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6941. Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. | PSNet
      psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients-ischemic-stroke-or-tia
      August 05, 2020 - Study Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. Citation Text: Nowak B, Schwendimann R, Lyrer P, et al. Occurrence of no-harm incidents and adverse events in hospitalized patient…

6942. The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/calm-storm-utilizing-situ-simulation-evaluate-preparedness-alternative-care-hospital-during
      December 23, 2020 - Commentary The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. Citation Text: Petrone G, Brown L, Binder W, et al. The calm before the storm: utilizing in situ simulation to evaluate for preparedne…

6943. Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care. | PSNet
      psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident
      May 05, 2021 - Study Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care. Citation Text: Goh HS, Tan V, Chang J, et al. Implementing the clinical occurrence reporting and learning system: a double-loop learning incident …

6944. Look alike/sound alike drugs: a literature review on causes and solutions. | PSNet
      psnet.ahrq.gov/issue/look-alikesound-alike-drugs-literature-review-causes-and-solutions
      September 28, 2022 - Review Look alike/sound alike drugs: a literature review on causes and solutions. Citation Text: Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6. Copy Citation For…

6945. Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains. | PSNet
      psnet.ahrq.gov/issue/cognitive-tests-predict-real-world-errors-relationship-between-drug-name-confusion-rates
      April 12, 2017 - Study Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains. Citation Text: Schroeder SR, Salomon MM, Galanter W, et al. Cognitive tests predict …

6946. Pediatric airway management and prehospital patient safety: results of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children. | PSNet
      psnet.ahrq.gov/issue/pediatric-airway-management-and-prehospital-patient-safety-results-national-delphi-survey
      March 22, 2017 - Study Pediatric airway management and prehospital patient safety: results of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children. Citation Text: Hansen M, Meckler G, OʼBrien K, et al. Pediatric Airway Management and Prehospital Patient Saf…

6947. Health care safety during the pandemic and beyond--building a system that ensures resilience. | PSNet
      psnet.ahrq.gov/issue/health-care-safety-during-pandemic-and-beyond-building-system-ensures-resilience
      July 20, 2022 - Commentary Health care safety during the pandemic and beyond--building a system that ensures resilience. Citation Text: Fleisher LA, Schreiber M, Cardo D, et al. Health care safety during the pandemic and beyond--building a system that ensures resilience. N Engl J Med. 2022;386(7):609-61…

6948. Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-patients-excess-length-stay-extra-costs-and-attributable
      February 10, 2011 - Study Classic Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. Citation Text: Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of stay, extra cos…

6949. Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. | PSNet
      psnet.ahrq.gov/issue/influence-general-practice-pharmacist-medication-management-patients-risk-medicine-related
      May 19, 2021 - Study Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. Citation Text: Jordan M, Young-Whitford M, Mullan J, et al. Influence of a general practice pharmacist on medication management for patients …

6950. Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, | PSNet
      psnet.ahrq.gov/issue/unintended-consequences-health-care-reform-impact-changes-payor-mix-patient-safety-indicators
      March 16, 2022 - Study Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, Citation Text: Bartholomew AJ, Zeymo A, Chan KS, et al. Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,. Ann Surg.…

6951. Implications of electronic health record downtime: an analysis of patient safety event reports. | PSNet
      psnet.ahrq.gov/issue/implications-electronic-health-record-downtime-analysis-patient-safety-event-reports
      February 14, 2024 - Study Classic Implications of electronic health record downtime: an analysis of patient safety event reports. Citation Text: Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Me…

6952. Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator? | PSNet
      psnet.ahrq.gov/issue/detection-postoperative-respiratory-failure-how-predictive-agency-healthcare-research-and
      January 13, 2010 - Study Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator? Citation Text: Utter GH, Cuny J, Sama P, et al. Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare…

6953. Electronic patient identification for sample labeling reduces wrong blood in tube errors. | PSNet
      psnet.ahrq.gov/issue/electronic-patient-identification-sample-labeling-reduces-wrong-blood-tube-errors
      September 20, 2012 - Study Emerging Classic Electronic patient identification for sample labeling reduces wrong blood in tube errors. Citation Text: Kaufman RM, Dinh A, Cohn CS, et al. Electronic patient identification for sample labeling reduces wrong blood in tube errors. Transfus…

6954. A program to provide clinicians with feedback on their diagnostic performance in a learning health system. | PSNet
      psnet.ahrq.gov/issue/program-provide-clinicians-feedback-their-diagnostic-performance-learning-health-system
      October 12, 2022 - Study A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Citation Text: Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Jt Comm J …

6955. Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions during the pandemic. | PSNet
      psnet.ahrq.gov/issue/risk-delayed-or-missed-care-and-non-covid-19-outcomes-older-patients-chronic-conditions
      December 16, 2020 - Study Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions during the pandemic. Citation Text: Smith M, Vaughan Sarrazin M, Wang X, et al. Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic condition…

6956. Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/burnout-and-secondary-traumatic-stress-health-system-pharmacists-during-covid-19-pandemic
      April 06, 2022 - Study Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic. Citation Text: Jones AM, Clark JS, Mohammad RA. Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic. Am J Health Syst Pharm. 2021;78(9):818…

6957. A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. | PSNet
      psnet.ahrq.gov/issue/scoping-review-non-professional-medication-practices-and-medication-safety-outcomes-during
      May 12, 2021 - Review A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. Citation Text: Kelly D, Koay A, Mineva G, et al. A scoping review of non-professional medication practices and medication safety outcomes during public health…

6958. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. | PSNet
      psnet.ahrq.gov/issue/resilience-vs-vulnerability-psychological-safety-and-reporting-near-misses-varying-proximity
      December 16, 2020 - Study Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. Citation Text: Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying p…

6959. The psychological experience of obstetric patients and health care workers after implementation of universal SARS-CoV-2 testing. | PSNet
      psnet.ahrq.gov/issue/psychological-experience-obstetric-patients-and-health-care-workers-after-implementation
      March 30, 2022 - Study The psychological experience of obstetric patients and health care workers after implementation of universal SARS-CoV-2 testing. Citation Text: Bender WR, Srinivas S, Coutifaris P, et al. The psychological experience of obstetric patients and health care workers after implementatio…

6960. Healing our own: a randomized trial to assess benefits of peer support. | PSNet
      psnet.ahrq.gov/issue/healing-our-own-randomized-trial-assess-benefits-peer-support
      May 19, 2021 - Study Healing our own: a randomized trial to assess benefits of peer support. Citation Text: Rivera-Chiauzzi EY, Smith HA, Moore-Murray T, et al. Healing our own: a randomized trial to assess benefits of peer support. J Patient Saf. 2022;18(1):e308-e314. doi:10.1097/pts.0000000000000771.…