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  1. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. | PSNet

    psnet.ahrq.gov/issue/harmful-medication-errors-children-5-year-analysis-data-usps-medmarxr-program
    July 12, 2010 - Study Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. Citation Text: Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8. …

  2. Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical
    March 13, 2013 - Review Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. Citation Text: Hempel S, Maggard-Gibbons M, Nguyen DK, et al. Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Even…

  3. Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. | PSNet

    psnet.ahrq.gov/issue/patient-outcomes-after-opioid-dose-reduction-among-patients-chronic-opioid-therapy
    April 27, 2022 - Study Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. Citation Text: Hallvik SE, El Ibrahimi S, Johnston K, et al. Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. Pain. 2022;163(1):83-90. doi:10.1097/j.pain…

  4. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0255_06-25-2010.pdf
    January 01, 2010 - Effective Health Care Topic Number(s): 0272 Document Completion Date: 10-12-10 1 Results of Topic Selection Process & Next Steps  Intravascular diagnostic procedures and imaging techniques compared to angiography will go forward for refinement as a systematic review. The scope of this topic, incl…

  5. Evaluating the effect of data standardization and validation on patient matching accuracy. | PSNet

    psnet.ahrq.gov/issue/evaluating-effect-data-standardization-and-validation-patient-matching-accuracy
    November 28, 2018 - Study Evaluating the effect of data standardization and validation on patient matching accuracy. Citation Text: Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1…

  6. Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/clinician-distress-and-inappropriate-antibiotic-prescribing-acute-respiratory-tract
    December 02, 2020 - Study Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. Citation Text: Brady KJS, Barlam TF, Trockel MT, et al. Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infectio…

  7. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. | PSNet

    psnet.ahrq.gov/issue/escalation-care-and-failure-rescue-multicenter-multiprofessional-qualitative-study
    September 09, 2015 - Study Classic Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Citation Text: Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery.…

  8. Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-reducing-negative-impact-adverse-events-patients-health-professionals-and
    September 19, 2016 - Study Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. Citation Text: Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health profession…

  9. Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. | PSNet

    psnet.ahrq.gov/issue/classifying-safety-events-related-diagnostic-imaging-safety-reporting-system-using-human
    November 02, 2018 - Study Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. Citation Text: Lacson R, Cochon L, Ip I, et al. Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Frame…

  10. Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-family-member-perspectives-safety-intensive-care-unit-systematic-review
    July 21, 2021 - Review Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. Citation Text: Coombs MA, Statton S, Endacott CV, et al. Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. Int J Qual H…

  11. Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/postsurgical-prescriptions-opioid-naive-patients-and-association-overdose-and-misuse
    October 19, 2022 - Study Classic Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. Citation Text: Brat GA, Agniel D, Beam A, et al. Postsurgical prescriptions for opioid naive patients and association with ov…

  12. Coping strategies in health care providers as second victims: a systematic review. | PSNet

    psnet.ahrq.gov/issue/coping-strategies-health-care-providers-second-victims-systematic-review
    June 30, 2021 - Review Coping strategies in health care providers as second victims: a systematic review. Citation Text: Kappes M, Romero‐García M, Delgado‐Hito P. Coping strategies in health care providers as second victims: a systematic review. Int Nurs Rev. 2021;68(4):471-481. doi:10.1111/inr.12694. …

  13. Challenging authority and speaking up in the operating room environment: a narrative synthesis. | PSNet

    psnet.ahrq.gov/issue/challenging-authority-and-speaking-operating-room-environment-narrative-synthesis
    December 13, 2017 - Review Emerging Classic Challenging authority and speaking up in the operating room environment: a narrative synthesis. Citation Text: Pattni N, Arzola C, Malavade A, et al. Challenging authority and speaking up in the operating room environment: a narrative syn…

  14. Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/surgeon-burnout-impact-patient-safety-and-professionalism-systematic-review-and-meta-analysis
    October 14, 2020 - Review Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis. Citation Text: Al-Ghunaim TA, Johnson J, Biyani CS, et al. Surgeon burnout, impact on patient safety and professionalism: A systematic review and meta-analysis. Am J Surg. 2022;22…

  15. A narrative review of strategies to increase patient safety event reporting by residents. | PSNet

    psnet.ahrq.gov/issue/narrative-review-strategies-increase-patient-safety-event-reporting-residents
    December 02, 2020 - Review A narrative review of strategies to increase patient safety event reporting by residents. Citation Text: Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19…

  16. Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. | PSNet

    psnet.ahrq.gov/issue/prevalence-types-and-sources-bullying-reported-us-general-surgery-residents-2019
    May 06, 2020 - Study Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. Citation Text: Zhang LM, Ellis RJ, Ma M, et al. Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. JAMA. 2020;323(20):2093-2095. doi:10.1001/jama.2…

  17. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. | PSNet

    psnet.ahrq.gov/issue/underreporting-quality-measures-and-associated-facility-characteristics-and-racial
    August 09, 2023 - Study Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. Citation Text: Sanghavi P, Chen Z. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home rati…

  18. Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction. | PSNet

    psnet.ahrq.gov/issue/work-environment-and-operational-failures-associated-nurse-outcomes-patient-safety-and
    March 17, 2021 - Study Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction. Citation Text: Riman KA, Harrison JM, Sloane DM, et al. Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfac…

  19. Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing home residents. | PSNet

    psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing
    July 23, 2008 - Review Classic Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing home residents. Citation Text: Ferrah N, Lovell JJ, Ibrahim JE. Systematic Review of the Prevalence of Medication Errors Resulting in Hospit…

  20. The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. | PSNet

    psnet.ahrq.gov/issue/physiology-failure-identifying-risk-factors-mortality-emergency-general-surgery-patients
    March 23, 2022 - Study The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. Citation Text: Baimas-George M, Ross SW, Hetherington T, et al. The physiology of failure: identifying risk f…
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