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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/effect-pharmacist-intervention-clinically-important-medication-errors-after-hospital
May 08, 2017 - Study
Classic
Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.
Citation Text:
Kripalani S, Roumie CL, Dalal A, et al. Effect of a pharmacist intervention on clinically important medicat…
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psnet.ahrq.gov/issue/evaluation-patient-and-family-outpatient-complaints-strategy-prioritize-efforts-improve
November 16, 2022 - Study
Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery.
Citation Text:
Mack JW, Jacobson J, Frank D, et al. Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve Canc…
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psnet.ahrq.gov/issue/success-resident-led-safety-council-model-satisfying-cler-pathways-excellence-patient-safety
August 01, 2018 - Study
Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals.
Citation Text:
Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goal…
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psnet.ahrq.gov/issue/hospital-based-medication-reconciliation-practices-systematic-review
April 05, 2013 - Review
Classic
Hospital-based medication reconciliation practices: a systematic review.
Citation Text:
Mueller SK, Sponsler KC, Kripalani S, et al. Hospital-based medication reconciliation practices: a systematic review. Arch Intern Med. 2012;172(14):1057-69. do…
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psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-support-deprescribing-interventions-across-veterans
April 24, 2018 - Study
A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings.
Citation Text:
Phillips KK, Mecca MC, Baim‐Lance AM, et al. A virtual breakthrough series collaborative to support deprescribing interventions across Vete…
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psnet.ahrq.gov/issue/improving-accuracy-handoff-implementing-electronic-health-record-generated-tool-improvement
January 01, 2022 - Study
Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit.
Citation Text:
Koo JK, Moyer L, Castello MA, et al. Improving accuracy of handoff by implementing an electronic health recor…
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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/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident
September 21, 2016 - Study
Increased risk of burnout for physicians and nurses involved in a patient safety incident.
Citation Text:
Van Gerven E, Elst TV, Vandenbroeck S, et al. Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. Med Care. 2016;54(10):937-943. doi:10.1…
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psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
June 23, 2015 - Study
Classic
Incidence and types of preventable adverse events in elderly patients: population based review of medical records.
Citation Text:
Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based revie…
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psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
February 15, 2011 - Study
Classic
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Citation Text:
Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…
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psnet.ahrq.gov/issue/economic-evaluations-interventions-prevent-and-control-health-care-associated-infections
May 18, 2022 - Review
Economic evaluations of interventions to prevent and control health-care-associated infections: a systematic review.
Citation Text:
Rice S, Carr K, Sobiesuo P, et al. Economic evaluations of interventions to prevent and control health-care-associated infections: a systematic revie…
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psnet.ahrq.gov/issue/complications-daytime-elective-laparoscopic-cholecystectomies-performed-surgeons-who-operated
April 12, 2019 - Study
Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night before.
Citation Text:
Vinden C, Nash DM, Rangrej J, et al. Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night be…
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psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm
March 28, 2011 - Study
Medication discrepancies in resident sign-outs and their potential to harm.
Citation Text:
Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5.
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psnet.ahrq.gov/issue/multi-stakeholder-consensus-driven-research-agenda-better-understanding-and-supporting
September 01, 2018 - Commentary
A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families.
Citation Text:
Bell SK, Etchegaray J, Gaufberg E, et al. A Multi-Stakeholder Consensus-Driven Research Agenda for Bette…
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psnet.ahrq.gov/issue/using-consumer-engagement-strategies-improve-healthcare-safety-young-people-exploration
September 15, 2021 - Study
Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches.
Citation Text:
Newman B, Joseph K, McDonald FEJ, et al. Using consumer engagement strategies to improve healthcare safety for y…
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psnet.ahrq.gov/issue/differences-medication-reconciliation-interventions-between-six-hospitals-mixed-method-study
September 08, 2021 - Study
Differences in medication reconciliation interventions between six hospitals: a mixed method study.
Citation Text:
Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions between six hospitals: a mixed method study. BMC Health Serv R…
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psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-qualitative-exploration-acute-care-nurses
October 20, 2021 - Study
Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses' perceptions of their roles and responsibilities.
Citation Text:
Latimer S, Hewitt J, de Wet C, et al. Medication reconciliation at hospital discharge: A qualitative exploration of acute…
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psnet.ahrq.gov/issue/components-pharmacist-led-medication-reviews-and-their-relationship-outcomes-systematic
November 16, 2022 - Review
Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic review and narrative synthesis.
Citation Text:
Craske ME, Hardeman W, Steel N, et al. Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic r…
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psnet.ahrq.gov/issue/opinions-nurses-and-physicians-patient-family-and-visitor-activated-rapid-response-system-use
February 14, 2024 - Study
Opinions of nurses and physicians on a patient, family and visitor activated rapid response system in use across two hospital settings.
Citation Text:
King L, Minyaev S, Grantham H, et al. Opinions of nurses and physicians on a patient, family and visitor activated rapid response s…