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  1. 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.…

  2. 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…

  3. 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 …

  4. 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…

  5. 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…

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

    psnet.ahrq.gov/issue/views-practicing-physicians-and-public-medical-errors
    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…

  7. 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;…

  8. Impact of a national QI programme on reducing electronic health record notifications to clinicians. | PSNet

    psnet.ahrq.gov/issue/impact-national-qi-programme-reducing-electronic-health-record-notifications-clinicians
    February 24, 2021 - Study Classic Impact of a national QI programme on reducing electronic health record notifications to clinicians. Citation Text: Shah T, Patel-Teague S, Kroupa L, et al. Impact of a national QI programme on reducing electronic health record notifications to clin…

  9. Medication-related emergency department visits in pediatrics: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/medication-related-emergency-department-visits-pediatrics-prospective-observational-study
    October 16, 2013 - Study Medication-related emergency department visits in pediatrics: a prospective observational study. Citation Text: Zed PJ, Black KJL, Fitzpatrick EA, et al. Medication-related emergency department visits in pediatrics: a prospective observational study. Pediatrics. 2015;135(3):435-43.…

  10. Burnout in the NICU setting and its relation to safety culture. | PSNet

    psnet.ahrq.gov/issue/burnout-nicu-setting-and-its-relation-safety-culture
    February 13, 2019 - Study Burnout in the NICU setting and its relation to safety culture. Citation Text: Profit J, Sharek PJ, Amspoker AB, et al. Burnout in the NICU setting and its relation to safety culture. BMJ Qual Saf. 2014;23(10):806-813. doi:10.1136/bmjqs-2014-002831. Copy Citation Format: …

  11. WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study. | PSNet

    psnet.ahrq.gov/issue/who-research-agenda-role-institutional-safety-climate-hand-hygiene-improvement-delphi
    February 01, 2011 - Study WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study. Citation Text: Tartari E, Storr J, Bellare N, et al. WHO research agenda on the role of the institutional safety climate for hand hygiene improvement…

  12. ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. | PSNet

    psnet.ahrq.gov/issue/icd-10-codes-used-identify-adverse-drug-events-administrative-data-systematic-review
    September 14, 2016 - Review ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. Citation Text: Hohl CM, Karpov A, Reddekopp L, et al. ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. J Am Med Inform Assoc. 2014;21(3):547…

  13. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. | PSNet

    psnet.ahrq.gov/issue/exploring-black-box-recommendation-generation-local-health-care-incident-investigations
    November 16, 2016 - Review Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. Citation Text: Lea W, Lawton R, Vincent CA, et al. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping …

  14. Prevention of ventilator-associated pneumonia: an evidence-based systematic review. | PSNet

    psnet.ahrq.gov/issue/prevention-ventilator-associated-pneumonia-evidence-based-systematic-review
    July 14, 2010 - Study Classic Prevention of ventilator-associated pneumonia: an evidence-based systematic review. Citation Text: Collard HR, Saint S, Matthay MA. Prevention of ventilator-associated pneumonia: an evidence-based systematic review. Ann Intern Med. 2003;138(6):49…

  15. Managing the prevention of retained surgical instruments: what is the value of counting? | PSNet

    psnet.ahrq.gov/issue/managing-prevention-retained-surgical-instruments-what-value-counting
    September 25, 2008 - Study Classic Managing the prevention of retained surgical instruments: what is the value of counting? Citation Text: Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. …

  16. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? | PSNet

    psnet.ahrq.gov/issue/do-telephone-call-interruptions-have-impact-radiology-resident-diagnostic-accuracy
    July 19, 2023 - Study Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Citation Text: Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Acad Radiol. 2014;21(12):1623-8. doi:10.1016/j.a…

  17. Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities. | PSNet

    psnet.ahrq.gov/issue/status-implementation-world-health-organization-multimodal-hand-hygiene-strategy-united
    November 13, 2024 - Study Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities. Citation Text: Allegranzi B, Conway L, Larson EL, et al. Status of the implementation of the World Health Organization multimodal hand …

  18. One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety. | PSNet

    psnet.ahrq.gov/issue/one-needle-one-syringe-only-one-time-survey-physician-and-nurse-knowledge-attitudes-and
    June 28, 2013 - Study One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety. Citation Text: Kossover-Smith RA, Coutts K, Hatfield KM, et al. One needle, one syringe, only one time? A survey of physician and nurse knowledge, at…

  19. Effect of crew resource management training in a multidisciplinary obstetrical setting. | PSNet

    psnet.ahrq.gov/issue/effect-crew-resource-management-training-multidisciplinary-obstetrical-setting
    March 06, 2005 - Study Effect of crew resource management training in a multidisciplinary obstetrical setting. Citation Text: Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:…

  20. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. | PSNet

    psnet.ahrq.gov/issue/preventing-device-associated-infections-us-hospitals-national-surveys-2005-2013
    June 21, 2023 - Study Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. Citation Text: Krein SL, Fowler KE, Ratz D, et al. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. BMJ Qual Saf. 2015;24(6):385-92. doi:10.1136/…
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