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  1. psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
    October 12, 2018 - EMERGING INNOVATIONS Let us to the TWISST; Plan, Simulate, Study and Act. Citation Text: Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. Copy Citation Format: DOI Google Scholar BibTeX…
  2. psnet.ahrq.gov/issue/impact-electronic-alert-reduce-risk-co-prescription-low-molecular-weight-heparins-and-direct
    August 17, 2022 - Study The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. Citation Text: Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight…
  3. psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
    December 21, 2017 - Study Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. Citation Text: Magrabi F, Liaw ST, Arachi D, et al. Identifying patient safety problems associated with information technology in general practice: an an…
  4. psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system
    October 19, 2022 - Study Accuracy of harm scores entered into an event reporting system. Citation Text: Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188. Copy Citation For…
  5. psnet.ahrq.gov/issue/statewide-nicu-central-line-associated-bloodstream-infection-rates-decline-after-bundles-and
    September 23, 2020 - Study Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists. Citation Text: Schulman J, Stricof R, Stevens TP, et al. Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists. Pediatrics. 201…
  6. psnet.ahrq.gov/issue/what-us-hospitals-are-doing-prevent-common-device-associated-infections-during-coronavirus
    May 08, 2019 - Study What US hospitals are doing to prevent common device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey in the United States. Citation Text: Saint S, Greene MT, Krein SL, et al. What US hospitals are doing to prevent common…
  7. psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports
    July 06, 2022 - Study Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Citation Text: Kepner S, Adkins JA, Jones RM. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Patient Saf. 2022;4(2):6-17. doi:10.33940/data/2022.6.1. C…
  8. psnet.ahrq.gov/issue/physician-and-nurse-well-being-and-preferred-interventions-address-burnout-hospital-practice
    February 09, 2011 - Study Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety. Citation Text: Aiken LH, Lasater KB, Sloane DM, et al. Physician and nurse well-being and preferred interventions to a…
  9. psnet.ahrq.gov/issue/making-health-care-safer-critical-analysis-patient-safety-practices
    July 27, 2018 - Book/Report Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Citation Text: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Shojania KG, Duncan BW, McDonald KM, et al, eds. Rockville, MD: Agency for Healthcare Research and Quality; J…
  10. psnet.ahrq.gov/issue/role-bias-clinical-decision-making-people-serious-mental-illness-and-medical-co-morbidities
    November 10, 2021 - Review The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review. Citation Text: Crapanzano KA, Deweese S, Pham D, et al. The role of bias in clinical decision-making of people with serious mental illness and medical c…
  11. psnet.ahrq.gov/issue/evaluating-efforts-optimize-teamstepps-implementation-surgical-and-pediatric-intensive-care
    April 12, 2014 - Study Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Citation Text: Mayer CM, Cluff L, Lin W-T, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Jt Comm J Qual Patie…
  12. psnet.ahrq.gov/issue/impact-multidisciplinary-team-huddles-patient-safety-systematic-review-and-proposed-taxonomy
    November 10, 2015 - Review Emerging Classic Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. Citation Text: Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review…
  13. psnet.ahrq.gov/issue/patient-safety-general-practice-during-covid-19-descriptive-analysis-38-countries-pricov-19
    November 16, 2022 - Study Patient safety in general practice during COVID-19: a descriptive analysis in 38 countries (PRICOV-19). Citation Text: Van Poel E, Vanden Bussche P, Collins C, et al. Patient safety in general practice during COVID-19: a descriptive analysis in 38 countries (PRICOV-19). Fam Pract. …
  14. psnet.ahrq.gov/issue/physician-specialty-differences-unprofessional-behaviors-observed-and-reported-coworkers
    June 27, 2018 - Study Physician specialty differences in unprofessional behaviors observed and reported by coworkers. Citation Text: Cooper WO, Hickson GB, Dmochowski RR, et al. Physician specialty differences in unprofessional behaviors observed and reported by coworkers. JAMA Netw Open. 2024;7(6):e241…
  15. psnet.ahrq.gov/issue/what-hinders-uptake-computerized-decision-support-systems-hospitals-qualitative-study-and
    February 07, 2024 - Study What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. Citation Text: Liberati EG, Ruggiero F, Galuppo L, et al. What hinders the uptake of computerized decision support systems in hospitals? A qualitativ…
  16. psnet.ahrq.gov/issue/impact-pharmacist-led-multidisciplinary-medication-review-safety-and-medication-cost-elderly
    May 25, 2022 - Study Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study. Citation Text: Leguelinel-Blache G, Castelli C, Rolain J, et al. Impact of pharmacist-led multidisciplinary medicatio…
  17. psnet.ahrq.gov/issue/how-effective-are-electronic-medication-systems-reducing-medication-error-rates-and
    August 26, 2020 - Review Emerging Classic How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis. Citation Text: Gates PJ, Hardie R-A, Raban MZ, et al. How effective a…
  18. psnet.ahrq.gov/issue/evaluation-reasons-why-surgical-residents-exceeded-2011-duty-hour-requirements-when-offered
    September 02, 2020 - Study Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility. Citation Text: Blay E, Engelhardt KE, Hewitt B, et al. Evaluation of Reasons Why Surgical Residents Exceeded 2011 Duty Hour Requirements When Offered Flexibility: A FIRST Tri…
  19. psnet.ahrq.gov/issue/work-patterns-and-fatigue-related-risk-among-junior-doctors
    July 29, 2020 - Study Work patterns and fatigue-related risk among junior doctors. Citation Text: Gander P, Purnell H, Garden A, et al. Work patterns and fatigue-related risk among junior doctors. Occup Environ Med. 2007;64(11):733-8. Copy Citation Format: Google Scholar PubMed BibTeX En…
  20. psnet.ahrq.gov/issue/effective-implementation-work-hour-limits-and-systemic-improvements
    September 28, 2010 - Study Classic Effective implementation of work-hour limits and systemic improvements. Citation Text: Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl…

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