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Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. | PSNet

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March 04, 2020 - Study Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. Citation Text: Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational coho…

Prevention of failure to rescue in obstetric patients: a realist review. | PSNet

psnet.ahrq.gov/issue/prevention-failure-rescue-obstetric-patients-realist-review

April 20, 2022 - Review Prevention of failure to rescue in obstetric patients: a realist review. Citation Text: Bernstein SL, Kelechi TJ, Catchpole K, et al. Prevention of failure to rescue in obstetric patients: a realist review. Worldviews Evid Based Nurs. 2021;18(6):352-360. doi:10.1111/wvn.12531. C…

Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. | PSNet

psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance

April 13, 2022 - Study Classic Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. Citation Text: Chassin MR, Mayer C, Nether K. Improving hand hygiene at eight hospitals in the United States by targeting specific causes …

Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review. | PSNet

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December 14, 2022 - Review Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review. Citation Text: Mikhail J, King L. Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review.…

We are not there yet: a qualitative system probing study of a hospital rapid response system. | PSNet

psnet.ahrq.gov/issue/we-are-not-there-yet-qualitative-system-probing-study-hospital-rapid-response-system

March 15, 2023 - Study We are not there yet: a qualitative system probing study of a hospital rapid response system. Citation Text: Olsen SL, Søreide E, Hansen BS. We are not there yet: a qualitative system probing study of a hospital rapid response system. J Patient Saf. 2022;18(7):717-721. doi:10.1097/…

EHR-related medication errors in two ICUs. | PSNet

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March 15, 2017 - Study EHR-related medication errors in two ICUs. Citation Text: Carayon P, Du S, Brown RL, et al. EHR-related medication errors in two ICUs. J Healthc Risk Manag. 2017;36(3):6-15. doi:10.1002/jhrm.21259. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act. | PSNet

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August 24, 2022 - Study Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act. Citation Text: Apathy NC, Howe JL, Krevat S, et al. Electronic health record legal settlements in the US since the 2009 Health Information Technol…

ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. | PSNet

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February 17, 2017 - Commentary ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. Citation Text: Ghali WA, Pincus HA, Southern DA, et al. ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. Int J Qual Health Care. 2013;25(6):62…

Rapid response teams as a patient safety practice for failure to rescue. | PSNet

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January 26, 2022 - Commentary Rapid response teams as a patient safety practice for failure to rescue. Citation Text: Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510. Copy Citation For…

AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. | PSNet

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June 08, 2016 - Government Resource AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. Citation Text: AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. Famolaro T, Yount ND, Greene, K, Hare R, Thorton S, Sorra J. Rockville,…

Liability claims and costs before and after implementation of a medical error disclosure program. | PSNet

psnet.ahrq.gov/issue/liability-claims-and-costs-and-after-implementation-medical-error-disclosure-program

April 24, 2018 - Study Classic Liability claims and costs before and after implementation of a medical error disclosure program. Citation Text: Kachalia A, Kaufman SR, Boothman RC, et al. Liability claims and costs before and after implementation of a medical error disclosure …

Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States. | PSNet

psnet.ahrq.gov/issue/listen-whispers-they-become-screams-addressing-black-maternal-morbidity-and-mortality-united

December 05, 2012 - Commentary Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States. Citation Text: Njoku A, Evans M, Nimo-Sefah L, et al. Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality…

Black women's maternal health: insights from community based participatory research in Newark, New Jersey. | PSNet

psnet.ahrq.gov/issue/black-womens-maternal-health-insights-community-based-participatory-research-newark-new

June 21, 2023 - Study Black women's maternal health: insights from community based participatory research in Newark, New Jersey. Citation Text: Kantor LM, Cruz N, Adams C, et al. Black women's maternal health: insights from community based participatory research in Newark, New Jersey. Behav Med. 2024;50…

Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. | PSNet

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November 16, 2022 - Study Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. Citation Text: Sacks GD, Diggs BS, Hadjizacharia P, et al. Reducing the rate of catheter-associated bloodstream infe…

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. | PSNet

psnet.ahrq.gov/issue/centers-disease-control-and-prevention-guideline-prevention-surgical-site-infection-2017

June 27, 2018 - Review Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. Citation Text: Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JA…

Using potentially preventable severe maternal morbidity to monitor hospital performance. | PSNet

psnet.ahrq.gov/issue/using-potentially-preventable-severe-maternal-morbidity-monitor-hospital-performance

February 02, 2022 - Study Using potentially preventable severe maternal morbidity to monitor hospital performance. Citation Text: Fridman M, Korst LM, Reynen DJ, et al. Using potentially preventable severe maternal morbidity to monitor hospital performance. Jt Comm J Qual Patient Saf. 2023;49(3):129-137. do…

The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature. | PSNet

psnet.ahrq.gov/issue/racial-disparities-maternal-mortality-and-impact-structural-racism-and-implicit-racial-bias

July 13, 2009 - Review The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature. Citation Text: Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and im…

Trainee autonomy and patient safety. | PSNet

psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety

November 03, 2021 - Commentary Trainee autonomy and patient safety. Citation Text: George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review. | PSNet

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July 19, 2023 - Review Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review. Citation Text: Mccullough K, Baker M, Bloxsome D, et al. Clinical deterioration as a nurse sensitive indicator in the out‐of‐hospital context: a scoping review. J Clin Nurs. 202…

Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas. | PSNet

psnet.ahrq.gov/issue/effect-bar-code-assisted-medication-administration-medication-administration-errors-and

October 26, 2022 - Study Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas. Citation Text: Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication administration errors and a…

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