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psnet.ahrq.gov/issue/safe-day-call-reducing-silos-health-care-through-frontline-risk-assessment
May 25, 2016 - Commentary
The safe day call: reducing silos in health care through frontline risk assessment.
Citation Text:
Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481.
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psnet.ahrq.gov/issue/student-mistakes-and-teacher-reactions-bedside-teaching
January 18, 2012 - Study
Student mistakes and teacher reactions in bedside teaching.
Citation Text:
Rubisch HPK, Blaschke A-L, Berberat PO, et al. Student mistakes and teacher reactions in bedside teaching. Adv Health Sci Educ Theory Pract. 2023;28(5):1523-1556. doi:10.1007/s10459-023-10233-y.
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psnet.ahrq.gov/issue/epidemiology-and-patient-outcome-after-medical-emergency-team-calls-triggered-atrial
March 05, 2010 - Study
Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation.
Citation Text:
Schneider A, Calzavacca P, Jones D, et al. Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. Resuscitation. 2011…
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psnet.ahrq.gov/issue/safety-events-childrens-hospitals-during-covid-19-pandemic
January 15, 2020 - Study
Safety events in children's hospitals during the COVID-19 pandemic.
Citation Text:
Safety events in children's hospitals during the COVID-19 pandemic. Masonbrink AR, Harris M, Hall M, et al. Hosp Pediatr. 2021;11(6):e95-e100.
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psnet.ahrq.gov/issue/strategies-reduce-patient-harm-infusion-associated-medication-errors-scoping-review
August 10, 2016 - Review
Strategies to reduce patient harm from infusion-associated medication errors: a scoping review.
Citation Text:
Wolf ZR. Strategies to Reduce Patient Harm From Infusion-Associated Medication Errors: A Scoping Review. J Infus Nurs. 2018;36(1):58-65. doi:10.1097/NAN.0000000000000263.…
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psnet.ahrq.gov/issue/pharmacist-workload-and-pharmacy-characteristics-associated-dispensing-potentially-clinically
May 26, 2011 - Study
Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions.
Citation Text:
Malone DC, Abarca J, Skrepnek GH, et al. Pharmacist workload and pharmacy characteristics associated with the dispensing of p…
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psnet.ahrq.gov/issue/active-shooter-response-health-care-facility
January 18, 2012 - Commentary
Active-shooter response at a health care facility.
Citation Text:
Inaba K, Eastman AL, Jacobs LM, et al. Active-Shooter Response at a Health Care Facility. N Engl J Med. 2018;379(6):583-586. doi:10.1056/NEJMms1800582.
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psnet.ahrq.gov/issue/assessing-impact-anesthesia-medication-template-medication-errors-during-anesthesia
February 14, 2018 - Study
Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study.
Citation Text:
Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospecti…
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www.ahrq.gov/research/publications/search.html?page=16
September 01, 2012 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 161 - 170 of 191 Publications displayed
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psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-risks-and-best
October 19, 2022 - Review
Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations.
Citation Text:
Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. …
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psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2014
July 02, 2009 - Special or Theme Issue
Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014.
Citation Text:
Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014. Infect Control Hosp Epidemiol. 2014;35(Suppl 2):s1-s178;35:460-463;797-801.
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psnet.ahrq.gov/issue/virginia-tech-sentinel-event-role-psychiatry-managing-emotionally-troubled-students-college
April 24, 2018 - Commentary
Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses.
Citation Text:
Giggie MA. Virginia Tech as a Sentinel Event: The Role of Psychiatry in Managing Emotionally Troubled Students on College and …
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www.ahrq.gov/news/newsroom/case-studies/201512.html
May 01, 2015 - AHRQ’s RED Toolkit Helps VA Hospitals in California and Texas Lower Readmissions, Improve Discharge Process
Search All Impact Case Studies
May 2015
Thirty-day all-cause hospital readmissions at the Department of Veterans Affairs (VA) Palo Alto (CA) Health Care System dropped 30 percent after administrators …
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psnet.ahrq.gov/issue/recognising-and-responding-cutting-corners-when-providing-nursing-care-qualitative-study
July 01, 2017 - Study
Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study.
Citation Text:
Jones A, Johnstone M-J, Duke M. Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. J Clin Nurs. 2016;25(15-16):2126-33. do…
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psnet.ahrq.gov/issue/toward-understanding-errors-inpatient-psychiatry-qualitative-inquiry
December 21, 2018 - Study
Toward understanding errors in inpatient psychiatry: a qualitative inquiry.
Citation Text:
Cullen SW, Nath SB, Marcus SC. Toward understanding errors in inpatient psychiatry: a qualitative inquiry. Psychiatr Q. 2010;81(3):197-205. doi:10.1007/s11126-010-9129-z.
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psnet.ahrq.gov/issue/impact-resident-duty-hour-and-supervision-changes-review
September 29, 2017 - Review
The impact of resident duty hour and supervision changes: a review.
Citation Text:
Greenberg WE, Borus JF. The Impact of Resident Duty Hour and Supervision Changes: A Review. Harv Rev Psychiatry. 2016;24(1):69-76. doi:10.1097/HRP.0000000000000061.
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psnet.ahrq.gov/issue/interhospital-transfer-handoff-practices-among-us-tertiary-care-centers-descriptive-survey
November 02, 2016 - Study
Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey.
Citation Text:
Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:1…
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psnet.ahrq.gov/issue/monitoring-during-sedation-given-non-anaesthetic-doctors
August 30, 2023 - Study
Monitoring during sedation given by non-anaesthetic doctors.
Citation Text:
Fanning RM. Monitoring during sedation given by non-anaesthetic doctors. Anaesthesia. 2008;63(4):370-374. doi:10.1111/j.1365-2044.2007.05378.x.
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psnet.ahrq.gov/issue/role-housestaff-implementing-medication-reconciliation-admission-academic-medical-center
March 30, 2011 - Commentary
The role of housestaff in implementing medication reconciliation on admission at an academic medical center.
Citation Text:
Evans AS, Lazar EJ, Tiase VL, et al. The role of housestaff in implementing medication reconciliation on admission at an academic medical center. Am J Me…
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psnet.ahrq.gov/issue/public-perceptions-and-preferences-patient-notification-after-unsafe-injection
July 14, 2010 - Study
Public perceptions and preferences for patient notification after an unsafe injection.
Citation Text:
Schneider AK, Brinsley-Rainisch KJ, Schaefer MK, et al. Public perceptions and preferences for patient notification after an unsafe injection. J Patient Saf. 2013;9(1):8-12. doi:…