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psnet.ahrq.gov/issue/combined-proactive-risk-assessment-unifying-proactive-and-reactive-risk-assessment-techniques
May 11, 2022 - Study
Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care.
Citation Text:
Bender JA, Kulju S, Soncrant C. Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. Jt Comm J Qua…
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psnet.ahrq.gov/issue/adverse-event-reviews-healthcare-what-matters-patients-and-their-family-qualitative-study
March 24, 2021 - Study
Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family.
Citation Text:
McQueen JM, Gibson KR, Manson M, et al. Adverse event reviews in healthcare: what matters to patients and their famil…
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psnet.ahrq.gov/issue/design-and-implementation-analgesia-sedation-and-paralysis-order-set-enhance-compliance-pro
February 09, 2022 - Study
Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU.
Citation Text:
Procaccini D, Rapaport R, Petty BG, et al. Design and Impleme…
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psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers
June 14, 2017 - Review
Classic
Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis.
Citation Text:
Winters BD, Bharmal A, Wilson RF, et…
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psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time
March 10, 2021 - Study
An analysis of incident reports related to electronic medication management: how they change over time.
Citation Text:
Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication management: how they change over time. J Patient Saf. 2024;20(…
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psnet.ahrq.gov/issue/make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-cost-economics
April 08, 2008 - Study
To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective.
Citation Text:
Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(…
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psnet.ahrq.gov/issue/delayed-time-defibrillation-after-hospital-cardiac-arrest
June 08, 2010 - Study
Classic
Delayed time to defibrillation after in-hospital cardiac arrest.
Citation Text:
Chan PS, Krumholz HM, Nichol G, et al. Delayed time to defibrillation after in-hospital cardiac arrest. N Engl J Med. 2008;358(1):9-17. doi:10.1056/NEJMoa0706467.
C…
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psnet.ahrq.gov/issue/rates-medical-errors-and-preventable-adverse-events-among-hospitalized-children-following
November 12, 2014 - Study
Classic
Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle.
Citation Text:
Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events…
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psnet.ahrq.gov/print/pdf/node/867658
January 26, 2022 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Opioid Stewardship
Curated Library
Primers
Pharmacist's Role in Medication Safety
UC Davis PSNet Editorial Team | December, 15 2024
Pharmacists in all settings play a crucial role in medication safety.
Opioid Safety
UC Davis PSNet Editoria…
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psnet.ahrq.gov/issue/prevalence-and-characterisation-diagnostic-error-among-7-day-all-cause-hospital-medicine
April 12, 2023 - Study
Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study.
Citation Text:
Raffel KE, Kantor MA, Barish P, et al. Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine …
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psnet.ahrq.gov/issue/impact-introducing-automated-dispensing-cabinets-barcode-medication-administration-and-closed
March 10, 2021 - Review
Emerging Classic
The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review.
C…
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psnet.ahrq.gov/issue/impact-structured-interdisciplinary-bedside-rounding-patient-outcomes-large-academic-health
December 09, 2020 - Study
Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre.
Citation Text:
Sunkara PR, Islam T, Bose A, et al. Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. BMJ Qual …
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psnet.ahrq.gov/issue/review-medication-error-sources-associated-inpatient-subcutaneous-insulin-recommendations
June 17, 2020 - Review
Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices.
Citation Text:
McKay C, Schenkat D, Murphy K, et al. Review of medication error sources associated with inpatient subcutaneous insul…
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psnet.ahrq.gov/issue/helping-healthcare-teams-debrief-effectively-associations-debriefers-actions-and-participants
February 02, 2022 - Study
Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings.
Citation Text:
Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively: associations of debriefers’ a…
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psnet.ahrq.gov/issue/association-between-mobile-telephone-interruptions-and-medication-administration-errors
June 29, 2009 - Study
Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit.
Citation Text:
Bonafide CP, Miller JM, Localio AR, et al. Association between mobile telephone interruptions and medication administration errors in a pediatr…
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psnet.ahrq.gov/issue/provider-patient-communication-and-hospital-ratings-perceived-gaps-and-forward-thinking-about
December 16, 2020 - Study
Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19.
Citation Text:
Belasen AT, Hertelendy AJ, Belasen AR, et al. Provider–patient communication and hospital ratings: perceived gaps and forward thinking about the ef…
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psnet.ahrq.gov/issue/caring-our-own-deploying-systemwide-second-victim-rapid-response-team
September 19, 2016 - Study
Classic
Caring for our own: deploying a systemwide second victim rapid response team.
Citation Text:
Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Saf. 2010;36(5):233-2…
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psnet.ahrq.gov/issue/multispecialty-physician-online-survey-reveals-burnout-related-adverse-event-involvement-may
July 13, 2022 - Study
Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support.
Citation Text:
Gupta K, Rivadeneira NA, Lisker S, et al. Multispecialty physician online survey reveals that burnout related to adverse event involveme…
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psnet.ahrq.gov/issue/what-works-medication-reconciliation-treatment-and-site-analysis-marquis2-study
May 19, 2021 - Study
What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study.
Citation Text:
Schnipper JL, Reyes Nieva H, Yoon CS, et al. What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. BMJ Qual Saf. 2023;32(8):4…
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psnet.ahrq.gov/issue/burden-peri-operative-work-night-perceived-anaesthesiologists-international-survey
May 08, 2024 - Study
The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey.
Citation Text:
Cortegiani A, Ippolito M, Lakbar I, et al. The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. Eur J Anaesthesi…