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  1. Medication-prescribing errors in a teaching hospital: a 9-year experience. | PSNet

    psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital-9-year-experience
    February 10, 2011 - Study Classic Medication-prescribing errors in a teaching hospital: a 9-year experience. Citation Text: Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year experience. Arch Intern Med. 1997;157(14):1569-76. Copy Cit…

  2. Medication order errors at hospital admission among children with medical complexity | PSNet

    psnet.ahrq.gov/issue/medication-order-errors-hospital-admission-among-children-medical-complexity
    July 20, 2022 - Study Medication order errors at hospital admission among children with medical complexity Citation Text: Blaine K, Wright J, Pinkham A, et al. Medication Order Errors at Hospital Admission Among Children With Medical Complexity. J Patient Saf. 2022;18(1):e156-e162. doi:10.1097/pts.00000…

  3. Specifications of computerized provider order entry and clinical decision support systems for cancer patients undergoing chemotherapy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/specifications-computerized-provider-order-entry-and-clinical-decision-support-systems-cancer
    April 24, 2019 - Review Specifications of computerized provider order entry and clinical decision support systems for cancer patients undergoing chemotherapy: a systematic review. Citation Text: Rahimi R, Kazemi A, Moghaddasi H, et al. Specifications of Computerized Provider Order Entry and Clinical Deci…

  4. 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…

  5. Association of past and future paid medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/association-past-and-future-paid-medical-malpractice-claims
    February 01, 2023 - Study Association of past and future paid medical malpractice claims. Citation Text: Hyman DA, Lerner J, Magid DJ, et al. Association of past and future paid medical malpractice claims. JAMA Health Forum. 2023;4(2):e225436. doi:10.1001/jamahealthforum.2022.5436. Copy Citation Forma…

  6. Wound-care teams for preventing and treating pressure ulcers. | PSNet

    psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers
    June 05, 2019 - Review Wound-care teams for preventing and treating pressure ulcers. Citation Text: Moore ZEH, Webster J, Samuriwo R. Wound-care teams for preventing and treating pressure ulcers. Cochrane Database Syst Rev. 2015;9:CD011011. doi:10.1002/14651858.CD011011.pub2. Copy Citation Format:…

  7. Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. | PSNet

    psnet.ahrq.gov/issue/association-hospital-participation-surgical-outcomes-monitoring-program-inpatient
    August 20, 2018 - Study Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. Citation Text: Etzioni DA, Wasif N, Dueck AC, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complicati…

  8. Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery. | PSNet

    psnet.ahrq.gov/issue/association-use-mandatory-prescription-drug-monitoring-program-prescribing-practices-patients
    March 01, 2023 - Study Emerging Classic Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery. Citation Text: Stucke RS, Kelly JL, Mathis KA, et al. Association of the Use of a Mandatory Pre…

  9. Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005. | PSNet

    psnet.ahrq.gov/issue/adverse-outcomes-blood-transfusion-children-analysis-uk-reports-serious-hazards-transfusion
    September 23, 2020 - Study Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005. Citation Text: Stainsby D, Jones H, Wells AW, et al. Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards …

  10. Patients use an internet technology to report when things go wrong. | PSNet

    psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong
    July 21, 2009 - Study Patients use an internet technology to report when things go wrong. Citation Text: Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. Copy Citation Format: Google Scholar PubMe…

  11. Associations between hospital characteristics, measure reporting, and the Centers for Medicare & Medicaid Services overall hospital quality star ratings. | PSNet

    psnet.ahrq.gov/issue/associations-between-hospital-characteristics-measure-reporting-and-centers-medicare-medicaid
    February 14, 2017 - Study Associations between hospital characteristics, measure reporting, and the Centers for Medicare & Medicaid Services overall hospital quality star ratings. Citation Text: DeLancey JO, Softcheck J, Chung JW, et al. Associations Between Hospital Characteristics, Measure Reporting, and …

  12. A study of innovative patient safety education. | PSNet

    psnet.ahrq.gov/issue/study-innovative-patient-safety-education
    April 28, 2021 - Study A study of innovative patient safety education. Citation Text: Smith SD, Henn P, Gaffney R, et al. A study of innovative patient safety education. Clin Teach. 2012;9(1):37-40. doi:10.1111/j.1743-498X.2011.00484.x. Copy Citation Format: DOI Google Scholar PubMed BibT…

  13. Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. | PSNet

    psnet.ahrq.gov/issue/systematic-workup-transfusion-reactions-reveals-passive-co-reporting-handling-errors
    December 21, 2016 - Study Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. Citation Text: Nitsche E, Dreßler J, Henschler R. Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. J Blood Med. 2023;14:435-443. doi:10.2147/jbm.s4…

  14. Medication accuracy in electronic health records for microbial keratitis. | PSNet

    psnet.ahrq.gov/issue/medication-accuracy-electronic-health-records-microbial-keratitis
    September 29, 2021 - Study Medication accuracy in electronic health records for microbial keratitis. Citation Text: Ashfaq HA, Lester CA, Ballouz D, et al. Medication Accuracy in Electronic Health Records for Microbial Keratitis. JAMA Ophthalmal. 2019;137(8):929-931. doi:10.1001/jamaophthalmol.2019.1444. C…

  15. Often overlooked problems with handoffs: from the intensive care unit to the operating room. | PSNet

    psnet.ahrq.gov/issue/often-overlooked-problems-handoffs-intensive-care-unit-operating-room
    May 25, 2016 - Review Often overlooked problems with handoffs: from the intensive care unit to the operating room. Citation Text: Evans AS, Yee M-S, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to the operating room. Anesth Analg. 2014;118(3):687-9. doi:10.1213/ANE.00…

  16. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/does-overlapping-surgery-result-worse-surgical-outcomes-systematic-review-and-meta-analysis
    April 29, 2020 - Review Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. Citation Text: Gartland RM, Alves K, Brasil NC, et al. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. Am J Surg. 2019;218(1):181-1…

  17. Simulation in the executive suite: lessons learned for building patient safety leadership. | PSNet

    psnet.ahrq.gov/issue/simulation-executive-suite-lessons-learned-building-patient-safety-leadership
    July 21, 2017 - Study Simulation in the executive suite: lessons learned for building patient safety leadership. Citation Text: Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377. Copy Cita…

  18. Patient safety begins with proper planning: a quantitative method to improve hospital design. | PSNet

    psnet.ahrq.gov/issue/patient-safety-begins-proper-planning-quantitative-method-improve-hospital-design
    July 19, 2023 - Study Patient safety begins with proper planning: a quantitative method to improve hospital design. Citation Text: Birnbach DJ, Nevo I, Scheinman SR, et al. Patient safety begins with proper planning: a quantitative method to improve hospital design. Qual Saf Health Care. 2010;19(5):46…

  19. A systematic review of simulation for multidisciplinary team training in operating rooms. | PSNet

    psnet.ahrq.gov/issue/systematic-review-simulation-multidisciplinary-team-training-operating-rooms
    November 17, 2014 - Review A systematic review of simulation for multidisciplinary team training in operating rooms. Citation Text: Cumin D, Boyd MJ, Webster CS, et al. A systematic review of simulation for multidisciplinary team training in operating rooms. Simul Healthc. 2013;8(3):171-179. doi:10.1097/S…

  20. Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. | PSNet

    psnet.ahrq.gov/issue/patients-perceptions-safety-if-interpersonal-continuity-care-were-be-disrupted
    July 21, 2021 - Study Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. Citation Text: Pandhi N, Schumacher J, Flynn KE, et al. Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. Health Expect. 2008;11(4):400-8. doi:10.…
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