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Quality of care transition, patient safety incidents, and patients' health status: a structural equation model on the complexity of the discharge process. | PSNet

psnet.ahrq.gov/issue/quality-care-transition-patient-safety-incidents-and-patients-health-status-structural

October 02, 2024 - Study Quality of care transition, patient safety incidents, and patients' health status: a structural equation model on the complexity of the discharge process. Citation Text: Marsall M, Hornung T, Bäuerle A, et al. Quality of care transition, patient safety incidents, and patients’ heal…

Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. | PSNet

psnet.ahrq.gov/issue/using-behavioral-insights-strengthen-strategies-change-practical-applications-quality

April 06, 2022 - Commentary Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. Citation Text: Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in…

Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities. | PSNet

psnet.ahrq.gov/issue/health-system-leaders-role-addressing-racism-time-prioritize-eliminating-health-care

March 20, 2019 - Commentary Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities. Citation Text: Austin JM, Weeks K, Pronovost PJ. Health System Leaders’ Role in Addressing Racism: Time to Prioritize Eliminating Health Care Disparities. Jt Comm J Qual …

Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. | PSNet

psnet.ahrq.gov/issue/physician-transition-care-benefits-i-pass-and-electronic-handoff-system-community-pediatric

November 02, 2022 - Study Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. Citation Text: Walia J, Qayumi Z, Khawar N, et al. Physician Transition of Care: Benefits of I-PASS and an Electronic Handoff System in a Community Pediatri…

Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. | PSNet

psnet.ahrq.gov/issue/care-deficiencies-and-leaders-inadequate-reviews-patient-who-died-lt-col-luke-weathers-jr-va

April 10, 2024 - Book/Report Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. Citation Text: Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…

Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. | PSNet

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February 02, 2022 - Commentary Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Citation Text: Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097…

Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program. | PSNet

psnet.ahrq.gov/issue/engaging-residents-and-fellows-improve-institution-wide-quality-first-six-years-novel

May 05, 2010 - Study Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program. Citation Text: Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide quality: the first six years of a no…

The effect of emergency department boarding on order completion. | PSNet

psnet.ahrq.gov/issue/effect-emergency-department-boarding-order-completion

January 29, 2018 - Study The effect of emergency department boarding on order completion. Citation Text: Coil CJ, Flood JD, Belyeu BM, et al. The Effect of Emergency Department Boarding on Order Completion. Ann Emerg Med. 2016;67(6):730-736.e2. doi:10.1016/j.annemergmed.2015.09.018. Copy Citation For…

The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. | PSNet

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July 13, 2010 - Study The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. Citation Text: Jones D, Bagshaw SM, Barrett J, et al. The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. Crit Car…

Reducing the risk of diagnostic error in the COVID-19 era. | PSNet

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September 23, 2020 - Commentary Emerging Classic Reducing the risk of diagnostic error in the COVID-19 era. Citation Text: Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J. Hosp Med. 2020;15(6):363-366. doi:10.12788/jhm.3461. Copy Citation Forma…

Screening electronic health record–related patient safety reports using machine learning. | PSNet

psnet.ahrq.gov/issue/screening-electronic-health-record-related-patient-safety-reports-using-machine-learning

May 30, 2016 - Study Screening electronic health record–related patient safety reports using machine learning. Citation Text: Marella WM, Sparnon E, Finley E. Screening Electronic Health Record–Related Patient Safety Reports Using Machine Learning. J Patient Saf. 2014;13(1):31-36. doi:10.1097/pts.00000…

Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. | PSNet

psnet.ahrq.gov/issue/deficiencies-inpatient-mental-health-care-coordination-and-processes-prior-patients-death

May 26, 2021 - Book/Report Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. Citation Text: Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a…

Association of state opioid duration limits with postoperative opioid prescribing. | PSNet

psnet.ahrq.gov/issue/association-state-opioid-duration-limits-postoperative-opioid-prescribing

April 18, 2019 - Study Emerging Classic Association of state opioid duration limits with postoperative opioid prescribing. Citation Text: Agarwal S, Bryan JD, Hu HM, et al. Association of State Opioid Duration Limits With Postoperative Opioid Prescribing. JAMA Netw Open. 2019;2(…

Comparison of methods for identifying patients at risk of medication-related harm. | PSNet

psnet.ahrq.gov/issue/comparison-methods-identifying-patients-risk-medication-related-harm

March 04, 2011 - Study Comparison of methods for identifying patients at risk of medication-related harm. Citation Text: van Doormaal J, Rommers MK, Kosterink JGW, et al. Comparison of methods for identifying patients at risk of medication-related harm. Qual Saf Health Care. 2010;19(6):e26. doi:10.1136…

Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/pharmacist-led-educational-interventions-provided-healthcare-providers-reduce-medication

October 14, 2020 - Study Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis. Citation Text: Jaam M, Naseralallah LM, Hussain TA, et al. Pharmacist-led educational interventions provided to healthcare providers to redu…

Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-meta-synthesis

August 25, 2021 - Review Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. Citation Text: Clari M, Conti A, Chiarini D, et al. Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. J Nurs Care Qual. 2021;36(4):e51-…

Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting. | PSNet

psnet.ahrq.gov/issue/reducing-drug-prescription-errors-and-adverse-drug-events-application-probabilistic-machine

March 12, 2025 - Study Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting. Citation Text: Segal G, Segev A, Brom A, et al. Reducing drug prescription errors and adverse drug events by…

Views of children, parents, and health-care providers on pediatric disclosure of medical errors. | PSNet

psnet.ahrq.gov/issue/views-children-parents-and-health-care-providers-pediatric-disclosure-medical-errors

April 08, 2020 - Study Views of children, parents, and health-care providers on pediatric disclosure of medical errors. Citation Text: Koller D, Espin S. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. J Child Health Care. 2018;22(4):577-590. doi:10.1177/1…

Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. | PSNet

psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events

January 16, 2008 - Study Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. Citation Text: Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.100…

Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. | PSNet

psnet.ahrq.gov/issue/effects-workload-work-complexity-and-repeated-alerts-alert-fatigue-clinical-decision-support

March 04, 2015 - Study Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. Citation Text: Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. B…

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