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  1. Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents. | PSNet

    psnet.ahrq.gov/issue/does-implementation-electronic-prescribing-system-create-unintended-medication-errors-study
    August 24, 2016 - Study Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents. Citation Text: Redwood S, Rajakumar A, Hodson J, et al. Does the implementation of an elec…

  2. Research designs for studies evaluating the effectiveness of change and improvement strategies. | PSNet

    psnet.ahrq.gov/issue/research-designs-studies-evaluating-effectiveness-change-and-improvement-strategies
    September 20, 2011 - Study Classic Research designs for studies evaluating the effectiveness of change and improvement strategies. Citation Text: Eccles M, Grimshaw J, Campbell M, et al. Research designs for studies evaluating the effectiveness of change and improvement strategies. …

  3. Delivery at an inadequate level of maternal care is associated with severe maternal morbidity. | PSNet

    psnet.ahrq.gov/issue/delivery-inadequate-level-maternal-care-associated-severe-maternal-morbidity
    September 29, 2021 - Study Delivery at an inadequate level of maternal care is associated with severe maternal morbidity. Citation Text: Osei-Poku GK, Prentice JC, Easter SR, et al. Delivery at an inadequate level of maternal care is associated with severe maternal morbidity. Am J Obstet Gynecol. 2024;231(5)…

  4. Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. | PSNet

    psnet.ahrq.gov/issue/exposure-media-information-about-disease-can-cause-doctors-misdiagnose-similar-looking
    July 03, 2014 - Study Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. Citation Text: Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases…

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

    psnet.ahrq.gov/issue/controversy-and-quality-improvement-lingering-questions-about-ethics-oversight-and-patient
    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. …

  6. Ticket to ride: reducing handoff risk during hospital patient transport. | PSNet

    psnet.ahrq.gov/issue/ticket-ride-reducing-handoff-risk-during-hospital-patient-transport
    May 30, 2018 - Commentary Ticket to ride: reducing handoff risk during hospital patient transport. Citation Text: Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.982…

  7. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. | PSNet

    psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable-system-flaws
    October 05, 2022 - Study Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Citation Text: Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39…

  8. Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/frontline-nurses-clinical-judgment-recognizing-understanding-and-responding-patient
    December 01, 2021 - Study Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: a qualitative study. Citation Text: Dresser S, Teel C, Peltzer J. Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: …

  9. Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates. | PSNet

    psnet.ahrq.gov/issue/mandatory-provider-review-and-pain-clinic-laws-reduce-amounts-opioids-prescribed-and-overdose
    August 02, 2017 - Study Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates. Citation Text: Dowell D, Zhang K, Noonan RK, et al. Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death Rates. He…

  10. Floating to intensive care units: nurses' messages for instant action to promote patient safety. | PSNet

    psnet.ahrq.gov/issue/floating-intensive-care-units-nurses-messages-instant-action-promote-patient-safety
    August 15, 2018 - Study Floating to intensive care units: nurses' messages for instant action to promote patient safety. Citation Text: Ahmed FR, Timmins F, Dias JM, et al. Floating to intensive care units: nurses' messages for instant action to promote patient safety. Nurs Crit Care. 2023;28(6):902-912. …

  11. Incidence of clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms: a retrospective chart review. | PSNet

    psnet.ahrq.gov/issue/incidence-clinically-relevant-medication-errors-era-electronically-prepopulated-medication
    September 14, 2016 - Study Incidence of clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms: a retrospective chart review. Citation Text: Stockton KR, Wickham ME, Lai S, et al. Incidence of clinically relevant medication errors in the era of elect…

  12. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. | PSNet

    psnet.ahrq.gov/issue/effectiveness-written-hospitalist-sign-outs-answering-overnight-inquiries
    January 15, 2014 - Study Effectiveness of written hospitalist sign-outs in answering overnight inquiries. Citation Text: Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090. C…

  13. ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. | PSNet

    psnet.ahrq.gov/issue/icd-10-codes-used-identify-adverse-drug-events-administrative-data-systematic-review
    September 14, 2016 - Review ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. Citation Text: Hohl CM, Karpov A, Reddekopp L, et al. ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. J Am Med Inform Assoc. 2014;21(3):547…

  14. Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment.  | PSNet

    psnet.ahrq.gov/issue/electromagnetic-interference-radio-frequency-identification-inducing-potentially-hazardous
    February 14, 2024 - Study Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment.  Citation Text: van der Togt R, van Lieshout EJ, Hensbroek R, et al. Electromagnetic interference from radio frequency identification indu…

  15. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. | PSNet

    psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
    August 24, 2022 - Review U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. Citation Text: Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf.…

  16. Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. | PSNet

    psnet.ahrq.gov/issue/target-focused-medical-emergency-team-training-using-human-patient-simulator-effects
    May 23, 2013 - Study Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. Citation Text: Wallin C-J, Meurling L, Hedman L, et al. Target-focused medical emergency team training using a human patient simulator: effects on behaviour and atti…

  17. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. | PSNet

    psnet.ahrq.gov/issue/safety-events-impacting-hospitalized-patients-following-motor-vehicle-crashes-qualitative
    October 07, 2020 - Study Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. Citation Text: Kukielka E. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from P…

  18. Association between Leapfrog safe practices score and hospital mortality in major surgery. | PSNet

    psnet.ahrq.gov/issue/association-between-leapfrog-safe-practices-score-and-hospital-mortality-major-surgery
    September 29, 2017 - Study Association between Leapfrog safe practices score and hospital mortality in major surgery. Citation Text: Qian F, Lustik SJ, Diachun CA, et al. Association between Leapfrog safe practices score and hospital mortality in major surgery. Med Care. 2011;49(12):1082-1088. doi:10.1097/…

  19. Maskedstats Nis 2016 Core (pdf file)

    hcup-us.ahrq.gov/db/nation/nis/tools/stats/MaskedStats_NIS_2016_Core.PDF
    January 01, 2016 - please refer to the section on Description of Data Elements. … File 17:12 Friday, July 13, 2018 1 Means of Continuous Data Elements please refer to the section on Description … W MCC 296 0.00% please refer to the section on Description of Data Elements. … PROC W CC 6,980 0.10% please refer to the section on Description of Data Elements. … PROC EXC MALIGNANCY W CC/MCC 497 0.01% please refer to the section on Description of Data Elements

  20. Testdatajson

    cds.ahrq.gov/sites/default/files/cds/artifact/106/testDataJSON.txt
    December 12, 2014 - : "Demographics" , "zip" : "19036" } , { "contactid" : "57998" , "contacttype" : "Office Visit" , "description … reportprovider=MR_REPORTS&reporttype=2&id=++Z5009662&dat=58188.98" } , { "description" : "ADHD (attention … " : "200" , "reflow" : "70" , "value" : "100" } ] , "contactid" : "57998" , "cpt" : "303756.500" , "description … : "7.4" , "reflow" : "5.7" , "value" : "5.9" } ] , "contactid" : "57998" , "cpt" : "001453.500" , "description … , "subtype" : "Lab" , "type" : "Procedure" } , { "contactid" : "58000.99" , "cpt" : "99203.999" , "description
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