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2921. Patient safety and quality improvement: reducing risk of harm. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
      November 15, 2011 - Review Patient safety and quality improvement: reducing risk of harm. Citation Text: Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev. 2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448. Copy Citation Format: DOI Google Scholar Pu…

2922. Transitional chaos or enduring harm? The EHR and the disruption of medicine. | PSNet
      psnet.ahrq.gov/issue/transitional-chaos-or-enduring-harm-ehr-and-disruption-medicine
      August 02, 2015 - July 19, 2023 Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building

2923. Reframing the morbidity and mortality conference: the impact of a just culture. | PSNet
      psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture
      November 15, 2018 - Review Reframing the morbidity and mortality conference: the impact of a just culture. Citation Text: Brook K, Agarwala AV, Tewfik GL. Reframing the morbidity and mortality conference: the impact of a just culture. J Patient Saf. 2024;40(4):280-287. doi:10.1097/pts.0000000000001224. Co…

2924. Key potentially inappropriate drugs in pediatrics: the KIDs list. | PSNet
      psnet.ahrq.gov/issue/key-potentially-inappropriate-drugs-pediatrics-kids-list
      September 23, 2020 - October 7, 2020 A randomized trial of a multifactorial strategy to prevent serious fall

2925. How informatics nurses use bar code technology to reduce medication errors. | PSNet
      psnet.ahrq.gov/issue/how-informatics-nurses-use-bar-code-technology-reduce-medication-errors
      August 04, 2021 - August 4, 2021 Balancing safety, comfort, and fall risk: an intervention to limit opioid

2926. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. | PSNet
      psnet.ahrq.gov/issue/lost-translation-challenges-and-opportunities-physician-physician-communication-during
      April 12, 2011 - September 8, 2010 WebM&M Cases Another Fall April

2927. Use of an electronic information system to identify adverse events resulting in an emergency department visit. | PSNet
      psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department
      March 13, 2015 - March 20, 2019 A randomized trial of a multifactorial strategy to prevent serious fall

2928. When the 5 rights go wrong: medication errors from the nursing perspective. | PSNet
      psnet.ahrq.gov/issue/when-5-rights-go-wrong-medication-errors-nursing-perspective
      June 27, 2018 - Study When the 5 rights go wrong: medication errors from the nursing perspective. Citation Text: Jones JH, Treiber LA. When the 5 rights go wrong: medication errors from the nursing perspective. J Nurs Care Qual. 2010;25(3):240-247. doi:10.1097/NCQ.0b013e3181d5b948. Copy Citation …

2929. Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. | PSNet
      psnet.ahrq.gov/issue/nurses-use-computerized-clinical-guidelines-improve-patient-safety-hospitals
      June 06, 2018 - February 14, 2024 A randomized trial of a multifactorial strategy to prevent serious fall

2930. Costs and benefits of an early-alert surveillance system for hospital inpatients. | PSNet
      psnet.ahrq.gov/issue/costs-and-benefits-early-alert-surveillance-system-hospital-inpatients
      January 24, 2024 - Study Costs and benefits of an early-alert surveillance system for hospital inpatients. Citation Text: Marchetti A, Jacobs J, Young M, et al. Costs and benefits of an early-alert surveillance system for hospital inpatients. Curr Med Res Opin. 2007;23(1):9-16. Copy Citation Format…

2931. The patient's right to safety—improving the quality of care through litigation against hospitals. | PSNet
      psnet.ahrq.gov/issue/patients-right-safety-improving-quality-care-through-litigation-against-hospitals
      February 17, 2011 - February 17, 2011 A randomized trial of a multifactorial strategy to prevent serious fall

2932. Novel approach to cardiac alarm management on telemetry units. | PSNet
      psnet.ahrq.gov/issue/novel-approach-cardiac-alarm-management-telemetry-units
      October 27, 2021 - Study Novel approach to cardiac alarm management on telemetry units. Citation Text: Whalen DA, Covelle PM, Piepenbrink JC, et al. Novel approach to cardiac alarm management on telemetry units. J Cardiovasc Nurs. 2014;29(5):E13-22. doi:10.1097/JCN.0000000000000114. Copy Citation For…

2933. Feedback from incident reporting: information and action to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/feedback-incident-reporting-information-and-action-improve-patient-safety
      August 26, 2009 - August 4, 2021 A randomized trial of a multifactorial strategy to prevent serious fall

2934. Fixed-dose combination antihypertensives and risk of medication errors. | PSNet
      psnet.ahrq.gov/issue/fixed-dose-combination-antihypertensives-and-risk-medication-errors
      September 28, 2016 - December 5, 2018 Modification of potentially inappropriate prescribing following fall-related

2935. Nursing surveillance: a concept analysis | PSNet
      psnet.ahrq.gov/issue/nursing-surveillance-concept-analysis
      May 26, 2021 - Review Nursing surveillance: a concept analysis Citation Text: Halverson CC, Scott Tilley D. Nursing surveillance: a concept analysis. Nurs Forum. 2022;57(3):454-460. doi:10.1111/nuf.12702. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…

2936. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. | PSNet
      psnet.ahrq.gov/issue/leaving-patients-their-own-devices-smart-technology-safety-and-therapeutic-relationships
      December 04, 2024 - Commentary Emerging Classic Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. Citation Text: Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. BMC Med Ethics…

2937. Case study research: the view from complexity science. | PSNet
      psnet.ahrq.gov/issue/case-study-research-view-complexity-science
      January 03, 2017 - October 10, 2018 A randomized trial of a multifactorial strategy to prevent serious fall

2938. Patient safety in the critical care environment. | PSNet
      psnet.ahrq.gov/issue/patient-safety-critical-care-environment
      November 16, 2022 - October 4, 2023 A randomized trial of a multifactorial strategy to prevent serious fall

2939. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
      January 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS … ) MALPRACTICE INSURERS’ MEDICAL ERROR SURVEILLANCE AND PREVENTION STUDY (MIMESPS) Principal Investigator … Academic institutions and the physicians who staff them are overrepresented, as are claims that fall … Incidence, patterns, and prevention of wrong-site surgery (accepted for publication: Surgery, 2005) … No-fault compensation for medical injuries: the prospect for error prevention.

2940. A Workforce Innovation for Behavioral Health Integration: Insights from the Idaho Health Neighborhood Center | The Academy
      integrationacademy.ahrq.gov/news-and-events/news/workforce-innovation-behavioral-health-integration-insights-idaho-health
      October 28, 2024 - Formal data analysis has been planned to begin in fall of 2024, but the clinic has already collected … About Suicide Prevention. … https://healthandwelfare.idaho.gov/services-programs/behavioral-health/about-suicide-prevention .