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Impact of a nationwide prospective drug utilization review program to improve prescribing safety of potentially inappropriate medications in older adults: an interrupted time series with segmented regression analysis. | PSNet

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May 17, 2017 - Study Impact of a nationwide prospective drug utilization review program to improve prescribing safety of potentially inappropriate medications in older adults: an interrupted time series with segmented regression analysis. Citation Text: Jang S, Jeong S, Kang E, et al. Impact of a natio…

Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation. | PSNet

psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-patients-pharmacist-key-resources-and-relationship

June 07, 2023 - Study Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation. Citation Text: Bourne RS, Shulman R, Jennings JK. Reducing medication errors in critical care patients: pharmacist key resources and relationship with medici…

Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study. | PSNet

psnet.ahrq.gov/issue/patient-reported-safety-incidents-older-patients-long-term-conditions-large-cross-sectional

October 14, 2015 - Study Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study. Citation Text: Panagioti M, Blakeman T, Hann M, et al. Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study. BMJ Ope…

Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. | PSNet

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October 20, 2021 - Study Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. Citation Text: Cecil E, Bottle A, Esmail A, et al. Investigating the association of alerts from a national morta…

Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. | PSNet

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March 24, 2021 - Study Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. Citation Text: Ochalek TA, Cumpston KL, Wills BK, et al. Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. JAMA. 2020;324(16):1673-1674. doi:10.1001/jama.…

Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis. | PSNet

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June 29, 2022 - Study Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis. Citation Text: Zheng Y, Jiang Y, Dorsch MP, et al. Work effort, readability and quality of pharmacy transcription of pa…

Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. | PSNet

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November 16, 2022 - Commentary Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. Citation Text: Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-associated bloodstrea…

Prevalence of copied information by attendings and residents in critical care progress notes. | PSNet

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September 28, 2017 - Study Prevalence of copied information by attendings and residents in critical care progress notes. Citation Text: Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med. 2013;41(2):382-…

Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. | PSNet

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January 15, 2014 - Commentary Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. Citation Text: Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. …

Unit-based incident reporting and root cause analysis: variation at three hospital unit types. | PSNet

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April 14, 2011 - Study Unit-based incident reporting and root cause analysis: variation at three hospital unit types. Citation Text: Wagner C, Merten H, Zwaan L, et al. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. BMJ Open. 2016;6(6):e011277. doi:10.1136/…

A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. | PSNet

psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-same-name-physician

February 23, 2022 - Commentary A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Citation Text: Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm …

Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. | PSNet

psnet.ahrq.gov/issue/code-debriefing-department-veterans-affairs-va-medical-team-training-program-improves

August 18, 2010 - Study Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. Citation Text: Percarpio KB, Harris FS, Hatfield BA, et al. Code debriefing from the Department of Veterans Affairs (VA) Medical Tea…

Patients as partners in learning from unexpected events. | PSNet

psnet.ahrq.gov/issue/patients-partners-learning-unexpected-events

December 15, 2021 - Study Patients as partners in learning from unexpected events. Citation Text: Etchegaray J, Ottosen M, Aigbe A, et al. Patients as Partners in Learning from Unexpected Events. Health Serv Res. 2016;51 Suppl 3:2600-2614. doi:10.1111/1475-6773.12593. Copy Citation Format: DOI…

Intercepting wrong-patient orders in a computerized provider order entry system. | PSNet

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May 29, 2019 - Study Intercepting wrong-patient orders in a computerized provider order entry system. Citation Text: Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed…

The health care cost of drug-related morbidity and mortality in nursing facilities. | PSNet

psnet.ahrq.gov/issue/health-care-cost-drug-related-morbidity-and-mortality-nursing-facilities

September 19, 2016 - Study Classic The health care cost of drug-related morbidity and mortality in nursing facilities. Citation Text: Bootman JL, Harrison DL, Cox E. The health care cost of drug-related morbidity and mortality in nursing facilities. Arch Intern Med. 1997;157(18):2…

Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England. | PSNet

psnet.ahrq.gov/issue/associations-between-self-reported-healthcare-disruption-due-covid-19-and-avoidable-hospital

September 23, 2020 - Study Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England. Citation Text: Green MA, McKee M, Hamilton OKL, et al. Associations between self-reported healthcare disruption du…

What do medical records tell us about potentially harmful co-prescribing? | PSNet

psnet.ahrq.gov/issue/what-do-medical-records-tell-us-about-potentially-harmful-co-prescribing

December 19, 2011 - Study Classic What do medical records tell us about potentially harmful co-prescribing? Citation Text: Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co-prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-4…

Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. | PSNet

psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system-reduce-adverse

June 18, 2008 - Study Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. Citation Text: Antonacci AC, Lam S, Lavarias V, et al. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. Arch Sur…

Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. | PSNet

psnet.ahrq.gov/issue/nurses-source-system-level-resilience-secondary-analysis-qualitative-data-study-intravenous

July 22, 2020 - Study Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. Citation Text: Vos J, Franklin BD, Chumbley G, et al. Nurses as a source of system-level resilience: Secondary analysis of qualita…

Clinical impact of medication review and deprescribing in older inpatients: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/clinical-impact-medication-review-and-deprescribing-older-inpatients-systematic-review-and

April 21, 2021 - Review Clinical impact of medication review and deprescribing in older inpatients: a systematic review and meta-analysis. Citation Text: Carollo M, Crisafulli S, Vitturi G, et al. Clinical impact of medication review and deprescribing in older inpatients: a systematic review and meta‐ana…

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