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4421. Adherence to drug–drug interaction alerts in high-risk patients: a trial of context-enhanced alerting. | PSNet
      psnet.ahrq.gov/issue/adherence-drug-drug-interaction-alerts-high-risk-patients-trial-context-enhanced-alerting
      February 21, 2018 - Study Adherence to drug–drug interaction alerts in high-risk patients: a trial of context-enhanced alerting. Citation Text: Duke JD, Li X, Dexter P. Adherence to drug-drug interaction alerts in high-risk patients: a trial of context-enhanced alerting. J Am Med Inform Assoc. 2013;20(3):49…

4422. Impact of implementing alerts about medication black-box warnings in electronic health records. | PSNet
      psnet.ahrq.gov/issue/impact-implementing-alerts-about-medication-black-box-warnings-electronic-health-records
      July 10, 2008 - Study Impact of implementing alerts about medication black-box warnings in electronic health records. Citation Text: Yu DT, Seger DL, Lasser KE, et al. Impact of implementing alerts about medication black-box warnings in electronic health records. Pharmacoepidemiol Drug Saf. 2011;20(2):1…

4423. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. | PSNet
      psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning
      February 02, 2022 - Commentary Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Citation Text: Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097…

4424. The enabling, enacting, and elaborating factors of safety culture associated with patient safety: a multilevel analysis. | PSNet
      psnet.ahrq.gov/issue/enabling-enacting-and-elaborating-factors-safety-culture-associated-patient-safety-multilevel
      September 21, 2022 - Study The enabling, enacting, and elaborating factors of safety culture associated with patient safety: a multilevel analysis. Citation Text: Lee SE, Dahinten VS. The enabling, enacting, and elaborating factors of safety culture associated with patient safety: a multilevel analysis. J Nu…

4425. Long-term care nurses' experiences with patient safety incident management: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/long-term-care-nurses-experiences-patient-safety-incident-management-qualitative-study
      March 24, 2021 - Study Long-term care nurses' experiences with patient safety incident management: a qualitative study. Citation Text: Serre N, Espin S, Indar A, et al. Long-term care nurses' experiences with patient safety incident management: a qualitative study. J Nurs Care Qual. 2022;37(2):188-194. d…

4426. 'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy. | PSNet
      psnet.ahrq.gov/issue/its-all-about-patient-safety-ethnographic-study-how-pharmacy-staff-construct-medicines-safety
      October 06, 2021 - Study 'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy. Citation Text: Fudge N, Swinglehurst D. ‘It's all about patient safety’: an ethnographic study of how pharmacy staff construct medicines safety in…

4427. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.173_slideshow.ppt
      April 01, 2008 - Spotlight Case [MONTH] 2003 Spotlight Case April 2008 Antibiotics for URI/Sinusitis: A Simple Decision Gone Bad Source and Credits This presentation is based on the April 2008 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Sumant Ranji, MD,…

4428. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49556/psn-pdf
      March 01, 2008 - Hold That Order March 1, 2008 Grissinger M. Hold That Order. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/hold-order The Case A 25-year-old woman with a history of a pituitary tumor was admitted with hypernatremia. Because of her previous pituitary resection and radiation, the patient had a long history …

4429. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60066/psn-pdf
      March 25, 2020 - Some Patients Can't Wait: Improving Timeliness of Emergency Department Care March 25, 2020 Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care D…

4430. Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Reduced Acute Care Utilization in Low-Income Seniors and other High-Risk Populations | PSNet
      psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
      July 23, 2024 - Eskenazi Health) and the Indianapolis VA to provide a care transition program focusing on patients who are discharged

4431. Massive open online course (MOOC) learning builds capacity and improves competence for patient safety among global learners: a prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/massive-open-online-course-mooc-learning-builds-capacity-and-improves-competence-patient
      October 14, 2020 - Study Massive open online course (MOOC) learning builds capacity and improves competence for patient safety among global learners: a prospective cohort study. Citation Text: Gleason KT, Commodore-Mensah Y, Wu AW, et al. Massive open online course (MOOC) learning builds capacity and impro…

4432. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. | PSNet
      psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients
      May 26, 2021 - Study Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Citation Text: Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthe…

4433. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. | PSNet
      psnet.ahrq.gov/issue/incidence-nature-and-causes-avoidable-significant-harm-primary-care-england-retrospective
      November 13, 2019 - Study Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. Citation Text: Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note …

4434. Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. | PSNet
      psnet.ahrq.gov/issue/clinical-supervision-general-practice-training-interweaving-supervisor-trainee-and-patient
      October 13, 2021 - Study Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. Citation Text: Sturman N, Parker M, Jorm C. Clinical supervision in general practice training: the interw…

4435. Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. | PSNet
      psnet.ahrq.gov/issue/diagnostic-uncertainty-among-critically-ill-children-admitted-picu-multicenter-study
      June 14, 2023 - Study Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. Citation Text: Cifra CL, Custer JW, Smith CM, et al. Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. Crit Care Med. 2025;53(2):e294-e307. …

4436. US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017-2019. | PSNet
      psnet.ahrq.gov/issue/us-emergency-department-visits-acute-harms-over-counter-cough-and-cold-medications-2017-2019
      March 24, 2021 - Study US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017-2019. Citation Text: Mital R, Lovegrove MC, Moro RN, et al. US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017-2019. Pharmacoepid…

4437. Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. | PSNet
      psnet.ahrq.gov/issue/observational-evidence-prevalence-and-association-polypharmacy-and-drug-administration-errors
      August 11, 2021 - Study Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. Citation Text: Savva G, Papastavrou E, Charalambous A, et al. Observational evidence of the prevalence and association of polypharmacy and drug ad…

4438. An initiative to reduce insulin-related adverse drug events in a children's hospital. | PSNet
      psnet.ahrq.gov/issue/initiative-reduce-insulin-related-adverse-drug-events-childrens-hospital
      March 24, 2021 - Study An initiative to reduce insulin-related adverse drug events in a children's hospital. Citation Text: Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds…

4439. SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study. | PSNet
      psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-reports-due
      June 01, 2016 - Study SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study. Citation Text: Randmaa M, Mårtensson G, Swenne CL, et al. SBAR improves communication and safety climate and decreas…

4440. Are parents who feel the need to watch over their children's care better patient safety partners? | PSNet
      psnet.ahrq.gov/issue/are-parents-who-feel-need-watch-over-their-childrens-care-better-patient-safety-partners
      July 22, 2013 - Study Are parents who feel the need to watch over their children's care better patient safety partners? Citation Text: Cox E, Hansen K, Rajamanickam VP, et al. Are Parents Who Feel the Need to Watch Over Their Children's Care Better Patient Safety Partners? Hosp Pediatr. 2017;7(12):716-7…