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  1. Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. | PSNet

    psnet.ahrq.gov/issue/prescription-errors-and-outcomes-related-inconsistent-information-transmitted-through
    April 04, 2011 - Study Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. Citation Text: Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information transmitted through compu…

  2. Interventions employed to improve intrahospital handover: a systematic review. | PSNet

    psnet.ahrq.gov/issue/interventions-employed-improve-intrahospital-handover-systematic-review
    January 20, 2015 - Review Interventions employed to improve intrahospital handover: a systematic review. Citation Text: Robertson ER, Morgan L, Bird S, et al. Interventions employed to improve intrahospital handover: a systematic review. BMJ Qual Saf. 2014;23(7):600-7. doi:10.1136/bmjqs-2013-002309. Copy…

  3. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/pharmacist-participation-physician-rounds-and-adverse-drug-events-intensive-care-unit
    February 10, 2011 - Study Classic Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. Citation Text: Leape L, Cullen DJ, Clapp M, et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. J…

  4. Rates and types of events reported to established incident reporting systems in two US hospitals. | PSNet

    psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
    January 02, 2017 - Study Rates and types of events reported to established incident reporting systems in two US hospitals. Citation Text: Nuckols TK, Bell D, Liu H, et al. Rates and types of events reported to established incident reporting systems in two US hospitals. Qual Saf Health Care. 2007;16(3):16…

  5. Supratherapeutic dosing of acetaminophen among hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospitalized-patients
    February 14, 2017 - Study Supratherapeutic dosing of acetaminophen among hospitalized patients. Citation Text: Zhou L, Maviglia SM, Mahoney LM, et al. Supratherapeutic dosing of acetaminophen among hospitalized patients. Arch Intern Med. 2012;172(22):1721-8. Copy Citation Format: Google Schola…

  6. Safer prescribing—a trial of education, informatics, and financial incentives. | PSNet

    psnet.ahrq.gov/issue/safer-prescribing-trial-education-informatics-and-financial-incentives
    July 06, 2011 - Study Classic Safer prescribing—a trial of education, informatics, and financial incentives. Citation Text: Dreischulte T, Donnan P, Grant A, et al. Safer Prescribing--A Trial of Education, Informatics, and Financial Incentives. N Engl J Med. 2016;374(11):1053-6…

  7. Do clinicians know which of their patients have central venous catheters?: A multicenter observational study. | PSNet

    psnet.ahrq.gov/issue/do-clinicians-know-which-their-patients-have-central-venous-catheters-multicenter
    June 08, 2016 - Study Do clinicians know which of their patients have central venous catheters?: A multicenter observational study. Citation Text: Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous catheters?: a multicenter observational study. Ann Intern…

  8. Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. | PSNet

    psnet.ahrq.gov/issue/signal-and-noise-applying-laboratory-trigger-tool-identify-adverse-drug-events-among-primary
    April 25, 2016 - Study Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. Citation Text: Brenner S, Detz A, Lopez A, et al. Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. B…

  9. A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. | PSNet

    psnet.ahrq.gov/issue/risk-analysis-method-evaluate-impact-computerized-provider-order-entry-system-patient-safety
    September 15, 2021 - Study A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. Citation Text: Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a computerized provider order entry system on patient safet…

  10. Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study. | PSNet

    psnet.ahrq.gov/issue/strategies-safe-interhospital-transfer-intubated-patient-or-where-readiness-intubation-needed
    July 31, 2013 - Study Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study. Citation Text: Almqvist D, Norberg D, Larsson F, et al. Strategies for a safe interhospital transfer with an intubated patient or where re…

  11. ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-monitoring-and-patient-education-1
    September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018. Citation Text: Pedersen CA, Schneider PJ, Ganio MC, et al. ASHP national survey of pharmacy practice in hospital settings: Monitoring and patient education-2018. Am J Health Syst …

  12. Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. | PSNet

    psnet.ahrq.gov/issue/opportunities-improvement-nursing-homes-variance-six-patient-safety-climate-factor-scores
    September 29, 2017 - Study Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. Citation Text: Deilkås ECT, Hofoss D, Husebo BS, et al. Opportunities for improvement in nursing homes…

  13. Primary care closed claims experience of Massachusetts malpractice insurers. | PSNet

    psnet.ahrq.gov/issue/primary-care-closed-claims-experience-massachusetts-malpractice-insurers
    August 14, 2017 - Study Classic Primary care closed claims experience of Massachusetts malpractice insurers. Citation Text: Schiff G, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013;173(22):206…

  14. Systems analysis of adverse drug events. | PSNet

    psnet.ahrq.gov/issue/systems-analysis-adverse-drug-events
    February 10, 2011 - Study Classic Systems analysis of adverse drug events. Citation Text: Leape L, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995;274(1):35-43. Copy Citation Format: Google Scholar PubMed B…

  15. Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty. | PSNet

    psnet.ahrq.gov/issue/hindsight-foresight-effect-outcome-knowledge-judgment-under-uncertainty
    July 08, 2020 - Study Classic Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty. Citation Text: Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psycholo…

  16. Negligent care and malpractice claiming behavior in Utah and Colorado. | PSNet

    psnet.ahrq.gov/issue/negligent-care-and-malpractice-claiming-behavior-utah-and-colorado
    June 23, 2015 - Study Classic Negligent care and malpractice claiming behavior in Utah and Colorado. Citation Text: Studdert DM, Thomas EJ, Burstin HR, et al. Negligent care and malpractice claiming behavior in Utah and Colorado. Med Care. 2000;38(3):250-60. Copy Citation …

  17. Patients' experience of patient safety information and participation in care during a hospital stay. | PSNet

    psnet.ahrq.gov/issue/patients-experience-patient-safety-information-and-participation-care-during-hospital-stay
    April 05, 2023 - Study Patients' experience of patient safety information and participation in care during a hospital stay. Citation Text: Tubic B, Finizia C, Zainal Kamil A, et al. Patients' experience of patient safety information and participation in care during a hospital stay. Nurs Open. 2023;10(3):…

  18. Determinants of adverse events in vascular surgery. | PSNet

    psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
    March 21, 2012 - Study Determinants of adverse events in vascular surgery. Citation Text: Hernandez-Boussard T, McDonald KM, Morton J, et al. Determinants of adverse events in vascular surgery. J Am Coll Surg. 2012;214(5):788-97. doi:10.1016/j.jamcollsurg.2012.01.045. Copy Citation Format: …

  19. Using a potentially aggressive/violent patient huddle to improve health care safety. | PSNet

    psnet.ahrq.gov/issue/using-potentially-aggressiveviolent-patient-huddle-improve-health-care-safety
    November 16, 2022 - Commentary Using a potentially aggressive/violent patient huddle to improve health care safety. Citation Text: Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.…

  20. Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. | PSNet

    psnet.ahrq.gov/issue/near-miss-and-maternal-sepsis-mortality-qualitative-study-survivors-and-support-persons
    October 11, 2023 - Study Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Citation Text: Bauer ME, Perez SL, Main EK, et al. Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Eur J Obstet Gynecol Reprod Biol. 2024;29…
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