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Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project. | PSNet

psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality

September 08, 2021 - Study Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project. Citation Text: Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality i…

Listen to me, I really am sick! Patient and family narratives of clinical deterioration before and during rapid response system intervention. | PSNet

psnet.ahrq.gov/issue/listen-me-i-really-am-sick-patient-and-family-narratives-clinical-deterioration-and-during

June 25, 2018 - Study Listen to me, I really am sick! Patient and family narratives of clinical deterioration before and during rapid response system intervention. Citation Text: Bucknall TK, Guinane J, McCormack B, et al. Listen to me, I really am sick! Patient and family narratives of clinical deterio…

Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. | PSNet

psnet.ahrq.gov/issue/understanding-enablers-and-barriers-implementing-patient-led-escalation-system-qualitative

January 18, 2023 - Study Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. Citation Text: Sutton E, Ibrahim M, Plath W, et al. Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. BMJ Qual S…

Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study. | PSNet

psnet.ahrq.gov/issue/hospital-nurses-and-physicians-experiences-practicing-patient-safety-work-recognize

October 20, 2021 - Study Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study. Citation Text: Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deterio…

Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study. | PSNet

psnet.ahrq.gov/issue/association-between-sleep-health-and-rates-self-reported-medical-errors-intern-physicians

February 07, 2024 - Study Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study. Citation Text: Hassinger AB, Velez C, Wang J, et al. Association between sleep health and rates of self-reported medical errors in inte…

Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/improving-communication-and-response-clinical-deterioration-increase-patient-safety-intensive

December 09, 2020 - Study Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. Citation Text: Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase patient safety in the intensive care uni…

Effective implementation of work-hour limits and systemic improvements. | PSNet

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…

Preventability and causes of readmissions in a national cohort of general medicine patients. | PSNet

psnet.ahrq.gov/issue/preventability-and-causes-readmissions-national-cohort-general-medicine-patients

January 25, 2017 - Study Classic Preventability and causes of readmissions in a national cohort of general medicine patients. Citation Text: Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National Cohort of General Medicine Patients…

The impact of rudeness on medical team performance: a randomized trial. | PSNet

psnet.ahrq.gov/issue/impact-rudeness-medical-team-performance-randomized-trial

April 24, 2018 - Study Classic The impact of rudeness on medical team performance: a randomized trial. Citation Text: Riskin A, Erez A, Foulk T, et al. The impact of rudeness on medical team performance: a randomized trial. Pediatrics. 2015;136(3):487-495. doi:10.1542/peds.2015-…

Increases in drug and opioid overdose deaths—United States, 2000–2015. | PSNet

psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015

January 23, 2019 - Study Classic Increases in drug and opioid overdose deaths—United States, 2000–2015. Citation Text: Rudd RA, Seth P, David F, et al. Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. MMWR Morb Mortal Wkly Rep. 2016;65(50-51):1445-…

Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control. | PSNet

psnet.ahrq.gov/issue/association-between-opioid-tapering-and-subsequent-health-care-use-medication-adherence-and

August 25, 2021 - Study Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control. Citation Text: Magnan EM, Tancredi DJ, Xing G, et al. Association between opioid tapering and subsequent health care use, medication adherence, and chronic condi…

Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials. | PSNet

psnet.ahrq.gov/issue/effectiveness-pharmacist-intervention-reduce-medication-errors-and-health-care-resources

August 04, 2021 - Review Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials. Citation Text: De Oliveira GS, Castro-Alves LJ, Kendall MC, et al. Effectiveness of Pharmacist Int…

National hospital ratings systems share few common scores and may generate confusion instead of clarity. | PSNet

psnet.ahrq.gov/issue/national-hospital-ratings-systems-share-few-common-scores-and-may-generate-confusion-instead

October 31, 2014 - Study Classic National hospital ratings systems share few common scores and may generate confusion instead of clarity. Citation Text: Austin M, Jha AK, Romano PS, et al. National hospital ratings systems share few common scores and may generate confusion instead…

Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. | PSNet

psnet.ahrq.gov/issue/evaluating-alert-fatigue-over-time-ehr-based-clinical-trial-alerts-findings-randomized

April 29, 2018 - Study Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. Citation Text: Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. J Am Med Inform…

Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. | PSNet

psnet.ahrq.gov/issue/drug-drug-interactions-should-be-non-interruptive-order-reduce-alert-fatigue-electronic

December 31, 2014 - Study Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. Citation Text: Phansalkar S, van der Sijs H, Tucker AD, et al. Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic…

Overall performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey. | PSNet

psnet.ahrq.gov/issue/overall-performance-drug-drug-interaction-clinical-decision-support-system-quantitative

August 10, 2022 - Study Overall performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey. Citation Text: Van De Sijpe G, Quintens C, Walgraeve K, et al. Overall performance of a drug–drug interaction clinical decision support system: quantitative…

Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program. | PSNet

psnet.ahrq.gov/issue/quasi-experimental-evaluation-effectiveness-large-scale-readmission-reduction-program

January 07, 2015 - Study Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program. Citation Text: Jenq GY, Doyle MM, Belton BM, et al. Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale Readmission Reduction Program. JAMA Intern Med. 2016;176(5):681…

Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. | PSNet

psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study

July 17, 2013 - Study Classic Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. Citation Text: Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of ala…

RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: a national cross-sectional study of acute-care hospitals. | PSNet

psnet.ahrq.gov/issue/rn-assessments-excellent-quality-care-and-patient-safety-are-associated-significantly-lower

August 20, 2018 - Study RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: a national cross-sectional study of acute-care hospitals. Citation Text: Smeds-Alenius L, Tishelman C, Lindqvist R, et al. RN assessments of ex…

Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. | PSNet

psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop

September 01, 2016 - Study Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. Citation Text: Hwang Y, Yoon D, Ahn EK, et al. Provider risk factors for medication administration error alerts: analyses…

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