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  1. Incidence and preventability of adverse drug events in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-hospitalized-patients
    May 27, 2011 - Study Classic Incidence and preventability of adverse drug events in hospitalized patients. Citation Text: Bates DW, Leape L, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults. J Gen Intern Med. 1993;8(6):289-294. Copy Ci…

  2. Strategies to enhance adoption of ventilator-associated pneumonia prevention interventions: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/strategies-enhance-adoption-ventilator-associated-pneumonia-prevention-interventions
    July 10, 2017 - Review Strategies to enhance adoption of ventilator-associated pneumonia prevention interventions: a systematic literature review. Citation Text: Goutier JM, Holzmueller CG, Edwards KC, et al. Strategies to enhance adoption of ventilator-associated pneumonia prevention interventions: a s…

  3. Organizational culture: an important context for addressing and improving hospital to community patient discharge. | PSNet

    psnet.ahrq.gov/issue/organizational-culture-important-context-addressing-and-improving-hospital-community-patient
    December 30, 2014 - Study Organizational culture: an important context for addressing and improving hospital to community patient discharge. Citation Text: Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for addressing and improving hospital to community pa…

  4. The Lancet Commission on lessons for the future from the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/lancet-commission-lessons-future-covid-19-pandemic
    January 12, 2022 - Commentary The Lancet Commission on lessons for the future from the COVID-19 pandemic. Citation Text: Sachs JD, Karim SSA, Aknin L, et al. The Lancet Commission on lessons for the future from the COVID-19 pandemic. Lancet. 2022;400(10359):1224-1280. doi:10.1016/s0140-6736(22)01585-9. C…

  5. Nurse leader attitudes and beliefs regarding medical errors. | PSNet

    psnet.ahrq.gov/issue/nurse-leader-attitudes-and-beliefs-regarding-medical-errors
    March 12, 2025 - Study Nurse leader attitudes and beliefs regarding medical errors. Citation Text: Prothero MM, Huefner K, Sorhus M. Nurse leader attitudes and beliefs regarding medical errors. J Nurs Adm. 2024;54(1):10-15. doi:10.1097/nna.0000000000001371. Copy Citation Format: DOI Google …

  6. Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer. | PSNet

    psnet.ahrq.gov/issue/association-polypharmacy-and-potential-drug-drug-interactions-adverse-treatment-outcomes
    May 25, 2016 - Study Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer. Citation Text: Mohamed MR, Mohile SG, Juba KM, et al. Association of polypharmacy and potential drug‐drug interactions with adverse treatment outco…

  7. Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. | PSNet

    psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-estimates-ahrq-patient-safety-indicators
    April 03, 2005 - Study Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. Citation Text: Coffey RM, Andrews RM, Moy E. Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. Med Care. 2005;43(3 Suppl):I48-I57. Copy Cita…

  8. Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. | PSNet

    psnet.ahrq.gov/issue/quality-care-concerns-and-facility-response-following-medical-emergency-va-southern-nevada
    July 13, 2022 - Book/Report Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. Citation Text: Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care Sy…

  9. Electronic prescription writing errors in the pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/electronic-prescription-writing-errors-pediatric-emergency-department
    November 16, 2022 - Study Electronic prescription writing errors in the pediatric emergency department. Citation Text: Nelson CE, Selbst SM. Electronic prescription writing errors in the pediatric emergency department. Pediatr Emerg Care. 2015;31(5):368-72. doi:10.1097/PEC.0000000000000428. Copy Citation …

  10. Walking the tightrope: communicating overdiagnosis in modern healthcare. | PSNet

    psnet.ahrq.gov/issue/walking-tightrope-communicating-overdiagnosis-modern-healthcare
    September 23, 2020 - Commentary Walking the tightrope: communicating overdiagnosis in modern healthcare. Citation Text: McCaffery KJ, Jansen J, Scherer LD, et al. Walking the tightrope: communicating overdiagnosis in modern healthcare. BMJ. 2016;352:i348. doi:10.1136/bmj.i348. Copy Citation Format: …

  11. Regional variations in diagnostic practices. | PSNet

    psnet.ahrq.gov/issue/regional-variations-diagnostic-practices
    July 15, 2020 - Study Regional variations in diagnostic practices. Citation Text: Song Y, Skinner J, Bynum JPW, et al. Regional variations in diagnostic practices. N Engl J Med. 2010;363(1):45-53. doi:10.1056/nejmsa0910881. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…

  12. Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine. | PSNet

    psnet.ahrq.gov/issue/hidden-flaws-behind-expert-level-accuracy-multimodal-gpt-4-vision-medicine
    March 24, 2019 - Study Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine. Citation Text: Jin Q, Chen F, Zhou Y, et al. Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine. NPJ Dig Med. 2024;7(1):190. doi:10.1038/s41746-024-01185-7. Copy Citati…

  13. Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators. | PSNet

    psnet.ahrq.gov/issue/designing-abstraction-instrument-lessons-efforts-validate-ahrq-patient-safety-indicators
    January 13, 2010 - Commentary Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators. Citation Text: Utter GH, Borzecki A, Rosen AK, et al. Designing an abstraction instrument: lessons from efforts to validate the AHRQ patient safety indicators. Jt Comm J Q…

  14. Effect of genetic diagnosis on patients with previously undiagnosed disease. | PSNet

    psnet.ahrq.gov/issue/effect-genetic-diagnosis-patients-previously-undiagnosed-disease
    October 19, 2022 - Study Effect of genetic diagnosis on patients with previously undiagnosed disease. Citation Text: Splinter K, Adams DR, Bacino CA, et al. Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease. New Engl J Med. 2018;379(22):2131-2139. doi:10.1056/NEJMoa1714458. Copy…

  15. 10,000 good catches: increasing safety event reporting in a pediatric health care system. | PSNet

    psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care-system
    April 20, 2022 - Study 10,000 good catches: increasing safety event reporting in a pediatric health care system. Citation Text: Crandall KM, Almuhanna A, Cady R, et al. 10,000 Good Catches: Increasing Safety Event Reporting In A Pediatric Health Care System. Pediatr Qual Saf. 2019;3(2):e072. doi:10.1097/…

  16. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. | PSNet

    psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic
    January 12, 2022 - Review Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. Citation Text: Perez B, Knych SA, Weaver SJ, et al. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem…

  17. Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. | PSNet

    psnet.ahrq.gov/issue/retail-pharmacy-staff-perceptions-design-strengths-and-weaknesses-electronic-prescribing
    January 07, 2015 - Study Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. Citation Text: Odukoya OK, Chui MA. Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. J Am Med Inform Assoc. 2012;19(6):1059-65. doi:10.1136…

  18. Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. | PSNet

    psnet.ahrq.gov/issue/comparison-military-and-civilian-methods-determining-potentially-preventable-deaths
    October 19, 2022 - Review Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. Citation Text: Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JA…

  19. Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. | PSNet

    psnet.ahrq.gov/issue/frequency-and-risk-factors-preventable-medication-related-hospital-admissions-netherlands
    March 01, 2011 - Study Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. Citation Text: Leendertse AJ, Egberts ACG, Stoker LJ, et al. Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. Arch Inte…

  20. Parents' perspectives on "keeping their children safe" in the hospital. | PSNet

    psnet.ahrq.gov/issue/parents-perspectives-keeping-their-children-safe-hospital
    June 27, 2018 - Study Parents' perspectives on "keeping their children safe" in the hospital. Citation Text: Rosenberg RE, Rosenfeld P, Williams E, et al. Parents' Perspectives on "Keeping Their Children Safe" in the Hospital. J Nurs Care Qual. 2016;31(4):318-326. doi:10.1097/NCQ.0000000000000193. Cop…
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