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psnet.ahrq.gov/issue/addressing-adultification-black-pediatric-patients-emergency-department-framework-decrease
October 27, 2021 - Commentary
Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities.
Citation Text:
Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. He…
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psnet.ahrq.gov/issue/risk-factors-hospital-admissions-associated-adverse-drug-events
October 18, 2018 - Study
Risk factors for hospital admissions associated with adverse drug events.
Citation Text:
Kongkaew C, Hann M, Mandal J, et al. Risk factors for hospital admissions associated with adverse drug events. Pharmacotherapy. 2013;33(8):827-37. doi:10.1002/phar.1287.
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psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident-prevention
April 13, 2022 - Study
Older folks in hospitals: the contributing factors and recommendations for incident prevention.
Citation Text:
Mansah M, Griffiths R, Fernandez R, et al. Older folks in hospitals: the contributing factors and recommendations for incident prevention. J Patient Saf. 2014;10(3):146-53…
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psnet.ahrq.gov/issue/struggling-invent-high-reliability-organizations-health-care-settings-insights-field
October 02, 2019 - Study
Struggling to invent high-reliability organizations in health care settings: insights from the field.
Citation Text:
Dixon NM, Shofer M. Struggling to invent high-reliability organizations in health care settings: Insights from the field. Health Serv Res. 2006;41(4 Pt 2):1618-32.…
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psnet.ahrq.gov/issue/prevalence-error-prone-abbreviations-used-medication-prescribing-hospitalised-patients-multi
July 06, 2011 - Study
Prevalence of error-prone abbreviations used in medication prescribing for hospitalised patients: multi-hospital evaluation.
Citation Text:
Dooley MJ, Wiseman M, Gu G. Prevalence of error-prone abbreviations used in medication prescribing for hospitalised patients: multi-hospital …
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psnet.ahrq.gov/issue/early-adopters-computerized-physician-order-entry-hospitals-care-children-picture-us-health
December 20, 2023 - Study
Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality.
Citation Text:
Teufel RJ, Kazley AS, Basco WT. Early adopters of computerized physician order entry in…
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psnet.ahrq.gov/issue/relationship-between-computerized-physician-order-entry-and-pediatric-adverse-drug-events
July 13, 2009 - Study
The relationship between computerized physician order entry and pediatric adverse drug events: a nested matched case-control study.
Citation Text:
Yu F, Salas M, Kim Y-I, et al. The relationship between computerized physician order entry and pediatric adverse drug events: a nested…
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psnet.ahrq.gov/issue/innovative-approach-reconstruct-bedside-handoff-using-simple-rules-complexity-science-promote
November 16, 2022 - Commentary
Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients.
Citation Text:
Anthony MK, Kloos J, Beam P, et al. Innovative Approach to Reconstruct Bedside Handoff: Using Simple Rules of Complexity Science to…
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psnet.ahrq.gov/issue/use-handheld-computer-application-voluntary-medication-event-reporting-inpatient-nurses-and
February 16, 2011 - Study
Use of a handheld computer application for voluntary medication event reporting by inpatient nurses and physicians.
Citation Text:
Dollarhide AW, Rutledge T, Weinger MB, et al. Use of a handheld computer application for voluntary medication event reporting by inpatient nurses and…
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psnet.ahrq.gov/issue/clinical-and-financial-effects-smart-pump-electronic-medical-record-interoperability-hospital
November 16, 2022 - Study
Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system.
Citation Text:
Biltoft J, Finneman L. Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a region…
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psnet.ahrq.gov/issue/measuring-adverse-events-hospitalized-patients-administrative-method-measuring-harm
December 17, 2014 - Study
Measuring adverse events in hospitalized patients: an administrative method for measuring harm.
Citation Text:
Martin J, Benjamin EM, Craver C, et al. Measuring Adverse Events in Hospitalized Patients: An Administrative Method for Measuring Harm. J Patient Saf. 2016;12(3):125-31. d…
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psnet.ahrq.gov/issue/patient-safety-and-image-transfer-between-referring-hospitals-and-neuroscience-centres-could
July 19, 2023 - Study
Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better?
Citation Text:
Crocker M, Cato-Addison WB, Pushpananthan S, et al. Patient safety and image transfer between referring hospitals and neuroscience centres: could we do bette…
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psnet.ahrq.gov/issue/breast-cancer-missed-screening-hindsight-or-mistakes
November 15, 2023 - Study
Breast cancer missed at screening; hindsight or mistakes?
Citation Text:
Hovda T, Larsen M, Romundstad L, et al. Breast cancer missed at screening; hindsight or mistakes? Eur J Radiol. 2023;165:110913. doi:10.1016/j.ejrad.2023.110913.
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psnet.ahrq.gov/issue/medical-errors-and-quality-care-control-commitment
July 15, 2020 - Commentary
Medical errors and quality of care: from control to commitment.
Citation Text:
Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment. California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353.
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psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug
August 07, 2024 - Study
Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration.
Citation Text:
Brajovic S, Piazza-Hepp T, Swartz L, et al. Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administratio…
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psnet.ahrq.gov/issue/anaesthesia-clinicians-perception-safety-workload-anxiety-and-stress-remote-hybrid-suite
March 20, 2024 - Study
Anaesthesia clinicians' perception of safety, workload, anxiety, and stress in a remote hybrid suite compared with the operating room.
Citation Text:
Schroeck H, Whitty MA, Martinez-Camblor P, et al. Anaesthesia clinicians' perception of safety, workload, anxiety, and stress in a r…
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psnet.ahrq.gov/issue/doctor-jazz-lessons-medical-professionals-can-learn-jazz-musicians
August 10, 2022 - Review
"Doctor Jazz": lessons that medical professionals can learn from jazz musicians.
Citation Text:
van Ark AE, Wijnen-Meijer M. "Doctor Jazz": Lessons that medical professionals can learn from jazz musicians. Med Teach. 2019;41(2):201-206. doi:10.1080/0142159X.2018.1461205.
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psnet.ahrq.gov/issue/shepherding-change-how-market-healthcare-providers-and-public-policy-can-deliver-quality-care
July 20, 2022 - Commentary
Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century.
Citation Text:
Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st…
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psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement
July 26, 2023 - Commentary
Liability reform should make patients safer: "Avoidable classes of events" are a key improvement.
Citation Text:
Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. …
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psnet.ahrq.gov/issue/medication-errors-prospective-cohort-study-hand-written-and-computerised-physician-order
March 06, 2013 - Study
Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit.
Citation Text:
Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order …