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  1. An mHealth design to promote medication safety in children with medical complexity. | PSNet

    psnet.ahrq.gov/issue/mhealth-design-promote-medication-safety-children-medical-complexity
    July 14, 2010 - Study An mHealth design to promote medication safety in children with medical complexity. Citation Text: Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000…

  2. 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…

  3. 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…

  4. 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…

  5. 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…

  6. 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…

  7. 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…

  8. 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…

  9. 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…

  10. 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;…

  11. 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…

  12. 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…

  13. 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…

  14. 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…

  15. 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…

  16. Are autopsy findings still relevant to the management of critically ill patients in the modern era? | PSNet

    psnet.ahrq.gov/issue/are-autopsy-findings-still-relevant-management-critically-ill-patients-modern-era
    April 22, 2015 - Study Are autopsy findings still relevant to the management of critically ill patients in the modern era? Citation Text: Fröhlich S, Ryan O, Murphy N, et al. Are autopsy findings still relevant to the management of critically ill patients in the modern era? Crit Care Med. 2014;42(2):336…

  17. Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/organisational-crisis-resource-management-leading-academic-department-emergency-medicine
    September 29, 2021 - Commentary Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. Citation Text: Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic department of emergency medicine t…

  18. National costs of the medical liability system. | PSNet

    psnet.ahrq.gov/issue/national-costs-medical-liability-system
    May 20, 2015 - Study Classic National costs of the medical liability system. Citation Text: Mello MM, Chandra A, Gawande AA, et al. National costs of the medical liability system. Health Aff (Millwood). 2010;29(9):1569-1577. doi:10.1377/hlthaff.2009.0807. Copy Citation F…

  19. Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis. | PSNet

    psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi
    August 17, 2022 - Study Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis. Citation Text: Paulik O, Hallen J, Lapkin S, et al. Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analys…

  20. Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards. | PSNet

    psnet.ahrq.gov/issue/outreach-and-early-warning-systems-ews-prevention-intensive-care-admission-and-death
    September 20, 2011 - Review Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards. Citation Text: McGaughey J, Alderdice F, Fowler RA, et al. Outreach and Early Warning Systems (EWS) for the prevention of…
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