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  1. A structured judgement method to enhance mortality case note review: development and evaluation. | PSNet

    psnet.ahrq.gov/issue/structured-judgement-method-enhance-mortality-case-note-review-development-and-evaluation
    May 27, 2011 - Study A structured judgement method to enhance mortality case note review: development and evaluation. Citation Text: Hutchinson A, Coster JE, Cooper KL, et al. A structured judgement method to enhance mortality case note review: development and evaluation. BMJ Qual Saf. 2013;22(12). do…

  2. Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units. | PSNet

    psnet.ahrq.gov/issue/effect-antiseptic-handwashing-vs-alcohol-sanitizer-health-care-associated-infections-neonatal
    July 30, 2014 - Study Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units. Citation Text: Larson EL, Cimiotti JP, Haas JP, et al. Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonat…

  3. The compliance with a patient safety bundle for management of placenta accreta spectrum. | PSNet

    psnet.ahrq.gov/issue/compliance-patient-safety-bundle-management-placenta-accreta-spectrum
    October 19, 2022 - Study The compliance with a patient safety bundle for management of placenta accreta spectrum. Citation Text: Quist-Nelson J, Crank A, Oliver EA, et al. The compliance with a patient-safety bundle for management of placenta accreta spectrum†. J Matern Fetal Neonatal Med. 2021;34(17):2880…

  4. Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. | PSNet

    psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-patient-safety-narrative-review-and-synthesis-recent
    November 13, 2019 - Review Classic Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. Citation Text: Millar R, Mannion R, Freeman T, et al. Hospital board oversight of quality and patient safety: a narrative review…

  5. Primary care closed claims experience of Massachusetts malpractice insurers. | PSNet

    psnet.ahrq.gov/issue/primary-care-closed-claims-experience-massachusetts-malpractice-insurers
    August 14, 2017 - Study Classic Primary care closed claims experience of Massachusetts malpractice insurers. Citation Text: Schiff G, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013;173(22):206…

  6. CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. | PSNet

    psnet.ahrq.gov/issue/cdc-guideline-opioid-prescribing-associated-reduced-dispensing-certain-patients-chronic-pain
    October 13, 2018 - Study CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. Citation Text: Townsend T, Cerdá M, Bohnert AS, et al. CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. Healt…

  7. ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-monitoring-and-patient-education-1
    September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018. Citation Text: Pedersen CA, Schneider PJ, Ganio MC, et al. ASHP national survey of pharmacy practice in hospital settings: Monitoring and patient education-2018. Am J Health Syst …

  8. Opioid prescribing decreases after learning of a patient's fatal overdose. | PSNet

    psnet.ahrq.gov/issue/opioid-prescribing-decreases-after-learning-patients-fatal-overdose
    January 18, 2023 - Study Emerging Classic Opioid prescribing decreases after learning of a patient's fatal overdose. Citation Text: Doctor JN, Nguyen A, Lev R, et al. Opioid prescribing decreases after learning of a patient's fatal overdose. Science. 2018;361(6402):588-590. doi:10…

  9. DEEP SCOPE: a framework for safe healthcare design. | PSNet

    psnet.ahrq.gov/issue/deep-scope-framework-safe-healthcare-design
    August 18, 2021 - Commentary DEEP SCOPE: a framework for safe healthcare design. Citation Text: Taylor E, Hignett S. DEEP SCOPE: a framework for safe healthcare design. Int J Environ Res Public Health. 2021;18(15):7780. doi:10.3390/ijerph18157780. Copy Citation Format: DOI Google Scholar Bib…

  10. Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures. | PSNet

    psnet.ahrq.gov/issue/clinical-impact-and-economic-burden-hospital-acquired-conditions-following-common-surgical
    October 21, 2020 - Study Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures. Citation Text: Horn SR, Liu TC, Horowitz JA, et al. Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures. Spine (Phila Pa 19…

  11. In situ simulation-based team training and its significance for transfer of learning to clinical practice--a qualitative focus group interview study of anaesthesia personnel. | PSNet

    psnet.ahrq.gov/issue/situ-simulation-based-team-training-and-its-significance-transfer-learning-clinical-practice
    June 14, 2023 - Study In situ simulation-based team training and its significance for transfer of learning to clinical practice--a qualitative focus group interview study of anaesthesia personnel. Citation Text: Finstad AS, Aase I, Bjørshol CA, et al. In situ simulation-based team training and its signi…

  12. Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. | PSNet

    psnet.ahrq.gov/issue/advancing-future-patient-safety-oncology-implications-patient-safety-education-cancer-care
    December 21, 2014 - Commentary Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. Citation Text: James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Car…

  13. Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/medication-errors-caregivers-home-neonates-discharged-neonatal-intensive-care-unit
    June 07, 2023 - Study Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit. Citation Text: Solanki R, Mondal N, Mahalakshmy T, et al. Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit. Arch Dis Child. 2017…

  14. Are temporary staff associated with more severe emergency department medication errors? | PSNet

    psnet.ahrq.gov/issue/are-temporary-staff-associated-more-severe-emergency-department-medication-errors
    June 29, 2011 - Study Are temporary staff associated with more severe emergency department medication errors? Citation Text: Pham JC, Andrawis M, Shore AD, et al. Are temporary staff associated with more severe emergency department medication errors? J Healthc Qual. 2011;33(4):9-18. doi:10.1111/j.1945…

  15. Alcoholism and American healthcare: the case for a patient safety approach. | PSNet

    psnet.ahrq.gov/issue/alcoholism-and-american-healthcare-case-patient-safety-approach
    March 30, 2022 - Review Alcoholism and American healthcare: the case for a patient safety approach. Citation Text: Zipperer L, Ryan R, Jones B. Alcoholism and American healthcare: the case for a patient safety approach. J Patient Saf Risk Manag. 2022;27(5):201-208. doi:10.1177/25160435221117952. Copy C…

  16. A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. | PSNet

    psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient
    April 03, 2005 - Commentary A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. Citation Text: Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Ri…

  17. Repeat medication errors in nursing homes: contributing factors and their association with patient harm. | PSNet

    psnet.ahrq.gov/issue/repeat-medication-errors-nursing-homes-contributing-factors-and-their-association-patient
    August 07, 2013 - Study Repeat medication errors in nursing homes: contributing factors and their association with patient harm. Citation Text: Crespin DJ, Modi A, Wei D, et al. Repeat medication errors in nursing homes: Contributing factors and their association with patient harm. Am J Geriatr Pharmaco…

  18. Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. | PSNet

    psnet.ahrq.gov/issue/indication-documentation-and-indication-based-prescribing-within-electronic-prescribing
    December 18, 2019 - Review Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. Citation Text: Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within electronic prescrib…

  19. Improving patient safety in public hospitals: developing standard measures to track medical errors and process breakdowns. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-public-hospitals-developing-standard-measures-track-medical-errors
    December 19, 2018 - Study Improving patient safety in public hospitals: developing standard measures to track medical errors and process breakdowns. Citation Text: Ackerman SL, Gourley G, Le G, et al. Improving Patient Safety in Public Hospitals: Developing Standard Measures to Track Medical Errors and Proc…

  20. Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system. | PSNet

    psnet.ahrq.gov/issue/effect-central-call-center-employee-perceptions-safety-culture-within-community-pharmacies
    June 15, 2022 - Study Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system. Citation Text: Bowden A, Mullin S, Tak C, et al. Effect of a central call center on employee perceptions of safety culture within community pharmacies…
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