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psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
January 04, 2012 - Study
A comparison of hospital adverse events identified by three widely used detection methods.
Citation Text:
Naessens JM, Campbell CR, Huddleston JM, et al. A comparison of hospital adverse events identified by three widely used detection methods. Int J Qual Health Care. 2009;21(4):…
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psnet.ahrq.gov/issue/cost-benefit-analysis-medical-emergency-team-childrens-hospital
November 06, 2015 - Study
Cost-benefit analysis of a medical emergency team in a children's hospital.
Citation Text:
Bonafide CP, Localio R, Song L, et al. Cost-benefit analysis of a medical emergency team in a children's hospital. Pediatrics. 2014;134(2):235-41. doi:10.1542/peds.2014-0140.
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psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those-deaths-preventable
July 08, 2020 - Study
Unexpected death within 72 hours of emergency department visit: were those deaths preventable?
Citation Text:
Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s…
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psnet.ahrq.gov/issue/costs-associated-adverse-drug-events-among-older-adults-ambulatory-setting
May 20, 2020 - Study
The costs associated with adverse drug events among older adults in the ambulatory setting.
Citation Text:
Field T, Gilman BH, Subramanian S, et al. The costs associated with adverse drug events among older adults in the ambulatory setting. Med Care. 2005;43(12):1171-1176.
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psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample
November 04, 2020 - Study
Classic
The July effect: an analysis of never events in the nationwide inpatient sample.
Citation Text:
Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:1…
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psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-educational-interventions-designed-improve-medication
June 24, 2020 - Review
Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses.
Citation Text:
Härkänen M, Voutilainen A, Turunen E, et al. Systematic review and meta-analysis of educational interventions desig…
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psnet.ahrq.gov/issue/does-clinical-supervision-health-professionals-improve-patient-safety-systematic-review-and
August 04, 2021 - Review
Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis.
Citation Text:
Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Int…
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psnet.ahrq.gov/issue/trigger-alerts-associated-laboratory-abnormalities-identifying-potentially-preventable
August 30, 2017 - Study
Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward.
Citation Text:
Buckley MS, Rasmussen JR, Bikin DS, et al. Trigger alerts associated with laboratory abnormalities on ident…
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psnet.ahrq.gov/issue/implementing-computerized-provider-order-entry-acute-care-hospitals-united-states-could
March 30, 2022 - Study
Implementing computerized provider order entry in acute care hospitals in the United States could generate substantial savings to society.
Citation Text:
Nuckols TK, Asch SM, Patel V, et al. Implementing Computerized Provider Order Entry in Acute Care Hospitals in the United States…
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psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures
February 02, 2011 - Study
Impact of extended-duration shifts on medical errors, adverse events, and attentional failures.
Citation Text:
Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3(12):e487.
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psnet.ahrq.gov/issue/evaluating-inpatient-mortality-new-electronic-review-process-gathers-information-front-line
February 18, 2011 - Study
Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers.
Citation Text:
Provenzano A, Rohan S, Trevejo E, et al. Evaluating inpatient mortality: a new electronic review process that gathers information from front-line provi…
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psnet.ahrq.gov/issue/interactive-questioning-critical-care-during-handovers-transcript-analysis-communication
August 11, 2021 - Study
Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners.
Citation Text:
Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a tra…
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psnet.ahrq.gov/issue/changes-safety-attitude-and-relationship-decreased-postoperative-morbidity-and-mortality
May 27, 2010 - Study
Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.
Citation Text:
Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decrease…
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psnet.ahrq.gov/issue/evaluation-laboratory-monitoring-alerts-within-computerized-physician-order-entry-system
October 06, 2011 - Study
Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders.
Citation Text:
Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication o…
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psnet.ahrq.gov/issue/outpatient-cpoe-orders-discontinued-due-erroneous-entry-prospective-survey-prescribers
October 13, 2018 - Study
Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors.
Citation Text:
Hickman T-TT, Quist AJL, Salazar A, et al. Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' expla…
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psnet.ahrq.gov/issue/analysis-variations-display-drug-names-computerized-prescriber-order-entry-systems
October 13, 2018 - Study
Analysis of variations in the display of drug names in computerized prescriber-order-entry systems.
Citation Text:
Quist AJL, Hickman T-TT, Amato MG, et al. Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. American Journal of Healt…
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psnet.ahrq.gov/issue/interplay-between-teamwork-clinicians-emotional-exhaustion-and-clinician-rated-patient-safety
April 01, 2015 - Study
Classic
The interplay between teamwork, clinicians' emotional exhaustion, and clinician-rated patient safety: a longitudinal study.
Citation Text:
Welp A, Meier LL, Manser T. The interplay between teamwork, clinicians' emotional exhaustion, and clinician-r…
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psnet.ahrq.gov/issue/safer-prescribing-trial-education-informatics-and-financial-incentives
July 06, 2011 - Study
Classic
Safer prescribing—a trial of education, informatics, and financial incentives.
Citation Text:
Dreischulte T, Donnan P, Grant A, et al. Safer Prescribing--A Trial of Education, Informatics, and Financial Incentives. N Engl J Med. 2016;374(11):1053-6…
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psnet.ahrq.gov/issue/patient-and-consumer-safety-risks-when-using-conversational-assistants-medical-information
December 15, 2021 - Study
Patient and consumer safety risks when using conversational assistants for medical information: an observational study of Siri, Alexa, and Google Assistant.
Citation Text:
Bickmore TW, Trinh H, Olafsson S, et al. Patient and consumer safety risks when using conversational assistant…
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psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-care-transitions-insights-project-achieve-site-visits
September 23, 2020 - Study
Classic
Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits.
Citation Text:
Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights from Project ACHIEV…