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  1. Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit. | PSNet

    psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall
    March 27, 2019 - Study Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit. Citation Text: Dykes PC, Duckworth M, Cunningham S, et al. Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a Patient-Centered Fall Prevention Tool…

  2. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. | PSNet

    psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention
    January 12, 2022 - Review Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. Citation Text: Leland NE, Lekovitch C, Martínez J, et al. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention int…

  3. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. | PSNet

    psnet.ahrq.gov/issue/effects-racial-bias-pulse-oximetry-children-and-how-address-algorithmic-bias-clinical
    May 08, 2017 - Commentary Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. Citation Text: Gray KD, Subramaniam HL, Huang ES. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. JAMA …

  4. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort-study
    April 13, 2022 - Study Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. Citation Text: Shafer GJ, Singh H, Thomas EJ, et al. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. J Perinatol. 2022;42(10):1312-131…

  5. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. | PSNet

    psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
    June 22, 2022 - Study Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. Citation Text: Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults…

  6. Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. | PSNet

    psnet.ahrq.gov/issue/contributors-diagnostic-error-or-delay-acute-care-setting-survey-clinical-stakeholders
    May 26, 2021 - Study Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. Citation Text: Redmond S, Barwise A, Zornes S, et al. Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. Health Serv Insights…

  7. Burns surgery handover study: trainees' assessment of current practice in the British Isles. | PSNet

    psnet.ahrq.gov/issue/burns-surgery-handover-study-trainees-assessment-current-practice-british-isles
    February 01, 2013 - Study Burns surgery handover study: trainees' assessment of current practice in the British Isles. Citation Text: Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns surgery handover study: trainees' assessment of current practice in the British Isles. Burns. 2009;35(4):509-12. doi:10.1016/j.bu…

  8. Adverse events in women giving birth in a labor ward: a retrospective record review study. | PSNet

    psnet.ahrq.gov/issue/adverse-events-women-giving-birth-labor-ward-retrospective-record-review-study
    April 14, 2021 - Study Adverse events in women giving birth in a labor ward: a retrospective record review study. Citation Text: Skoogh A, Hall-Lord ML, Bååth C, et al. Adverse events in women giving birth in a labor ward: a retrospective record review study. BMC Health Serv Res. 2021;21(1):1093. doi:10.…

  9. US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. | PSNet

    psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016
    January 23, 2017 - Study US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. Citation Text: Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558. doi:10.1001/jam…

  10. The potential for improved teamwork to reduce medical errors in the emergency department. | PSNet

    psnet.ahrq.gov/issue/potential-improved-teamwork-reduce-medical-errors-emergency-department
    July 07, 2021 - Review Classic The potential for improved teamwork to reduce medical errors in the emergency department. Citation Text: Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg M…

  11. Complexity and challenges of the clinical diagnosis and management of Long COVID. | PSNet

    psnet.ahrq.gov/issue/complexity-and-challenges-clinical-diagnosis-and-management-long-covid
    January 12, 2022 - Study Complexity and challenges of the clinical diagnosis and management of Long COVID. Citation Text: O’Hare AM, Vig EK, Iwashyna TJ, et al. Complexity and challenges of the clinical diagnosis and management of Long COVID. JAMA Netw Open. 2022;5(11):e2240332. doi:10.1001/jamanetworkopen…

  12. Honesty and transparency, indispensable to the clinical mission--Parts I-III. | PSNet

    psnet.ahrq.gov/issue/honesty-and-transparency-indispensable-clinical-mission-parts-i-iii
    November 11, 2020 - Commentary Honesty and transparency, indispensable to the clinical mission--Parts I-III. Citation Text: Brenner MJ, Boothman RC, Rushton CH, et al. Honesty and Transparency, Indispensable to the Clinical Mission—Parts I - III. Otolaryngol Clin North Am. 2021;55(1):43-103. doi:10.1016/j.o…

  13. Preventable harm occurring to critically ill children. | PSNet

    psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children
    September 28, 2010 - Study Preventable harm occurring to critically ill children. Citation Text: Larsen G, Donaldson AE, Parker HB, et al. Preventable harm occurring to critically ill children. Pediatr Crit Care Med. 2007;8(4):331-336. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  14. Eliminating explicit and implicit biases in health care: evidence and research needs. | PSNet

    psnet.ahrq.gov/issue/eliminating-explicit-and-implicit-biases-health-care-evidence-and-research-needs
    May 11, 2016 - Review Eliminating explicit and implicit biases in health care: evidence and research needs. Citation Text: Vela MB, Erondu AI, Smith NA, et al. Eliminating explicit and implicit biases in health care: evidence and research needs. Annu Rev Public Health. 2022;43(1):477-501. doi:10.1146/…

  15. The safety of health care for ethnic minority patients: a systematic review. | PSNet

    psnet.ahrq.gov/issue/safety-health-care-ethnic-minority-patients-systematic-review
    May 25, 2022 - Review The safety of health care for ethnic minority patients: a systematic review. Citation Text: Chauhan A, Walton M, Manias E, et al. The safety of health care for ethnic minority patients: a systematic review. Int J Equity Health. 2020;19(1):118. doi:10.1186/s12939-020-01223-2. Cop…

  16. Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration. | PSNet

    psnet.ahrq.gov/issue/bariatric-surgery-operating-room-teams-stayed-fixed-during-day-multicenter-study-analyzing
    December 21, 2014 - Study Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration. Citation Text: Stepaniak PS, Heij C, Buise MP, et al. Bariatric surgery with operating r…

  17. Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. | PSNet

    psnet.ahrq.gov/issue/supporting-error-management-and-safety-climate-ambulatory-care-practices-cirsforte-study
    September 07, 2022 - Study Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. Citation Text: Müller BS, Lüttel D, Schütze D, et al. Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. J Patient Saf. 2024;20(5):314-32…

  18. Medication errors' causes analysis in home care setting: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-causes-analysis-home-care-setting-systematic-review
    August 17, 2022 - Review Medication errors' causes analysis in home care setting: a systematic review. Citation Text: Dionisi S, Di Simone E, Liquori G, et al. Medication errors' causes analysis in home care setting: A systematic review. Public Health Nurs. 2022;39(4):876-897. doi:10.1111/phn.13037. Cop…

  19. Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. | PSNet

    psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during
    April 24, 2018 - Study Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. Citation Text: Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home a…

  20. The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. | PSNet

    psnet.ahrq.gov/issue/impact-missed-nursing-care-or-care-not-done-adults-health-care-rapid-review-consensus
    October 27, 2021 - Review The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. Citation Text: Willis E, Brady C. The impact of “missed nursing care” or “care not done” on adults in health care: A rapid review for the Consensu…
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