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2961. Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide. | PSNet
      psnet.ahrq.gov/issue/development-and-applications-veterans-health-administrations-stratification-tool-opioid-risk
      April 01, 2020 - January 12, 2022 Families as partners in hospital error and adverse event surveillance … July 6, 2022 Sustaining reductions in catheter related bloodstream infections in Michigan … December 21, 2017 VA hospitals flooded with complaints about care. … February 22, 2017 Inpatient suicide and suicide attempts in Veterans Affairs hospitals … September 20, 2011 View More See More About The Topic Specialty Hospitals

2962. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867850/psn-pdf
      February 26, 2025 - high reliability approaches are associated with things like fewer medication errors, fewer patient falls … And the source of both becoming highly reliable and falling apart was leadership. … Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital … hospitals.  … hospital nursing units.

2963. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. | PSNet
      psnet.ahrq.gov/issue/safer-prescribing-and-care-elderly-space-cluster-randomised-controlled-trial-general-practice
      November 18, 2020 - Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in … Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice … s) Lifetime prevalence and correlates of patient-perceived medical errors experienced in … and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. … containers during pharmacist transitional care visits and impact on medication discrepancies identified and hospital

2964. Advanced practice nurses' experiences of patient safety: a focus group study. | PSNet
      psnet.ahrq.gov/issue/advanced-practice-nurses-experiences-patient-safety-focus-group-study
      March 06, 2024 - In this study, advanced practice nurses (APN) working in hospitals or community care described their … October 11, 2023 Care quality and safety in long-term aged care settings: a systematic … August 21, 2024 Microsystems in health care: Part 2. … learning solutions in quality improvement initiatives. … February 12, 2020 View More See More About The Topic Hospitals Ambulatory

2965. The influence of race and gender on pain management: a systematic literature review. | PSNet
      psnet.ahrq.gov/issue/influence-race-and-gender-pain-management-systematic-literature-review
      December 02, 2020 - reducing medication error rates and associated harm among hospital inpatients? … hospitals: a systematic review. … April 5, 2023 Factors causing variation in World Health Organization surgical safety … December 14, 2022 Organizational factors that promote error reporting in healthcare: … June 1, 2022 Implicit bias in healthcare professionals: a systematic review.

2966. Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory cohort study? | PSNet
      psnet.ahrq.gov/issue/patient-safety-primary-allied-health-care-what-can-we-learn-incidents-dutch-exploratory
      March 02, 2022 - Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory … Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory … in a hospital setting. … August 10, 2022 Patient safety in primary care has many aspects: an interview study in … five California hospitals: a qualitative research study.

2967. Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers. | PSNet
      psnet.ahrq.gov/issue/tallman-lettering-strategy-differentiation-look-alike-sound-alike-drug-names-role-familiarity
      May 27, 2020 - familiarity in differentiating drug doppelgangers. … This study found that tall man lettering—in which specific letters in drug names are printed in capital … familiarity in differentiating drug doppelgangers. … February 16, 2022 Quality improvement implementation and hospital performance on patient … May 24, 2006 View More See More About The Topic Hospitals Pharmacists

2968. Association of household opioid availability and prescription opioid initiation among household members. | PSNet
      psnet.ahrq.gov/issue/association-household-opioid-availability-and-prescription-opioid-initiation-among-household
      April 24, 2018 - share their prescribed medications with someone else, it remains uncertain whether individuals living in … Citation Related Resources From the Same Author(s) Families as partners in … hospital error and adverse event surveillance. … August 4, 2021 Changes in medical errors after implementation of a handoff program. … August 20, 2018 Differential safety between top-ranked cancer hospitals and their affiliates

2969. An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths. | PSNet
      psnet.ahrq.gov/issue/effective-intervention-limiting-opioid-prescribing-means-reducing-opioid-analgesic-misuse-and
      July 29, 2020 - Citation Related Resources From the Same Author(s) The confused and bewildered hospital … April 5, 2017 Classification of opioid dependence, abuse, or overdose in opioid-naive … in internal medicine residencies: a national survey of program directors. … opioid-naive patients undergoing elective surgery in a large American health system. … April 24, 2018 View More See More About The Topic Hospitals Ambulatory

2970. Anesthesiology patient handoff education interventions: a systematic review. | PSNet
      psnet.ahrq.gov/issue/anesthesiology-patient-handoff-education-interventions-systematic-review
      April 28, 2021 - Same Author(s) Interprofessional training and communication practices among clinicians in … hospitals: a systematic review. … December 14, 2022 The impact of "missed nursing care" or "care not done" on adults in … June 24, 2020 Omissions of care in nursing home settings: a narrative review. … April 29, 2020 View More See More About The Topic Researchers Hospitals

2971. Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses. | PSNet
      psnet.ahrq.gov/issue/confirmation-bias-why-psychiatrists-stick-wrong-preliminary-diagnoses
      June 13, 2011 - medical students fall victim to confirmation bias—a specific type of diagnostic error —when engaging in … January 6, 2018 Families as partners in hospital error and adverse event surveillance … November 16, 2022 Organisational culture: variation across hospitals and connection to … Avoiding misdiagnoses in psychosomatic consultation services. … May 1, 2020 Guided reflection interventions show no effect on diagnostic accuracy in

2972. Improving resident handoffs for children transitioning from the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/improving-resident-handoffs-children-transitioning-intensive-care-unit
      January 12, 2022 - July 24, 2017 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Safe practice recommendations for the use of copy-forward with nursing flow sheets in … hospital settings. … March 15, 2023 Association of diagnostic stewardship for blood cultures in critically … the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital

2973. Evaluation of wound photography for remote postoperative assessment of surgical site infections. | PSNet
      psnet.ahrq.gov/issue/evaluation-wound-photography-remote-postoperative-assessment-surgical-site-infections
      July 03, 2014 - accuracy, a decrease in sensitivity, and an increase in specificity. … The inclusion of images led to changes in surgeons' assessments in 27% of cases, both from correct to … incorrect and incorrect to correct in almost equal numbers. … a multistate hospital network--13 academic medical centers, April-June 2020. … July 29, 2020 Families as partners in hospital error and adverse event surveillance.

2974. Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. | PSNet
      psnet.ahrq.gov/issue/reducing-failures-daily-medical-practice-healthcare-failure-mode-and-effect-analysis-combined
      August 10, 2022 - Study Reducing failures in daily medical practice: healthcare failure mode and effect … February 15, 2023 A human factors intervention in a hospital--evaluating the outcome … of a TeamSTEPPS program in a surgical ward. … Hazards in delivery of surgical instruments. … March 3, 2011 View More See More About The Topic Hospitals Operating

2975. A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients. | PSNet
      psnet.ahrq.gov/issue/new-patient-safety-smartphone-application-prevention-forgotten-ureteral-stents-results
      July 01, 2015 - smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in … smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in … patient safety in surgery: a review. … July 1, 2015 Families as partners in hospital error and adverse event surveillance. … April 24, 2018 Recommendations for the safety of hospitalised patients in the context

2976. Prescription of long-acting opioids and mortality in patients with chronic noncancer pain. | PSNet
      psnet.ahrq.gov/issue/prescription-long-acting-opioids-and-mortality-patients-chronic-noncancer-pain
      August 08, 2018 - Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain. … In this retrospective study, researchers found that the use of long-acting opioids in patients with chronic … July 10, 2008 Families as partners in hospital error and adverse event surveillance. … community-based care in England and Wales. … December 14, 2016 View More See More About The Topic Hospitals Health

2977. Investigating US medical students' motivation to respond to lapses in professionalism. | PSNet
      psnet.ahrq.gov/issue/investigating-us-medical-students-motivation-respond-lapses-professionalism
      January 12, 2022 - Investigating US medical students' motivation to respond to lapses in professionalism. … However, less is known about how medical students respond to lapses in professionalism. … Hazards in delivery of surgical instruments. … A laboratory experiment and field study in cardiac rehabilitation. … December 21, 2017 View More See More About The Topic Hospitals Educators

2978. Where are my instruments? Hazards in delivery of surgical instruments. | PSNet
      psnet.ahrq.gov/issue/where-are-my-instruments-hazards-delivery-surgical-instruments
      September 25, 2008 - Hazards in delivery of surgical instruments. … Hazards in delivery of surgical instruments. … used failure mode and effect analysis to characterize instrument delivery to operating rooms at two hospitals … Hazards in delivery of surgical instruments. … bar-code-assisted medication administration in hospitals.

2979. Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs. | PSNet
      psnet.ahrq.gov/issue/transition-planning-senior-surgeon-guidance-and-recommendations-society-surgical-chairs
      August 14, 2019 - July 2, 2019 The effect of a rapid response team on major clinical outcome measures in … a community hospital. … programs in the United States and Canada: a cross-sectional survey. … a multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020 Acquisition of critical intraoperative event management skills in

2980. Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study. | PSNet
      psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric
      September 01, 2016 - Preventability of voluntarily reported or trigger tool–identified medication errors in … Medication errors remain one of the most challenging problems in patient safety. … A case of a serious antibiotic overdose that took place at a fully computerized children's hospital is … discussed in a recent book about the fundamental changes in health care resulting from widespread … July 13, 2011 View More See More About The Topic Hospitals Health Care