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  1. psnet.ahrq.gov/issue/readmission-after-delayed-diagnosis-surgical-site-infection-focus-prevention-using-american
    September 22, 2021 - Study Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. Citation Text: Gibson A, Tevis S, Kennedy G. Readmission after delayed diagnosis of surgical site infection: a…
  2. psnet.ahrq.gov/issue/making-inpatient-medication-reconciliation-patient-centered-clinically-relevant-and
    January 14, 2009 - Commentary Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps. Citation Text: Greenwald JL, Halasyamani L, Greene J, et al. Making inpatient medication reconciliation pati…
  3. psnet.ahrq.gov/issue/putting-out-fires-qualitative-study-exploring-use-patient-complaints-drive-improvement-three
    October 27, 2021 - Study Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. Citation Text: Liu JJ, Rotteau L, Bell CM, et al. Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at …
  4. psnet.ahrq.gov/issue/association-between-hospital-acquired-harm-outcomes-and-membership-national-patient-safety
    June 29, 2022 - Study Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. Citation Text: Coffey M, Marino M, Lyren A, et al. Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. JAMA Ped…
  5. psnet.ahrq.gov/issue/analysis-23364-patient-generated-physician-reviewed-malpractice-claims-non-tort-blame-free
    December 18, 2017 - Study Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden. Citation Text: Pukk-Härenstam K, Ask J, Brommels M, et al. Analysis of 23 364 patient-generated, physician-revi…
  6. psnet.ahrq.gov/issue/effect-barcode-technology-medication-preparation-safety-quasi-experimental-study
    December 01, 2021 - Study Effect of barcode technology on medication preparation safety: a quasi-experimental study. Citation Text: Küng K, Aeschbacher K, Rütsche A, et al. Effect of barcode technology on medication preparation safety: a quasi-experimental study. Int J Qual Health Care. 2021;33(1). doi:10.1…
  7. psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-systems
    October 04, 2011 - Study Classic The long road to patient safety: a status report on patient safety systems. Citation Text: Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. Copy Citation …
  8. psnet.ahrq.gov/issue/including-reason-use-prescriptions-sent-pharmacists-scoping-review
    March 10, 2021 - Review Including the reason for use on prescriptions sent to pharmacists: scoping review. Citation Text: Mercer K, Carter C, Burns C, et al. Including the reason for use on prescriptions sent to pharmacists: scoping review. JMIR Hum Factors. 2021;8(4):e22325. doi:10.2196/22325. Copy Ci…
  9. psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events
    February 03, 2021 - Study Suffering in silence: a qualitative study of second victims of adverse events. Citation Text: Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035. Co…
  10. psnet.ahrq.gov/issue/what-extent-are-patients-involved-researching-safety-acute-mental-healthcare
    August 18, 2021 - Review To what extent are patients involved in researching safety in acute mental healthcare? Citation Text: Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s4…
  11. psnet.ahrq.gov/issue/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
    September 29, 2021 - Study Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Citation Text: Searns JB, Williams MC, MacBrayne CE, et al. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Diagnosis (Berl). 2021;8(3):347-352. doi…
  12. psnet.ahrq.gov/issue/magnitude-and-modifiers-weekend-effect-hospital-admissions-systematic-review-and-meta
    November 25, 2020 - Review Emerging Classic Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. Citation Text: Chen Y-F, Armoiry X, Higenbottam C, et al. Magnitude and modifiers of the weekend effect in hospital admissions: a…
  13. psnet.ahrq.gov/issue/medication-related-medical-emergency-team-activations-case-review-study-frequency-and
    October 27, 2021 - Study Medication-related medical emergency team activations: a case review study of frequency and preventability. Citation Text: Levkovich BJ, Orosz J, Bingham G, et al. Medication-related Medical Emergency Team activations: a case review study of frequency and preventability. BMJ Qual S…
  14. psnet.ahrq.gov/issue/rapid-expansion-healing-emotional-lives-peers-program-during-covid-19-second-victim-peer
    June 05, 2024 - Study Rapid expansion of the Healing Emotional Lives of Peers program during COVID-19: a second victim peer support program for healthcare professionals. Citation Text: Rivera-Chiauzzi EY, Huang L, Osborne AK, et al. Rapid expansion of the Healing Emotional Lives of Peers program during …
  15. psnet.ahrq.gov/issue/improving-transfusion-safety-operating-room-barcode-scanning-system-designed-specifically
    February 01, 2023 - Study Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. Citation Text: Vanneman MW, Balakrishna A, Lang AL, et al. Impro…
  16. psnet.ahrq.gov/issue/association-between-language-use-and-icu-transfer-and-serious-adverse-events-hospitalized
    May 18, 2022 - Study Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation. Citation Text: McDade JE, Olszewski AE, Qu P, et al. Association between language use and ICU transfer and serious adverse event…
  17. psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes
    October 07, 2020 - Study Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. Citation Text: Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…
  18. psnet.ahrq.gov/issue/association-opioid-prescriptions-dental-clinicians-us-adolescents-and-young-adults-subsequent
    May 18, 2022 - Study Association of opioid prescriptions from dental clinicians for US adolescents and young adults with subsequent opioid use and abuse. Citation Text: Schroeder AR, Dehghan M, Newman TB, et al. Association of Opioid Prescriptions From Dental Clinicians for US Adolescents and Young Adu…
  19. psnet.ahrq.gov/issue/simulation-based-event-analysis-improves-error-discovery-and-generates-improved-strategies
    July 07, 2021 - Study Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Citation Text: Lobos A-T, Ward N, Farion KJ, et al. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Simu…
  20. psnet.ahrq.gov/issue/review-medication-errors-and-second-victim-pediatric-pharmacy
    January 27, 2019 - Review A review of medication errors and the second victim in pediatric pharmacy. Citation Text: Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100. …