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Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility. | PSNet

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July 29, 2020 - Study Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility. Citation Text: Amin PB, Bradford CD, Rizos AL, et al. Measuring the Impact of Medication-Related Interventions on 30-Day Readmission Rates in a Skilled Nursing Facili…

Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/incidence-and-severity-prescribing-errors-parenteral-nutrition-pediatric-inpatients-neonatal

June 23, 2021 - Study Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit. Citation Text: Hermanspann T, Schoberer M, Robel-Tillig E, et al. Incidence and Severity of Prescribing Errors in Parenteral Nutrition for …

Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. | PSNet

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July 29, 2020 - Study Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. Citation Text: Maxwell E, Amerine J, Carlton G, et al. Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions a…

Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders. | PSNet

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August 25, 2021 - Study Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders. Citation Text: Smith K, Durant KM, Zimmerman C. Impact of an electronic health record alert on inappropriate prescribing of high-risk …

What do medical records tell us about potentially harmful co-prescribing? | PSNet

psnet.ahrq.gov/issue/what-do-medical-records-tell-us-about-potentially-harmful-co-prescribing

December 19, 2011 - Study Classic What do medical records tell us about potentially harmful co-prescribing? Citation Text: Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co-prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-4…

Research designs for studies evaluating the effectiveness of change and improvement strategies. | PSNet

psnet.ahrq.gov/issue/research-designs-studies-evaluating-effectiveness-change-and-improvement-strategies

September 20, 2011 - Study Classic Research designs for studies evaluating the effectiveness of change and improvement strategies. Citation Text: Eccles M, Grimshaw J, Campbell M, et al. Research designs for studies evaluating the effectiveness of change and improvement strategies. …

Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study. | PSNet

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December 01, 2021 - Study Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study. Citation Text: Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of a pharmacy-based centralized intravenous admixture service on the prevale…

Free-text computerized provider order entry orders used as workaround for communicating medication information. | PSNet

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July 29, 2020 - Study Free-text computerized provider order entry orders used as workaround for communicating medication information. Citation Text: Kandaswamy S, Grimes J, Hoffman D, et al. Free-text computerized provider order entry orders used as workaround for communicating medication information. J…

Overrides of medication-related clinical decision support alerts in outpatients. | PSNet

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September 01, 2016 - Study Overrides of medication-related clinical decision support alerts in outpatients. Citation Text: Nanji KC, Slight SP, Seger DL, et al. Overrides of medication-related clinical decision support alerts in outpatients. J Am Med Inform Assoc. 2014;21(3):487-91. doi:10.1136/amiajnl-2013-…

Influence of the Comprehensive Unit-based Safety Program in ICUs: evidence from the Keystone ICU project. | PSNet

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January 22, 2016 - Study Influence of the Comprehensive Unit-based Safety Program in ICUs: evidence from the Keystone ICU project. Citation Text: Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-3…

The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. | PSNet

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September 19, 2016 - Study The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. Citation Text: Burlison JD, Quillivan RR, Scott SD, et al. The Effects of the Second Victim Phenomenon on Work-Related Outcomes:…

A perinatal care quality and safety initiative: are there financial rewards for improved quality? | PSNet

psnet.ahrq.gov/issue/perinatal-care-quality-and-safety-initiative-are-there-financial-rewards-improved-quality

April 27, 2019 - Study A perinatal care quality and safety initiative: are there financial rewards for improved quality? Citation Text: Kozhimannil KB, Sommerness SA, Rauk P, et al. A perinatal care quality and safety initiative: are there financial rewards for improved quality? Jt Comm J Qual Patient …

Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. | PSNet

psnet.ahrq.gov/issue/pain-management-best-practices-multispecialty-organizations-during-covid-19-pandemic-and

November 16, 2022 - Commentary Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. Citation Text: Cohen SP, Baber ZB, Buvanendran A, et al. Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Pu…

Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study. | PSNet

psnet.ahrq.gov/issue/nurses-influence-consumers-experience-safety-acute-mental-health-units-qualitative-study

January 27, 2021 - Study Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study. Citation Text: Cutler NA, Sim J, Halcomb E, et al. Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study. J Clin Nurs. 2020;29(21…

Patient safety indicators during the initial COVID-19 pandemic surge in the United States. | PSNet

psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states

August 03, 2022 - Study Patient safety indicators during the initial COVID-19 pandemic surge in the United States. Citation Text: Rodriguez JA, Samal L, Ganesan S, et al. Patient safety indicators during the initial COVID-19 pandemic surge in the United States. J Patient Saf. 2024;20(4):247-251. doi:10.10…

Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. | PSNet

psnet.ahrq.gov/issue/use-medical-emergency-team-responses-reduce-hospital-cardiopulmonary-arrests

April 06, 2011 - Study Classic Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Citation Text: Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health …

Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review. | PSNet

psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating-opioids-pain

November 16, 2022 - Review Classic Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review. Citation Text: Klimas J, Gorfinkel L, Fairbairn N, et al. Strategies to Identify Patient Risks of Prescription Opioid Addi…

Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation. | PSNet

psnet.ahrq.gov/issue/association-between-language-use-and-icu-transfer-and-serious-adverse-events-hospitalized

May 18, 2022 - Study Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation. Citation Text: McDade JE, Olszewski AE, Qu P, et al. Association between language use and ICU transfer and serious adverse event…

Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique. | PSNet

psnet.ahrq.gov/issue/supporting-carers-improve-patient-safety-and-maintain-their-well-being-transitions-mental

May 31, 2023 - Study Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique. Citation Text: McMullen S, Panagioti M, Planner C, et al. Supporting carers to improve patient safety an…

National trends in safety performance of electronic health record systems in children's hospitals. | PSNet

psnet.ahrq.gov/issue/national-trends-safety-performance-electronic-health-record-systems-childrens-hospitals

July 29, 2020 - Study Classic National trends in safety performance of electronic health record systems in children's hospitals. Citation Text: Chaparro JD, Classen D, Danforth M, et al. National trends in safety performance of electronic health record systems in children's hos…

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