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4281. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. | PSNet
      psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and
      May 04, 2022 - Study Collaborative case review: a systems-based approach to patient safety event investigation and analysis. Citation Text: Lacson R, Khorasani R, Fiumara K, et al. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. J Patient Saf. 202…

4282. Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. | PSNet
      psnet.ahrq.gov/issue/implementing-2009-institute-medicine-recommendations-resident-physician-work-hours
      September 28, 2010 - Commentary Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. Citation Text: Blum AB, Shea AS, Czeisler CA, et al. Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervisi…

4283. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. | PSNet
      psnet.ahrq.gov/issue/nosocomial-sars-cov-2-infections-and-mortality-during-unique-covid-19-epidemic-waves
      February 14, 2024 - Study Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. Citation Text: Dave N, Sjöholm D, Hedberg P, et al. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. JAMA Netw Open. 2023;6(11):e2341936. doi:10.1001/jamanetwo…

4284. The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/ohio-maternal-safety-quality-improvement-project-initial-results-statewide-perinatal
      September 23, 2020 - Study The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. Citation Text: Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvemen…

4285. Reducing medication errors for adults in hospital settings. | PSNet
      psnet.ahrq.gov/issue/reducing-medication-errors-adults-hospital-settings
      March 09, 2022 - Review Reducing medication errors for adults in hospital settings. Citation Text: Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings. Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2. Copy Cita…

4286. Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. | PSNet
      psnet.ahrq.gov/issue/older-patients-perceptions-unnecessary-tests-and-referrals-national-survey-medicare
      May 25, 2011 - Study Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. Citation Text: Herndon B, Schwartz LM, Woloshin S, et al. Older patients perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. J…

4287. Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study. | PSNet
      psnet.ahrq.gov/issue/nurse-staffing-levels-missed-vital-signs-and-mortality-hospitals-retrospective-longitudinal
      July 19, 2019 - Book/Report Emerging Classic Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study. Citation Text: Griffiths P, Ball JE, Bloor K, et al. Nurse Staffing Levels, Missed Vital Signs And Mortality In Hos…

4288. Drug shortage-associated increase in catheter-related blood stream infection in children. | PSNet
      psnet.ahrq.gov/issue/drug-shortage-associated-increase-catheter-related-blood-stream-infection-children
      April 24, 2018 - Study Drug shortage-associated increase in catheter-related blood stream infection in children. Citation Text: Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/…

4289. Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis. | PSNet
      psnet.ahrq.gov/issue/clinicians-use-health-information-exchange-technologies-medication-reconciliation-us
      August 04, 2021 - Study Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis. Citation Text: Snyder ME, Nguyen KA, Patel H, et al. Clinicians' use of health information exchange technologies for medicat…

4290. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. | PSNet
      psnet.ahrq.gov/issue/successful-implementation-unit-based-quality-nurse-reduce-central-line-associated-bloodstream
      September 23, 2020 - Study Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Citation Text: Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Am J …

4291. Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/AL_case_study_0.pdf
      March 01, 2010 - Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human…

4292. Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/exploring-association-between-organizational-culture-and-large-scale-adverse-events-evidence
      August 18, 2021 - Study Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. Citation Text: George J, Elwy AR, Charns MP, et al. Exploring the Association Between Organizational Culture and Large-Scale Adverse Events: Ev…

4293. Meaningful use of health information technology and declines in in-hospital adverse drug events. | PSNet
      psnet.ahrq.gov/issue/meaningful-use-health-information-technology-and-declines-hospital-adverse-drug-events
      November 28, 2012 - Study Meaningful use of health information technology and declines in in-hospital adverse drug events. Citation Text: Furukawa MF, Spector WD, Limcangco R, et al. Meaningful use of health information technology and declines in in-hospital adverse drug events. J Am Med Inform Assoc. 2017;…

4294. Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. | PSNet
      psnet.ahrq.gov/issue/determination-unnecessary-blood-transfusion-comprehensive-15-hospital-record-review
      October 27, 2021 - Study Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Citation Text: Jadwin DF, Fenderson PG, Friedman MT, et al. Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Jt Comm J Qual Patient Saf. 2023;49(1):4…

4295. Association of hospital employee satisfaction with patient safety and satisfaction within Veterans Affairs medical centers. | PSNet
      psnet.ahrq.gov/issue/association-hospital-employee-satisfaction-patient-safety-and-satisfaction-within-veterans
      August 04, 2021 - Study Association of hospital employee satisfaction with patient safety and satisfaction within Veterans Affairs medical centers. Citation Text: Kang R, Kunkel ST, Columbo JA, et al. Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affair…

4296. Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. | PSNet
      psnet.ahrq.gov/issue/medication-related-harm-older-adults-following-hospital-discharge-development-and-validation
      May 15, 2013 - Study Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. Citation Text: Parekh N, Ali K, Davies JG, et al. Medication-related harm in older adults following hospital discharge: development and validation of a prediction …

4297. Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. | PSNet
      psnet.ahrq.gov/issue/incidence-never-events-among-weekend-admissions-versus-weekday-admissions-us-hospitals
      November 03, 2015 - Study Classic Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. Citation Text: Attenello FJ, Wen T, Cen SY, et al. Incidence of "never events" among weekend admissions versus weekday admissions to …

4298. Incidence and method of suicide in hospitals in the United States. | PSNet
      psnet.ahrq.gov/issue/incidence-and-method-suicide-hospitals-united-states
      October 04, 2023 - Study Incidence and method of suicide in hospitals in the United States. Citation Text: Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002. Copy C…

4299. Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. | PSNet
      psnet.ahrq.gov/issue/associations-between-patient-factors-and-adverse-events-home-care-setting-secondary-data
      November 27, 2013 - Study Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. Citation Text: Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home care setting: a …

4300. How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. | PSNet
      psnet.ahrq.gov/issue/how-strong-evidence-use-perioperative-beta-blockers-non-cardiac-surgery-systematic-review-and
      August 04, 2021 - Review How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. Citation Text: Devereaux PJ, Beattie WS, Choi PT-L, et al. How strong is the evidence for the use of perioperative β…