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  1. psnet.ahrq.gov/issue/factors-impacting-patient-setup-analysis-and-error-management-during-breast-cancer
    September 15, 2021 - Review Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. Citation Text: Costin I-C, Marcu LG. Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. Crit Rev Oncol Hematol. 2022;178:103798. doi…
  2. psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety
    January 23, 2019 - Study Safety huddles to proactively identify and address electronic health record safety. Citation Text: Menon S, Singh H, Giardina TD, et al. Safety huddles to proactively identify and address electronic health record safety. J Am Med Inform Assoc. 2017;24(2):261-267. doi:10.1093/jamia/…
  3. psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-long-term-care-and-its-relationship-probable-delirium
    September 23, 2020 - Study Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. Citation Text: Webber C, Milani C, Bjerre LM, et al. Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. J Am Med Dir Assoc. 2024;25…
  4. psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care
    December 09, 2020 - Study Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Citation Text: Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12)…
  5. psnet.ahrq.gov/issue/care-human-collectively-confronting-clinician-burnout-crisis
    June 10, 2020 - Commentary Classic To care is human—collectively confronting the clinician-burnout crisis. Citation Text: Dzau VJ, Kirch DG, Nasca TJ. To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis. New Engl J Med. 2018;378(4):312-314. doi:10.1056/nejm…
  6. psnet.ahrq.gov/issue/incomplete-ehr-adoption-late-uptake-patient-safety-and-cost-control-functions
    July 25, 2011 - Commentary Incomplete EHR adoption: late uptake of patient safety and cost control functions. Citation Text: Menachemi N, Ford E, Beitsch LM, et al. Incomplete EHR adoption: late uptake of patient safety and cost control functions. Am J Med Qual. 2007;22(5):319-26. Copy Citation …
  7. psnet.ahrq.gov/issue/incidence-and-cost-unexpected-hospital-use-after-scheduled-outpatient-endoscopy
    October 31, 2012 - Study The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Citation Text: Leffler DA, Kheraj R, Garud S, et al. The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Arch Intern Med. 2010;170(19):1752-7. doi:10.1001/arc…
  8. psnet.ahrq.gov/issue/evidence-respiratory-infection-transmission-within-physician-offices-could-inform-outpatient
    June 30, 2021 - Study Evidence of respiratory infection transmission within physician offices could inform outpatient infection control. Citation Text: Neprash HT, Sheridan B, Jena AB, et al. Evidence of respiratory infection transmission within physician offices could inform outpatient infection contro…
  9. psnet.ahrq.gov/issue/remote-patient-monitoring-during-covid-19-unexpected-patient-safety-benefit
    July 20, 2022 - Commentary Remote patient monitoring during COVID-19: an unexpected patient safety benefit. Citation Text: Pronovost PJ, Cole MD, Hughes RM. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. JAMA. 2022;327(12):1125-1126. doi:10.1001/jama.2022.2040. Copy C…
  10. psnet.ahrq.gov/issue/patterns-opioid-administration-among-opioid-naive-inpatients-and-associations-postdischarge
    November 05, 2008 - Study Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study. Citation Text: Donohue JM, Kennedy JN, Seymour CW, et al. Patterns of Opioid Administration Among Opioid-Naive Inpatients and Associations With Postdischa…
  11. psnet.ahrq.gov/issue/reporting-improving-how-root-cause-analysis-teams-shape-patient-safety-culture
    July 31, 2024 - Study From reporting to improving: how root cause analysis in teams shape patient safety culture. Citation Text: Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-18…
  12. psnet.ahrq.gov/issue/associations-between-patient-safety-culture-and-workplace-safety-culture-hospital-settings
    December 09, 2020 - Study Associations between patient safety culture and workplace safety culture in hospital settings. Citation Text: Hesgrove B, Zebrak K, Yount N, et al. Associations between patient safety culture and workplace safety culture in hospital settings. BMC Health Serv Res. 2024;24(1):568. do…
  13. psnet.ahrq.gov/issue/patient-handover-surgery-intensive-care-using-formula-1-pit-stop-and-aviation-models-improve
    October 03, 2011 - Study Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Citation Text: Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to …
  14. psnet.ahrq.gov/issue/effect-clinical-decision-support-pending-laboratory-results-emergency-department-discharge
    April 24, 2018 - Study The effect of a clinical decision support for pending laboratory results at emergency department discharge. Citation Text: Driver BE, Scharber SK, Fagerstrom ET, et al. The Effect of a Clinical Decision Support for Pending Laboratory Results at Emergency Department Discharge. J Eme…
  15. psnet.ahrq.gov/issue/engaging-patients-use-real-time-electronic-clinical-data-improve-safety-and-reliability-their
    March 16, 2022 - Study Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care. Citation Text: Schnock KO, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to improve the safety and reliabilit…
  16. psnet.ahrq.gov/issue/long-term-impacts-faced-patients-and-families-after-harmful-healthcare-events
    December 01, 2021 - Study Long-term impacts faced by patients and families after harmful healthcare events. Citation Text: Ottosen MJ, Sedlock E, Aigbe AO, et al. Long-term impacts faced by patients and families after harmful healthcare events. J Patient Saf. 2021;17(8):e1145-e1151. doi:10.1097/pts.00000000…
  17. psnet.ahrq.gov/issue/are-dental-patients-concerned-about-safety-exploratory-study
    December 22, 2021 - Study Are dental patients concerned about safety? An exploratory study. Citation Text: Obadan-Udoh E, Panwar S, Yansane A-I, et al. Are dental patients concerned about safety? An exploratory study. J Evid Based Dent Pract. 2020;20(3):101424. doi:10.1016/j.jebdp.2020.101424. Copy Citati…
  18. psnet.ahrq.gov/issue/emergency-department-monitor-alarms-rarely-change-clinical-management-observational-study
    September 30, 2020 - Study Emergency department monitor alarms rarely change clinical management: an observational study. Citation Text: Fleischman W, Ciliberto B, Rozanski N, et al. Emergency department monitor alarms rarely change clinical management: an observational study. Am J Emerg Med. 2020;38(6):1072…
  19. psnet.ahrq.gov/issue/can-medical-record-reviewers-reliably-identify-errors-and-adverse-events-ed
    October 11, 2023 - Study Can medical record reviewers reliably identify errors and adverse events in the ED? Citation Text: Klasco RS, Wolfe RE, Lee T, et al. Can medical record reviewers reliably identify errors and adverse events in the ED? Am J Emerg Med. 2016;34(6):1043-8. doi:10.1016/j.ajem.2016.03.00…
  20. psnet.ahrq.gov/issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates
    September 09, 2020 - Study Fall prevention with the Smart Socks System reduces hospital fall rates. Citation Text: Moore T, Kline D, Palettas M, et al. Fall prevention with the Smart Socks System reduces hospital fall rates. J Nurs Care Qual. 2023;38(1):55-60. doi:10.1097/ncq.0000000000000653. Copy Citatio…

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