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  1. Diagnostic errors in hospitalized adults who died or were transferred to intensive care. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care
    June 24, 2020 - Study Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Citation Text: Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Intern Med. 2024:184(2):164-173. Copy Citation Save Save to your…

  2. Cost of medication-related problems at a university hospital. | PSNet

    psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
    September 30, 2020 - Study Classic Cost of medication-related problems at a university hospital. Citation Text: Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE Copy Citation Save Save to your library Print Share Facebook Twitter …

  3. Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. | PSNet

    psnet.ahrq.gov/issue/variability-concentrations-intravenous-drug-infusions-prepared-critical-care-unit
    January 16, 2008 - Study Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. Citation Text: Wheeler DW, Degnan BA, Sehmi JS, et al. Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. Intensive Care Med. 2008;34(8…

  4. An anesthesia preinduction checklist to improve information exchange, knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams. | PSNet

    psnet.ahrq.gov/issue/anesthesia-preinduction-checklist-improve-information-exchange-knowledge-critical-information
    July 10, 2013 - Study An anesthesia preinduction checklist to improve information exchange, knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams. Citation Text: Tscholl DW, Weiss M, Kolbe M, et al. An Anesthesia Preinduction Checklist to Improv…

  5. Intercepting wrong-patient orders in a computerized provider order entry system. | PSNet

    psnet.ahrq.gov/issue/intercepting-wrong-patient-orders-computerized-provider-order-entry-system
    May 29, 2019 - Study Intercepting wrong-patient orders in a computerized provider order entry system. Citation Text: Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed…

  6. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. | PSNet

    psnet.ahrq.gov/issue/greatest-impact-safe-harbor-rule-may-be-improve-patient-safety-not-reduce-liability-claims
    March 29, 2017 - Study Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. Citation Text: Kachalia A, Little A, Isavoran M, et al. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by p…

  7. 'Speaking Up' for patient safety and staff well-being: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/speaking-patient-safety-and-staff-well-being-qualitative-study
    November 16, 2016 - Study 'Speaking Up' for patient safety and staff well-being: a qualitative study. Citation Text: Delpino R, Lees-Deutsch L, Solanki B. ‘Speaking Up’ for patient safety and staff well-being: a qualitative study. BMJ Open Qual. 2023;12(2):e002047. doi:10.1136/bmjoq-2022-002047. Copy Cita…

  8. The Family Caregiver Activation in Transitions (FCAT) tool: a new measure of family caregiver self-efficacy. | PSNet

    psnet.ahrq.gov/issue/family-caregiver-activation-transitions-fcat-tool-new-measure-family-caregiver-self-efficacy
    September 10, 2014 - Study The Family Caregiver Activation in Transitions (FCAT) tool: a new measure of family caregiver self-efficacy. Citation Text: Coleman EA, Ground KL, Maul A. The Family Caregiver Activation in Transitions (FCAT) Tool: A New Measure of Family Caregiver Self-Efficacy. Jt Comm J Qual Pat…

  9. Impact and culture change after the implementation of a preprocedural checklist in an interventional radiology department. | PSNet

    psnet.ahrq.gov/issue/impact-and-culture-change-after-implementation-preprocedural-checklist-interventional
    May 05, 2021 - Study Impact and culture change after the implementation of a preprocedural checklist in an interventional radiology department. Citation Text: Wong SSN, Cleverly S, Tan KT, et al. Impact and Culture Change After the Implementation of a Preprocedural Checklist in an Interventional Radiol…

  10. Influence of language barriers on outcomes of hospital care for general medicine inpatients. | PSNet

    psnet.ahrq.gov/issue/influence-language-barriers-outcomes-hospital-care-general-medicine-inpatients
    May 16, 2012 - Study Influence of language barriers on outcomes of hospital care for general medicine inpatients. Citation Text: Karliner LS, Kim SE, Meltzer DO, et al. Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010;5(5):276-82. doi:10.10…

  11. The role of chief executive officers in a quality improvement: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/role-chief-executive-officers-quality-improvement-qualitative-study
    September 17, 2014 - Study The role of chief executive officers in a quality improvement: a qualitative study. Citation Text: Parand A, Dopson S, Vincent CA. The role of chief executive officers in a quality improvement : a qualitative study. BMJ Open. 2013;3(1). doi:10.1136/bmjopen-2012-001731. Copy Citat…

  12. Balancing patient-centered and safe pain care for nonsurgical inpatients: clinical and managerial perspectives. | PSNet

    psnet.ahrq.gov/issue/balancing-patient-centered-and-safe-pain-care-nonsurgical-inpatients-clinical-and-managerial
    November 07, 2018 - Study Balancing patient-centered and safe pain care for nonsurgical inpatients: clinical and managerial perspectives. Citation Text: Mazurenko O, Andraka-Christou BT, Bair MJ, et al. Balancing Patient-Centered and Safe Pain Care for Nonsurgical Inpatients: Clinical and Managerial Perspec…

  13. Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
    May 17, 2017 - Study Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices. Citation Text: Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events: qualitative i…

  14. The development of the National Reporting and Learning System in England and Wales, 2001-2005. | PSNet

    psnet.ahrq.gov/issue/development-national-reporting-and-learning-system-england-and-wales-2001-2005
    October 19, 2022 - Commentary The development of the National Reporting and Learning System in England and Wales, 2001-2005. Citation Text: Williams SK; Osborn SS. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cit…

  15. Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. | PSNet

    psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry
    May 29, 2013 - Review Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. Citation Text: Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital computerized provider order entry s…

  16. Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021. | PSNet

    psnet.ahrq.gov/issue/trends-maternal-mortality-and-severe-maternal-morbidity-during-delivery-related
    September 23, 2020 - Study Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021. Citation Text: Fink DA, Kilday D, Cao Z, et al. Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalization…

  17. In patient safety efforts, pharmacists gain new prominence. | PSNet

    psnet.ahrq.gov/issue/patient-safety-efforts-pharmacists-gain-new-prominence
    June 02, 2021 - Commentary In patient safety efforts, pharmacists gain new prominence. Citation Text: Gale R. In Patient Safety Efforts, Pharmacists Gain New Prominence. Health Aff (Millwood). 2018;37(11):1726-1729. doi:10.1377/hlthaff.2018.1225. Copy Citation Format: DOI Google Scholar Pu…

  18. Effect of changes in hospital nursing resources on improvements in patient safety and quality of care: a panel study. | PSNet

    psnet.ahrq.gov/issue/effect-changes-hospital-nursing-resources-improvements-patient-safety-and-quality-care-panel
    July 19, 2023 - Study Emerging Classic Effect of changes in hospital nursing resources on improvements in patient safety and quality of care: a panel study. Citation Text: Sloane DM, Smith HL, McHugh MD, et al. Effect of Changes in Hospital Nursing Resources on Improvements in …

  19. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. | PSNet

    psnet.ahrq.gov/issue/systematic-review-impact-health-information-technology-quality-efficiency-and-costs-medical
    March 30, 2022 - Review Classic Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Citation Text: Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and …

  20. Emergency department volume and delayed diagnosis of serious pediatric conditions. | PSNet

    psnet.ahrq.gov/issue/emergency-department-volume-and-delayed-diagnosis-serious-pediatric-conditions
    September 29, 2021 - Study Emergency department volume and delayed diagnosis of serious pediatric conditions. Citation Text: Michelson KA, Rees CA, Florin TA, et al. Emergency department volume and delayed diagnosis of serious pediatric conditions. JAMA Pediatr. 2024;178(4):362-368. doi:10.1001/jamapediatric…
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