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  1. psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system
    January 19, 2022 - Study Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Citation Text: Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Q…
  2. psnet.ahrq.gov/issue/bedside-clinicians-perceptions-contributing-role-diagnostic-errors-acutely-ill-patient
    May 26, 2021 - Study Bedside clinicians' perceptions on the contributing role of diagnostic errors in acutely ill patient presentation: a survey of academic and community practice. Citation Text: Huang C, Barwise A, Soleimani J, et al. Bedside clinicians' perceptions on the contributing role of diagnos…
  3. psnet.ahrq.gov/issue/perception-patient-safety-climate-health-professionals-during-covid-19-pandemic-international
    February 15, 2023 - Study The perception of the patient safety climate by health professionals during the COVID-19 pandemic-international research. Citation Text: Kosydar-Bochenek J, Krupa S, Religa D, et al. The Perception of the Patient Safety Climate by Health Professionals during the COVID-19 Pandemic—I…
  4. 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/…
  5. 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…
  6. psnet.ahrq.gov/issue/medication-related-medical-emergency-team-activations-case-review-study-frequency-and
    October 27, 2021 - Study Medication-related medical emergency team activations: a case review study of frequency and preventability. Citation Text: Levkovich BJ, Orosz J, Bingham G, et al. Medication-related Medical Emergency Team activations: a case review study of frequency and preventability. BMJ Qual S…
  7. psnet.ahrq.gov/issue/safety-risks-and-workflow-implications-associated-nursing-related-free-text-communication
    February 17, 2021 - Study Safety risks and workflow implications associated with nursing-related free-text communication orders. Citation Text: Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related free-text communication orders. J Am Med Inform Assoc. 20…
  8. psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
    September 23, 2020 - Study Classic Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Citation Text: Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a commerciall…
  9. psnet.ahrq.gov/issue/call-me-ishmael-addressing-white-whale-team-communication-operating-room-labelled-surgical
    November 16, 2022 - Study Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. Citation Text: Goldhaber NH, Mehta S, Longhurst CA, et al. Call me Ishmael: addressing the white whale of team communication in the ope…
  10. psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators
    June 02, 2010 - Study Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. Citation Text: Wagner LM, Castle NG, Handler S. Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. Geriatr Nurs. 2013;34(2):112-5. doi:10.1016/j.gerinurse.2012.10.…
  11. psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual
    May 20, 2020 - Study The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. Citation Text: Tuffrey-Wijne I, Goulding L, Gordon V, et al. The challenges in monitoring and preventing patie…
  12. psnet.ahrq.gov/issue/improving-peripherally-inserted-central-catheter-appropriateness-and-reducing-device-related
    October 27, 2021 - Study Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. Citation Text: Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness a…
  13. psnet.ahrq.gov/issue/covid-19-related-negative-emotions-and-emotional-suppression-are-associated-greater-risk
    November 17, 2021 - Study COVID-19 related negative emotions and emotional suppression are associated with greater risk perceptions among emergency nurses: a cross-sectional study. Citation Text: Huff NR, Liu G, Chimowitz H, et al. COVID-19 related negative emotions and emotional suppression are associated …
  14. psnet.ahrq.gov/issue/are-we-there-yet-ten-persistent-hazards-and-inefficiencies-use-medication-administration
    August 04, 2021 - Study "Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses. Citation Text: Taft T, Rudd EA, Thraen I, et al. “Are we there yet?” Ten persistent hazards and inefficiencies with the use …
  15. psnet.ahrq.gov/issue/barcode-medication-administration-technology-use-hospital-practice-mixed-methods
    December 07, 2022 - Study Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. Citation Text: Mulac A, Mathiesen L, Taxis K, et al. Barcode medication administration technology use in hospital practice: a mixed-methods observational…
  16. psnet.ahrq.gov/issue/how-do-nurses-use-early-warning-scoring-systems-detect-and-act-patient-deterioration-ensure
    June 16, 2021 - Review Emerging Classic How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. Citation Text: Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect an…
  17. psnet.ahrq.gov/issue/effect-rapid-response-team-hospital-wide-mortality-and-code-rates-outside-icu-childrens
    December 02, 2014 - Study Classic Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children’s hospital. Citation Text: Sharek PJ, Parast L, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code rates outs…
  18. psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire
    April 24, 2018 - Study Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. Citation Text: Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infect…
  19. psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health
    March 24, 2019 - Study When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. Citation Text: Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…
  20. psnet.ahrq.gov/issue/healthcare-associated-adverse-events-alternate-level-care-patients-awaiting-long-term-care
    March 17, 2021 - Study Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. Citation Text: Lim Fat GJ, Gopaul A, Pananos AD, et al. Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. Geriat…

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