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  1. psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital-adverse
    March 30, 2022 - Study Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety events. Citation Text: Eriksson CO, Ovregaard N, Hansen M, et al. Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety ev…
  2. psnet.ahrq.gov/issue/impact-altering-referral-threshold-out-hours-primary-care-hospital-patient-safety-and-further
    February 02, 2022 - Study Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study. Citation Text: Svedahl ER, Pape K, Austad B, et al. Impact of altering referral threshold from out-of-hours primary care to hospital on…
  3. psnet.ahrq.gov/issue/deficient-care-patient-who-died-suicide-and-facility-leaders-response-charlie-norwood-va
    November 29, 2023 - Book/Report Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. Citation Text: Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center …
  4. psnet.ahrq.gov/issue/inviting-patients-identify-diagnostic-concerns-through-structured-evaluation-their-online
    March 03, 2021 - Study Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. Citation Text: Giardina TD, Choi DT, Upadhyay DK, et al. Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. J Am Me…
  5. psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center
    February 16, 2022 - Study Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. Citation Text: Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: a…
  6. psnet.ahrq.gov/issue/low-rate-completion-recommended-tests-and-referrals-academic-primary-care-practice-resident
    January 17, 2024 - Study Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. Citation Text: Amat MJ, Anderson TS, Shafiq U, et al. Low rate of completion of recommended tests and referrals in an academic primary care practice with resident …
  7. psnet.ahrq.gov/issue/we-want-know-patient-comfort-speaking-about-breakdowns-care-and-patient-experience
    May 20, 2020 - Study Emerging Classic We want to know: patient comfort speaking up about breakdowns in care and patient experience. Citation Text: Fisher K, Smith KM, Gallagher TH, et al. We want to know: patient comfort speaking up about breakdowns in care and patient experie…
  8. psnet.ahrq.gov/issue/systematic-review-methods-medical-record-analysis-detect-adverse-events-hospitalized-patients
    December 14, 2022 - Review A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. Citation Text: Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.…
  9. psnet.ahrq.gov/issue/associations-workflow-disruptions-operating-room-surgical-outcomes-systematic-review-and
    April 03, 2019 - Review Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. Citation Text: Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with surgical outcomes: a systematic revie…
  10. psnet.ahrq.gov/issue/do-patient-engagement-interventions-work-all-patients-systematic-review-and-realist-synthesis
    May 25, 2022 - Review Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety. Citation Text: Newman B, Joseph K, Chauhan A, et al. Do patient engagement interventions work for all patients? A systematic review and …
  11. psnet.ahrq.gov/issue/influence-doctor-patient-conversations-behaviours-patients-presenting-primary-care-new-or
    February 17, 2021 - Study Influence of doctor–patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study. Citation Text: Amelung D, Whitaker KL, Lennard D, et al. Influence of doctor-patient conversations on behaviours of patients pr…
  12. psnet.ahrq.gov/issue/healthcare-system-wide-implementation-opioid-safety-guideline-recommendations-case-urine-drug
    August 11, 2021 - Study Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration. Citation Text: Brennan PL, Del Re AC, Henderson PT, et al. Healthcare sy…
  13. psnet.ahrq.gov/issue/critical-care-teamwork-future-role-teamstepps-covid-19-pandemic-and-implications-future
    December 14, 2022 - Study Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. Citation Text: Terregino CA, Jagpal S, Parikh P, et al. Critical Care Teamwork in the Future: The Role of Critical care teamwork in the future: the role of TeamSTE…
  14. psnet.ahrq.gov/issue/implicit-racial-bias-health-care-provider-attitudes-and-perceptions-health-care-quality-among
    March 31, 2021 - Study Implicit racial bias, health care provider attitudes, and perceptions of health care quality among African American college students in Georgia, USA. Citation Text: Armstrong-Mensah E, Rasheed N, Williams D, et al. Implicit racial bias, health care provider attitudes, and perceptio…
  15. psnet.ahrq.gov/issue/improving-appropriate-use-peripherally-inserted-central-catheters-through-statewide
    April 14, 2021 - Study Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hospital initiative: a cost-effectiveness analysis. Citation Text: Heath M, Bernstein SJ, Paje D, et al. Improving appropriate use of peripherally inserted central catheters throu…
  16. psnet.ahrq.gov/issue/information-technology-interventions-improve-medication-safety-primary-care-systematic-review
    July 29, 2020 - Review Information technology interventions to improve medication safety in primary care: a systematic review. Citation Text: Lainer M, Mann E, Sönnichsen A. Information technology interventions to improve medication safety in primary care: a systematic review. Int J Qual Health Care. 20…
  17. psnet.ahrq.gov/issue/professional-structural-and-organisational-interventions-primary-care-reducing-medication
    December 16, 2020 - Review Professional, structural and organisational interventions in primary care for reducing medication errors. Citation Text: Khalil H, Bell BG, Chambers H, et al. Professional, structural and organisational interventions in primary care for reducing medication errors. Cochrane Databas…
  18. psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening
    May 21, 2009 - Study Validation of hospital administrative dataset for adverse event screening. Citation Text: Verelst S, Jacques J, Van den Heede K, et al. Validation of Hospital Administrative Dataset for adverse event screening. Qual Saf Health Care. 2010;19(5):e25. doi:10.1136/qshc.2009.034306. …
  19. 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…
  20. psnet.ahrq.gov/issue/processes-identifying-and-reviewing-adverse-events-and-near-misses-academic-medical-center
    September 25, 2024 - Study Processes for identifying and reviewing adverse events and near misses at an academic medical center. Citation Text: Martinez W, Lehmann LS, Hu Y-Y, et al. Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center. Jt Comm J Qual Patient S…

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