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psnet.ahrq.gov/issue/evaluation-medium-term-consequences-implementing-commercial-computerized-physician-order
December 21, 2022 - Study
Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals.
Citation Text:
Cresswell K, Bates DW, Williams R, et al. Evaluation of medium-term consequences o…
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psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement
August 01, 2012 - Commentary
Omissions of care in nursing homes: a uniform definition for research and quality improvement.
Citation Text:
Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11…
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psnet.ahrq.gov/issue/protocol-based-computer-reminders-quality-care-and-non-perfectability-man
April 24, 2018 - Study
Classic
Protocol-based computer reminders, the quality of care and the non-perfectability of man.
Citation Text:
McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976;295(24):1351-5.
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psnet.ahrq.gov/issue/value-improving-patient-safety-health-economic-considerations-rapid-response-systems-rapid
January 07, 2015 - Review
Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table.
Citation Text:
Subbe CP, Hughes DA, Lewis S, et al. Value of improving patient safety: health economic considerations for rapid res…
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psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-healthcare
October 31, 2017 - Review
Saving lives: a meta-analysis of team training in healthcare.
Citation Text:
Hughes A, Gregory ME, Joseph DL, et al. Saving lives: A meta-analysis of team training in healthcare. J Appl Psychol. 2016;101(9):1266-304. doi:10.1037/apl0000120.
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psnet.ahrq.gov/issue/parental-misinterpretations-over-counter-pediatric-cough-and-cold-medication-labels
May 04, 2012 - Study
Parental misinterpretations of over-the-counter pediatric cough and cold medication labels.
Citation Text:
Lokker N, Sanders LM, Perrin EM, et al. Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. Pediatrics. 2009;123(6):1464-1471. doi:10…
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psnet.ahrq.gov/issue/nursing-care-quality-and-adverse-events-us-hospitals
November 04, 2009 - Study
Nursing care quality and adverse events in US hospitals.
Citation Text:
Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in US hospitals. J Clin Nurs. 2010;19(15-16):2185-95. doi:10.1111/j.1365-2702.2010.03250.x.
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psnet.ahrq.gov/issue/toward-safer-health-care-system-critical-need-improve-measurement
November 03, 2015 - Commentary
Classic
Toward a safer health care system: the critical need to improve measurement.
Citation Text:
Jha AK, Pronovost P. Toward a Safer Health Care System: The Critical Need to Improve Measurement. JAMA. 2016;315(17):1831-2. doi:10.1001/jama.2016.3448…
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-2
March 23, 2012 - Study
STOPP/START criteria for potentially inappropriate prescribing in older people: version 2.
Citation Text:
O'Mahony D, O'Sullivan D, Byrne S, et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Age Ageing. 2015;44(2):213-218. doi:10.1093…
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psnet.ahrq.gov/issue/causes-medication-administration-errors-hospitals-systematic-review-quantitative-and
April 01, 2015 - Review
Causes of medication administration errors in hospitals: a systematic review of quantitative and
qualitative evidence.
Citation Text:
Keers RN, Williams SD, Cooke J, et al. Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitativ…
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - website. 59 To further assist NHs in managing COVID-19, the federal government began to deploy federal task … In addition to assisting the NHs, CMS used the information gathered by the federal task force strike … As Coronavirus patients skew younger, tracing task seems all but impossible”. Kaiser Health News.
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psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
April 01, 2013 - the next, that variation is not driven by a difference in specialty or a difference in a particular task … limits shouldn't apply to one group or another because it's more difficult or because the nature of the task … Young hospital doctors after night duty: their task-specific cognitive status and emotional condition
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psnet.ahrq.gov/issue/evaluating-efforts-optimize-teamstepps-implementation-surgical-and-pediatric-intensive-care
April 12, 2014 - Study
Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units.
Citation Text:
Mayer CM, Cluff L, Lin W-T, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Jt Comm J Qual Patie…
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psnet.ahrq.gov/issue/preventability-and-causes-readmissions-national-cohort-general-medicine-patients
January 25, 2017 - Study
Classic
Preventability and causes of readmissions in a national cohort of general medicine patients.
Citation Text:
Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National Cohort of General Medicine Patients…
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psnet.ahrq.gov/issue/co-design-implementation-and-evaluation-serious-board-game-playdecide-patient-safety-educate
September 12, 2018 - Journal Article
The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns
Citation Text:
Ward M, Shé ÉN, De Brún A, et al. The co-design, implementation a…
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psnet.ahrq.gov/issue/impact-closed-loop-electronic-prescribing-and-administration-system-prescribing-errors
November 13, 2009 - Study
The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.
Citation Text:
Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and admin…
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psnet.ahrq.gov/issue/perceptions-hospital-electronic-health-record-ehr-training-support-and-patient-safety-staff
October 03, 2018 - Study
Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure.
Citation Text:
Campione JR, Liu H. Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure. B…
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psnet.ahrq.gov/web-mm/inadvertent-castration
October 27, 2010 - pre-operative "pauses" or team-briefings, have the capacity to efficiently orient team members to the task
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psnet.ahrq.gov/primer/communication-between-clinicians
September 15, 2024 - The concept of situational awareness refers to the ability to access and track data relevant to the task
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Direct assistance During times of task saturation or overly intense periods of concentration, the team … should ensure that his/her actions mesh with the actions of the other members to successfully execute a task