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5201. Medication errors in overweight and obese pediatric patients: a systematic review. | PSNet
      psnet.ahrq.gov/issue/medication-errors-overweight-and-obese-pediatric-patients-systematic-review
      December 09, 2020 - Review Medication errors in overweight and obese pediatric patients: a systematic review. Citation Text: Procaccini D, Kim JM, Lobner K, et al. Medication errors in overweight and obese pediatric patients: a systematic review. Jt Comm J Qual Patient Saf. 2022;48(3):154-164. doi:10.1016/j…

5202. Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. | PSNet
      psnet.ahrq.gov/issue/surfacing-safety-hazards-using-standardized-operating-room-briefings-and-debriefings-large
      January 03, 2017 - Study Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. Citation Text: Bandari J, Schumacher K, Simon M, et al. Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional …

5203. Detection of adverse events in surgical patients using the Trigger Tool approach. | PSNet
      psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
      February 15, 2011 - Study Detection of adverse events in surgical patients using the Trigger Tool approach. Citation Text: Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080. Cop…

5204. Development of an emergency department trigger tool using a systematic search and modified Delphi process. | PSNet
      psnet.ahrq.gov/issue/development-emergency-department-trigger-tool-using-systematic-search-and-modified-delphi
      August 30, 2017 - Study Development of an emergency department trigger tool using a systematic search and modified Delphi process. Citation Text: Griffey RT, Schneider RM, Adler L, et al. Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process. J Patient S…

5205. Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system. | PSNet
      psnet.ahrq.gov/issue/using-participatory-design-engage-physicians-development-provider-level-performance-dashboard
      October 28, 2020 - Study Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system. Citation Text: Patel S, Pierce L, Jones M, et al. Using participatory design to engage physicians in the development of a provider-level performance da…

5206. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. | PSNet
      psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort-study
      April 13, 2022 - Study Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. Citation Text: Shafer GJ, Singh H, Thomas EJ, et al. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. J Perinatol. 2022;42(10):1312-131…

5207. Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. | PSNet
      psnet.ahrq.gov/issue/adherence-national-guidelines-timeliness-test-results-communication-patients-veterans-affairs
      March 03, 2019 - Study Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. Citation Text: Meyer AND, Scott TMT, Singh H. Adherence to national guidelines for timeliness of test results communication to patients in the Veter…

5208. Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. | PSNet
      psnet.ahrq.gov/issue/frequency-and-nature-medication-errors-and-adverse-drug-events-mental-health-hospitals
      August 11, 2021 - Review Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. Citation Text: Alshehri GH, Keers RN, Ashcroft DM. Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. …

5209. Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults. | PSNet
      psnet.ahrq.gov/issue/assessment-patient-preferred-language-achieve-goal-aligned-deprescribing-older-adults
      December 19, 2018 - Study Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults. Citation Text: Green AR, Aschmann H, Boyd CM, et al. Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults. JAMA Netw Open. 2021;4(4):e212633. do…

5210. Leading quality and safety on the frontline - a case study of department leaders in nursing homes. | PSNet
      psnet.ahrq.gov/issue/leading-quality-and-safety-frontline-case-study-department-leaders-nursing-homes
      February 28, 2024 - Study Leading quality and safety on the frontline - a case study of department leaders in nursing homes. Citation Text: Magerøy M, Braut GS, Macrae C, et al. Leading quality and safety on the frontline - a case study of department leaders in nursing homes. J Healthc Leadersh. 2024;16:193…

5211. Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study. | PSNet
      psnet.ahrq.gov/issue/patient-perspectives-how-physicians-communicate-diagnostic-uncertainty-experimental-vignette
      August 07, 2019 - Study Classic Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study. Citation Text: Bhise V, Meyer AND, Menon S, et al. Patient perspectives on how physicians communicate diagnostic uncertainty: An experimental…

5212. Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. | PSNet
      psnet.ahrq.gov/issue/specialty-based-voluntary-incident-reporting-neonatal-intensive-care-description-4846
      March 09, 2010 - Study Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. Citation Text: Snijders C, van Lingen RA, Klip H, et al. Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.…

5213. Medication errors' causes analysis in home care setting: a systematic review. | PSNet
      psnet.ahrq.gov/issue/medication-errors-causes-analysis-home-care-setting-systematic-review
      August 17, 2022 - Review Medication errors' causes analysis in home care setting: a systematic review. Citation Text: Dionisi S, Di Simone E, Liquori G, et al. Medication errors' causes analysis in home care setting: A systematic review. Public Health Nurs. 2022;39(4):876-897. doi:10.1111/phn.13037. Cop…

5214. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. | PSNet
      psnet.ahrq.gov/issue/nighttime-cross-coverage-associated-decreased-intensive-care-unit-mortality-single-center
      March 07, 2012 - Study Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Citation Text: Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J R…

5215. Validating administrative data for the detection of adverse events in older hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/validating-administrative-data-detection-adverse-events-older-hospitalized-patients
      March 13, 2015 - Study Validating administrative data for the detection of adverse events in older hospitalized patients. Citation Text: Ackroyd-Stolarz S, Bowles SK, Giffin L. Validating administrative data for the detection of adverse events in older hospitalized patients. Drug Healthc Patient Saf. 201…

5216. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. | PSNet
      psnet.ahrq.gov/issue/liquid-based-papanicolaou-tests-endometrial-carcinoma-diagnosis-performance-error-root-cause
      September 01, 2012 - Study Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. Citation Text: Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analys…

5217. Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework. | PSNet
      psnet.ahrq.gov/issue/exploring-stakeholder-perceptions-around-implementation-operating-room-black-box-patient
      November 04, 2020 - Study Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework. Citation Text: Etherington N, Usama A, Patey AM, et al. Exploring stakeholder perceptions around impleme…

5218. A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. | PSNet
      psnet.ahrq.gov/issue/systematic-review-strategies-reporting-neonatal-hospital-acquired-bloodstream-infections
      January 09, 2018 - Review A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. Citation Text: Folgori L, Bielicki J, Sharland M. A systematic review of strategies for reporting of neonatal hospital-acquired bloodstream infections. Arch Dis Child Fetal Neon…

5219. A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I. | PSNet
      psnet.ahrq.gov/issue/morbidity-and-mortality-conference-based-classification-system-adverse-events-surgical
      January 28, 2009 - Study A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I. Citation Text: Antonacci AC, Lam S, Lavarias V, et al. A morbidity and mortality conference-based classification system for adverse events: surgical outcome ana…

5220. Fostering a just culture in healthcare organizations: experiences in practice. | PSNet
      psnet.ahrq.gov/issue/fostering-just-culture-healthcare-organizations-experiences-practice
      August 10, 2022 - Study Fostering a just culture in healthcare organizations: experiences in practice. Citation Text: van Baarle E, Hartman L, Rooijakkers S, et al. Fostering a just culture in healthcare organizations: experiences in practice. BMC Health Serv Res. 2022;22(1):1035. doi:10.1186/s12913-022-0…