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psnet.ahrq.gov/issue/factors-predictive-intravenous-fluid-administration-errors-australian-surgical-care-wards
September 23, 2020 - Study
Factors predictive of intravenous fluid administration errors in Australian surgical care wards.
Citation Text:
Han PY, Coombes ID, Green B. Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Qual Saf Health Care. 2005;14(3):179-84.
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psnet.ahrq.gov/issue/piece-my-mind-hard-times-and-hard-stops
December 11, 2024 - Commentary
A piece of my mind. Hard times and hard stops.
Citation Text:
Lifflander AL. Hard Times and Hard Stops. JAMA. 2019;321(9):837-838. doi:10.1001/jama.2019.1208.
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psnet.ahrq.gov/issue/untold-toll-pandemics-effects-patients-without-covid-19
August 02, 2015 - Commentary
Classic
The untold toll — the pandemic’s effects on patients without Covid-19.
Citation Text:
Rosenbaum L. The untold toll — the pandemic’s effects on patients without Covid-19. New Engl J Med. 2020;382(24):2368-2371. doi:10.1056/nejmms2009984.
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psnet.ahrq.gov/issue/guideline-order-set-patient-harm
October 10, 2017 - Commentary
From guideline to order set to patient harm.
Citation Text:
Shah SD, Cifu AS. From Guideline to Order Set to Patient Harm. JAMA. 2018;319(12):1207-1208. doi:10.1001/jama.2018.1666.
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psnet.ahrq.gov/issue/effect-medication-reconciliation-elderly-patients-hospital-discharge
February 04, 2009 - Study
The effect of medication reconciliation in elderly patients at hospital discharge.
Citation Text:
Midlöv P, Bahrani L, Seyfali M, et al. The effect of medication reconciliation in elderly patients at hospital discharge. Int J Clin Pharm. 2012;34(1):113-9. doi:10.1007/s11096-011-9…
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psnet.ahrq.gov/issue/no-go-considerations-situ-simulation-safety
April 14, 2021 - Commentary
Emerging Classic
"No-go considerations" for in situ simulation safety.
Citation Text:
Bajaj K, Minors A, Walker K, et al. "No-Go Considerations" for In Situ Simulation Safety. Simul Healthc. 2018;13(3):221-224. doi:10.1097/SIH.0000000000000301.
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psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers
November 24, 2021 - Study
Intraoperative patient information handover between anesthesia providers.
Citation Text:
Choromanski D, Frederick J, McKelvey GM, et al. Intraoperative patient information handover between anesthesia providers. J Biomed Res. 2014;28(5):383-387. doi:10.7555/JBR.28.20140001.
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psnet.ahrq.gov/issue/preoperative-multidisciplinary-team-huddle-improves-communication-and-safety-unscheduled
October 19, 2022 - Study
Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science.
Citation Text:
Girnius A, Snyder C, Czarny H, et al. Preoperative multidisciplinary team huddle improves communication and …
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psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multimodal-approach
March 27, 2019 - Review
Reducing medication errors in critical care: a multimodal approach.
Citation Text:
Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530.
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psnet.ahrq.gov/issue/resident-and-nurse-perspectives-use-secure-text-messaging-systems
March 02, 2022 - Study
Resident and nurse perspectives on the use of secure text messaging systems.
Citation Text:
Aziz S, Barber J, Singh A, et al. Resident and nurse perspectives on the use of secure text messaging systems. J Hosp Med. 2022;17(11):880-887. doi:10.1002/jhm.12953.
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psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare-professional-responsiveness
May 01, 2017 - Grant Announcement
Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01).
Citation Text:
Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). Rockville, MD: Agency for …
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psnet.ahrq.gov/issue/performance-large-language-models-medical-oncology-examination-questions
January 12, 2022 - Study
Performance of large language models on medical oncology examination questions.
Citation Text:
Longwell JB, Hirsch I, Binder F, et al. Performance of large language models on medical oncology examination questions. JAMA Netw Open. 2024;7(6):e2417641. doi:10.1001/jamanetworkopen.202…
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psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
October 19, 2022 - Review
Bedside shift reports: what does the evidence say?
Citation Text:
Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115.
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psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems
January 12, 2011 - Study
Integrating the intensive care unit safety reporting system with existing incident reporting systems.
Citation Text:
Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual…
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psnet.ahrq.gov/issue/research-improve-diagnosis-time-study-real-world
February 12, 2020 - Commentary
Research to improve diagnosis: time to study the real world.
Citation Text:
Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf. 2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071.
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psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals
February 18, 2011 - Study
The costs of adverse drug events in community hospitals.
Citation Text:
Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6.
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psnet.ahrq.gov/issue/dissecting-communication-barriers-healthcare-path-enhancing-communication-resiliency
July 12, 2023 - Commentary
Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety.
Citation Text:
Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to Enhancing Communication Resilien…
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psnet.ahrq.gov/issue/identification-and-interference-intraoperative-distractions-and-interruptions-operating-rooms
June 26, 2024 - Study
Identification and interference of intraoperative distractions and interruptions in operating rooms.
Citation Text:
Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res…
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psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis
January 29, 2018 - Review
Rapid response systems: a systematic review and meta-analysis.
Citation Text:
Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y.
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psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies
July 21, 2021 - Study
Implementing a human factors approach to RCA(2) : tools, processes and strategies.
Citation Text:
Wiegmann DA, Wood LJ, Solomon DB, et al. Implementing a human factors approach to RCA(2) : tools, processes and strategies. J Healthc Risk Manag. 2021;41(1):31-46. doi:10.1002/jhrm.214…