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  1. psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting
    November 16, 2022 - Study A mixed methods evaluation of medication reconciliation in the primary care setting. Citation Text: Gionfriddo MR, Duboski V, Middernacht A, et al. A mixed methods evaluation of medication reconciliation in the primary care setting. PLoS ONE. 2021;16(12):e0260882. doi:10.1371/journ…
  2. psnet.ahrq.gov/issue/supervision-interprofessional-collaboration-and-patient-safety-intensive-care-units-during
    June 02, 2021 - Study Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. Citation Text: Hennus MP, Young JQ, Hennessy M, et al. Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19…
  3. psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative
    September 24, 2017 - Study Classic Mortality trends after a voluntary checklist-based surgical safety collaborative. Citation Text: Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Ann Surg. 2017;266(6):923-9…
  4. psnet.ahrq.gov/issue/implementation-surgical-safety-checklist-south-carolina-hospitals-associated-improvement
    June 02, 2015 - Study Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety. Citation Text: Molina G, Jiang W, Edmondson L, et al. Implementation of the Surgical Safety Checklist in South Carolina Hospitals Is Associa…
  5. psnet.ahrq.gov/issue/social-cost-adverse-medical-events-and-what-we-can-do-about-it
    February 10, 2015 - Commentary The social cost of adverse medical events, and what we can do about it. Citation Text: Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256. Copy Ci…
  6. psnet.ahrq.gov/issue/implementing-2009-institute-medicine-recommendations-resident-physician-work-hours
    September 28, 2010 - Commentary Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. Citation Text: Blum AB, Shea AS, Czeisler CA, et al. Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervisi…
  7. psnet.ahrq.gov/issue/scaling-safety-south-carolina-surgical-safety-checklist-experience
    February 07, 2018 - Study Scaling safety: the South Carolina Surgical Safety Checklist experience. Citation Text: Berry WR, Edmondson L, Gibbons LR, et al. Scaling Safety: The South Carolina Surgical Safety Checklist Experience. Health Aff (Millwood). 2018;37(11):1779-1786. doi:10.1377/hlthaff.2018.0717. …
  8. psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
    January 02, 2017 - Study Rates and types of events reported to established incident reporting systems in two US hospitals. Citation Text: Nuckols TK, Bell D, Liu H, et al. Rates and types of events reported to established incident reporting systems in two US hospitals. Qual Saf Health Care. 2007;16(3):16…
  9. psnet.ahrq.gov/issue/delayed-recognition-deterioration-patients-general-wards-mostly-caused-human-related
    December 21, 2017 - Study Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions. Citation Text: van Galen LS, Struik PW, Driesen BEJM, et al. Delayed Recognition of Deterioration of Patients …
  10. psnet.ahrq.gov/issue/signs-and-symptoms-determine-if-patient-presenting-primary-care-or-hospital-outpatient
    March 23, 2022 - Review Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease. Citation Text: Struyf T, Deeks JJ, Dinnes J, et al. Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings…
  11. psnet.ahrq.gov/issue/bridging-feedback-gap-sociotechnical-approach-informing-clinicians-patients-subsequent
    January 21, 2019 - Commentary Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. Citation Text: Cifra CL, Sittig DF, Singh H. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients’ subsequent …
  12. psnet.ahrq.gov/issue/patient-harm-during-covid-19-pandemic-using-human-factors-lens-promote-patient-and-workforce
    September 14, 2022 - Commentary Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. Citation Text: Alagha MA, Jaulin F, Yeung W, et al. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. J Patient S…
  13. psnet.ahrq.gov/issue/work-patterns-and-fatigue-related-risk-among-junior-doctors
    July 29, 2020 - Study Work patterns and fatigue-related risk among junior doctors. Citation Text: Gander P, Purnell H, Garden A, et al. Work patterns and fatigue-related risk among junior doctors. Occup Environ Med. 2007;64(11):733-8. Copy Citation Format: Google Scholar PubMed BibTeX En…
  14. psnet.ahrq.gov/issue/diagnostic-discordance-health-information-exchange-and-inter-hospital-transfer-outcomes
    May 19, 2021 - Study Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. Citation Text: Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. J Gen In…
  15. psnet.ahrq.gov/issue/use-electronic-decision-support-tool-reduce-polypharmacy-elderly-people-chronic-diseases
    August 18, 2021 - Study Emerging Classic Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. Citation Text: Rieckert A, Reeves D, Altiner A, et al. Use of an electronic decision support to…
  16. psnet.ahrq.gov/issue/effect-system-level-tiered-huddle-system-reporting-patient-safety-events-interrupted-time
    October 07, 2020 - Study The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. Citation Text: Adapa K, Ivester T, Shea CM, et al. The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time se…
  17. psnet.ahrq.gov/issue/medication-errors-hospital-admission-and-discharge-risk-factors-and-impact-medication
    November 10, 2021 - Study Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. Citation Text: Breuker C, Macioce V, Mura T, et al. Medication errors at hospital admission and discharge: risk factors and impact of medicatio…
  18. psnet.ahrq.gov/issue/green-cross-method-postanaesthesia-care-unit-qualitative-study-healthcare-professionals
    September 04, 2024 - Study Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including the COVID-19 pandemic period. Citation Text: Birkeli GH, Ballangrud R, Jacobsen HK, et al. Green Cross method in a postanaesthesia care unit:…
  19. psnet.ahrq.gov/issue/improving-patient-safety-through-involvement-patients-development-and-evaluation-novel
    October 12, 2016 - Book/Report Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. Citation Text: Wright J, Lawton R, O’Hara J, et al. Improving…
  20. psnet.ahrq.gov/issue/patients-experiences-and-perspectives-patient-reported-outcome-measures-clinical-care
    October 27, 2021 - Review Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. Citation Text: Carfora L, Foley CM, Hagi-Diakou P, et al. Patients’ experiences and perspectives of patient-reported outcome measures i…

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