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  1. psnet.ahrq.gov/issue/integrating-and-evaluating-data-quality-and-utility-smart-pump-information-detecting
    September 09, 2020 - Study Integrating and evaluating the data quality and utility of smart pump information in detecting medication administration errors: evaluation study. Citation Text: Ni Y, Lingren T, Huth H, et al. Integrating and evaluating the data quality and utility of smart pump information in det…
  2. psnet.ahrq.gov/issue/effect-patient-and-family-centered-i-pass-adverse-event-rates-hospitalized-children-complex
    November 16, 2022 - Study Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. Citation Text: Kuzma N, Khan A, Rickey L, et al. Effect of Patient and Family Centered I‐PASS on adverse event rates in hospitalized children with complex c…
  3. psnet.ahrq.gov/issue/does-patient-centered-design-guarantee-patient-safety-using-human-factors-engineering-find
    November 23, 2016 - Study Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs. Citation Text: France DJ, Throop P, Walczyk B, et al. Does Patient-Centered Design Guarantee Patient Safety? J Patient Saf. 2008;1(3):145-15…
  4. psnet.ahrq.gov/issue/relationship-between-organizational-leadership-safety-and-learning-patient-safety-events
    November 27, 2009 - Study The relationship between organizational leadership for safety and learning from patient safety events. Citation Text: Ginsburg LR, Chuang Y-T, Berta WB, et al. The relationship between organizational leadership for safety and learning from patient safety events. Health Serv Res. …
  5. psnet.ahrq.gov/issue/patients-teachers-randomised-controlled-trial-use-personal-stories-harm-raise-awareness
    September 04, 2013 - Study Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise awareness of patient safety for doctors in training. Citation Text: Jha V, Buckley H, Gabe R, et al. Patients as teachers: a randomised controlled trial on the use of personal storie…
  6. psnet.ahrq.gov/issue/using-automated-methods-detect-safety-problems-health-information-technology-scoping-review
    April 07, 2019 - Review Using automated methods to detect safety problems with health information technology: a scoping review. Citation Text: Surian D, Wang Y, Coiera E, et al. Using automated methods to detect safety problems with health information technology: a scoping review. J Am Med Inform Assoc. …
  7. psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting
    January 15, 2025 - Study Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. Citation Text: Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident r…
  8. psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
    March 30, 2022 - Study Emerging Classic A systems approach to analyzing and preventing hospital adverse events. Citation Text: Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital adverse events. J Patient Saf. 2020;16(2):162-167. doi:1…
  9. psnet.ahrq.gov/issue/medication-related-interventions-improve-medication-safety-and-patient-outcomes-transition
    October 27, 2021 - Review Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. Citation Text: Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medica…
  10. psnet.ahrq.gov/issue/how-often-are-potential-patient-safety-events-present-admission
    January 26, 2022 - Study Classic How often are potential patient safety events present on admission? Citation Text: Houchens RL, Elixhauser A, Romano PS. How often are potential patient safety events present on admission? Jt Comm J Qual Patient Saf. 2008;34(3):154-63. Copy Citat…
  11. psnet.ahrq.gov/issue/we-want-know-mixed-methods-evaluation-comprehensive-program-designed-detect-and-address
    October 17, 2018 - Study We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. Citation Text: Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a comprehensive program designed to detec…
  12. psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors
    April 06, 2022 - Commentary Weight and size descriptors for drug dosing: too many options and too many errors. Citation Text: Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zx…
  13. psnet.ahrq.gov/issue/what-do-we-really-know-about-crew-resource-management-healthcare-umbrella-review-crew
    September 29, 2021 - Review What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness. Citation Text: Buljac-Samardzic M, Dekker-van Doorn CM, Maynard MT. What do we really know about crew resource management in healthcare?: An …
  14. psnet.ahrq.gov/issue/supplemental-perioperative-oxygen-and-risk-surgical-wound-infection-randomized-controlled
    March 09, 2022 - Study Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. Citation Text: Belda J, Aguilera L, de la Asunción JG, et al. Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. JAMA…
  15. psnet.ahrq.gov/issue/interprofessionalinterdisciplinary-teamwork-during-early-covid-19-pandemic-experience
    September 23, 2020 - Commentary Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. Citation Text: Natale JAE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early COVI…
  16. psnet.ahrq.gov/issue/amid-covid-19-pandemic-meaningful-communication-between-family-caregivers-and-residents-long
    May 26, 2011 - Commentary Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. Citation Text: Hado E, Friss Feinberg L. Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of lon…
  17. psnet.ahrq.gov/issue/integrating-patient-safety-health-professionals-curricula-qualitative-study-medical-nursing
    February 14, 2015 - Study Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharmacy faculty perspectives. Citation Text: Tregunno D, Ginsburg LR, Clarke B, et al. Integrating patient safety into health professionals' curricula: a qualitative study…
  18. psnet.ahrq.gov/issue/variations-surgical-outcomes-associated-hospital-compliance-safety-practices
    June 14, 2017 - Study Variations in surgical outcomes associated with hospital compliance with safety practices. Citation Text: Brooke BS, Dominici F, Pronovost P, et al. Variations in surgical outcomes associated with hospital compliance with safety practices. Surgery. 2012;151(5):651-9. doi:10.1016/…
  19. psnet.ahrq.gov/issue/standardization-pediatric-noncardiac-operating-room-intensive-care-unit-handoffs-improves
    March 10, 2021 - Study Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care. Citation Text: Hebballi NB, Gupta VS, Sheppard K, et al. Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves c…
  20. psnet.ahrq.gov/issue/impact-vendor-computerized-physician-order-entry-community-hospitals
    December 31, 2014 - Study Impact of vendor computerized physician order entry in community hospitals. Citation Text: Leung AA, Keohane C, Amato MG, et al. Impact of vendor computerized physician order entry in community hospitals. J Gen Intern Med. 2012;27(7):801-7. doi:10.1007/s11606-012-1987-7. Copy Cit…

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