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Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? | PSNet

psnet.ahrq.gov/issue/patient-comprehension-emergency-department-care-and-instructions-are-patients-aware-when-they

September 23, 2020 - Study Classic Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? Citation Text: Engel KG, Heisler M, Smith DM, et al. Patient comprehension of emergency department care and instructions: are …

Development, testing, and findings of a pediatric-focused trigger tool to identify medication-related harm in US children's hospitals. | PSNet

psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related

April 11, 2011 - Study Development, testing, and findings of a pediatric-focused trigger tool to identify medication-related harm in US children's hospitals. Citation Text: Takata GS, Mason W, Taketomo C, et al. Development, testing, and findings of a pediatric-focused trigger tool to identify medicati…

Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. | PSNet

psnet.ahrq.gov/issue/factors-affect-opioid-quality-improvement-initiatives-primary-care-insights-ten-health

November 03, 2021 - Study Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. Citation Text: Childs E, Tano CA, Mikosz CA, et al. Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. Jt Comm J …

Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care. | PSNet

psnet.ahrq.gov/issue/does-employee-safety-matter-patients-too-employee-safety-climate-and-patient-safety-culture

September 01, 2021 - Study Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care. Citation Text: Mohr DC, Eaton JL, McPhaul KM, et al. Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care. J P…

Patient mortality during unannounced accreditation surveys at US hospitals. | PSNet

psnet.ahrq.gov/issue/patient-mortality-during-unannounced-accreditation-surveys-us-hospitals

August 03, 2022 - Study Patient mortality during unannounced accreditation surveys at US hospitals. Citation Text: Barnett ML, Olenski AR, Jena AB. Patient Mortality During Unannounced Accreditation Surveys at US Hospitals. JAMA Intern Med. 2017;177(5):693-700. doi:10.1001/jamainternmed.2016.9685. Copy …

Association of low-dose whole-body computed tomography with missed injury diagnoses and radiation exposure in patients with blunt multiple trauma. | PSNet

psnet.ahrq.gov/issue/association-low-dose-whole-body-computed-tomography-missed-injury-diagnoses-and-radiation

February 12, 2020 - Study Association of low-dose whole-body computed tomography with missed injury diagnoses and radiation exposure in patients with blunt multiple trauma. Citation Text: Stengel D, Mutze S, Güthoff C, et al. Association of Low-Dose Whole-Body Computed Tomography With Missed Injury Diagnose…

Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study. | PSNet

psnet.ahrq.gov/issue/using-generic-analysis-method-analyze-sentinel-event-reports-across-hospitals-retrospective

May 18, 2022 - Study Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study. Citation Text: Baartmans MC, van Schoten SM, Smit BJ, et al. Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospe…

Lessons learned from a national hospital antibiotic stewardship implementation project. | PSNet

psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project

July 20, 2022 - Study Lessons learned from a national hospital antibiotic stewardship implementation project. Citation Text: Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:1…

Look alike/sound alike drugs: a literature review on causes and solutions. | PSNet

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September 28, 2022 - Review Look alike/sound alike drugs: a literature review on causes and solutions. Citation Text: Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6. Copy Citation For…

Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic review. | PSNet

psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-use-older-adults-living-nursing-homes

May 04, 2022 - Review Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic review. Citation Text: Morin L, Laroche M-L, Texier G, et al. Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic r…

Identifying health information technology usability issues contributing to medication errors across medication process stages. | PSNet

psnet.ahrq.gov/issue/identifying-health-information-technology-usability-issues-contributing-medication-errors

November 03, 2021 - Study Identifying health information technology usability issues contributing to medication errors across medication process stages. Citation Text: Adams KT, Pruitt Z, Kazi S, et al. Identifying health information technology usability issues contributing to medication errors across medic…

The relationship of medical assistants' work engagement with their concerns of having made an important medical error: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/relationship-medical-assistants-work-engagement-their-concerns-having-made-important-medical

March 08, 2023 - Study The relationship of medical assistants' work engagement with their concerns of having made an important medical error: a cross-sectional study. Citation Text: Loerbroks A, Vu-Eickmann P, Dreher A, et al. The relationship of medical assistants' work engagement with their concerns of…

Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. | PSNet

psnet.ahrq.gov/issue/variability-collection-and-use-raceethnicity-and-language-data-93-pediatric-hospitals

July 15, 2020 - Study Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. Citation Text: Cowden JD, Flores G, Chow T, et al. Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. J Racial Ethn Health Disparities. 202…

Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death. | PSNet

psnet.ahrq.gov/issue/reporting-death-us-food-and-drug-administration-medical-device-adverse-event-reports

April 07, 2019 - Study Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death. Citation Text: Lalani C, Kunwar EM, Kinard M, et al. Reporting of death in US Food and Drug Administration medical device adverse event reports in categories o…

The effect of virtual nursing and missed nursing care. | PSNet

psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care

December 01, 2021 - Study The effect of virtual nursing and missed nursing care. Citation Text: Schuelke S, Aurit S, Connot N, et al. The effect of virtual nursing and missed nursing care. Nurs Adm Q. 2020;44(3):280-287. doi:10.1097/naq.0000000000000419. Copy Citation Format: DOI Google Schola…

Mortality due to hospital-acquired infection after cardiac surgery. | PSNet

psnet.ahrq.gov/issue/mortality-due-hospital-acquired-infection-after-cardiac-surgery

February 12, 2020 - Study Mortality due to hospital-acquired infection after cardiac surgery. Citation Text: Massart N, Mansour A, Ross JT, et al. Mortality due to hospital-acquired infection after cardiac surgery. J Thorac Cardiovasc Surg. 2022;163(6):2131-2140.e3. doi:10.1016/j.jtcvs.2020.08.094. Copy C…

Out-of-hospital pediatric patient safety events: results of the CSI chart review. | PSNet

psnet.ahrq.gov/issue/out-hospital-pediatric-patient-safety-events-results-csi-chart-review

November 23, 2016 - Study Out-of-hospital pediatric patient safety events: results of the CSI chart review. Citation Text: Meckler G, Hansen M, Lambert W, et al. Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI Chart Review. Prehosp Emerg Care. 2018;22(3):290-299. doi:10.1080/10903127.201…

The incidence of adverse drug events in two large academic long-term care facilities. | PSNet

psnet.ahrq.gov/issue/incidence-adverse-drug-events-two-large-academic-long-term-care-facilities

February 11, 2009 - Study The incidence of adverse drug events in two large academic long-term care facilities. Citation Text: Gurwitz JH, Field TS, Judge J, et al. The incidence of adverse drug events in two large academic long-term care facilities. Am J Med. 2005;118(3). doi:10.1016/j.amjmed.2004.09.018.…

Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. | PSNet

psnet.ahrq.gov/issue/some-unintended-consequences-information-technology-health-care-nature-patient-care

November 18, 2020 - Study Classic Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. Citation Text: Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: t…

2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations

July 06, 2022 - Study 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s l…

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