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Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. | PSNet

psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans

January 02, 2017 - Study Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. Citation Text: Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs…

Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. | PSNet

psnet.ahrq.gov/issue/urgent-referrals-primary-care-dermatology-lesions-suspicious-skin-cancer-patterns-outcomes

November 02, 2022 - Study Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. Citation Text: Pagani K, Lukac D, Olbricht SM, et al. Urgent referrals from primary care to dermatology for lesions suspicious for skin ca…

Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. | PSNet

psnet.ahrq.gov/issue/soft-factors-smooth-transport-role-safety-climate-and-team-processes-reducing-adverse-events

September 27, 2016 - Commentary Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. Citation Text: Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and…

Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study. | PSNet

psnet.ahrq.gov/issue/impact-altering-referral-threshold-out-hours-primary-care-hospital-patient-safety-and-further

February 02, 2022 - Study Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study. Citation Text: Svedahl ER, Pape K, Austad B, et al. Impact of altering referral threshold from out-of-hours primary care to hospital on…

Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/interventions-reduce-adverse-drug-event-related-outcomes-older-adults-systematic-review-and

July 19, 2023 - Review Emerging Classic Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and meta-analysis. Citation Text: Tecklenborg S, Byrne C, Cahir C, et al. Interventions to Reduce Adverse Drug Event-Related Outcomes in Olde…

Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. | PSNet

psnet.ahrq.gov/issue/missed-serious-neurologic-conditions-emergency-department-patients-discharged-nonspecific

April 08, 2018 - Study Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. Citation Text: Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecifi…

A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. | PSNet

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May 11, 2022 - Study A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. Citation Text: Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and guidance rega…

Characterization of interventions to reduce the frequency of critical medication doses missed or delayed during perioperative and unit-to-unit patient transfers. | PSNet

psnet.ahrq.gov/issue/characterization-interventions-reduce-frequency-critical-medication-doses-missed-or-delayed

November 16, 2016 - Study Characterization of interventions to reduce the frequency of critical medication doses missed or delayed during perioperative and unit-to-unit patient transfers. Citation Text: Cole E, Duncan R, Grucz T, et al. Characterization of interventions to reduce the frequency of critical m…

Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. | PSNet

psnet.ahrq.gov/issue/compensation-claims-danish-emergency-care-identifying-hot-spots-and-blind-spots-quality-care

November 03, 2021 - Study Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. Citation Text: Morsø L, Birkeland S, Walløe S, et al. Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. Jt Comm J Qu…

Overprescribing of opioids to adults by dentists in the U.S., 2011-2015. | PSNet

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October 07, 2020 - Study Overprescribing of opioids to adults by dentists in the U.S., 2011-2015. Citation Text: Suda KJ, Zhou J, Rowan SA, et al. Overprescribing of opioids to adults by dentists in the U.S., 2011-2015. Am J Prev Med. 2020;58(4):473-486. doi:10.1016/j.amepre.2019.11.006. Copy Citation …

Overdose risk in young children of women prescribed opioids. | PSNet

psnet.ahrq.gov/issue/overdose-risk-young-children-women-prescribed-opioids

September 07, 2016 - Study Overdose risk in young children of women prescribed opioids. Citation Text: Finkelstein Y, Macdonald EM, Gonzalez A, et al. Overdose Risk in Young Children of Women Prescribed Opioids. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-2887. Copy Citation Format: DOI Goog…

Relationship between occurrence of surgical complications and hospital finances. | PSNet

psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances

April 21, 2015 - Study Classic Relationship between occurrence of surgical complications and hospital finances. Citation Text: Eappen S, Lane BH, Rosenberg B, et al. Relationship between occurrence of surgical complications and hospital finances. JAMA. 2013;309(15):1599-606. doi…

Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist. | PSNet

psnet.ahrq.gov/issue/reducing-surgical-mortality-scotland-use-who-surgical-safety-checklist

February 09, 2011 - Study Classic Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist. Citation Text: Ramsay G, Haynes AB, Lipsitz SR, et al. Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist. Br J Surg. 2019;106(8):…

Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals. | PSNet

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December 04, 2016 - Study Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals. Citation Text: Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences a…

Assessment of patient retention of inpatient care information post-hospitalization. | PSNet

psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization

June 01, 2022 - Study Assessment of patient retention of inpatient care information post-hospitalization. Citation Text: Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j…

What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. | PSNet

psnet.ahrq.gov/issue/what-can-we-learn-depth-analysis-human-errors-resulting-diagnostic-errors-emergency

June 08, 2022 - Study What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. Citation Text: Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors resul…

The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-transitions-intervention-ensure-patient-safety-and-satisfaction-when-transferred

October 20, 2021 - Review The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review. Citation Text: Oksholm T, Gissum KR, Hunskår I, et al. The effect of transitions intervention to ensure patient safety and satis…

Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. | PSNet

psnet.ahrq.gov/issue/healthcare-associated-adverse-events-alternate-level-care-patients-awaiting-long-term-care

March 17, 2021 - Study Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. Citation Text: Lim Fat GJ, Gopaul A, Pananos AD, et al. Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. Geriat…

What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones. | PSNet

psnet.ahrq.gov/issue/what-every-graduating-resident-needs-know-about-quality-improvement-and-patient-safety

March 29, 2023 - Study What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones. Citation Text: Lane-Fall MB, Davis JJ, Clapp JT, et al. What Every Graduating Resident Needs to Know About Quality Improvement and Patient S…

Financial incentives to reduce hospital-acquired infections under alternative payment arrangements. | PSNet

psnet.ahrq.gov/issue/financial-incentives-reduce-hospital-acquired-infections-under-alternative-payment

September 29, 2017 - Study Financial incentives to reduce hospital-acquired infections under alternative payment arrangements. Citation Text: Cohen CC, Liu J, Cohen B, et al. Financial Incentives to Reduce Hospital-Acquired Infections Under Alternative Payment Arrangements. Infect Control Hosp Epidemiol. 201…

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