willner MA, Muir MKR, et al. Electronic medical record-based interventions to encourage opioid prescribing best practices in the emer…
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psnet.ahrq.gov/issue/cluster-randomized-trial-two-implementation-strategies-deliver-audit-and-feedback-equipped
September 01, 2018 - Study
A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program.
Citation Text:
Vaughan CP, Burningham Z, Kelleher JL, et al. A cluster‐randomized trial of two implementation strategies to deliver audit and feedbac…
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psnet.ahrq.gov/issue/diagnostic-uncertainty-among-critically-ill-children-admitted-picu-multicenter-study
June 14, 2023 - Study
Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study.
Citation Text:
Cifra CL, Custer JW, Smith CM, et al. Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. Crit Care Med. 2025;53(2):e294-e307. …
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psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-reports-due
June 01, 2016 - Study
SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study.
Citation Text:
Randmaa M, Mårtensson G, Swenne CL, et al. SBAR improves communication and safety climate and decreas…
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psnet.ahrq.gov/node/41855/psn-pdf
August 01, 2016 - Safety and Reliability in Pediatrics.
August 1, 2016
Jacobs BR, Coppes MJ, eds. Pediatr Clin North Am. 2012;59(6):1233-1388.
https://psnet.ahrq.gov/issue/safety-and-reliability-pediatrics
Articles in this special issue explore strategies to improve safety in pediatric care, including computerized
provider order en…
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psnet.ahrq.gov/node/38516/psn-pdf
April 08, 2009 - Current status of the monitoring of medication practice.
April 8, 2009
Cousins D. Current status of the monitoring of medication practice. Am J Health Syst Pharm. 2009;66(5
Suppl 3):S49-56. doi:10.2146/ajhp080605.
https://psnet.ahrq.gov/issue/current-status-monitoring-medication-practice
Reporting on proceedings f…
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psnet.ahrq.gov/node/36392/psn-pdf
July 14, 2010 - Airway carts: a systems-based approach to airway safety.
July 14, 2010
Kane BG, Bond WF, Worrilow CC, et al. Airway Carts. J Patient Saf. 2008;2(3).
doi:10.1097/01.jps.0000242995.09037.07.
https://psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
The authors describe the development of an airw…
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psnet.ahrq.gov/node/41412/psn-pdf
May 23, 2012 - Implementing AORN recommended practices for laser
safety.
May 23, 2012
Castelluccio D, Nurses A of OR. Implementing AORN Recommended Practices for Laser Safety. AORN J.
2012;95(5):612-24; quiz 625-7. doi:10.1016/j.aorn.2012.03.001.
https://psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-laser-safety
…
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psnet.ahrq.gov/node/36159/psn-pdf
September 29, 2010 - Designing a strategy to promote safe, innovative off-label
use of medications.
September 29, 2010
Ansani N, Sirio CA, Smitherman T, et al. Designing a strategy to promote safe, innovative off-label use of
medications. Am J Med Qual. 2006;21(4):255-261.
https://psnet.ahrq.gov/issue/designing-strategy-promote-safe-i…
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psnet.ahrq.gov/node/38162/psn-pdf
October 22, 2008 - Prevention of intravenous drug incompatibilities in an
intensive care unit.
October 22, 2008
Bertsche T, Mayer Y, Stahl R, et al. Prevention of intravenous drug incompatibilities in an intensive care
unit. Am J Health Syst Pharm. 2008;65(19):1834-40. doi:10.2146/ajhp070633.
https://psnet.ahrq.gov/issue/prevention-…
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psnet.ahrq.gov/node/35693/psn-pdf
May 03, 2017 - Learning and sharing safety lessons to improve patient
care.
May 3, 2017
Woodward S. Learning and sharing safety lessons to improve patient care. Nursing Standard. 2016;20(18).
doi:10.7748/ns.20.18.49.s52.
https://psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care
The author describes t…
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psnet.ahrq.gov/node/36600/psn-pdf
January 14, 2011 - Diagnostic pitfalls in paediatric ischaemic stroke.
January 14, 2011
Braun KPJ, Kappelle J, Kirkham FJ, et al. Diagnostic pitfalls in paediatric ischaemic stroke. Dev Med Child
Neurol. 2006;48(12):985-90.
https://psnet.ahrq.gov/issue/diagnostic-pitfalls-paediatric-ischaemic-stroke
The researchers analyzed case his…
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psnet.ahrq.gov/node/38124/psn-pdf
October 08, 2008 - Missed injuries in trauma patients: a literature review.
October 8, 2008
Pfeifer R, Pape H-C. Missed injuries in trauma patients: A literature review. Patient Saf Surg. 2008;2:20.
doi:10.1186/1754-9493-2-20.
https://psnet.ahrq.gov/issue/missed-injuries-trauma-patients-literature-review
This review found that misse…
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psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
February 06, 2019 - So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization … 2013
The Accreditation Council for Graduate Medical Education resident duty hour new standards
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psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit
September 24, 2017 - May 19, 2021
Standardization of pediatric noncardiac operating room to intensive care … to enhance compliance of pro re nata medication orders with Joint Commission medication management standards