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National Patient Safety Foundation agenda for research and development in patient safety. | PSNet

psnet.ahrq.gov/issue/national-patient-safety-foundation-agenda-research-and-development-patient-safety

June 16, 2011 - Commentary Classic National Patient Safety Foundation agenda for research and development in patient safety. Citation Text: Cooper JB, Gaba DM, Liang B, et al. The National Patient Safety Foundation agenda for research and development in patient safety. MedGenMe…

Missed opportunities for diagnosing brain tumours in primary care: a qualitative study of patient experiences. | PSNet

psnet.ahrq.gov/issue/missed-opportunities-diagnosing-brain-tumours-primary-care-qualitative-study-patient

August 04, 2021 - Study Missed opportunities for diagnosing brain tumours in primary care: a qualitative study of patient experiences. Citation Text: Walter FM, Penfold C, Joannides A, et al. Missed opportunities for diagnosing brain tumours in primary care: a qualitative study of patient experiences. Br…

Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits. | PSNet

psnet.ahrq.gov/issue/interns-compliance-accreditation-council-graduate-medical-education-work-hour-limits

January 07, 2011 - Study Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits. Citation Text: Landrigan CP, Barger LK, Cade BE, et al. Interns' compliance with accreditation council for graduate medical education work-hour limits. JAMA. 2006;296(9):1063-70. Cop…

Impact of rapid response system implementation on critical deterioration events in children. | PSNet

psnet.ahrq.gov/issue/impact-rapid-response-system-implementation-critical-deterioration-events-children

November 06, 2015 - Study Impact of rapid response system implementation on critical deterioration events in children. Citation Text: Bonafide CP, Localio R, Roberts KE, et al. Impact of rapid response system implementation on critical deterioration events in children. JAMA Pediatr. 2014;168(1):25-33. doi:1…

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/surgical-safety-checklist-and-patient-outcomes-after-surgery-prospective-observational-cohort

May 28, 2015 - Study Classic The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis. Citation Text: Abbott TEF, Ahmad T, Phull MK, et al. The surgical safety checklist and patient outcomes…

Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. | PSNet

psnet.ahrq.gov/issue/factors-influencing-nurses-decision-question-medication-administration-neonatal-clinical-care

April 21, 2021 - Study Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. Citation Text: Aydon L, Hauck Y, Zimmer M, et al. Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. J Clin Nur…

Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-hospital-pharmacists-engagement-medication-safety-activities

April 15, 2016 - Study Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework. Citation Text: Mekonnen AB, McLachlan AJ, Brien J-AE, et al. Barriers and facilitators to hospital pharmacists' engagement in …

Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time-critical medications. | PSNet

psnet.ahrq.gov/issue/multicentre-study-develop-medication-safety-package-decreasing-inpatient-harm-omission-time

May 18, 2022 - Study Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time-critical medications. Citation Text: Graudins LV, Ingram C, Smith BT, et al. Multicentre study to develop a medication safety package for decreasing inpatient harm from omis…

Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. | PSNet

psnet.ahrq.gov/issue/are-adverse-events-related-completeness-clinical-records-results-retrospective-records-review

July 01, 2009 - Study Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. Citation Text: Scarpis E, Cautero P, Tullio A, et al. Are adverse events related to the completeness of clinical records? Results from a re…

Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. | PSNet

psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic

October 19, 2022 - Study Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. Citation Text: Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a reali…

Inpatient safety outcomes following the 2011 residency work-hour reform. | PSNet

psnet.ahrq.gov/issue/inpatient-safety-outcomes-following-2011-residency-work-hour-reform

September 04, 2013 - Study Inpatient safety outcomes following the 2011 residency work-hour reform. Citation Text: Block L, Jarlenski M, Wu AW, et al. Inpatient safety outcomes following the 2011 residency work-hour reform. J Hosp Med. 2014;9(6). doi:10.1002/jhm.2171. Copy Citation Format: DOI …

Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness | PSNet

psnet.ahrq.gov/issue/improving-diagnostic-fidelity-approach-standardizing-process-patients-emerging-critical

August 04, 2021 - Journal Article Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness Citation Text: Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Criti…

Effectiveness of written hospitalist sign-outs in answering overnight inquiries. | PSNet

psnet.ahrq.gov/issue/effectiveness-written-hospitalist-sign-outs-answering-overnight-inquiries

January 15, 2014 - Study Effectiveness of written hospitalist sign-outs in answering overnight inquiries. Citation Text: Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090. C…

Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission? | PSNet

psnet.ahrq.gov/issue/do-ahrq-patient-safety-indicators-flag-conditions-are-present-time-hospital-admission

September 12, 2016 - Study Classic Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission? Citation Text: Bahl V, Thompson MA, Kau T-Y, et al. Do the AHRQ patient safety indicators flag conditions that are present at the time of ho…

A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. | PSNet

psnet.ahrq.gov/issue/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and

May 01, 2019 - Review A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. Citation Text: Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;…

Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event detection. | PSNet

psnet.ahrq.gov/issue/monitoring-harm-associated-use-anticoagulants-pediatric-populations-through-trigger-based

November 11, 2015 - Study Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event detection. Citation Text: Patregnani JT, Spaeder MC, Lemon V, et al. Monitoring the harm associated with use of anticoagulants in pediatric populations t…

Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017 | PSNet

psnet.ahrq.gov/issue/indication-specific-opioid-prescribing-us-patients-medicaid-or-private-insurance-2017

August 02, 2017 - Study Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017 Citation Text: Mikosz CA, Zhang K, Haegerich TM, et al. Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017. JAMA Netw Open. 2020;3(5). doi:10…

Can residents detect errors in technique while observing central line insertions? | PSNet

psnet.ahrq.gov/issue/can-residents-detect-errors-technique-while-observing-central-line-insertions

April 12, 2019 - Study Can residents detect errors in technique while observing central line insertions? Citation Text: Pei K, Merola J, Davis KA, et al. Can residents detect errors in technique while observing central line insertions? Am J Surg. 2017;213(6):1166-1170.e1. doi:10.1016/j.amjsurg.2016.08.02…

A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. | PSNet

psnet.ahrq.gov/issue/steep-increase-domestic-fatal-medication-errors-use-alcohol-andor-street-drugs

September 20, 2011 - Study A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. Citation Text: Phillips DP, Barker GEC, Eguchi MM. A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. Arch Intern Med. 2008;168(14):1561-6. doi:1…

Effect of pharmacist email alerts on concurrent prescribing of opioids and benzodiazepines by prescribers and primary care managers: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-pharmacist-email-alerts-concurrent-prescribing-opioids-and-benzodiazepines-prescribers

September 07, 2022 - Study Effect of pharmacist email alerts on concurrent prescribing of opioids and benzodiazepines by prescribers and primary care managers: a randomized clinical trial. Citation Text: Sacarny A, Safran E, Steffel M, et al. Effect of pharmacist email alerts on concurrent prescribing of opi…

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