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Adverse events during hospitalization: results of a patient survey. | PSNet

psnet.ahrq.gov/issue/adverse-events-during-hospitalization-results-patient-survey

December 29, 2014 - Study Adverse events during hospitalization: results of a patient survey. Citation Text: Fowler FJ, Epstein AM, Weingart SN, et al. Adverse events during hospitalization: results of a patient survey. Jt Comm J Qual Patient Saf. 2008;34(10):583-90. Copy Citation Format: Goog…

Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program. | PSNet

psnet.ahrq.gov/issue/effects-intervention-reduce-hospitalizations-nursing-homes-randomized-implementation-trial

March 04, 2015 - Study Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program. Citation Text: Kane RL, Huckfeldt P, Tappen R, et al. Effects of an Intervention to Reduce Hospitalizations From Nursing Homes: A Randomized Implemen…

Discrepant advanced directives and code status orders: a preventable medical error. | PSNet

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October 31, 2018 - Journal Article Discrepant advanced directives and code status orders: a preventable medical error. Citation Text: Meisenberg B, Zaidi S, Franks L, et al. Discrepant Advanced Directives and Code Status Orders: A Preventable Medical Error. J Hosp Med. 2019;14(10):716-718. doi:10.12788/jhm…

Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. | PSNet

psnet.ahrq.gov/issue/effectiveness-information-technology-intervention-improve-prophylactic-antibacterial-use

September 01, 2016 - Study Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. Citation Text: Haynes K, Linkin DR, Fishman NO, et al. Effectiveness of an information technology intervention to improve prophylactic antibacterial use …

Older people's experiences of medicine changes on leaving hospital. | PSNet

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August 26, 2020 - Study Older people's experiences of medicine changes on leaving hospital. Citation Text: Bagge M, Norris P, Heydon S, et al. Older people's experiences of medicine changes on leaving hospital. Res Social Admin Pharm. 2013;10(5):791-800. doi:10.1016/j.sapharm.2013.10.005. Copy Citation …

Ambulatory medication reconciliation: using a collaborative approach to process improvement at an academic medical center. | PSNet

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December 04, 2019 - Study Ambulatory medication reconciliation: using a collaborative approach to process improvement at an academic medical center. Citation Text: Keogh C, Kachalia A, Fiumara K, et al. Ambulatory Medication Reconciliation: Using a Collaborative Approach to Process Improvement at an Academi…

Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study. | PSNet

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February 03, 2011 - Study Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study. Citation Text: Van Vorst RF, Araya-Guerra R, Felzien M, et al. Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN…

Patient-centered prescription opioid tapering in community outpatients with chronic pain. | PSNet

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May 17, 2017 - Study Emerging Classic Patient-centered prescription opioid tapering in community outpatients with chronic pain. Citation Text: Darnall BD, Ziadni MS, Stieg RL, et al. Patient-Centered Prescription Opioid Tapering in Community Outpatients With Chronic Pain. JAMA…

Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis. | PSNet

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September 23, 2020 - Review Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis. Citation Text: Anderson K, Stowasser D, Freeman C, et al. Prescriber barriers and enablers to minimising potentially inappropriate medication…

Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. | PSNet

psnet.ahrq.gov/issue/medication-error-reporting-rural-critical-access-hospitals-north-dakota-telepharmacy-project

October 17, 2012 - Study Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Citation Text: Scott DM, Friesner DL, Rathke AM, et al. Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Am J Health Syst …

Evaluation of a measurement system to assess ICU team performance. | PSNet

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November 17, 2014 - Study Evaluation of a measurement system to assess ICU team performance. Citation Text: Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431. Copy Citation Fo…

Strategies for detecting adverse drug events among older persons in the ambulatory setting. | PSNet

psnet.ahrq.gov/issue/strategies-detecting-adverse-drug-events-among-older-persons-ambulatory-setting

February 09, 2011 - Study Strategies for detecting adverse drug events among older persons in the ambulatory setting. Citation Text: Field T, Gurwitz JH, Harrold LR, et al. Strategies for detecting adverse drug events among older persons in the ambulatory setting. J Am Med Inform Assoc. 2004;11(6):492-8. …

Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. | PSNet

psnet.ahrq.gov/issue/effect-cluster-randomised-team-training-intervention-adverse-perinatal-and-maternal-outcomes

April 04, 2018 - Study Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. Citation Text: Romijn A, Ravelli A, de Bruijne MC, et al. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcome…

Heparin-containing medical devices and combination products: recommendations for labeling and safety testing. Draft guidance for industry and Food and Drug Administration staff. | PSNet

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November 23, 2015 - Regulation Heparin-containing medical devices and combination products: recommendations for labeling and safety testing. Draft guidance for industry and Food and Drug Administration staff. Citation Text: Heparin-containing medical devices and combination products: recommendations for lab…

Adverse drug events in the outpatient setting: an 11-year national analysis. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-outpatient-setting-11-year-national-analysis

April 08, 2011 - Study Adverse drug events in the outpatient setting: an 11-year national analysis. Citation Text: Bourgeois FT, Shannon MW, Valim C, et al. Adverse drug events in the outpatient setting: an 11-year national analysis. Pharmacoepidemiol Drug Saf. 2010;19(9):901-10. doi:10.1002/pds.1984. …

Reviewing methodologically disparate data: a practical guide for the patient safety research field. | PSNet

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April 24, 2018 - Commentary Reviewing methodologically disparate data: a practical guide for the patient safety research field. Citation Text: Brown KF, Long SJ, Athanasiou T, et al. Reviewing methodologically disparate data: a practical guide for the patient safety research field. J Eval Clin Pract. 2…

Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. | PSNet

psnet.ahrq.gov/issue/teamwork-and-patient-safety-dynamic-domains-healthcare-review-literature

May 29, 2013 - Review Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Citation Text: Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143-51. doi:10.1111/j.1399-6576.2008.…

The detection, analysis, and significance of physician clustering in medical malpractice lawsuit payouts. | PSNet

psnet.ahrq.gov/issue/detection-analysis-and-significance-physician-clustering-medical-malpractice-lawsuit-payouts

June 22, 2022 - Study The detection, analysis, and significance of physician clustering in medical malpractice lawsuit payouts. Citation Text: Oshel RE, Levitt P. The Detection, Analysis, and Significance of Physician Clustering in Medical Malpractice Lawsuit Payouts. J Patient Saf. 2016;16(4):274-278. …

To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. | PSNet

psnet.ahrq.gov/issue/err-system-comparison-methodologies-investigation-adverse-outcomes-healthcare

January 26, 2022 - Commentary To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. Citation Text: Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. J Patient Saf Risk Manag. 2…

Healthcare professionals' encounters with ethnic minority patients: the critical incident approach. | PSNet

psnet.ahrq.gov/issue/healthcare-professionals-encounters-ethnic-minority-patients-critical-incident-approach

July 29, 2020 - Study Healthcare professionals' encounters with ethnic minority patients: the critical incident approach. Citation Text: Debesay J, Kartzow AH, Fougner M. Healthcare professionals’ encounters with ethnic minority patients: the critical incident approach. Nurs Inq. 2021;29(1):e12421. doi:…

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