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  1. psnet.ahrq.gov/issue/measuring-patient-safety-real-time-essential-method-effectively-improving-safety-care
    February 15, 2011 - Commentary Measuring patient safety in real time: an essential method for effectively improving the safety of care. Citation Text: Classen DC, Griffin FA, Berwick DM. Measuring Patient Safety in Real Time: An Essential Method for Effectively Improving the Safety of Care. Ann Intern Med. …
  2. psnet.ahrq.gov/issue/impact-medical-errors-ninety-day-costs-and-outcomes-examination-surgical-patients
    August 03, 2017 - Study The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. Citation Text: Encinosa W, Hellinger FJ. The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. Health Serv Res. 2008;43(6):2067-85. do…
  3. psnet.ahrq.gov/issue/new-patient-safety-smartphone-application-prevention-forgotten-ureteral-stents-results
    July 01, 2015 - Study A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients. Citation Text: Molina WR, Pessoa R, da Silva RD, et al. A new patient safety smartphone application for prevention of "forgotten" ureteral…
  4. psnet.ahrq.gov/issue/unintended-patient-safety-risks-due-wireless-smart-infusion-pump-library-update-delays
    September 25, 2019 - Study Unintended patient safety risks due to wireless smart infusion pump library update delays. Citation Text: Hsu K-Y, DeLaurentis P, Bitan Y, et al. Unintended Patient Safety Risks Due to Wireless Smart Infusion Pump Library Update Delays. J Patient Saf. 2019;15(1):e8-e14. doi:10.1097…
  5. psnet.ahrq.gov/issue/espen-guideline-hospital-nutrition
    February 17, 2015 - Organizational Policy/Guidelines ESPEN guideline on hospital nutrition. Citation Text: Thibault R, Abbasoglu O, Ioannou E, et al. ESPEN guideline on hospital nutrition. Clin Nutr. 2021;40(12):5684-5709. doi:10.1016/j.clnu.2021.09.039. Copy Citation Format: DOI Google Schola…
  6. psnet.ahrq.gov/issue/speaking-behaviours-safety-voices-healthcare-workers-metasynthesis-qualitative-research
    June 23, 2021 - Review Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Citation Text: Morrow KJ, Gustavson AM, Jones J. Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Int J Nurs…
  7. psnet.ahrq.gov/issue/interunit-handoffs-emergency-department-inpatient-care-cross-sectional-survey-physicians
    September 23, 2020 - Study Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. Citation Text: Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of p…
  8. psnet.ahrq.gov/issue/effective-intervention-limiting-opioid-prescribing-means-reducing-opioid-analgesic-misuse-and
    July 29, 2020 - Commentary An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths. Citation Text: Fink BC, Uyttebrouck O, Larson RS. An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, …
  9. psnet.ahrq.gov/issue/wide-variation-and-overprescription-opioids-after-elective-surgery
    April 24, 2018 - Study Classic Wide variation and overprescription of opioids after elective surgery. Citation Text: Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.00000…
  10. psnet.ahrq.gov/issue/does-incorporating-medications-surveyors-interpretive-guidelines-reduce-use-potentially
    December 15, 2011 - Study Does incorporating medications in the surveyors' interpretive guidelines reduce the use of potentially inappropriate medications in nursing homes? Citation Text: Lapane KL, Hughes CM, Quilliam BJ. Does Incorporating Medications in the Surveyors' Interpretive Guidelines Reduce the…
  11. psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-people-dementia-care-homes-retrospective-analysis
    April 20, 2022 - Study Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis. Citation Text: Parsons C, Johnston S, Mathie E, et al. Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis. Drugs Ag…
  12. psnet.ahrq.gov/issue/web-application-involve-patients-medication-reconciliation-process-user-centered-usability
    August 18, 2021 - Study A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. Citation Text: Marien S, Legrand D, Ramdoyal R, et al. A web application to involve patients in the medication reconciliation process: a user-centered usa…
  13. psnet.ahrq.gov/issue/recognition-adverse-drug-events-older-hospitalized-medical-patients
    August 10, 2022 - Study Recognition of adverse drug events in older hospitalized medical patients. Citation Text: Klopotowska JE, Wierenga PC, Smorenburg SM, et al. Recognition of adverse drug events in older hospitalized medical patients. Eur J Clin Pharmacol. 2013;69(1):75-85. doi:10.1007/s00228-012-1…
  14. psnet.ahrq.gov/issue/use-paediatric-early-warning-systems-great-britain-has-there-been-change-practice-last-7
    September 23, 2020 - Study Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years? Citation Text: Roland D, Oliver A, Edwards ED, et al. Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 yea…
  15. psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes
    July 29, 2020 - Study Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. Citation Text: Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital disch…
  16. psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow
    January 27, 2019 - Study Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. Citation Text: Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors analysis to evaluate the…
  17. psnet.ahrq.gov/issue/organizational-factors-associated-high-performance-quality-and-safety-academic-medical
    January 03, 2017 - Study Classic Organizational factors associated with high performance in quality and safety in academic medical centers. Citation Text: Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in quality and safety in…
  18. psnet.ahrq.gov/issue/us-clinicians-experiences-and-perspectives-resource-limitation-and-patient-care-during-covid
    November 30, 2022 - Study US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. Citation Text: Butler CR, Wong SPY, Wightman AG, et al. US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic…
  19. psnet.ahrq.gov/issue/vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers-united-states-2000
    May 18, 2022 - Study Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013. Citation Text: Hibbs BF, Moro PL, Lewis P, et al. Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000-2013. Vaccine. 2015;…
  20. psnet.ahrq.gov/issue/does-increased-schedule-flexibility-lead-change-national-survey-program-directors-2017-work
    October 12, 2022 - Study Does increased schedule flexibility lead to change? A national survey of program directors on 2017 work hours requirements. Citation Text: Finn KM, Halvorsen AJ, Chaudhry S, et al. Does increased schedule flexibility lead to change? A national survey of program directors on 2017 wo…