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psnet.ahrq.gov/issue/unplanned-early-hospital-readmission-among-critical-care-survivors-mixed-methods-study
September 23, 2020 - Study
Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers.
Citation Text:
Donaghy E, Salisbury L, Lone NI, et al. Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers.…
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psnet.ahrq.gov/issue/adding-automation-and-independent-dual-verification-reduce-wrong-blood-tube-wbit-events
October 21, 2020 - Study
Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events.
Citation Text:
Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;15…
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psnet.ahrq.gov/issue/effect-universal-glove-and-gown-use-adverse-events-intensive-care-unit-patients
December 09, 2015 - Study
The effect of universal glove and gown use on adverse events in intensive care unit patients.
Citation Text:
Croft LD, Harris AD, Pineles L, et al. The Effect of Universal Glove and Gown Use on Adverse Events in Intensive Care Unit Patients. Clin Infect Dis. 2015;61(4):545-53. doi:…
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psnet.ahrq.gov/issue/medication-safety-amid-technological-change-usability-evaluation-inform-inpatient-nurses
March 22, 2023 - Study
Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition.
Citation Text:
Reale C, Ariosto DA, Weinger MB, et al. Medication safety amid technological change: usability evaluation to inform inpatient nur…
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psnet.ahrq.gov/issue/safety-culture-and-positive-association-being-primary-care-training-practice-during-covid-19
January 08, 2025 - Study
Safety culture and the positive association of being a primary care training practice during COVID-19: the results of the multi-country European PRICOV-19 Study.
Citation Text:
Silva B, Ožvačić Adžić Z, Vanden Bussche P, et al. Safety culture and the positive association of being a…
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psnet.ahrq.gov/issue/signs-and-symptoms-determine-if-patient-presenting-primary-care-or-hospital-outpatient
March 23, 2022 - Review
Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease.
Citation Text:
Struyf T, Deeks JJ, Dinnes J, et al. Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings…
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psnet.ahrq.gov/issue/implementation-mandatory-checklist-protocols-and-objectives-improves-compliance-wide-range
September 22, 2010 - Study
Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.
Citation Text:
Byrnes MC, Schuerer DJE, Schallom ME, et al. Implementation of a mandatory checklist of protocols and objectiv…
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psnet.ahrq.gov/issue/immunising-physicians-against-availability-bias-diagnostic-reasoning-randomised-controlled
April 28, 2021 - Study
'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment.
Citation Text:
Mamede S, de Carvalho-Filho MA, de Faria RMD, et al. ‘Immunising’ physicians against availability bias in diagnostic reasoning: a randomised controlled expe…
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psnet.ahrq.gov/issue/paid-malpractice-claims-adverse-events-inpatient-and-outpatient-settings
June 24, 2009 - Study
Paid malpractice claims for adverse events in inpatient and outpatient settings.
Citation Text:
Bishop TF, Ryan AM, Ryan AK, et al. Paid malpractice claims for adverse events in inpatient and outpatient settings. JAMA. 2011;305(23):2427-31. doi:10.1001/jama.2011.813.
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psnet.ahrq.gov/issue/do-ahrq-patient-safety-indicators-flag-conditions-are-present-time-hospital-admission
September 12, 2016 - Study
Classic
Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission?
Citation Text:
Bahl V, Thompson MA, Kau T-Y, et al. Do the AHRQ patient safety indicators flag conditions that are present at the time of ho…
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psnet.ahrq.gov/issue/correlation-between-hospital-finances-and-quality-and-safety-patient-care
January 12, 2022 - Study
Correlation between hospital finances and quality and safety of patient care.
Citation Text:
Akinleye DD, McNutt L-A, Lazariu V, et al. Correlation between hospital finances and quality and safety of patient care. PLoS One. 2019;14(8):e0219124. doi:10.1371/journal.pone.0219124.
C…
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psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-prescribing-older-people-primary-care-and-its
September 28, 2016 - Study
Emerging Classic
Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study.
Citation Text:
Pérez T, Moriarty F, Wallace E, et al. Prevalence of potentially inappropri…
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psnet.ahrq.gov/issue/reducing-medication-errors-adults-hospital-settings
March 09, 2022 - Review
Reducing medication errors for adults in hospital settings.
Citation Text:
Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings. Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2.
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psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
November 16, 2022 - Commentary
The next organizational challenge: finding and addressing diagnostic error.
Citation Text:
Graber ML, Trowbridge RL, Myers JS, et al. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102-10.
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psnet.ahrq.gov/issue/quality-initiative-system-wide-reduction-serious-medication-events-through-targeted
April 10, 2024 - Study
A quality initiative: a system-wide reduction in serious medication events through targeted simulation training.
Citation Text:
Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. S…
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psnet.ahrq.gov/issue/prevalence-medication-administration-errors-two-medical-units-automated-prescription-and
February 26, 2020 - Study
Prevalence of medication administration errors in two medical units with automated prescription and dispensing.
Citation Text:
Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. Prevalence of medication administration errors in two medical units with automated presc…
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psnet.ahrq.gov/issue/electronic-patient-identification-sample-labeling-reduces-wrong-blood-tube-errors
September 20, 2012 - Study
Emerging Classic
Electronic patient identification for sample labeling reduces wrong blood in tube errors.
Citation Text:
Kaufman RM, Dinh A, Cohn CS, et al. Electronic patient identification for sample labeling reduces wrong blood in tube errors. Transfus…
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psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
December 09, 2020 - Study
Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.
Citation Text:
Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…
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psnet.ahrq.gov/issue/appropriate-use-medical-interpreters-breast-imaging-clinic
October 16, 2024 - Commentary
Appropriate use of medical interpreters in the breast imaging clinic.
Citation Text:
Feliciano-Rivera YZ, Yepes MM, Sanchez P, et al. Appropriate use of medical interpreters in the breast imaging clinic. J Breast Imaging. 2024;27(3):296-303. doi:10.1093/jbi/wbad109.
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psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
May 26, 2016 - Review
Inpatient fall prevention programs as a patient safety strategy: a systematic review.
Citation Text:
Miake-Lye IM, Hempel S, Ganz DA, et al. Inpatient fall prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):390-396. doi:10.732…