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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…

Claims, errors, and compensation payments in medical malpractice litigation. | PSNet

psnet.ahrq.gov/issue/claims-errors-and-compensation-payments-medical-malpractice-litigation

March 02, 2011 - Study Classic Claims, errors, and compensation payments in medical malpractice litigation. Citation Text: Studdert DM, Mello MM, Gawande AA, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006;354(19):2024-33.…

Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population. | PSNet

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November 16, 2022 - Study Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population. Citation Text: Call RJ, Burlison JD, Robertson JJ, et al. Adverse drug event detection in pediatric oncology…

The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. | PSNet

psnet.ahrq.gov/issue/impact-electronic-alert-reduce-risk-co-prescription-low-molecular-weight-heparins-and-direct

August 17, 2022 - Study The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. Citation Text: Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight…

Effectiveness of double checking to reduce medication administration errors: a systematic review. | PSNet

psnet.ahrq.gov/issue/effectiveness-double-checking-reduce-medication-administration-errors-systematic-review

August 26, 2020 - Review Effectiveness of double checking to reduce medication administration errors: a systematic review. Citation Text: Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603.…

Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. | PSNet

psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reform-postoperative-patient-outcomes-surgical

February 14, 2017 - Study Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. Citation Text: Rajaram R, Chung JW, Cohen ME, et al. Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical Specialt…

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 …

Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. | PSNet

psnet.ahrq.gov/issue/changes-prescription-and-over-counter-medication-and-dietary-supplement-use-among-older

May 06, 2020 - Study Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. Citation Text: Qato DM, Wilder J, Schumm P, et al. Changes in Prescription and Over-the-Counter Medication and Dietary Supplement Use Among Olde…

Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients. | PSNet

psnet.ahrq.gov/issue/electronic-medical-record-alert-associated-reduced-opioid-and-benzodiazepine-coprescribing

May 08, 2017 - Study Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients. Citation Text: Malte CA, Berger D, Saxon AJ, et al. Electronic Medical Record Alert Associated With Reduced Opioid and Benzodiazepine Coprescribing in High…

Views of practicing physicians and the public on medical errors. | PSNet

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August 03, 2009 - Study Classic Views of practicing physicians and the public on medical errors. Citation Text: Blendon RJ, DesRoches CM, Brodie M, et al. Views of practicing physicians and the public on medical errors. N Engl J Med. 2002;347(24):1933-40. Copy Citation Fo…

Transparent and open discussion of errors does not increase malpractice risk in trauma patients. | PSNet

psnet.ahrq.gov/issue/transparent-and-open-discussion-errors-does-not-increase-malpractice-risk-trauma-patients

October 19, 2022 - Study Transparent and open discussion of errors does not increase malpractice risk in trauma patients. Citation Text: Stewart RM, Corneille MG, Johnston J, et al. Transparent and open discussion of errors does not increase malpractice risk in trauma patients. Ann Surg. 2006;243(5):645-9;…

Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-during-hospitalization-and-hospital-home-interface-observational

June 16, 2021 - Study Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study. Citation Text: Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital-home interface: an observational retrosp…

Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. | PSNet

psnet.ahrq.gov/issue/engineering-care-transitions-clinician-perceptions-barriers-safe-medication-management-during

July 20, 2022 - Study Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. Citation Text: Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during t…

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

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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. …

Relationship between operating room teamwork, contextual factors, and safety checklist performance. | PSNet

psnet.ahrq.gov/issue/relationship-between-operating-room-teamwork-contextual-factors-and-safety-checklist

September 24, 2017 - Study Relationship between operating room teamwork, contextual factors, and safety checklist performance. Citation Text: Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors, and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-5…

The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synthesis. | PSNet

psnet.ahrq.gov/issue/efficacy-mindful-practice-improving-diagnosis-healthcare-systematic-review-and-evidence

May 05, 2021 - Review The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synthesis. Citation Text: Pinnock R, Ritchie D, Gallagher S, et al. The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synth…

Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/effects-teamwork-training-adverse-outcomes-and-process-care-labor-and-delivery-randomized

January 10, 2017 - Study Classic Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. Citation Text: Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of care …

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…

Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. | PSNet

psnet.ahrq.gov/issue/power-and-conflict-effect-superiors-interpersonal-behaviour-trainees-ability-challenge

December 13, 2017 - Study Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. Citation Text: Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on…

Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. | PSNet

psnet.ahrq.gov/issue/impact-2011-acgme-resident-duty-hour-reform-hospital-patient-experience-and-processes-care

September 07, 2016 - Study Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. Citation Text: Rajaram R, Saadat L, Chung JW, et al. Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. BMJ Qual Saf. 2016;…

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