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  1. psnet.ahrq.gov/issue/association-between-unmet-nonmedication-needs-after-hospital-discharge-and-readmission-or
    September 23, 2020 - Study Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study. Citation Text: Bose S, Groat D, Dinglas VD, et al. Association between unmet nonmedication needs after …
  2. psnet.ahrq.gov/issue/changes-medication-safety-indicators-england-throughout-covid-19-pandemic-using-opensafely
    October 19, 2022 - Study Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics. Citation Text: Fisher L, Hopcroft LEM, Rodgers S, et al. Changes in medication safety…
  3. psnet.ahrq.gov/issue/good-care-slow-enough-be-able-pay-attention-primary-care-time-scarcity-and-patient-safety
    August 04, 2015 - Study "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. Citation Text: Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. J Gen Intern …
  4. psnet.ahrq.gov/issue/program-prevent-catheter-associated-urinary-tract-infection-acute-care
    December 21, 2017 - Study Classic A program to prevent catheter-associated urinary tract infection in acute care. Citation Text: Saint S, Greene T, Krein SL, et al. A Program to Prevent Catheter-Associated Urinary Tract Infection in Acute Care. New Engl J Med. 2016;374(22):2111-211…
  5. psnet.ahrq.gov/issue/examining-impact-ahrq-patient-safety-indicators-psis-veterans-health-administration-case
    December 15, 2011 - Study Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions. Citation Text: Rosen AK, Loveland S, Shin MH, et al. Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Adminis…
  6. psnet.ahrq.gov/issue/patient-doctor-continuity-and-diagnosis-cancer-electronic-medical-records-study-general
    September 11, 2019 - Study Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Citation Text: Ridd MJ, Ferreira DLS, Montgomery AA, et al. Patient-doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Br J Gen Pra…
  7. psnet.ahrq.gov/issue/diagnostic-errors-reported-primary-healthcare-and-emergency-departments-retrospective-and
    March 11, 2020 - Study Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. Citation Text: Fernholm R, Pukk Härenstam K, Wachtler C, et al. Diagnostic errors reported in primary healt…
  8. psnet.ahrq.gov/issue/situ-simulation-tool-longitudinally-identify-and-track-latent-safety-threats-structured
    June 08, 2022 - Study In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study. Citation Text: Jafri FN, Yang CJ, Kumar A, et al. In situ simulation as a tool to longitud…
  9. psnet.ahrq.gov/issue/impact-commercial-order-entry-system-prescribing-errors-amenable-computerised-decision
    December 21, 2022 - Study Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre–post study. Citation Text: Pontefract SK, Hodson J, Slee A, et al. Impact of a commercial order entry system on prescribing errors am…
  10. psnet.ahrq.gov/issue/workarounds-hospital-electronic-prescribing-systems-qualitative-study-english-hospitals
    December 21, 2022 - Study Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. Citation Text: Cresswell K, Mozaffar H, Lee L, et al. Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. BMJ Qual Saf. 2017;26(7):542-551…
  11. psnet.ahrq.gov/issue/burnout-and-its-relationship-self-reported-quality-patient-care-and-adverse-events-during
    August 25, 2021 - Study Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses. Citation Text: Kakemam E, Chegini Z, Rouhi A, et al. Burnout and its relationship to self‐reported quality of patient care and adv…
  12. psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections
    July 28, 2023 - Study Emerging Classic Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. Citation Text: Newman-Toker DE, Schaffer AC, Yu-Moe CW, et al. Serious misdiagnosis-related harms in malpractice claims: T…
  13. psnet.ahrq.gov/issue/perception-patient-safety-alternate-site-care-elective-surgery-during-first-wave-novel
    May 12, 2021 - Study The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients. Citation Text: Lee G, Clough OT, Walker JA, et al. The perception of patient safety in an alte…
  14. psnet.ahrq.gov/issue/ethical-considerations-and-patient-safety-concerns-cancelling-non-urgent-surgeries-during
    June 23, 2021 - Commentary Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review. Citation Text: Brown NJ, Wilson B, Szabadi S, et al. Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the…
  15. psnet.ahrq.gov/issue/primary-care-relevant-interventions-prevent-falling-older-adults-systematic-evidence-review
    May 27, 2020 - Review Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force. Citation Text: Michael YL, Whitlock EP, Lin JS, et al. Primary care-relevant interventions to prevent falling in older adults: a syst…
  16. psnet.ahrq.gov/issue/use-unsolicited-patient-observations-identify-surgeons-increased-risk-postoperative
    July 10, 2019 - Study Classic Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications. Citation Text: Cooper WO, Guillamondegui O, Hines J, et al. Use of Unsolicited Patient Observations to Identify Surgeons With Increase…
  17. psnet.ahrq.gov/issue/clinical-pharmacist-led-transitions-care-program-veterans-two-planned-care-transitions
    December 23, 2011 - Study A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. Citation Text: Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care p…
  18. psnet.ahrq.gov/issue/impact-coronavirus-disease-2019-covid-19-healthcare-associated-infections-2020-summary-data
    February 07, 2022 - Study The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healthcare Safety Network. Citation Text: Weiner-Lastinger LM, Pattabiraman V, Konnor RY, et al. The impact of coronavirus disease 2019 (COVID-1…
  19. psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients
    February 27, 2019 - Study Classic Vital signs: improving antibiotic use among hospitalized patients. Citation Text: Fridkin SK, Baggs J, Fagan R, et al. Vital signs: improving antibiotic use among hospitalized patients. MMWR Morb Mortal Wkly Rep. 2014;63(9):194-200. Copy Citation…
  20. psnet.ahrq.gov/issue/high-prevalence-medication-discrepancies-between-home-health-referrals-and-centers-medicare
    December 23, 2011 - Study High prevalence of medication discrepancies between home health referrals and Centers for Medicare and Medicaid Services home health certification and plan of care and their potential to affect safety of vulnerable elderly adults. Citation Text: Brody AA, Gibson B, Tresner-Kirsch D…

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