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4041. Potentially inappropriate prescribing and its associations with health-related and system-related outcomes in hospitalised older adults: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-and-its-associations-health-related-and-system-related
      July 28, 2021 - Review Potentially inappropriate prescribing and its associations with health-related and system-related outcomes in hospitalised older adults: a systematic review and meta-analysis. Citation Text: Mekonnen AB, Redley B, Courten B, et al. Potentially inappropriate prescribing and its ass…

4042. The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes. | PSNet
      psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and
      September 01, 2018 - Study The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes. Citation Text: Lambert BL, Centomani NM, Smith KM, et al. The "Seven Pillars" Response to Patient Safety Incidents: Effects on Medical Liability Processes and Outcomes. He…

4043. Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. | PSNet
      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…

4044. Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? | PSNet
      psnet.ahrq.gov/issue/temporal-trends-patient-safety-netherlands-reductions-preventable-adverse-events-or-end
      June 30, 2021 - Commentary Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? Citation Text: Shojania KG, van de Mheen PJM-. Temporal trends in patient safety in the Netherlands: reductions in preventable advers…

4045. Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care. | PSNet
      psnet.ahrq.gov/issue/non-dispensing-pharmacists-actions-and-solutions-drug-therapy-problems-among-elderly
      February 03, 2021 - Study Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care. Citation Text: Hazen ACM, Zwart DLM, Poldervaart JM, et al. Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polyp…

4046. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. | PSNet
      psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
      January 23, 2019 - Study Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. Citation Text: Power M, Brewster L, Parry G, et al. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. BMJ Open. 2016;6(9):e0…

4047. Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system. | PSNet
      psnet.ahrq.gov/issue/implementation-integrated-computerized-prescriber-order-entry-system-chemotherapy-multisite
      August 30, 2023 - Commentary Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system. Citation Text: Chung C, Patel S, Lee R, et al. Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a …

4048. The costs associated with adverse drug events among older adults in the ambulatory setting. | PSNet
      psnet.ahrq.gov/issue/costs-associated-adverse-drug-events-among-older-adults-ambulatory-setting
      May 20, 2020 - Study The costs associated with adverse drug events among older adults in the ambulatory setting. Citation Text: Field T, Gilman BH, Subramanian S, et al. The costs associated with adverse drug events among older adults in the ambulatory setting. Med Care. 2005;43(12):1171-1176. Copy…

4049. Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/nursing-strategies-safeguard-covid-19-patients-harm-intensive-care-unit
      July 31, 2013 - Commentary Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. Citation Text: Shiner D, Bock B, Simpson C, et al. Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. Crit Care Nurs Q. 2021;45(1):13-21. doi:10.1097/cn…

4050. Nurses' and patients' appraisals show patient safety in hospitals remains a concern. | PSNet
      psnet.ahrq.gov/issue/nurses-and-patients-appraisals-show-patient-safety-hospitals-remains-concern
      October 16, 2012 - Study Emerging Classic Nurses' and patients' appraisals show patient safety in hospitals remains a concern. Citation Text: Aiken LH, Sloane DM, Barnes H, et al. Nurses' And Patients' Appraisals Show Patient Safety In Hospitals Remains A Concern. Health Aff (Mill…

4051. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. | PSNet
      psnet.ahrq.gov/issue/harnessing-situ-simulation-identify-human-errors-and-latent-safety-threats-adult-tracheostomy
      September 23, 2020 - Study Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Citation Text: Hassan B, Tawfik M-M, Schiff E, et al. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Jt Comm J …

4052. A strategic approach for managing conflict in hospitals: responding to The Joint Commission leadership standard—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/strategic-approach-managing-conflict-hospitals-responding-joint-commission-leadership
      December 01, 2007 - Commentary A strategic approach for managing conflict in hospitals: responding to The Joint Commission leadership standard—part 1 and part 2. Citation Text: Scott C, Gerardi D. A strategic approach for managing conflict in hospitals: responding to the Joint Commission leadership standard…

4053. The incidence and nature of in-hospital adverse events: a systematic review. | PSNet
      psnet.ahrq.gov/issue/incidence-and-nature-hospital-adverse-events-systematic-review
      March 24, 2011 - Review The incidence and nature of in-hospital adverse events: a systematic review. Citation Text: de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.20…

4054. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73363/psn-pdf
      June 09, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. June 9, 2021 Hada A, Coyer F. Shift?to?shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure …

4055. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37792/psn-pdf
      February 15, 2011 - Exploring organizational context and structure as predictors of medication errors and patient falls. February 15, 2011 Mark BA, Hughes LC, Belyea M, et al. Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e3181695671.…

4056. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37518/psn-pdf
      March 13, 2008 - Innovation in patient safety: a new task design in reducing patient falls. March 13, 2008 Tzeng H-M, Yin C-Y. Innovation in patient safety: a new task design in reducing patient falls. J Nurs Care Qual. 2008;23(1):34-42. doi:10.1097/01.NCQ.0000303803.07457.e5. https://psnet.ahrq.gov/issue/innovation-patient-safety…

4057. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40454/psn-pdf
      June 01, 2012 - Influence of unit-level staffing on medication errors and falls in military hospitals. June 1, 2012 Breckenridge-Sproat S, Johantgen M, Patrician PA. Influence of unit-level staffing on medication errors and falls in military hospitals. West J Nurs Res. 2012;34(4):455-74. doi:10.1177/0193945911407090. https://psne…

4058. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39255/psn-pdf
      February 02, 2011 - The patient who falls: "It's always a trade-off." February 2, 2011 Tinetti ME, Kumar C. The patient who falls: "It's always a trade-off". JAMA. 2010;303(3):258-66. doi:10.1001/jama.2009.2024. https://psnet.ahrq.gov/issue/patient-who-falls-its-always-trade Through a case study, this article reviews evidence on risk…

4059. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47508/psn-pdf
      October 24, 2018 - Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. October 24, 2018 Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372. https://psnet.ahrq.go…

4060. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41554/psn-pdf
      January 03, 2017 - Using root cause analysis to reduce falls with injury in community settings. January 3, 2017 Lee A, Mills PD, Neily J. Using root cause analysis to reduce falls with injury in community settings. Jt Comm J Qual Patient Saf. 2012;38(8):366-374. https://psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-inj…