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  1. Intensive care medicine in 2050: preventing harm. | PSNet

    psnet.ahrq.gov/issue/intensive-care-medicine-2050-preventing-harm
    November 25, 2020 - Commentary Intensive care medicine in 2050: preventing harm. Citation Text: Beet C, Benoit D, Bion J. Intensive care medicine in 2050: preventing harm. Intensive Care Med. 2019;45(4):505-507. doi:10.1007/s00134-018-5353-z. Copy Citation Format: DOI Google Scholar PubMed Bib…

  2. Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality. | PSNet

    psnet.ahrq.gov/issue/association-between-hospital-reported-leapfrog-safe-practices-scores-and-inpatient-mortality
    January 23, 2020 - Study Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality. Citation Text: Werner RM, McNutt RA. A New Strategy to Improve Quality. JAMA. 2009;301(13). doi:10.1001/jama.2009.423. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

  3. Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. | PSNet

    psnet.ahrq.gov/issue/untangling-infusion-confusion-comparative-evaluation-interventions-simulated-intensive-care
    September 01, 2021 - Study Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. Citation Text: Pinkney SJ, Fan M, Koczmara C, et al. Untangling Infusion Confusion: A Comparative Evaluation of Interventions in a Simulated Intensive Care Setting. Crit …

  4. Developing perioperative Covid-19 testing protocols to restore surgical services. | PSNet

    psnet.ahrq.gov/issue/developing-perioperative-covid-19-testing-protocols-restore-surgical-services
    February 12, 2020 - Commentary Developing perioperative Covid-19 testing protocols to restore surgical services. Citation Text: Hamilton BCS, Kratz JR, Sosa JA, et al. Developing perioperative Covid-19 testing protocols to restore surgical services. NEJM Catalyst. 2020;June 19. Copy Citation Format: …

  5. Leveraging a safety event management system to improve organizational learning and safety culture. | PSNet

    psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning-and-safety-culture
    August 01, 2018 - Study Leveraging a safety event management system to improve organizational learning and safety culture. Citation Text: Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407…

  6. Communication relating to family members' involvement and understandings about patients' medication management in hospital. | PSNet

    psnet.ahrq.gov/issue/communication-relating-family-members-involvement-and-understandings-about-patients
    June 16, 2021 - Study Communication relating to family members' involvement and understandings about patients' medication management in hospital. Citation Text: Manias E. Communication relating to family members' involvement and understandings about patients' medication management in hospital. Health Ex…

  7. Automated communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors. | PSNet

    psnet.ahrq.gov/issue/automated-communication-tools-and-computer-based-medication-reconciliation-decrease-hospital
    September 23, 2020 - Study Automated communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors. Citation Text: Smith KJ, Handler S, Kapoor WN, et al. Automated Communication Tools and Computer-Based Medication Reconciliation to Decrease Hospital Dischar…

  8. A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. | PSNet

    psnet.ahrq.gov/issue/web-application-involve-patients-medication-reconciliation-process-user-centered-usability
    August 18, 2021 - Study A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. Citation Text: Marien S, Legrand D, Ramdoyal R, et al. A web application to involve patients in the medication reconciliation process: a user-centered usa…

  9. An analysis of electronic health record–related patient safety incidents. | PSNet

    psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-incidents
    August 19, 2020 - Study An analysis of electronic health record–related patient safety incidents. Citation Text: Palojoki S, Mäkelä M, Lehtonen L, et al. An analysis of electronic health record-related patient safety incidents. Health Informatics J. 2017;23(2):134-145. doi:10.1177/1460458216631072. Copy…

  10. Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. | PSNet

    psnet.ahrq.gov/issue/assessing-adverse-events-after-chiropractic-care-chiropractic-teaching-clinic-active
    December 23, 2020 - Study Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. Citation Text: Pohlman KA, Funabashi M, Ndetan H, et al. Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillanc…

  11. Economic impact of medication error: a systematic review. | PSNet

    psnet.ahrq.gov/issue/economic-impact-medication-error-systematic-review
    November 04, 2020 - Review Economic impact of medication error: a systematic review. Citation Text: Walsh EK, Hansen CR, Sahm LJ, et al. Economic impact of medication error: a systematic review. Pharmacoepidemiol Drug Saf. 2017;26(5):481-497. doi:10.1002/pds.4188. Copy Citation Format: DOI Goo…

  12. Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals. | PSNet

    psnet.ahrq.gov/issue/validity-16-ahrq-patient-safety-indicators-identify-hospital-complications-medical-record
    November 29, 2023 - Study Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals. Citation Text: Havranek MM, Rüter F, Bilger S, et al. Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a med…

  13. Assessing reasons for decreased primary care access for individuals on prescribed opioids: an audit study. | PSNet

    psnet.ahrq.gov/issue/assessing-reasons-decreased-primary-care-access-individuals-prescribed-opioids-audit-study
    November 17, 2021 - Study Assessing reasons for decreased primary care access for individuals on prescribed opioids: an audit study. Citation Text: Lagisetty P, Macleod C, Thomas J, et al. Assessing reasons for decreased primary care access for individuals on prescribed opioids. Pain. 2021;162(5):1379-1386.…

  14. Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/outcome-adverse-events-and-medical-errors-intensive-care-unit-systematic-review-and-meta
    March 16, 2022 - Review Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Citation Text: Ahmed AH, Giri J, Kashyap R, et al. Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Am J M…

  15. Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/opportunities-improve-diagnosis-emergency-transfers-pediatric-intensive-care-unit
    June 28, 2023 - Study Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. Citation Text: Mehta SD, Congdon M, Phillips CA, et al. Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. J Hosp Med. 2023;18(6):509-518. do…

  16. Pharmacy dispensing of electronically discontinued medications. | PSNet

    psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-discontinued-medications
    October 03, 2012 - Study Pharmacy dispensing of electronically discontinued medications. Citation Text: Allen AS, Sequist TD. Pharmacy dispensing of electronically discontinued medications. Ann Intern Med. 2012;157(10):700-705. doi:10.7326/0003-4819-157-10-201211200-00006. Copy Citation Format: …

  17. Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. | PSNet

    psnet.ahrq.gov/issue/identifying-potential-medication-discrepancies-during-medication-reconciliation-post-acute
    June 17, 2020 - Study Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. Citation Text: Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Sett…

  18. Communication and birth experiences among Black birthing people who experienced preterm birth. | PSNet

    psnet.ahrq.gov/issue/communication-and-birth-experiences-among-black-birthing-people-who-experienced-preterm-birth
    September 23, 2020 - Study Communication and birth experiences among Black birthing people who experienced preterm birth. Citation Text: Gregory EF, Johnson GT, Barreto A, et al. Communication and birth experiences among Black birthing people who experienced preterm birth. Ann Fam Med. 2024;22(1):31-36. doi:…

  19. Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians. | PSNet

    psnet.ahrq.gov/issue/integrating-adverse-event-reporting-free-text-mobile-application-used-daily-workflow
    March 17, 2021 - Study Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians. Citation Text: Delio J, Catalanotti JS, Marko K, et al. Integrating Adverse Event Reporting Into a Free-Text Mobile Application Used in Da…

  20. Using name overlap analysis to understand medication name search safety. | PSNet

    psnet.ahrq.gov/issue/using-name-overlap-analysis-understand-medication-name-search-safety
    August 31, 2022 - Study Using name overlap analysis to understand medication name search safety. Citation Text: Flynn AJ, Mieure KD, Myers C. Using name overlap analysis to understand medication name search safety. Am J Health Syst Pharm. 2024;81(14):622-633. doi:10.1093/ajhp/zxae048. Copy Citation …
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