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Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. | PSNet

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July 31, 2019 - Study Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Citation Text: Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication d…

Interventions promoting employee "speaking-up" within healthcare workplaces: a systematic narrative review of the international literature. | PSNet

psnet.ahrq.gov/issue/interventions-promoting-employee-speaking-within-healthcare-workplaces-systematic-narrative

May 19, 2021 - Review Classic Interventions promoting employee "speaking-up" within healthcare workplaces: a systematic narrative review of the international literature. Citation Text: Jones A, Blake J, Adams M, et al. Interventions promoting employee “speaking-up” within heal…

Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. | PSNet

psnet.ahrq.gov/issue/recommendations-safe-effective-use-adaptive-cds-us-healthcare-system-amia-position-paper

March 24, 2021 - Commentary Emerging Classic Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. Citation Text: Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in th…

Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. | PSNet

psnet.ahrq.gov/issue/hospital-rating-organizations-quality-and-patient-safety-scores-analysis-result-discrepancies

February 22, 2017 - Study Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. Citation Text: Badr S, Nahle T, Rahman S, et al. Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. J Gen Intern Med. 2025;40(3):525-…

Evaluation and mitigation of the limitations of large language models in clinical decision-making. | PSNet

psnet.ahrq.gov/issue/evaluation-and-mitigation-limitations-large-language-models-clinical-decision-making

March 09, 2022 - Commentary Evaluation and mitigation of the limitations of large language models in clinical decision-making. Citation Text: Hager P, Jungmann F, Holland R, et al. Evaluation and mitigation of the limitations of large language models in clinical decision-making. Nat Med. 2024;30(9):2613-…

Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. | PSNet

psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study

July 17, 2013 - Study Classic Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. Citation Text: Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of ala…

The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. | PSNet

psnet.ahrq.gov/issue/impact-intervention-improve-intrapartum-maternal-vital-sign-monitoring-and-reduce-alarm

September 23, 2020 - Study The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. Citation Text: Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fati…

Effectiveness of written hospitalist sign-outs in answering overnight inquiries. | PSNet

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January 15, 2014 - Study Effectiveness of written hospitalist sign-outs in answering overnight inquiries. Citation Text: Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090. C…

Delivery at an inadequate level of maternal care is associated with severe maternal morbidity. | PSNet

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September 29, 2021 - Study Delivery at an inadequate level of maternal care is associated with severe maternal morbidity. Citation Text: Osei-Poku GK, Prentice JC, Easter SR, et al. Delivery at an inadequate level of maternal care is associated with severe maternal morbidity. Am J Obstet Gynecol. 2024;231(5)…

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

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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…

Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. | PSNet

psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk

June 22, 2016 - Study Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. Citation Text: Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impa…

Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic-review

October 16, 2024 - Review Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. Citation Text: Mahmoud HA, Thavorn K, Mulpuru S, et al. Barriers and facilitators to improving patient safety learning systems: a systematic revie…

Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study. | PSNet

psnet.ahrq.gov/issue/prescription-and-transcription-errors-multidose-dispensed-medications-discharge-hospital

February 15, 2011 - Study Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study. Citation Text: Alassaad A, Gillespie U, Bertilsson M, et al. Prescription and transcription errors in multidose-dispensed medications on…

A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. | PSNet

psnet.ahrq.gov/issue/longitudinal-study-multifaceted-intervention-reduce-newborn-falls-while-preserving-rooming

March 20, 2019 - Study A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. Citation Text: Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming…

Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. | PSNet

psnet.ahrq.gov/issue/health-care-associated-infections-meta-analysis-costs-and-financial-impact-us-health-care

July 31, 2013 - Study Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. Citation Text: Zimlichman E, Henderson D, Tamir O, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JA…

Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. | PSNet

psnet.ahrq.gov/issue/patient-safety-remote-primary-care-encounters-multimethod-qualitative-study-combining-safety

March 23, 2022 - Study Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. Citation Text: Payne R, Clarke A, Swann N, et al. Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety…

Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals | PSNet

psnet.ahrq.gov/issue/association-safety-program-improving-antibiotic-use-antibiotic-use-and-hospital-onset

July 20, 2022 - Study Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals Citation Text: Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with an…

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…

Evaluating serial strategies for preventing wrong-patient orders in the NICU. | PSNet

psnet.ahrq.gov/issue/evaluating-serial-strategies-preventing-wrong-patient-orders-nicu

November 03, 2015 - Study Evaluating serial strategies for preventing wrong-patient orders in the NICU. Citation Text: Adelman JS, Aschner JL, Schechter CB, et al. Evaluating Serial Strategies for Preventing Wrong-Patient Orders in the NICU. Pediatrics. 2017;139(5). doi:10.1542/peds.2016-2863. Copy Citati…

Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living community for older adults in Seattle, Washington. | PSNet

psnet.ahrq.gov/issue/outbreak-investigation-covid-19-among-residents-and-staff-independent-and-assisted-living

October 19, 2022 - Study Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living community for older adults in Seattle, Washington. Citation Text: Roxby AC, Greninger AL, Hatfield KM, et al. Outbreak investigation of COVID-19 among residents and staff of an indepe…

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