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  1. What happens to the medication regimens of older adults during and after an acute hospitalization? | PSNet

    psnet.ahrq.gov/issue/what-happens-medication-regimens-older-adults-during-and-after-acute-hospitalization
    May 19, 2021 - Study What happens to the medication regimens of older adults during and after an acute hospitalization? Citation Text: Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during and after an acute hospitalization? J Patient Saf. 2013;9(3):15…

  2. Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery. | PSNet

    psnet.ahrq.gov/issue/association-health-literacy-postoperative-outcomes-patients-undergoing-major-abdominal
    May 08, 2017 - Study Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery. Citation Text: Wright JP, Edwards GC, Goggins K, et al. Association of Health Literacy With Postoperative Outcomes in Patients Undergoing Major Abdominal Surgery. JAMA Surg. 2…

  3. Variability in the measurement of hospital-wide mortality rates. | PSNet

    psnet.ahrq.gov/issue/variability-measurement-hospital-wide-mortality-rates
    July 01, 2016 - Study Classic Variability in the measurement of hospital-wide mortality rates. Citation Text: Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. …

  4. Barriers to the implementation of checklists in the office-based procedural setting. | PSNet

    psnet.ahrq.gov/issue/barriers-implementation-checklists-office-based-procedural-setting
    February 18, 2019 - Study Barriers to the implementation of checklists in the office-based procedural setting. Citation Text: Shapiro FE, Fernando RJ, Urman RD. Barriers to the implementation of checklists in the office-based procedural setting. J Healthc Risk Manag. 2014;33(4):35-43. doi:10.1002/jhrm.21141…

  5. Reducing treatment errors through point-of-care glucometer configuration. | PSNet

    psnet.ahrq.gov/issue/reducing-treatment-errors-through-point-care-glucometer-configuration
    September 23, 2020 - Study Reducing treatment errors through point-of-care glucometer configuration. Citation Text: Estock JL, Pham I-T, Curinga HK, et al. Reducing Treatment Errors Through Point-of-Care Glucometer Configuration. Jt Comm J Qual Patient Saf. 2018;44(11):683-694. doi:10.1016/j.jcjq.2018.03.014…

  6. 5 Tk2 P2T8-Sample Antibiogram Phase 2 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T8-Sample_Antibiogram_Phase_2.pdf
    May 01, 2014 - Phase 3 Implementation w Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality HAIs Healthcare- Associated Infections PREVENT Comprehensive Antibiogram Toolkit: Phase 2 Sample Antibiogram Nursing Home Name/Clinical Laboratory Name Antibiogram for dd/mm/yyyy to dd/mm/yy…

  7. A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. | PSNet

    psnet.ahrq.gov/issue/qualitative-study-senior-hospital-managers-views-current-and-innovative-strategies-improve
    March 08, 2023 - Study A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. Citation Text: McInnes E, Phillips R, Middleton S, et al. A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand…

  8. The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non–hospital-affiliated outpatient settings: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effect-facility-characteristics-patient-safety-patient-experience-and-service-availability
    April 12, 2023 - Review The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non–hospital-affiliated outpatient settings: a systematic review. Citation Text: Berglas NF, Battistelli MF, Nicholson WK, et al. The effect of facility charact…

  9. Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. | PSNet

    psnet.ahrq.gov/issue/impact-stewardship-interventions-antiretroviral-medication-errors-urban-medical-center-three
    February 10, 2016 - Study Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. Citation Text: Zucker J, Mittal J, Jen S-P, et al. Impact of Stewardship Interventions on Antiretroviral Medication Errors in an Urban Medical Center…

  10. Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-factors-associated-patient-nondisclosure-medically-relevant-information
    May 31, 2017 - Study Emerging Classic Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians. Citation Text: Levy AG, Scherer AM, Zikmund-Fisher BJ, et al. Prevalence of and Factors Associated With Patient Nondisclosure …

  11. Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU. | PSNet

    psnet.ahrq.gov/issue/simulator-based-crew-resource-management-training-interhospital-transfer-critically-ill
    February 14, 2024 - Study Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU. Citation Text: Droogh JM, Kruger HL, Ligtenberg JJM, et al. Simulator-Based Crew Resource Management Training for Interhospital Transfer of Critically Ill Pati…

  12. National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012. | PSNet

    psnet.ahrq.gov/issue/national-trends-hospitalizations-opioid-poisonings-among-children-and-adolescents-1997-2012
    January 16, 2019 - Study National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012. Citation Text: Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;1…

  13. Medication safety in neonatal care: a review of medication errors among neonates. | PSNet

    psnet.ahrq.gov/issue/medication-safety-neonatal-care-review-medication-errors-among-neonates
    August 15, 2016 - Review Medication safety in neonatal care: a review of medication errors among neonates. Citation Text: Krzyzaniak N, Bajorek B. Medication safety in neonatal care: a review of medication errors among neonates. Ther Adv Drug Saf. 2016;7(3):102-119. doi:10.1177/2042098616642231. Copy Ci…

  14. Impact of a comprehensive patient safety strategy on obstetric adverse events. | PSNet

    psnet.ahrq.gov/issue/impact-comprehensive-patient-safety-strategy-obstetric-adverse-events
    October 20, 2014 - Study Impact of a comprehensive patient safety strategy on obstetric adverse events. Citation Text: Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200(5):492.e1-8. doi:10.1016/j.ajog.2009.0…

  15. Challenges and strategies for patient safety in primary care: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/challenges-and-strategies-patient-safety-primary-care-qualitative-study
    October 13, 2021 - Study Challenges and strategies for patient safety in primary care: a qualitative study. Citation Text: Yuan CT, Dy SM, Yuanhong Lai A, et al. Challenges and strategies for patient safety in primary care: a qualitative study. Am J Med Qual. 2022;37(5):379-387. doi:10.1097/jmq.00000000000…

  16. Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety
    November 20, 2015 - Study Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. Citation Text: Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program…

  17. A trigger tool to detect harm in pediatric inpatient settings. | PSNet

    psnet.ahrq.gov/issue/trigger-tool-detect-harm-pediatric-inpatient-settings
    December 07, 2016 - Study Classic A trigger tool to detect harm in pediatric inpatient settings. Citation Text: Stockwell DC, Bisarya H, Classen D, et al. A trigger tool to detect harm in pediatric inpatient settings. Pediatrics. 2015;135(6):1036-42. doi:10.1542/peds.2014-2152. C…

  18. Emotional safety is patient safety. | PSNet

    psnet.ahrq.gov/issue/emotional-safety-patient-safety
    October 21, 2020 - Commentary Emotional safety is patient safety. Citation Text: Lyndon A, Davis D-A, Sharma AE, et al. Emotional safety is patient safety. BMJ Qual Saf. 2023;32(7):369-372. doi:10.1136/bmjqs-2022-015573. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7…

  19. Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. | PSNet

    psnet.ahrq.gov/issue/evaluating-iatrogenic-prescribing-development-oncology-focused-trigger-tool
    December 23, 2020 - Study Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. Citation Text: Hébert G, Netzer F, Ferrua M, et al. Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. Eur J Cancer. 2015;51(3):427-35. doi:10.1016/j.ejca.2014.12.00…

  20. Relationship between nurse burnout, patient and organizational outcomes: systematic review. | PSNet

    psnet.ahrq.gov/issue/relationship-between-nurse-burnout-patient-and-organizational-outcomes-systematic-review
    December 01, 2021 - Review Relationship between nurse burnout, patient and organizational outcomes: systematic review. Citation Text: Jun J, Ojemeni MM, Kalamani R, et al. Relationship between nurse burnout, patient and organizational outcomes: systematic review. Int J Nurs Stud. 2021;119:103933. doi:10.101…
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