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  1. Matching identifiers in electronic health records: implications for duplicate records and patient safety. | PSNet

    psnet.ahrq.gov/issue/matching-identifiers-electronic-health-records-implications-duplicate-records-and-patient
    October 13, 2015 - Study Matching identifiers in electronic health records: implications for duplicate records and patient safety. Citation Text: McCoy AB, Wright A, Kahn MG, et al. Matching identifiers in electronic health records: implications for duplicate records and patient safety. BMJ Qual Saf. 20…

  2. Supporting perioperative safety during a disaster through clinical crisis education. | PSNet

    psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education
    July 05, 2017 - Commentary Supporting perioperative safety during a disaster through clinical crisis education. Citation Text: Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217. Co…

  3. Evaluation of patient safety culture in community pharmacies. | PSNet

    psnet.ahrq.gov/issue/evaluation-patient-safety-culture-community-pharmacies
    May 11, 2016 - Study Evaluation of patient safety culture in community pharmacies. Citation Text: Aboneh EA, Stone JA, Lester CA, et al. Evaluation of Patient Safety Culture in Community Pharmacies. J Patient Saf. 2020;16(1):e18-e24. doi:10.1097/pts.0000000000000245. Copy Citation Format: …

  4. Prioritising the prevention of medication handling errors. | PSNet

    psnet.ahrq.gov/issue/prioritising-prevention-medication-handling-errors
    October 22, 2008 - Study Prioritising the prevention of medication handling errors. Citation Text: Bertsche T, Niemann D, Mayer Y, et al. Prioritising the prevention of medication handling errors. Pharm World Sci. 2008;30(6):907-15. doi:10.1007/s11096-008-9250-3. Copy Citation Format: DOI…

  5. Impact of resident workload and handoff training on patient outcomes. | PSNet

    psnet.ahrq.gov/issue/impact-resident-workload-and-handoff-training-patient-outcomes
    April 12, 2023 - Study Impact of resident workload and handoff training on patient outcomes. Citation Text: Mueller SK, Call S, McDonald FS, et al. Impact of resident workload and handoff training on patient outcomes. Am J Med. 2012;125(1):104-10. doi:10.1016/j.amjmed.2011.09.005. Copy Citation F…

  6. Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. | PSNet

    psnet.ahrq.gov/issue/hospital-acquired-infections-under-pay-performance-systems-administrative-perspective
    January 30, 2019 - Review Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. Citation Text: Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and C…

  7. An overview of the use and implementation of checklists in surgical specialities - a systematic review. | PSNet

    psnet.ahrq.gov/issue/overview-use-and-implementation-checklists-surgical-specialities-systematic-review
    July 31, 2013 - Review An overview of the use and implementation of checklists in surgical specialities - a systematic review. Citation Text: Patel J, Ahmed K, Guru KA, et al. An overview of the use and implementation of checklists in surgical specialities - a systematic review. Int J Surg. 2014;12(12):…

  8. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. | PSNet

    psnet.ahrq.gov/issue/evaluation-frequency-dispensing-electronically-discontinued-medications-and-associated
    March 03, 2019 - Study Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. Citation Text: Copi EJ, Kelley LR, Fisher KK. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. J Am Pharm Assoc (2003…

  9. Effect of patient safety strategies on the incidence of adverse events. | PSNet

    psnet.ahrq.gov/issue/effect-patient-safety-strategies-incidence-adverse-events
    March 09, 2022 - Study Effect of patient safety strategies on the incidence of adverse events. Citation Text: Sierra AF, del Aguila del MR, Espigares JLN, et al. Effect of patient safety strategies on the incidence of adverse events. J Eval Clin Pract. 2014;20(2):184-90. doi:10.1111/jep.12105. Copy C…

  10. The role of purple pens in learning to prescribe. | PSNet

    psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe
    June 17, 2020 - Commentary The role of purple pens in learning to prescribe. Citation Text: Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach. 2019;16(6):598-603. doi:10.1111/tct.12991. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  11. Correlation between hospital rating agencies' data: an analysis and recommendation. | PSNet

    psnet.ahrq.gov/issue/correlation-between-hospital-rating-agencies-data-analysis-and-recommendation
    April 05, 2023 - Study Correlation between hospital rating agencies' data: an analysis and recommendation. Citation Text: Sondheim SE, Mattie A, Vigil J, et al. Correlation between hospital rating agencies’ data: An analysis and recommendation. J Healthc Risk Manag. 2020;40(3):18-24. doi:10.1002/jhrm.214…

  12. The effect of automated alerts on provider ordering behavior in an outpatient setting.   | PSNet

    psnet.ahrq.gov/issue/effect-automated-alerts-provider-ordering-behavior-outpatient-setting
    November 23, 2016 - Study The effect of automated alerts on provider ordering behavior in an outpatient setting.   Citation Text: Steele AW, Eisert S, Witter J, et al. The effect of automated alerts on provider ordering behavior in an outpatient setting. PLoS Med. 2005;2(9):e255. doi:10.1371/journal.pmed.…

  13. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022. | PSNet

    psnet.ahrq.gov/issue/adverse-events-among-hospital-medicare-patients-2021-and-2022
    November 20, 2024 - Book/Report Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022. Citation Text: Rodrick D, Timashenka A, Umscheid C. Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication no. …

  14. The natural lifespan of a safety policy: violations and system migration in anaesthesia. | PSNet

    psnet.ahrq.gov/issue/natural-lifespan-safety-policy-violations-and-system-migration-anaesthesia
    June 22, 2009 - Study The natural lifespan of a safety policy: violations and system migration in anaesthesia. Citation Text: Maurice G de S, Auroy Y, Vincent CA, et al. The natural lifespan of a safety policy: violations and system migration in anaesthesia. Qual Saf Health Care. 2010;19(4):327-31. doi:…

  15. HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. | PSNet

    psnet.ahrq.gov/issue/hhs-seeks-input-medical-office-survey-patient-safety-culture-database-information-collection
    March 13, 2024 - Press Release/Announcement HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Citation Text: HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Agency for Healthcare Quality and Research. Fe…

  16. Reasons for not reporting patient safety incidents in general practice: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative-study
    February 24, 2010 - Study Reasons for not reporting patient safety incidents in general practice: a qualitative study. Citation Text: Kousgaard MB, Joensen AS, Thorsen T. Reasons for not reporting patient safety incidents in general practice: a qualitative study. Scand J Prim Health Care. 2012;30(4):199-2…

  17. The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. | PSNet

    psnet.ahrq.gov/issue/consequences-misdiagnosing-race-based-trauma-response-black-men-critical-examination
    November 16, 2022 - Commentary The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. Citation Text: Sanders AA, Roberts JD, McDowell MC, et al. The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. Soc Work Public Heal…

  18. Reflection on adverse event disclosure in the postsurgical hospital context. | PSNet

    psnet.ahrq.gov/issue/reflection-adverse-event-disclosure-postsurgical-hospital-context
    August 20, 2018 - Commentary Reflection on adverse event disclosure in the postsurgical hospital context. Citation Text: Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016. …

  19. Implementing a patient safety and quality program across two merged pediatric institutions. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-program-across-two-merged-pediatric-institutions
    June 03, 2013 - Study Implementing a patient safety and quality program across two merged pediatric institutions. Citation Text: Abramson EL, Hyman D, Osorio N, et al. Implementing a patient safety and quality program across two merged pediatric institutions. Jt Comm J Qual Patient Saf. 2009;35(1):43-…

  20. Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care. | PSNet

    psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide-safe-acute-medical
    December 21, 2017 - Commentary Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care. Citation Text: Sabin J, Subbe CP, Vaughan L, et al. Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical…
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