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Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. | PSNet

psnet.ahrq.gov/issue/successful-implementation-unit-based-quality-nurse-reduce-central-line-associated-bloodstream

September 23, 2020 - Study Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Citation Text: Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Am J …

"The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. | PSNet

psnet.ahrq.gov/issue/patient-awake-and-we-need-stay-calm-reconsidering-indirect-communication-face-medical-error

October 11, 2023 - Study "The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. Citation Text: Taylor T, Columbus L, Banner H, et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication…

Diagnostic concordance among pathologists interpreting breast biopsy specimens. | PSNet

psnet.ahrq.gov/issue/diagnostic-concordance-among-pathologists-interpreting-breast-biopsy-specimens

July 13, 2016 - Study Classic Diagnostic concordance among pathologists interpreting breast biopsy specimens. Citation Text: Elmore JG, Longton GM, Carney PA, et al. Diagnostic concordance among pathologists interpreting breast biopsy specimens. JAMA. 2015;313(11):1122-1132. do…

A review of medication errors and the second victim in pediatric pharmacy. | PSNet

psnet.ahrq.gov/issue/review-medication-errors-and-second-victim-pediatric-pharmacy

January 27, 2019 - Review A review of medication errors and the second victim in pediatric pharmacy. Citation Text: Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100. …

Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. | PSNet

psnet.ahrq.gov/issue/primary-care-patient-safe-setting-prevalence-severity-nature-and-causes-adverse-events

November 08, 2023 - Study Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. Citation Text: Garzón González G, Alonso Safont T, Zamarrón Fraile E, et al. Is primary care a patient-safe setting? Prevalence, severity, nature, and …

Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care setting. | PSNet

psnet.ahrq.gov/issue/cohort-study-diagnostic-delay-clinical-pathway-patients-chronic-wounds-primary-care-setting

November 18, 2020 - Study Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care setting. Citation Text: Ahmajärvi K, Isoherranen K, Venermo M. Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care s…

Making patient safety event data actionable: understanding patient safety analyst needs. | PSNet

psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs

October 17, 2018 - Study Making patient safety event data actionable: understanding patient safety analyst needs. Citation Text: Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.10…

Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial. | PSNet

psnet.ahrq.gov/issue/patient-readmissions-emergency-visits-and-adverse-events-after-software-assisted-discharge

November 16, 2022 - Study Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial. Citation Text: Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after software-assisted dischar…

Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications. | PSNet

psnet.ahrq.gov/issue/patient-factors-associated-new-prescribing-potentially-inappropriate-medications-multimorbid

August 18, 2021 - Study Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications. Citation Text: Jungo KT, Streit S, Lauffenburger JC. Patient factors associated with new prescribing of potentially inappropriate medi…

Adverse health events related to self-medication practices among elderly: a systematic review. | PSNet

psnet.ahrq.gov/issue/adverse-health-events-related-self-medication-practices-among-elderly-systematic-review

June 15, 2022 - Review Adverse health events related to self-medication practices among elderly: a systematic review. Citation Text: Locquet M, Honvo G, Rabenda V, et al. Adverse health events related to self-medication practices among elderly: a systematic review. Drugs Aging. 2017;34(5):359-365. doi:1…

Potential consequences of patient complications for surgeon well-being: a systematic review. | PSNet

psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review

May 23, 2018 - Review Potential consequences of patient complications for surgeon well-being: a systematic review. Citation Text: Srinivasa S, Gurney J, Koea J. Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review. JAMA Surg. 2019;154(5):451-457. doi:10.1001/jamas…

A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts. | PSNet

psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among-137-english-national-health-service

September 20, 2012 - Study A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts. Citation Text: Toffolutti V, Stuckler D. A Culture Of Openness Is Associated With Lower Mortality Rates Among 137 English National Health Service Acute Trusts. Hea…

Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospective study. | PSNet

psnet.ahrq.gov/issue/drug-related-hospitalizations-tertiary-care-internal-medicine-service-canadian-hospital

April 22, 2011 - Study Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospective study. Citation Text: Samoy LJ, Zed PJ, Wilbur K, et al. Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospecti…

Integrating computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research. | PSNet

psnet.ahrq.gov/issue/integrating-computerized-clinical-decision-support-systems-clinical-work-meta-synthesis

October 19, 2022 - Review Integrating computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research. Citation Text: Miller A, Moon B, Anders S, et al. Integrating computerized clinical decision support systems into clinical work: A meta-synthesis of qualitative…

Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old. | PSNet

psnet.ahrq.gov/issue/too-many-too-few-or-too-unsafe-impact-inappropriate-prescribing-mortality-and-hospitalization

December 02, 2020 - Study Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old. Citation Text: Wauters M, Elseviers M, Vaes B, et al. Too many, too few, or too unsafe? Impact of inappropriate prescribing on morta…

The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. | PSNet

psnet.ahrq.gov/issue/first-us-study-nurses-evidence-based-practice-competencies-indicates-major-deficits-threaten

July 14, 2021 - Study Classic The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. Citation Text: Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nu…

Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011. | PSNet

psnet.ahrq.gov/issue/patient-notification-bloodborne-pathogen-testing-due-unsafe-injection-practices-us-health

February 02, 2011 - Study Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011. Citation Text: Guh AY, Thompson ND, Schaefer MK, et al. Patient notification for bloodborne pathogen testing due to unsafe injection practices in the …

The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. | PSNet

psnet.ahrq.gov/issue/nature-magnitude-and-reporting-compliance-device-related-events-intravenous-patient

March 20, 2024 - Study The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. Citation Text: Lawal OD, Mohanty M, Elder H, et al. The nature, magnitude, and reporti…

Exploring medication safety structures and processes in nursing homes: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/exploring-medication-safety-structures-and-processes-nursing-homes-cross-sectional-study

July 25, 2018 - Study Exploring medication safety structures and processes in nursing homes: a cross-sectional study. Citation Text: Favez L, Zúñiga F, Meyer-Massetti C. Exploring medication safety structures and processes in nursing homes: a cross-sectional study. Int J Clin Pharm. 2023;45(6):1464-1471…

Contextual errors and failures in individualizing patient care: a multicenter study. | PSNet

psnet.ahrq.gov/issue/contextual-errors-and-failures-individualizing-patient-care-multicenter-study

October 29, 2012 - Study Classic Contextual errors and failures in individualizing patient care: a multicenter study. Citation Text: Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010…

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