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  1. psnet.ahrq.gov/issue/prescription-and-transcription-errors-multidose-dispensed-medications-discharge-hospital
    February 15, 2011 - Study Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study. Citation Text: Alassaad A, Gillespie U, Bertilsson M, et al. Prescription and transcription errors in multidose-dispensed medications on…
  2. psnet.ahrq.gov/issue/inter-professional-clinical-handover-post-anaesthetic-care-units-tools-improve-quality-and
    April 24, 2013 - Study Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. Citation Text: Redley B, Bucknall T, Evans S, et al. Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. Int J Qual Health…
  3. psnet.ahrq.gov/issue/epistemology-patient-safety-research-framework-study-design-and-interpretation
    February 23, 2011 - Study Classic An epistemology of patient safety research: a framework for study design and interpretation. Citation Text: Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 4. One s…
  4. psnet.ahrq.gov/issue/reevaluating-safety-profile-pediatrics-comparison-computerized-adverse-drug-event
    February 15, 2011 - Study Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting in the pediatric environment. Citation Text: Ferranti J, Horvath MM, Cozart H, et al. Reevaluating the safety profile of pediatrics: a comparison of…
  5. psnet.ahrq.gov/issue/reducing-serious-safety-events-and-priority-hospital-acquired-conditions-pediatric-hospital
    July 19, 2023 - Study Reducing serious safety events and priority hospital-acquired conditions in a pediatric hospital with the implementation of a patient safety program. Citation Text: Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired Conditions in…
  6. psnet.ahrq.gov/issue/teamwork-clinical-leadership-skills-and-environmental-factors-influence-missed-nursing-care
    August 04, 2010 - Study Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards. Citation Text: Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental factors that influence mi…
  7. psnet.ahrq.gov/issue/actions-mitigating-negative-effects-patient-participation-patient-safety-qualitative-study
    February 01, 2023 - Study Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study. Citation Text: Van der Voorden M, Franx A, Ahaus K. Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study. BMC Health S…
  8. psnet.ahrq.gov/issue/risky-procedures-nurses-hospitals-problems-and-contemplated-refusals-orders-physicians-and
    February 14, 2024 - Study Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.   Citation Text: de Bie J, Cuperus-Bosma JM, van der Jagt MAB, et al. Risky procedures by nurses in hospitals: proble…
  9. psnet.ahrq.gov/issue/he-thought-lady-door-was-lady-window-qualitative-study-patient-identification-practices
    June 14, 2017 - Study He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. Citation Text: Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identifica…
  10. psnet.ahrq.gov/issue/impact-hospital-acquired-pneumonia-medicare-program
    August 07, 2013 - Study Impact of hospital-acquired pneumonia on the Medicare program. Citation Text: Baker DL, Giuliano KK, Desmarais M, et al. Impact of hospital-acquired pneumonia on the Medicare program. Infect Control Hosp Epidemiol. 2024;45(3):316-321. doi:10.1017/ice.2023.221. Copy Citation F…
  11. psnet.ahrq.gov/issue/developing-high-value-care-programme-bottom-programme-faculty-resident-improvement-projects
    December 16, 2020 - Study Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care. Citation Text: Stinnett-Donnelly JM, Stevens PG, Hood VL. Developing a high value care programme from the bottom up: a programme of…
  12. psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems
    December 02, 2014 - Study Using a network organisational architecture to support the development of Learning Healthcare Systems. Citation Text: Britto MT, Fuller SC, Kaplan HC, et al. Using a network organisational architecture to support the development of Learning Healthcare Systems. BMJ Qual Saf. 2018;27…
  13. psnet.ahrq.gov/issue/medication-errors-during-treatment-new-oral-anticancer-agents-consequences-clinical-practice
    April 21, 2021 - Study Medication errors during treatment with new oral anticancer agents: consequences for clinical practice based on the AMBORA Study. Citation Text: Schlichtig K, Dürr P, Dörje F, et al. Medication errors during treatment with new oral anticancer agents: consequences for clinical pract…
  14. psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-portal-medication-discrepancies-randomized
    April 27, 2022 - Study The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. Citation Text: Ebbens MM, Gombert-Handoko KB, Wesselink EJ, et al. The effect of medication reconciliation via a patient portal on medication discrepancies: …
  15. psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
    November 21, 2017 - Study Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. Citation Text: Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quali…
  16. psnet.ahrq.gov/issue/recommendations-safety-hospitalised-patients-context-covid-19-pandemic-scoping-review
    April 14, 2021 - Review Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. Citation Text: Martins MS, Lourenção DC de A, Pimentel RR da S, et al. Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic…
  17. psnet.ahrq.gov/issue/impact-providing-patients-access-electronic-health-records-quality-and-safety-care-systematic
    July 27, 2022 - Review Emerging Classic Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. Citation Text: Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic …
  18. psnet.ahrq.gov/issue/automated-surveillance-adverse-drug-events-community-hospital-and-academic-medical-center
    September 23, 2020 - Study Automated surveillance for adverse drug events at a community hospital and an academic medical center. Citation Text: Kilbridge PM, Campbell UC, Cozart HB, et al. Automated surveillance for adverse drug events at a community hospital and an academic medical center. J Am Med Infor…
  19. psnet.ahrq.gov/issue/near-miss-transcription-errors-comparison-reporting-rates-between-novel-error-reporting
    January 31, 2018 - Study Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system. Citation Text: South DA, Skelley JW, Dang M, et al. Near-miss transcription errors: a comparison of reporting rates between a novel error…
  20. psnet.ahrq.gov/issue/measuring-safety-older-adult-care-homes-scoping-review-international-literature
    June 30, 2021 - Review Measuring safety in older adult care homes: a scoping review of the international literature. Citation Text: Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmj…