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Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes. | PSNet

psnet.ahrq.gov/issue/incidence-and-variables-associated-inconsistencies-opioid-prescribing-hospital-discharge-and

April 29, 2018 - Study Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes. Citation Text: Kurteva S, Habib B, Moraga T, et al. Incidence and variables associated with inconsistencies in opioid prescribing at hospita…

ED overcrowding is associated with an increased frequency of medication errors. | PSNet

psnet.ahrq.gov/issue/ed-overcrowding-associated-increased-frequency-medication-errors

August 20, 2018 - Study ED overcrowding is associated with an increased frequency of medication errors. Citation Text: Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014. …

Structural racism--a 60-year-old black woman with breast cancer. | PSNet

psnet.ahrq.gov/issue/structural-racism-60-year-old-black-woman-breast-cancer

December 17, 2020 - Commentary Emerging Classic Structural racism--a 60-year-old black woman with breast cancer. Citation Text: Pallok K, De Maio F, Ansell DA. Structural racism--a 60-year-old black woman with breast cancer. N Engl J Med. 2019;380(16):1489-1493. doi:10.1056/nejmp18…

Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. | PSNet

psnet.ahrq.gov/issue/simulation-based-event-analysis-improves-error-discovery-and-generates-improved-strategies

July 07, 2021 - Study Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Citation Text: Lobos A-T, Ward N, Farion KJ, et al. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Simu…

The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/association-between-prolonged-stay-emergency-department-and-adverse-events-older-patients

March 13, 2015 - Study The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study. Citation Text: Ackroyd-Stolarz S, Guernsey R, Mackinnon NJ, et al. The association between a prolonged stay in the emergen…

Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. | PSNet

psnet.ahrq.gov/issue/differences-donor-heart-acceptance-race-and-gender-patients-transplant-waiting-list

January 12, 2022 - Study Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. Citation Text: Breathett K, Knapp SM, Lewsey SC, et al. Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. JAMA. 2024;331(16):1379-…

Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique. | PSNet

psnet.ahrq.gov/issue/supporting-carers-improve-patient-safety-and-maintain-their-well-being-transitions-mental

May 31, 2023 - Study Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique. Citation Text: McMullen S, Panagioti M, Planner C, et al. Supporting carers to improve patient safety an…

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. | PSNet

psnet.ahrq.gov/issue/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors

September 29, 2021 - Study Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Citation Text: Searns JB, Williams MC, MacBrayne CE, et al. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Diagnosis (Berl). 2021;8(3):347-352. doi…

Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study. | PSNet

psnet.ahrq.gov/issue/higher-incidence-adverse-events-isolated-patients-compared-non-isolated-patients-cohort-study

June 01, 2022 - Study Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study. Citation Text: Jiménez-Pericás F, Gea Velázquez de Castro MT, Pastor-Valero M, et al. Higher incidence of adverse events in isolated patients compared with non-isolated pati…

Patient feedback for safety improvement in primary care: results from a feasibility study. | PSNet

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December 02, 2020 - Study Patient feedback for safety improvement in primary care: results from a feasibility study. Citation Text: Hernan AL, Giles SJ, Beks H, et al. Patient feedback for safety improvement in primary care: results from a feasibility study. BMJ Open. 2020;10(6):e037887. doi:10.1136/bmjopen…

Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum. | PSNet

psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong

July 01, 2020 - Study Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum. Citation Text: Bell SK, Moorman D, Delbanco T. Improving the patient, family, and clinician experience after harmful events: the "when things go wrong" curriculum. A…

Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial. | PSNet

psnet.ahrq.gov/issue/family-conferences-facilitate-deprescribing-older-outpatients-frailty-and-polypharmacy

July 29, 2020 - Study Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial. Citation Text: Mortsiefer A, Löscher S, Pashutina Y, et al. Family conferences to facilitate deprescribing in older outpatients with frailty…

Exploring the sociotechnical intersection of patient safety and electronic health record implementation. | PSNet

psnet.ahrq.gov/issue/exploring-sociotechnical-intersection-patient-safety-and-electronic-health-record

May 01, 2015 - Study Classic Exploring the sociotechnical intersection of patient safety and electronic health record implementation. Citation Text: Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and electronic health record i…

Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/ethical-leadership-supports-safety-voice-increasing-risk-perception-and-reducing-ethical

September 14, 2022 - Study Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the COVID-19 pandemic. Citation Text: Cakir MS, Wardman JK, Trautrims A. Ethical leadership supports safety voice by increasing risk perception and reducing ethical …

Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system. | PSNet

psnet.ahrq.gov/issue/increased-appropriateness-customized-alert-acknowledgement-reasons-overridden-medication

January 07, 2015 - Study Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system. Citation Text: Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert acknowledgement reasons for …

Mixed results in the safety performance of computerized physician order entry. | PSNet

psnet.ahrq.gov/issue/mixed-results-safety-performance-computerized-physician-order-entry

May 04, 2022 - Study Classic Mixed results in the safety performance of computerized physician order entry. Citation Text: Metzger J, Welebob E, Bates DW, et al. Mixed results in the safety performance of computerized physician order entry. Health Aff (Millwood). 2010;29(4):65…

Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse. | PSNet

psnet.ahrq.gov/issue/safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned-readmissions

May 04, 2022 - Study Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse. Citation Text: El Abd A, Schwab C, Clementz A, et al. Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions u…

Unprecedented solutions for extraordinary times: helping long-term care settings deal with the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/unprecedented-solutions-extraordinary-times-helping-long-term-care-settings-deal-covid-19

January 12, 2022 - Commentary Emerging Classic Unprecedented solutions for extraordinary times: helping long-term care settings deal with the COVID-19 pandemic. Citation Text: Gaur S, Dumyati G, Nace DA, et al. Unprecedented solutions for extraordinary times: helping long-term car…

Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. | PSNet

psnet.ahrq.gov/issue/using-global-trigger-tool-surgical-and-neurosurgical-patients-feasibility-study

June 09, 2021 - Study Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. Citation Text: Brösterhaus M, Hammer A, Gruber R, et al. Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. PLoS ONE. 2022;17(8):e0272853. doi:10.1371/…

What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. | PSNet

psnet.ahrq.gov/issue/what-counts-voiceable-concern-decisions-about-speaking-out-hospitals-qualitative-study

June 16, 2021 - Study What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. Citation Text: Dixon-Woods M, Aveling EL, Campbell A, et al. What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. J Health Serv Res…

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