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4121. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. | PSNet
      psnet.ahrq.gov/issue/effect-therapeutic-interchange-medication-reconciliation-during-hospitalization-and-upon
      November 20, 2013 - Study Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. Citation Text: Wang JS, Fogerty RL, Horwitz LI. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon dischar…

4122. The influence of standardisation and task load on team coordination patterns during anaesthesia inductions. | PSNet
      psnet.ahrq.gov/issue/influence-standardisation-and-task-load-team-coordination-patterns-during-anaesthesia
      November 05, 2008 - Study The influence of standardisation and task load on team coordination patterns during anaesthesia inductions. Citation Text: Zala-Mezö E, Wacker J, Künzle B, et al. The influence of standardisation and task load on team coordination patterns during anaesthesia inductions. Qual Saf …

4123. A survey of pharmacists' perception of the work environment and patient safety in community pharmacies during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/survey-pharmacists-perception-work-environment-and-patient-safety-community-pharmacies-during
      June 23, 2009 - Study A survey of pharmacists' perception of the work environment and patient safety in community pharmacies during the COVID-19 pandemic. Citation Text: Ljungberg Persson C, Nordén Hägg A, Södergård B. A survey of pharmacists' perception of the work environment and patient safety in com…

4124. A randomized clinical trial to compare the use of safety net enclosures with standard restraints in agitated hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/randomized-clinical-trial-compare-use-safety-net-enclosures-standard-restraints-agitated
      September 07, 2022 - Study A randomized clinical trial to compare the use of safety net enclosures with standard restraints in agitated hospitalized patients. Citation Text: Nawaz H, Abbas A, Sarfraz A, et al. A randomized clinical trial to compare the use of safety net enclosures with standard restrain…

4125. Utilization of a role-based head covering system to decrease misidentification in the operating room. | PSNet
      psnet.ahrq.gov/issue/utilization-role-based-head-covering-system-decrease-misidentification-operating-room
      September 23, 2020 - Study Utilization of a role-based head covering system to decrease misidentification in the operating room. Citation Text: Rosen DA, Criser AL, Petrone AB, et al. Utilization of a Role-Based Head Covering System to Decrease Misidentification in the Operating Room. J Patient Saf. 2019;15(…

4126. Predictors of adverse events and medical errors among adult inpatients of psychiatric units of acute care general hospitals. | PSNet
      psnet.ahrq.gov/issue/predictors-adverse-events-and-medical-errors-among-adult-inpatients-psychiatric-units-acute
      November 06, 2019 - Study Predictors of adverse events and medical errors among adult inpatients of psychiatric units of acute care general hospitals. Citation Text: Vermeulen JM, Doedens P, Cullen SW, et al. Predictors of Adverse Events and Medical Errors Among Adult Inpatients of Psychiatric Units of Acut…

4127. Promoting patient safety using an early warning scoring system. | PSNet
      psnet.ahrq.gov/issue/promoting-patient-safety-using-early-warning-scoring-system
      October 16, 2012 - Study Promoting patient safety using an early warning scoring system. Citation Text: Higgins Y, Maries-Tillott C, Quinton S, et al. Promoting patient safety using an early warning scoring system. Nurs Stand. 2008;22(44):35-40. Copy Citation Format: Google Scholar PubMed B…

4128. Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model. | PSNet
      psnet.ahrq.gov/issue/organizational-and-safety-culture-canadian-intensive-care-units-relationship-size-intensive
      November 21, 2016 - Study Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model. Citation Text: Dodek P, Wong H, Jaswal D, et al. Organizational and safety culture in Canadian intensive care units: relationship to siz…

4129. AHRQ's Patient Safety Culture Survey Yields Meaningful Results at Palo Alto Medical Foundation | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cquips0603.html
      October 01, 2014 - AHRQ's Patient Safety Culture Survey Yields Meaningful Results at Palo Alto Medical Foundation Search All Impact Case Studies November 2005 The Palo Alto Medical Foundation, a multi-specialty medical group located near San Francisco, is now using AHRQ's Hospital Survey on Patient Safety Culture . The first…

4130. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. | PSNet
      psnet.ahrq.gov/issue/revealing-and-resolving-patient-safety-defects-impact-leadership-walkrounds-frontline
      June 16, 2011 - Study Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. Citation Text: Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on …

4131. Human error, not communication and systems, underlies surgical complications. | PSNet
      psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
      November 18, 2020 - Study Human error, not communication and systems, underlies surgical complications. Citation Text: Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011. C…

4132. An acetaminophen icon helps reduce medication decision errors in an experimental setting. | PSNet
      psnet.ahrq.gov/issue/acetaminophen-icon-helps-reduce-medication-decision-errors-experimental-setting
      January 12, 2022 - Study An acetaminophen icon helps reduce medication decision errors in an experimental setting. Citation Text: Shiffman S, Cotton H, Jessurun C, et al. An acetaminophen icon helps reduce medication decision errors in an experimental setting. J Am Pharm Assoc (2003). 2016;56(5):495-503.e4…

4133. Active surveillance of vaccine safety: a system to detect early signs of adverse events. | PSNet
      psnet.ahrq.gov/issue/active-surveillance-vaccine-safety-system-detect-early-signs-adverse-events
      March 29, 2010 - Study Active surveillance of vaccine safety: a system to detect early signs of adverse events. Citation Text: Davis RL, Kolczak M, Lewis E, et al. Active surveillance of vaccine safety: a system to detect early signs of adverse events. Epidemiology. 2005;16(3):336-41. Copy Citation …

4134. Extent of diagnostic agreement among medical referrals. | PSNet
      psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals
      October 31, 2011 - Study Extent of diagnostic agreement among medical referrals. Citation Text: Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747. Copy Citation Format: DOI Google Scholar …

4135. Test result communication in primary care: clinical and office staff perspectives. | PSNet
      psnet.ahrq.gov/issue/test-result-communication-primary-care-clinical-and-office-staff-perspectives
      November 20, 2015 - Study Test result communication in primary care: clinical and office staff perspectives. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: clinical and office staff perspectives. Fam Pract. 2014;31(5):592-7. doi:10.1093/fampra/cmu041. …

4136. Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals. | PSNet
      psnet.ahrq.gov/issue/mobile-situ-obstetric-emergency-simulation-and-teamwork-training-improve-maternal-fetal
      July 09, 2008 - Study Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals. Citation Text: Guise J-M, Lowe NK, Deering S, et al. Mobile in situ obstetric emergency simulation and teamwork training to improve maternal-fetal safety in hospitals.…

4137. Moral distress in intensive care unit personnel is not consistently associated with adverse medication events and other adverse events | PSNet
      psnet.ahrq.gov/issue/moral-distress-intensive-care-unit-personnel-not-consistently-associated-adverse-medication
      November 02, 2010 - Study Moral distress in intensive care unit personnel is not consistently associated with adverse medication events and other adverse events Citation Text: Dodek P, Norena M, Ayas N, et al. Moral distress in intensive care unit personnel is not consistently associated with adverse medica…

4138. What does safety commitment mean to leaders? A multi-method investigation. | PSNet
      psnet.ahrq.gov/issue/what-does-safety-commitment-mean-leaders-multi-method-investigation
      September 11, 2024 - Study What does safety commitment mean to leaders? A multi-method investigation. Citation Text: Fruhen LS, Griffin MA, Andrei DM. What does safety commitment mean to leaders? A multi-method investigation. J Safety Res. 2019;68:203-214. doi:10.1016/j.jsr.2018.12.011. Copy Citation F…

4139. Medication reconciliation improvement utilizing process redesign and clinical decision support. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision
      November 16, 2022 - Study Medication reconciliation improvement utilizing process redesign and clinical decision support. Citation Text: Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. …

4140. ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome. | PSNet
      psnet.ahrq.gov/issue/icu-admittance-rapid-response-team-versus-conventional-admittance-characteristics-and-outcome
      January 28, 2010 - Study ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome. Citation Text: Jäderling G, Bell M, Martling C-R, et al. ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome. Crit Care Med. 2013…